Erectile dysfunction is the inability of a man to initiate and / or maintain an erection of the penis long enough to have sex. Experiencing the symptoms of erectile dysfunction can be a source of frustration and depression that is inconsolable.
In this article, we’ll examine possible up to date types of treatment that one who has become afflicted with erectile dysfunction can undergo in order to curb their problem and return to normal sexual functioning.
When it comes to treating erectile dysfunction, the form of treatment depends primarily on the underlying causes of the problem. There are many reasons that one may come down with a case of erectile dysfunction, and the various reasons require different treatments.
If the erectile dysfunction has physical causes , treatment with medication or various aids is possible. If it is based on a specific illness (eg diabetes mellitus ), then doctor must treat it. If the disorder has mental causes, psychotherapy is recommended.
The erectile dysfunction can be treated with the use of different oral pills ( compared Here ). Usually, thanks to these pills, men can get an erection without problems and stay up in bed for long enough.There are several types of drugs which can perform this duty. Inhibitors of phosphodiesterase (PDE5 inhibitors), for example, cause better blood flow to the penis. Oral medication such as sildenafil , tadalafil and vardenafil are the most well-known drugs in this group. The taking of these drugs must be done before sexual intercourseand no more than once every 24 hours. While these drugs can only provide temporary solutions to the problem, they have proved to be a great way to help those with erectile dysfunction to perform when necessary.
When medications aren’t working to solve this problem, doctors may turn to more drastic methodologies that are explained in details below.
Since there may be interactions and side effects, these drugs are only available by prescription. Possible side effects include:
- Skin redness with heat sensation
- Blurred vision
- Stuffy nose
In particular, the active ingredient sildenafil can lower blood pressure and thus increase the effect of antihypertensive drugs . Patients taking nitrates such as the drug molsidomine should not take any sexual enhancer. The combination of the two drugs can be life threatening.
Until recently Uprima ( apomorphine ) was used for the treatment of erectile dysfunction but in 2006 this drug was withdrawn from the European market for commercial reasons.
In addition, it should be noted that all sexual activity, even without the use of drugs, involves some excitement in the cardiovascular system. All drugs available on the market against erectile dysfunction must be purchased with a prescription and must be taken exactly as the doctor indicates. people with;
- Heart failure
- Chest tightness ( angina pectoris )
- Hypertension (arterial hypertension)
- Low blood pressure (arterial hypotension)
- Cardiac arrhythmia
- A recent stroke or
- Survived heart attack
should not use erectile dysfunction drugs.
Cavernous Auto Injection Therapy
The cavernous auto-injection therapy (SKAT) is especially for men in whom drugs in tablet form do not or not sufficiently work against erectile dysfunction . This applies, for example, to paraplegic patients in whom the nerve tracts between the brain and the penis are impaired or interrupted.
In this method, the doctor injects into an erectile tissue of the penis an active ingredient ( alprostadil ), which dilates the blood vessels. With a little practice, the man can inject himself the remedy . A few minutes after the injection, an erection occurs that lasts about an hour.
When used properly, the side effects of cavernous auto-injection therapy are low. If the person concerned administers the active substance himself, a medical examination should take place every three months.
Complications of Cavernous Auto Injection
As a rule, the cavernous auto injection therapy (SKAT) is not painful. In the application, however, it can cause side effects , such as
- Bruises ,
- Penis and erection pain or
- Erectile tissue infections
In addition, individuals with the following conditions should not use cavernous auto-injection therapy :
- Cardiovascular diseases
- Liver and kidney dysfunction
- Venereal diseases
- Sickle cell anemia
- Heart attack within the last year
Rarely, priapism may occur in 0.9% of men who follow cavernous auto injection therapy. This is a painful erection that lasts more than two hours and requires medical attention. Untreated, a priapism leads to a Fibrosis (tissue hardening) and a permanent erectile dysfunction 🙁
Transurethral Therapy (MUSE) is also useful if tablet-based medication has not been successful. Those affected receive a plastic applicator . The applicator contains a stick containing the active substance alprostadil .
After urinating, the man introduces the applicator into the urethra . At the push of a button, the applicator delivers the small active substance-containing “suppository” into the urethra. The man then gently removes the applicator from the urethra.
In order for the active ingredient in the urethra to dissolve, disperse and be absorbed through the urethral wall, the man should roll and massage the penis between the palms of his hands. The active ingredient Alprostadil relaxes the smooth muscles of the penis, increases the blood circulation and causes an erection a few minutes later , which lasts for about 70 to 80 minutes.
Complications of Transurethral Therapy
In transurethral therapy, side effects may occur, for example:
- Pain in the penis,
- Headache ,
- Urethral injuries
- Pain when urinating ,
- Dizzy spells ,
- Blood pressure drop or
- short unconsciousness .
Men with painful chronic erections, blood clotting disorders or urethritis should not use this method. Transurethral therapy is also not recommended if the sexual partner is pregnant as the drug alprostadil may present a risk to the unborn child .
Although all of these complications, Transurethral Therapy is ‘Gold Standard’ in the management of erectile dysfunction.
Vacuum Penile Pump Devices
Vacuum pumps are applicable to all types of erectile dysfunction . They consist of a transparent plastic cylinder, which connects the man via a hose with a hand pump. About the cylinder end a tight-fitting rubber ring is pulled. Then the man puts the cylinder on the penis . The pump generates a negative pressure in the cylinder. The penis then fills with blood and becomes stiff.
Then the man strips the rubber ring sitting on the plastic cylinder on the penis root. This prevents the blood from running out again. In this way, the erection is maintained. Once the man removes the ring after intercourse, the erection diminishes.
