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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Can older men around 80 take Caverta 100 mg. will it help them the proper erections and is it safe.
gopal1937 Tuesday, October 20, 2015
Hi, Older men around 80 or more can certainly take PDE5 inhibitor like Sildenafil. It is advisable to get examined by a qualified doctor, who could be a Sexologist or your MBBS Family Physician. Sildenafil [Brand name Caverta] cannot be taken if you are taking any medicines containing nitrates. Example: Sorbitrate is a medicine typically given for patients who have had angina. When on nitrates ingestion of sildenafil can lead to fatal drop in blood pressure. Doctor may like to check your Renal function tests, Liver function tests and also recommend a Stress test for assessing your Cardiac function. The point I make is age is not in itself contraindication. A smaller dose (example 50 mg) may be more appropriate. Please consult a qualified doctor before you take any prescription medicine. Best wishes, Happiness doctor, Ashok Koparday
Guest Wednesday, October 26, 2016
Impotence or erectile dysfunction is a men sexual dysfunction problem n which men face difficulties in achieving or maintaining erections for longer. Along with this health illness men also face all other health complications related to sexual health.
jhonsoneric86 Wednesday, July 15, 2015
Great information posted here about erectile dysfunction. Generic Viagra is an effective medication that will help you to treat the issue of male impotence.

assertmeds Thursday, July 9, 2015
sir i am suffering from penis difusion when i do intercourse
dayal201 Wednesday, February 4, 2015
i have used a herbal tablet called prolargentsize to overcome problems. it did help.
astevens Thursday, November 27, 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 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 5, 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
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