Erectile Dysfunction Cures and Treatment

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
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§        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

        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.

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