Erectile Dysfunction and Impotency:
Treatment and Cures
Erectile dysfunction (impotence): medication
Plant extracts like tongkat
ali, yohimbine, ginseng and papaverine, which used to be
thought of as quack medicine, have shown their effectiveness in scientific
trials, and are prescribed in sexological practice. Papaverine mixed with
prostaglandins, on the market under the name Androskat, is injected into the
penis. The doctor decides the dosage and demonstrates the injection
technique. After that the man has to inject himself. He may think it’s a
little scary at first, but after a while he gets used to it.
The most popular medicinal therapy since 1998 has been sildenafil (Viagra),
It relaxes the smooth muscles round the small arteries of the penis, so that
the blood can freely flow and fill the corpora cavernosa (hollow spaces) of
the penis, making it hard. At the same time, the veins which carry the blood
off when the penis is flaccid are closed, so that the erection continues for
a sufficiently long time to have sexual intercourse. Viagra cannot normally
be had without a doctor’s prescription, and is not normally covered by
health insurance.
Viagra is not an afrodisiac, although pleasure in sex obviously increases if
a desired erection is attained and held. But if there is little or no
appetite, Viagra does not help.
Warning:
Read Erectile Dysfunction Drugs
Linked to Risk for Hearing Loss
Because Viagra may pose a risk for people with high blood pressure or
cardiac problems, other drugs have been developed which do not work directly
on the blood flow, but on the nerve centre in the brain involved in bringing
about an erection. Such other brand names are
Uprima and Cialis. They have
the advantage of working faster and Cialis
especially has a longer effective period, even a whole weekend, whereas
Viagra works only for four hours. The choice of different drugs is a good
thing, for it widens the options for patients and doctors. Someone who gets
no results from one may benefit from another.
No need to say, erection pills are sold through the internet. In some cases
the sellers are bona fide, in most however, one can be almost certain to
receive imitation drugs or food supplements. Courtesy of
http://www.nvsh.nl/problems/impotence.htm
Erectile dysfunction (impotence): mechanical aids
For men who do not benefit from erection pills or are advised not to use
them, there are still some mechanical means left whereby they can obtain and
hold an erection.
§
The cock ring
(penis erection ring), placed around the base of the erect penis, keeps
the penis from going flaccid by blocking the blood flow through the veins,
which are close to the surface of the penis. A cockring is placed into
position after the penis has become hard, and must not be left in place
longer than 30 minutes. Detailed information on cock rings is
available by your
visiting the following page----
[Penis-Erection-Rings]
[ED-Drugs-Hearing-Loss]
[Penile-Prosthesis]
§
The vacuum pump is a plastic cylinder with an airpump at the
top. It is placed on the flaccid penis, then the air is pumped out. As a
result the air pressure inside the cylinder decreases, which causes blood to
flow into the penis, making it hard. A cockring is usually placed around the
base of the penis to prevent blood flowing away again when the cylinder is
removed.
§
A hollow imitation penis or extension condom can be used if no
erection is possible but intercourse is desired.
§
A penile prosthesis is a more permanent solution, requiring an
operation. Thin cylindrical tubes are placed inside the two corpora
cavernosa, giving the man a lasting erection, which is not always very
comfortable, although the penis can be bent to fit against the lower
abdomen.
§
A newer form is the Scott-Bradley prosthesis, in which small
balloons are placed inside the penis, which can then be inflated with a
fluid substance, causing an erection. Afterwards, the fluid is released
again, returning the penis to its flaccid state. Courtesy of
http://www.nvsh.nl/problems/impotence.htm
|
New treatment options for erectile dysfunction:
Pharmacologic and nonpharmacologic options
Article in German in Herz, 2003 Jun;28(4):314-24, by
researchers H. Sperling, G. Lummen, T. Schneider, and H. Rubben, of the
Urologische Klinik am Universitatsklinikum Essen, Germany.
herbert.sperling@uni-essen.de
Erectile
dysfunction is a medical condition that influences the sexual life of
millions of men and women worldwide. Due to a large number of currently
available drugs, the therapy of erectile dysfunction has changed profoundly
during the last decades. The pharmacologic options are divided into
initiators versus conditioners and central- or peripheral-acting drugs.
Besides intraurethral and intracavernous application of prostaglandin E(1)
(PGE(1), peripheral initiator)--a transdermal application is still in
clinical testing--there are drugs for oral application. PGE(1), the
vasoactive drug mainly used, was replaced by sildenafil in
first-line-therapy. PGE(1), administered intracavernosally or
intraurethrally, is highly effective with success rates up to 90%, but the
attrition rate due to personal inconvenience remains significant. Yohimbine
is known as a central amplifier of erection and is useful in psychogenic and
mild organic erectile dysfunction. Apomorphine, a central initiator of
erection, amplifies erectile response as a central dopamine agonist in mild
and moderate erectile dysfunction and starts acting 15-20 min after
sublingual application. The phosphodiesterase type 5 (PDE-5) inhibitors
sildenafil, vardenafil, and taldalafil are peripheral conditioners.
Sildenafil, the most distributed oral agent worldwide, should be taken
orally 60 min before sexual intercourse in combination with sexual
stimulation. Sildenafil shows a high efficacy-safety profile with success
rates for all etiologies between 50-80%. Paralleling nitrate-containing
medication is an absolute contraindication. Vardenafil, another selective
PDE-5 inhibitor with potentially higher selectivity and efficacy compared to
sildenafil was just approved. The data from the clinical trials show the
same adverse events and success rates as sildenafil. Tadalafil, just
launched as well, amplifies erectile function for up to 24 h, allowing the
patient to engage in sexual activity for this period. Adverse events and
success rates resemble those of the other two substances. If medical
treatment fails, there are nonpharmacologic options such as the vacuum
constriction device and penile implants. The vacuum device is a safe and
effective option for well-selected patients. Penile implants, especially the
inflatable ones, completely imitate the physiologic erection. Due to recent
research, infection rates and mechanical failures were minimized. Therefore
penile implant surgery is well accepted by the patients and their partners.
Despite this wide variety of options, therapy of erectile dysfunction should
be performed in an individually adapted way. The patient's exact history,
physical examination, collaboration of medical disciplines and choice of
therapy will offer all patients the possibility to achieve or regain a
satisfying sexual life.
►Buy Tongkat
Ali with FREE Worldwide Postal Delivery
►Read Tongkat Ali
scientific studies as to its effectiveness.
|
[Home] [Causes-Chronic-Erectile-Dysfunction] [Erectile-Dysfunction-Research] [Erectile-Dysfunction-Impotence-Treatment] [Erectile-Dysfunction-News] [Buy-Tongkat-Ali] [L-Arginine] [Ginseng--Erection-Medical-Study] [How-Sex-Helps-Your-Health] [Herbal-Remedy-News] [Links] [Contact-Us] [Sex-Education-Websites-Links]
|