Impotence, the inability to achieve or maintain an adequate penile erection for the satisfaction of both partners, can be devastating to the individual’s self-esteem. It affects a total of 20 million U.S. persons and all men have transient episodes at some point in life. But almost all men who are treated get a degree of improvement.
The treatment of ED depends on cause. A simple medical history can disclose the leading cause of ED. If this issue is due to a particular medication, the replacement of it can cure the problem. Most doctors suggest that treatment of impotence should follow a certain pattern from non-invasive treatments to the most invasive. This means that in the first stage you will interrupt any medication considered harmful. First doctors recommend psychotherapy and behavior change, such as: quitting smoking, losing weight, exercise, stress reduction, restful sleep, group discussions.
Other treatments include: devices aspiration, oral medications, local injection and surgically implanted devices. Surgery is quite rare, but may be recommended if the doctor considers it necessary.
Medicines to treat impotence can be taken orally, injected in the penis or inserted into the urethra. In March 1998 the Food and Drug Association approved the substance sildenafil citrate (also known as Viagra), the first drugs used to treat impotence. It is administered one hour before sexual activity and works by increasing the effects of nitric oxide, a substance that relaxes smooth muscles in the penis during stimulation, allowing increased blood flow at this level. Sildenafil improves the response to sexual stimulation; but it does not automatically trigger an erection, as do other injectable medications. The recommended dose is 50 mg and it should not be used more than once a day. Side effects of this drug refer to headaches, stomach problems, visual disturbances, hypotension, especially if sildenafil is associated with other drugs (nitroglycerin, for example).
Other common erectile dysfunction treatments are:
• Oral testosterone is used to reduce impotence in patients with low testosterone levels.
• Injections of drugs in the penis relax blood vessels: alprostadil papaverine hydrochloride, and phentolamine. Alprostadil is the main agent used for intracavernous injections. The main side effects are painful erections, priapism (persistent erection) and scarring at the injection site.
• The vacuum device is composed of a plastic cylinder placed around the erectile organ. As air is drawn, it creates a vacuum inside the cylinder which involves an erection, maintained by an elastic compression ring, placed at the base of the penis.
This method is effective in about 60-90% of patients and erection can be maintained for 30 minutes. Vacuum devices are relatively free of risk, although were observed bruising and ecchymoses. Other adverse effects are related to pain, numbness and painful ejaculation.
Other Erectile Dysfunction Treatments
Besides the traditional methods there are plenty of natural treatments. Herbal remedies for sexual dysfunction they are called Natural Viagra and unlike Viagra do not give side effects and do not contain chemicals. And most important herbal sex pills are the only natural remedies for erectile dysfunction. These herbal therapies can also increase libido, virility, sexual stamina, and sperm production. Natural remedies are also recommended because of low price, low toxicity and general efficiency.