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Impotence / Erectile Dysfunction

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Treatment for Erectile Dysfunction

Medications, hormone replacement, antidepressant therapy, penile injection or penile implants can be used to promote erections.

Treatment of erectile dysfunction depends on the cause.

Specific treatment for erectile dysfunction is determined on the basis of-

Age, overall health, and medical history

Extent of the disease

Tolerance for specific medications, procedures, or therapies

Expectations for the course of the disease

Individual opinion or preference

Some of the treatments available for erectile dysfunction include-

Sildenafil citrate (ViagraTM)

ViagraTM is the first approved non-surgical treatment for erectile dysfunction that does not have to be either injected or inserted directly into the penis to achieve and maintain erection. It was approved by the US Food and Drug Administration (FDA) for prescription sale at the end of March, 1998.

Viagra does not directly cause penile erection, but affects the response to sexual stimulation.

The FDA recommends that men follow these general precautions before taking Viagra-

If you are taking medications that contain nitrates, such as nitroglycerin, you should not use Viagra. The two taken together can lower blood pressure too much and could worsen angina and even lead to a heart attack.

Women or children should not use Viagra.

Have a complete medical history and physical examination to determine your cause of erectile dysfunction.

Men with medical conditions that may cause a sustained erection such as sickle cell anemia, leukemia or multiple myeloma, or with abnormally shaped penis should not take Viagra.

Tell your physician about all the medications you are taking, including over-the-counter medicines because there are medications known to interact with Viagra.

Viagra's use in combination with other erectile dysfunction treatments has not been studied, therefore, its use in combination with other treatments is not recommended.

Penile Injections

Prostaglandins or papaverine injections can be used to inject directly into the penis. Alprostadil, a form of prostaglandin, is available as a pellet that can be inserted in the urethra and can result in erections.

Hormone Replacement Therapy

Testosterone replacement therapy may improve energy, mood, and bone density, increase muscle mass and weight, and heighten sexual interest in older men who may have deficient levels of testosterone. Testosterone supplementation is not recommended for men who have normal testosterone levels for their age group due to the risk of prostate enlargement and other side effects. Testosterone replacement therapy is available in an oral form and as a skin patch.

Penile implants

There are three types of implants used to treat erectile dysfunction. They include-

Hydraulic pump- a pump and two cylinders are placed within the erection chambers of the penis which causes an erection by releasing a saline solution; it can also remove the solution to deflate the penis.

Prosthesis- two semi-rigid but bendable rods are placed within the erection chambers of the penis which allows manipulation into an erect or non-erect position.

Interlocking soft plastic blocks- these are placed within the erection chambers of the penis and can be inflated or deflated using a cable that passes through them.

Infection is the most common cause of penile implant failure and is treatable with antibiotics. In some cases, the infected implant must be replaced by a new implant. Implants are usually not considered until other methods of treatment have been tried.

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Hi am a 30 years old unmarried man, when am having my intercourse with my girl friend am facing premature ejaculation without satisfying her please help me by suggesting a good MEDICINE.
nannu123 Tuesday, July 15, 2014
Hi am a 30 years old unmarried man, when am having my intercourse with my girl friend am facing premature ejaculation without satisfying her please help me by suggesting a good medicines, am regular smoker and ocassional drinker
Reh69 Monday, November 18, 2013
hi, I sm 24yrs old. have been masturbating since my early teenage. have been a regular smoker n drinker. was sexually very well but now m noticing dat since last 1yr my sexual health is worsening. now I get erection for very short time n even ejaculate within 4-5 strokes. plz help me
bechara Friday, July 05, 2013
Hi i am 33yrs old married having 2kids.nowadays i am not getting mood or erection while having sex but please suggest me some sexologist in south or central mumbai.i am working as a chauffer so please suggest me some good and reasonable doctor..please help me to save my marriage
innova11 Friday, January 18, 2013
Does Too much of masturbation can lead to Erectile Dysfunction??
969423 Saturday, June 30, 2012
was recommended to me. Any medical intervention should always be in consultation with your doctor
myfreddy Monday, June 04, 2012
hai, iam 43 old i am not getting penis errection power as well as i am having little smoking, my suger level is 140/, and iam having masterbeats habbit pls advice me some good medicine to improve errection power aswell as it should not increase my suger level pls. with regards arvind 9840876750 chennai.
L.J.Arvind Sunday, April 01, 2012
Hello I am 43 year old and i m very much disturbed due to my penis is not getting erect during the intercourse so i cant understand what too do pls help me what to be done.
chris70 Thursday, March 22, 2012
may i know about ED1000 treatment
smile21k Friday, February 17, 2012
Hello I am 30 years old an a virgin. I will remain a virgin for the rest of my life because I have exstreme social dificulties and I found that I prefer to remain single anyway. On e thing is really bothering me, I hardly get erections and when ever I do they last for a very short time. I thought about telling my doctor about my condition but I was way too afraid to ask him about treating my sexual dysfunction because in all the E.D. commercials all the men have a sexual partner, they never show any men who are single like me in those commercials. All I want to know is do men with out a sexual partner also talk to their doctor about taking medication to get rid of there E.D?
andrewskii Monday, January 02, 2012
You should consult with your Doctor...it is important to do because you are young for having this kind of problems. Just be honest with him about your sexual history, after ruling out meds and physical trauma, next step might be psych consult..one thing is you decide not to be in a commited relationship, but having social issues it is a concern. Hope it helps!
luisa55 Tuesday, February 21, 2012
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