Complications of vacuum pumps
This method can cause circulatory problems in the penis. Men who already have circulatory disorders or cardiovascular diseases should therefore refrain from using vacuum pumps. Even men who have ever had a priapism, ie a painful permanent erection, should not use this method.
Patients who fail medical or mechanical therapy may resort to a penile prosthesis. For those who take their condition very seriously and are willing to pay to undergo a surgical procedure. Here, the doctor surgically inserts plastic implants into the penile erectile tissue that allows it to be more rigid. There are different types of prostheses.
For example, hydraulic implants that fill with liquid are used. This comes from a small fluid reservoir, which the doctor uses during the operation in the abdomen. In addition, the doctor attached a pumpkin in the testicles. This allows the man to pump the liquid from the reservoir into the implant.
Tissue hardening ( fibrosis ) and infections may occur as unwanted side effects . During surgery , the doctor destroys the tissues of the erectile tissue. If the penile prosthesis does not produce the desired result, the situation for the patient is worse than before.
In rare cases, a bypass operation may be necessary such as when there are lesions or vascular occlusions in the penis.
In the bypass operation a new connection is created for the damaged vessels. However, this operation is carried out very rarely.
Psychiatric – Psychological Therapy
If the causes lie in interpersonal conflicts, individual fears of failure or psychological stress situations, psychotherapy can be useful. Which form of therapy (eg cognitive therapy, single or couple therapy) is suitable in each case must be decided individually by the doctor and the person affected.
If erectile dysfunction problem is caused by underlying psychological issues, many physicians employ the use of a placebo in order to trick the patient into believing that they will not be having a problem. This newfound courage that the patient exhibits is often enough to keep the psychological stressors that are keeping them from attaining erections from existing in the forefront of the sufferer’s mind. In that way, much of the stress of the situation is relieved and the fear of not being able to perform may disappear, leading to a quick and easy solution to the problem.
In case of depression , the psychiatrist may also prescribe psychotropic drugs (eg antidepressants ) as part of the therapy .
- homeopathic remedies like Neradin
- Ginseng .
Among other things, the body needs this amino acid to form nitric oxide. Nitric oxide dilates the blood vessels. Whether this effect is sufficient to cure erectile dysfunction, however, is questionable. There is no scientific evidence for this .
A lack of arginine can theoretically affect blood circulation, including that of the penis. But the probability of such a shortage is very low. Even if the body does not make enough of this amino acid, as happens in diabetics and high blood pressure patients, the deficit can usually be offset by a well-balanced diet. For example, if you regularly eat nuts, legumes, soy and / or meat , you do not have to fear L-arginine deficiency.
Neradin is a homeopathic remedy. It contains a very low dose of the active ingredient Turnera diffusa . This comes from the Damiana plant ( Turnera diffusa ), which is attributed a lust-increasing effect. However, researchers have not yet found evidence of this effect in studies on humans, but mainly in animal experiments on rats .
In general, the effectiveness of homeopathic remedies has not been proven. The preparations seem to help some people. However, this effect does not go beyond that of a dummy drug (placebo).
Some studies suggest that extracts of ginseng root can actually help with erectile dysfunction . However, the scientific data is still insufficient to make a clear recommendation. In addition, ginseng can affect the effects of other drugs. For example, one should not take ginseng in combination with anticoagulants such as heparin , acetylsalicylic acid , phenprocoumon or evening primrose oil.
Behaviors to Avoid During Treatment
Interpersonal relationships may suffer because of erectile dysfunction in many ways. Because of its sensitive nature, erectile dysfunction can often provoke couples to behave in ways that only exacerbate the condition. If you or your partner is suffering from erectile dysfunction, here are four behaviors you should avoid. Interpersonal relationships between adults should be open and communicative.
Avoiding certain types of behaviors can help ensure that your relationship remains healthy and open as you discuss your options for treatment.
Ignoring The Problem
Many couples simply ignore the issue of erectile dysfunction in their relationship. Perhaps they hope that the problem will simply fade dissipate on its own, although this is very rare. In order to find effective treatment, the problem of erectile dysfunction must be approached head-on with honesty and sensitivity.
Simply refusing to discuss the condition does not guarantee that it will go away; in fact, the opposite is almost always true. Be honest about your relationship and your sexual needs. Denying that there is a problem will only contribute to tension in your relationship.
Avoiding a Sexual Relationship
Another unhealthy behavior that many couples take when dealing with erectile dysfunction is to avoid sexual situations altogether. Men in particular may feel ashamed and avoid sexual situations to avoid the awkwardness and embarrassment of failure to perform.
Sometimes the prospect of erectile dysfunction may be too much to bear for either partner, and sexual affection may be withheld as a result.
This behavior is unhealthy and dishonest. Each partner takes responsibility for the state of their relationship, and seeks treatment in order to regain control over the intimacy in their relationship.
Confusing or double Messages
Many couples find themselves unprepared for discussing the issue of erectile dysfunction with maturity and honesty. This may lead to confusion and double messages.
Many times, the female partner may not be expressing her feelings openly, causing the male partner to feel confused about her needs and thoughts. Avoid confusion and sending double messages by taking the time to discuss the problem openly.
Both partners should resist sending vague or ambivalent messages to the other. Rather, they should both take responsibility of the health of their relationship, and speak openly about their concerns.
Using Illegal Drugs and Alcohol
Unfortunately, some individuals mistakenly believe that they can find relief from the symptoms of erectile dysfunction by taking substances such as drugs and alcohol.
While some people believe that these substances can help quell the anxieties associated with erectile dysfunction, in reality these behaviors are unhealthy and may lead to greater problems in the long run, in both physical and psychological terms.