Little
is said about erectile dysfunction, but recently it has gained high prominence.
The main cause of impotence is usually anxiety; chronic diseases such as
diabetes, uncontrolled cholesterol, hypertension, obesity, and smoking are
related to episodes of impotence in men over age. Erectile dysfunction affects
nearly 50% of people aged 40 to 80 years.
Given
the high incidence of the problem; however, seeking medical help is still quite
shy. Embarrassed by the situation, men wait three to five years to schedule an
appointment with a specialist. Medicine has advanced greatly in the area of erectile
dysfunction. It is now possible to cure it permanently with the help of right
medication and treatment. Following are seven way to treat impotent.
1. Oral medications
Oral
medications are always the first choice of treatment of erectile dysfunction,
provided that the patient does not show lesions in the arteries of the penis or
some contraindication for substances in the formulas. Oral medicines improve
blood flow to the penis, which favours the erection. They should be taken
around one to two hours before sexual intercourse and vary in time of action
and maximum power. Long-acting medications, for example, can act for up to 36
hours. This does not mean that men have an erection for 36 hours, but during
that time he will be able to get an erection if you are sexually stimulated.
The obligation to take the medicine before having a relationship, however,
bothers some men for disturbing the spontaneity of the moment. In these cases,
the professional may prescribe a daily dose of medicine, like a continuous
treatment. The main side effects are headache, flushing, stuffy nose and
tachycardia. If you notice any other symptoms, the doctor should be informed. Activ Homme, Libidus, Maxidus, Maxi2 can treat erectile dysfunction without side effect.
2. Intra-cavernous injection
If
oral medications are not effective or are contraindicated, the specialist will move
to the second treatment option: intra-cavernous injection. The advantage of
this method is that the drug acting about 15 minutes after application.
Moreover, in this case any incentive for the man to have an erection is not necessary.
The injected substance stimulates circulation and promotes the dilation of the
arteries at the site, which increases blood flow to the penis leading to an
erection. The duration of erection varies according to the dose injected, which
is established in consultation with the physician. Although effective, the
treatment is not always well accepted by the patients. Some people are
terrified of the needle. Imagine, then, if it needs to be inserted into the penis.
The expert also emphasized that individuals with difficulty viewing the penis
or diseases that generate hand tremors should request assistance from the
partner to the application. Side effects of intra-cavernous injection
restricted to allergies to any of the substances in medicine.
3. Malleable penile prosthesis
Penile
prostheses and surgical intervention are more complex treatment than intake of
medicines or injections. Thus, they occupy the third place in the scale of
options for the patient with erectile dysfunction. The soft type is the
simplest and more affordable. The doctor inserts a metal rod wrapped in
silicone into the penis of the patient, which causes it to be stiff enough for
penetration 100% of the time. At the time of the sexual intimacy, simply raise
the penis. The malleable penile prosthesis surgery lasts about an hour and he
can leave the hospital with in 24 hours of the surgery with a compressor
bandage to prevent bruising and to keep down the penis, facilitating trip to
the bathroom. In the days that follow, there is a natural discomfort of
surgery, but no sharp pain. The sexual life, in turn, can be resumed 30 days
after discharge. Worth reinforcing that this is a completely artificial
erection. But according to the urologist, usually provide greater patient
satisfaction than drugs or injection. The only caution is the man when it comes
to "accommodate" his penis. Since he is upright the whole time, it
may need special underwear to disguise the volume.
4. Inflatable penile prosthesis
Unlike
the malleable penile prosthesis, inflatable prosthesis allows the penis returns
to the flaccid state after sex. The method includes the introduction of
inflatable penile cylinders connected to a breast pump with liquid, which
simulate blood, implanted in the scrotum, like a third testicle. To promote
erection, simply press the inhaler that drains this fluid into the cylinder.
After intercourse, the penis should be lightly pressed down so that the liquid go
back to the puffer and he becomes flaccid again. The surgery lasts about two
hours and the patient needs to be hospitalized for a day or so. As in malleable
prosthesis, sexual activity can be resumed about 30 days after the procedure,
and no activity of daily life is impaired. Of the two types, this is what can
make the most erect penis.
5. Therapy
In
many cases, erectile dysfunction has its origin to psychological factors. It is
best to consult a therapist with training in sexology that will help end this
lockout. The problem can start on any day in which, because of the anxiety, the
man could have no erection. If you do not control the fear of suffering
impotence in the coming opportunities, it further hinders your performance.
According to Urologists, it is common for men with erectile dysfunction to
request appointment of a drug to a colleague instead consult a specialist. This
cannot only mask the problem, but also cause serious health problems, if it
does not have the proper medication for that profile.
6. Revascularization
Revascularization
is a recommended procedure for an audience with very restricted erectile
dysfunction. It is done when the patient has problems in the arteries that
supply blood to the penis. However, the case should be thoroughly evaluated.
Making a bypass in heart, for example, is crucial since the body works 24 hours
per day. The penis, in turn, spends most of his downtime. Improve vascularization;
therefore, may lead to clogged veins, as blood flow decreases when it is too
soft.
7. Vacuum Pump
The
vacuum pumps has been forgotten as part of the arsenal of treatments for
erectile dysfunction, but it is again gaining strength among patients operated
on for prostate cancer, acting as assistants in penile rehabilitation. Today,
they are sold only in shops, since they increase the volume of the penis. It
consists of a cylinder into which the penis is inserted. By means of a suction
system, the air is removed from the cylinder, reducing the internal pressure.
This negative pressure promotes the flow of blood into the penis, which helps
erection. A vacuum pump is used in the medical field only in patients who
needed removing penile prosthesis infection or rejection. During the period
that they have to wait to do another intervention, the pump can be helpful
preventing scars that deform the organ.