Is it possible to treat impotence (erectile dysfunction or ED)? Impotence is characterized by a condition in which sexual intercourse is either completely impossible, or it is possible, but not fully. How to treat impotence? What options can there be? These are the questions that men ask themselves, faced with such a problem. The most important rule that every man must know: one can not treat impotence without control and consulting a doctor. Only an expert can determine the exact cause of impotence.
The most common methods of treating impotence are medical therapy, psychotherapeutic methods, injection pharmacotherapy, surgical methods.
In some men, the cause of impotence is a low level of the male hormone testosterone. In this case, the problem can be solved with the help of testosterone replacement therapy. This method is recommended as a first step and can also be used in combination with other methods. The market has tablets, injections, gels, ointments on a hormonal basis, transdermal patches applied to the skin that can increase libido and sex drive. Having filled a deficiency of testosterone, you can eliminate the manifestations of ED.
This method of treatment consists in taking medications as prescribed by the attending physician. Treatment of impotence with medicines is based on the properties of certain chemicals to increase the intensity of blood flow in the vessels of the penis. Currently, in medical practice, phosphodiesterase type 5 inhibitors (PDE-5) are widely used as the most effective way to treat impotence. They are released in the form of tablets. These include the following drugs:
• Sildenafil (trademark “Viagra”)
• Tadalafil (trademark “Cialis”)
• Vardenafil hydrochloride (trademark “Levitra”)
• Avanafil (analog of “Viagra”, a trademark Spedra)
These medications are usually taken orally, one hour before sexual intercourse and should not be used more than once a day. Tablets Cialis have the longest action of the above (up to 36 hours).
About 80% of men who take PDE-5 inhibitors have a more stable and prolonged erection. However, the drug therapy method for treating impotence has a number of side effects, such as nasal congestion, sudden reddening of the face and neck, headache, change in color perception and visual acuity. Therefore, in some cases, doctors recommend other ways for erectile dysfunction treatment.
If the basis for problems with erection are unsuccessful relationships with women, stress, anxiety or depression, the best remedy for impotence is a couple of sessions with the therapist. Therapy of psychological forms of impotence is conducted by a psychotherapist who specializes in the treatment of psychosexual disorders. The tactics of treatment in each case are selected strictly individually.
A specialist will help a man overcome stress, get rid of anxiety and believe in yourself. It should be noted that the doctor’s actions will help only if erectile dysfunction (impotence) arose against the background of domestic difficulties, and not a consequence of disease.
Surgical treatment, as a remedy for impotence, is used in cases when conservative treatment is found to be ineffective, and there is no chance to restore the natural function of the penis. Surgery is used if there is a venous or arterial insufficiency of the penis, or prosthesis of the penis is necessary. Modern approaches to surgery allow the man to return the joy of sexual life in 95% of cases. The main disadvantage of the surgical method is the high cost of the operation, as well as possible individual contraindications to surgery, which it is undesirable to carry out to the elderly.
Penile Injection Therapy
The essence of the method is microinjection of vasoactive drugs directly into the penis before sexual intercourse. These drugs increase blood circulation, and the penis can maintain a state of erection. The method of intracavernous injections of vasoactive drugs dilating the blood vessels has become the most common and most effective among conservative methods of treating erectile dysfunction. For treatment, prostaglandin alprostadil is used, both in the form of monotherapy and in various combinations.
Such injections are prescribed by a doctor and they need to be selected individually for each patient. A combination of drugs is used to reduce the side effects of each of them by reducing the concentration. The complex program approach to the appointment of intracavernous therapy makes it possible to make the application of this method effective and safe.
Another common method of treating erectile dysfunction is the use of negative pressure created by a special vacuum pump, which should be used immediately before sexual intercourse. Vacuum pump pumps blood into the penis causing an erection. Then the erection is held with a special ring, worn on the base of the penis. This approach allows maintaining a working state of the penis for up to 30 minutes, which is quite acceptable for some patients as a symptomatic therapy for impotence. But the vacuum method cannot provide the complete cure for the disease. The effectiveness of the method is 40-50%.
Shock Wave Therapy
Shockwave therapy is an innovative method that helps cure impotence due to the stimulating effect of acoustic waves. This method is able to activate the growth of new blood vessels in the penis of patients whose erectile dysfunction was caused by microcirculation disorders. Doctors say that a positive result is noted after two weeks of short-term procedures and remains for at least a year after the start of treatment. Shockwave therapy has no side effects, it allows you to reduce, and in some cases, completely refuse to take medications. The method is able to help most men with ED.
Massage For Erectile Dysfunction
Massage of the perineum and pelvic organs is an important method that is used in the complex treatment of erectile dysfunction. Improvement of blood circulation in this area contributes to the activation of metabolic processes, the expansion of blood vessels and the increase in the effectiveness of the medicinal therapy used. Important is also the psychological component: sessions of hardware massage increase the sensitivity of the sexual organs, relieve stress.
Use of Supplements
Such male enhancement dietary supplements as VigRX Plus Pills, Prosolution Plus and Male Extra in its composition have exclusively natural components: herbs, extracts, essential oils. Treating impotence by this method takes quite a long time (up to six months). After all, the body of a man must accumulate all the important components in order to obtain the necessary positive result. But, the side effects, as well as the harm from such erectile dysfunction treatment, are much less than when using drugs.