Treatment of Erectile Dysfunction

I would always recommend starting the search for a treatment for erectile dysfunction by trying a "self-help" program you can use at home with your partner.

This is a simple and economical option, and it avoids the difficulty of visits to the doctor and any embarrassment that may cause.

Besides, it's entirely possible that what's causing your erectile dysfunction is something much simpler than you might think. I know that when a man loses his erection, it can seem like the end of the world (and I've experienced this myself, so I really do know).

Besides which, over the years I've helped many men with erectile dysfunction and when they come to me for assistance, they're usually in a panic and no wonder!

Getting an erection on demand is just about the most important aspect of a man's sexual functioning and maybe even of his masculinity. So losing your erection is a major blow in just about every way.

 

Other sections on the website about erectile dysfunction

Home ] Diagnosis of Erectile Dysfunction ] The Causes of Erectile Dysfunction ] Effects of Erectile Dysfunction On Men and Their Partners ] Treatment for Erectile Dysfunction ]

Home ] Treatment of psychological (psychogenic) ED ] Treating ED caused by anxiety ] Self hypnosis for erection problems ] Hypnosis ] ED & cardiovascular disease ] Viagra and Effective treatment of ED ] [ Background Information About Treatment ] The Science of Treating Erectile Dysfunction ] Viagra and Similar products ] Intercavernosal Treatmend - Drugs and Implants ] Erectile Dysfunction - Home Treatment Strategies ]

 

 

So my advice is to pause, take a deep breath, realize that it's not actually the end of the world, even though it might seem like it, and have a look at the treatment program on this website (which you can see by clicking here), decide if it's for you, and then, depending on how you feel after you've had a look at it, maybe make an appointment with your doctor.

In the information below, you'll get some idea of what might happen if you see a doctor for advice on treating erectile dysfunction.

Obviously a lot of men take this option because they want one of the modern drugs which are available, and it's true these can be really effective. That's a perfectly reasonable option, and it may solve your problem but you also need to be aware that it may not make any difference.

About one man in eight finds the drugs don't work in erectile dysfunction treatment, either because the man has some underlying health problem, or because he's in a relationship with issues that are just so big or important that they're going to get in the way of sex whatever else he tries. These relationship issues need to be dealt with first.

Also, it's important to remember that even if drugs do work for you, that they can have major side-effects, and they don't deal with the underlying emotional issues that might be getting in the way of a good sexual relationship with your partner.

That's really important, and it's one of the reasons why a home-based treatment program for ED can be so effective and powerful.

If you do see a doctor for erectile dysfunction, his evaluation should consist of three basic elements: asking you about your medical and sexual history; some appropriate physical exams and maybe some blood tests; and then discussing with you the best course of treatment.

Treatment of erectile dysfunction should move from the simplest treatments and therapies towards the more complex ones, but only if the simpler ones don't work. In medical terms, simpler treatments such as drug therapy are described as the "least invasive" option.

The least invasive treatments for erectile dysfunction include: prescription drug therapy (e.g., sildenafil, tadalafil, vardenafil), psychosexual counseling, home treatment programs, and the use of a vacuum pump and penile constriction device.

The most invasive are: penile prosthesis implants and arterial or venous surgery.

Phosphodiesterase 5 inhibitors (Viagra, etc) and the treatment of erectile dysfunction

Phosphodiesterase 5 (PDE5) inhibitors are effective therapeutic agents for erectile dysfunction with organic, pyschological, and mixed causes. PDE5 inhibits cyclic guanosine monophosphate hydrolysis in the tissues of the corpus cavernosum and so increases penile response to sexual arousal. PDE5 inhibitors are relatively non-invasive, convenient, have high efficiecency, and low levels of side effects.

There are three PDE5 inhibitors available: sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra).

Viagra was the first PDE5 inhibitor approved for use by the FDA, is highly effective in increasing erectile function (i.e., attaining and maintaining an erection) for most men with erectile dysfunction. Side effects including headache, flushing of the face and dyspepsia, occur in fewer than 20% of men.

The great thing is that it works even with severe cases of impotence caused by prostate cancer, diabetes mellitus, spinal cord injuries and neurologic disorders.

Cialis is also a PDE5 inhibitor, but with a different chemical structure, and is also good at improving erectile function for most men.

Unlike the other PDE5 inhibitors which generally affect erectile function for approximately 4 hours, Cialis can improve erectile function for up to 36 hours. Side effects, which include headache, dyspepsia, and back pain, occur in fewer than 15% of men. It is effective in treating erectile dysfunction associated with medical conditions such as hypertension, diabetes, coronary artery disease, and depression.

Levitra is a PDE5 inhibitor similar in chemical structure to Viagra, and is effective in treating most men with erectile dysfunction. Side effects, which include headache, rhinitis, flushing and dyspepsia, occur in less than 25% of men. Levitra is effective for treating erectile dysfunction in men with coronary artery disease and diabetes.

Comparison of Viagra, Cialis, and Levitra

They are all potent PDE 5 inhibitors which act in the same way. Cialis has a longer life in the body than Viagra or Levitra. They share some common characteristics: they produce a dose-dependent improvement in erectile function among most men with erectile dysfunction; they are effective for many different causes of erectile dysfunction, including diabetes; the man' sage of the patient does not influence their efficiency; they are relatively well tolerated and tend to have minimal side effects (headache, nasal congestion, and dyspepsia are the most common); all three are contraindicated in patients taking certain heart medication.

Alprostadil for the Treatment of Erectile Dysfunction

Intra-urethral administration of alprostadil (known as MUSE) can be an effective treatment for erectile dysfunction for men who cannot take Viagra, or for whom it does not work. MUSE is a small, medicated pellet that is inserted into the urethra; an erection develops about five to ten minutes later and persists for about half an hour to an hour.

Alprostadil can also be administered intra-cavernously by injection as well; some men may prefer this approach.

Alprostadil should not be used when a man is having intercourse with a partner who is pregnant, unless barrier contraception (i.e. a condom) is used.

Treatments and Psychosexual Counseling For Erectile Dysfunction

Viagra and its ilk have become standard therapy when treating cases of erectile dysfunction. You can compare and review PDE5s Cialis, Levitra and Viagra online here.  

But this increased emphasis on the physiological causes of sexual dysfunction may have led to a simplistic tendency to look for simple medical solutions to problems which may have their real roots in a man's sexual relationship with his partner. The list below outlines some of the issues for men given a drug to treat erectile dysfunction.

Psychosexual Issues for Men Using Viagra

1 Satisfying sexual relationships are not just the product of a firm erection.

2 Sex has differing levels of importance to all couples.

3 What will happen to the relationship when the man gets his erection back? How will their sex life be affected?

4 Restored erectile function can reveal other sexual dysfunctions including premature ejaculation and low desire.

Continued here.

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