Quite often men in their fifties and early sixties walk into the clinic and meet with doctors. They carry with them a lot of lab reports and doctor's reports. You can always detect a certain level of anxiety mixed with unpleasantness and worry in their eyes.
The discussions always tend to go round their medical health and generally on diabetes, blood pressure and cholesterol levels. But then in a few minutes once they start talking, it becomes very apparent to the doctor that the patient is not forth coming about the problem he is worried about and is just skirting the issues.
By experience when we see patient's reports, their age and their lifestyle habits, we can generally conclude as to what could be their problem. Most men at this stage go through mid life crisis as we call in common term or andro pause , as it is called in medical language.
Men who are going through male menopause suffer due to the declining level of testosterone hormone secretion in the body and this results in loss of sexual drive as well as muscular strength. The other symptoms that accompany this condition include depression, emotional anxiety, lethargy, obesity and restlessness etc.
Coupled with the loss of sexual drive and desire, they generally find themselves unable to achieve an erection and suffer from the condition called erectile dysfunction. This condition is caused due to loss of blood supply to the penis, which inhibits it from achieving erection required for a sexual intercourse.
Erectile dysfunction can also be cause due to other medical conditions arising out of diabetes, hypertension, high cholesterol, nervous diseases like Parkinson's, prostate, bladder, or rectal surgery besides lifestyle habits as well as extreme emotional stress, anxiety, panic and other psychosomatic disorders too.
In most cases men seek medical help when their condition has started affecting their relationship with their spouse and resulted in strained relationship. Until then they prefer to keep to themselves and are not very forth coming. Even after coming to the doctor, many are reluctant to open up and discuss the problem frankly.
We know from experience and can detect such cases in the first few minutes from their behavior as well as the medical reports. We also run few diagnostic tests and prescribe treatment of hormonal replacement therapy wherever required to make up for the loss and imbalance of hormone in the body. For the erectile dysfunction we prescribe Cialis to be consumed orally on daily basis. The dosage varies from case to case. This tablet helps increase the blood supply to the penis and helps achieve erection.
The next visit from the patient, which is after a week, finds the patient coming to visit the doctor with his wife and there is a definite change in his look, body energy as well as a spring in the walk. They are now more confident to bring their wives along to discuss with the doctor. The discussion too follows the normal pattern. We now know that the patient is doing well, has regained his physical strength as well as sexual drive and is able to make his wife happy too.
They continue to keep checking with the doctor every now and then and continue taking daily doze of Cialis along with other medicines. Soon the problems are forgotten and a new leaf turned over in life. You can now see them enjoying a walk in the evening hand in hand and looking into each other's eyes, oblivious to the whole world around them.