Brief Answer:
Need management
Detailed Answer:
Thank you for asking!
Erectile dysfunction is very common trouble in geriatric age limits. So age and the medicines you have been taking specially anxiety and
depression meds are very common reason for the dysfunctions. Before talking about management you need some detailed sexual history with thorough physical examination and some work up like hormonal assays, and routine labs and some functional work up like direct
prostaglandin instillation,NPT testing, Biothesiometry etc.
Seek a Sex therapist and let him help you with this erectile dysfunctions.Discuss with some some options like Phosphodiesterase-5 inhibitors,Androgens,Intracavernosal injection of vasodilators,Intraurethral prostaglandin E1 pellets,Vascular endothelial growth factor,Yohimbine,
Apomorphine and phentolamine etc.
There are some External Erection-Facilitating Devices like vacuum devices and constriction devices. Surgical intervention like revascularization,elimination of venous outflow and Placement of
penile implant will be the last resort.
I hope it helps. Dont forget to close the discussion please.
Take care
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