Erectile dysfunction is partial or complete absence of erection, which hinders to have the fullest sexual intercourse. Erectile dysfunction may occur at any age and due to various reasons. These are: psychological trauma consequences, disorders of the CNS, cardiovascular and (or) endocrine system. Erectile dysfunction negatively impacts on the life quality of men, reducing their self-esteem and causing chronic depression. Up to date there are several methods to cure erectile dysfunction.
Pharmacotherapy to cure erectile dysfunction
The most effective and popular drugs to cure erectile dysfunction are those of the group of phosphodiesterase type 5 inhibitors (PDE5). These drugs are Vardenafil (Levitra, Zhewitra, Levaril); Sildenafil (Viagra, Kamagra, Viprogra); Tadalafil (Cialis, Forzest, Tadalista).
PDE5 inhibitors help to eliminate one of the main causes of violated erection – insufficient blood supply to the penis. Under the influence of medications the smooth muscles are getting relaxed, blood vessels dilate and blood flows into the penis in sufficient amount. As a result, qualified erection arises, helping to conduct satisfactory sexual intercourse.
In order to ED medications would act, man needs to have sexual stimulation. Despite the fact that Vardenafil, Sildenafil, Tadalafil have similar pharmacological properties, each of them has its own peculiarities. For instance, Sildenafil starts acting later than Tadalafil. Besides, one should also take into account the individual susceptibility of the body when choosing the drug. Thus, some men may find Sildenafil as the most effective for themselves, the others might prefer Vardenafil, the third might like Tadalafil the most. Any man can choose the most suitable ED drug on his own.
Vardenafil, Sildenafil, Tadalafil are meant for oral intake, so they are very handy to use. There are different pharmaceutical forms: solid, soft, chewable, effervescent tablets and oral jelly. Therefore each man can choose an optimal release form of drugs to cure erectile dysfunction.
Erectile dysfunction can be caused by hormonal imbalance: insufficient testosterone and excessive amount of female hormones prolactin and estrogen. These men suffer from erectile dysfunction, associated with the lack of sexual desire. In order to enhance androgen level in the body, doctors prescribe synthetic analogue of testosterone in tablets for oral use or in form of injections (Sustaretard, Androral). When androgen level comes to norm, patient should stop taking the drug. Testosterone monotherapy has more positive effect on libido, but not always improves erectile function.
Vacuum pumps to cure erectile dysfunction
Vacuum pumps stimulate rise of erection by using negative pressure on the penis. Man places his penis into pump and firmly presses the reservoir to the body. The pump creates negative pressure, which dilates penile arteries and provokes erection. Once the erection is there, man puts on the base of the penis an elastic bandage, preventing the blood outflow from cavernous bodies. Drawbacks of vacuum pumps are certain inconveniences in use and poor quality erection.
Intracavernous injection of drugs to cure erectile dysfunction
This method presumes injection (for example Caverject, Edgy) into cavernous body of the penis prior sexual act. The drug causes local vasodilation and provokes qualitative erection. Intracavernous injection of drugs to cure ED is kind of complicated method. Not every man can make self-injection into his penis. Besides, applying injections more than once a week may cause sclerosis of the cavernous tissue. Usually this group of drugs cause priapism, in other words painful erection, which has nothing to do with sexual arousal.
Intraurethral suppositories to cure erectile dysfunction
This method involves the application of suppositories (Alprostadil, Muse) into the urethra 20 minutes before sexual intercourse. Herewith man should massage his penis for 10 seconds for quick dispersion of the drug. The drug is absorbed from the urethra, getting into cavernous bodies and increasing the blood flow there. As a result of intracavernous application of suppositories man gets erection, which lasts about 60 minutes. The drawback of this method is that the whole process is too complicated. In addition, men often feel pain in the penis when applying suppositories.
Surgeries to cure erectile dysfunction
Often erectile dysfunction is caused by pathologic changes of the penile blood vessels. There are some surgical procedures that help to solve this problem. The point of these surgeries is to increase the inflow of arterial blood to the penis, and thereby limit the outflow of dark blood.
Arthroplasty of the penis is more radical method to cure erectile dysfunction. During this surgery the cavernous bodies are replaced by prosthesis (semi-rigid rods, cylinders).
Moreover, the post-surgical healing process of the penis is very painful and takes a lot of time. And there is high risk of inflammation after this kind of procedure.
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