IMPOTENCE
IS TREATABLE!
There are a variety of treatments available to treat Sexual impotency.
Impotency
due to emotional causes:
Impotency due to emotional causes can be treated
by supportive psychotherapy, sexual therapy is also
recommended. It is also supplemented with a drug therapy
to increase the self-confidence level of the patient
in his ability to reach and sustain erection till sexual
fulfillment, as well as to reduce routine nervousness.
Impotency
due to physical causes
Impotency due to physical cause is treated
with physical or drug therapy. It is supplemented by
a supportive psycho-counseling therapy to re-educate
the patient and reduce the damaging effects of short-
or long-term impotence to him and his partner.
Non-Surgical Treatments: These include
Vacuum Devices and Retention Rings; Oral Medications
and Hormonal Therapy.
Vacuum Devices
and Retention Rings
This device was created by Geddings Osbon,
in the early 1960s, to solve his own impotence problem.
It works on negative force and tension rings, to produce
and maintain a naturally enlarged erection every time
one was needed.
This device works well with majority
of men suffering from impotency
due to vascular disease. The vacuum device is a hand-
or battery-operated air pump which is attached to a
plastic cylinder. The penis is inserted into this cylinder
and its mouth is tightened. The pump creates a vacuum
inside the cylinder, leading to a pressure difference
with the pelvis. Blood rushes into the penis and makes
an erection. Then, a silicone or rubber ring is fastened
around the base of the penis, in order to block the
outflow of venous blood. The erection occurs quickly
and may last for long periods (20 minutes or more).
This method has been found to be effective in more than
90 % of the cases. But its biggest drawback is that
it is too intrusive into the intimacy of the sexual
moment. Side effects are minimal like hematomes or pain.
Oral
or Local Medication
Oral medications used to treat
erectile dysfunction include selective enzyme inhibitors
(e.g. Sildenafil - "Viagra," Vardenafil HCL
- "Levitra" and Tadalafil - "Cialis.").
Viagra (Sildenafil):
Viagra is the first oral pill to treat impotence.
Viagra is manufactured by Pfizer Pharmaceuticals, New
York, NY. The FDA approved Viagra on March 27, 1998.
Since it first became available in 1988, it has helped
about 16 million men around the world to improve their
sex lives. It works for most men whether their ED is
soft or cruel.
Viagra is a prescription drug that works
by increasing blood flow to the penis. It is not a hormone
or an aphrodisiac. Once you take it, VIAGRA can work
in as quickly as 30 minutes and works for 4 hours so
you can set your own pace. And, it is so safe that it
can be taken as often as once a day. It is available
in three different dosages: 25, 50 and 100 mg.
The most common side effects of VIAGRA
are headache, facial flushing, and upset stomach. Less
commonly bluish vision, blurred vision, or sensitivity
to light may briefly occur. In the rare occurrence of
painful, delayed erections, look for punctual medical
attention if erection last longer than four hours.
Levitra (Vardenafil
HCl):
LEVITRA (Vardenafil HCl as the active ingredient)
has been approved by the U.S. Food and Drug Administration
(FDA) for the treatment of erectile dysfunction (ED).
It has already been highly successful in 50 European
countries. It is marketed by Bayer and GlaxoSmithKline.
Levitra is an oral medication that
treats erectile dysfunction (ED) in men by increasing
the blood flow to the penis to achieve and maintain
an erection. According to a recent news release by Bayer/GSK,
90 % of men reported improved erections and may work
for up to 24 hours.
Levitra acts in the same way as Viagra,
but it is clinically effective up to 89% of the time!
Lasts hours longer than Viagra & starts working
in as little as 30 minutes compared to 60 minutes-window
for Viagra. Moreover, Levitra has no major adverse side
effects on the heart or vision whereas Viagra is known
to require more monitoring for these side effects.
Cialis
(Tadalafil)
Cialis is in a class of medications like Viagra
& Levitra known as PDE-5 inhibitors, which are used
to treat male impotence cases. They all work to reduce
the effects of an enzyme called PDE-5. Reducing the
activity of the PDE5 enzyme means more blood can flow
to the penis and less leaves. The net result is an improved
and longer erection.
Cialis (Tadalafil) helps in improving
overall erectile function, capacity to achieve erections
sufficient for vaginal penetration, ability to maintain
erections for successful sexual
intercourse, satisfaction with the hardness of erections
and confidence in ability to achieve and maintain an
erection. It is marketed by Elli Lilly and ICOS.
How Cialis scores
over Viagra?
- It takes just 15 minute to start its effect.
- It works along with sexual motivation to help
reach an erection, fast.
- It brings with it the promise of "36 hours
of freedom" to achieve an erection whereas
Viagra is effective up to 4 to 6 hours only.
- It can be taken without any food and alcohol restraints.
Out of these three (Viagra, Levitra,
Cialis) Cialis has shown in clinical trials to stay
in the body longer than the other choosy enzyme inhibitors.
It promotes erection within 15-30 minutes and enhances
the ability to achieve erection for up to 36 hours.
Hormonal Therapy
Hormonal therapy is strictly suggested only
for some cases of hypogonadism, i.e., a pathological
decrease in the levels of testosterone, Testosterone
is falsely replaced by intramuscular injections or by
skin patches (applied to the shaved scrotum). Regular
levels are reached very quickly, and an effect of the
sexual libido and erectile purpose may be felt after
a few days. Male hormone substitute therapy seems to
have other beneficial effects also, particularly in
elderly man, Muscular mass is increased, fat is decreased,
and the patient feels better and more energetic, with
less weakness and higher mental attention. It also offsets
the effects of osteoporosis (a lack of calcium in the
bones, which can lead to easy fractures and other ailments).
However, testosterone (The main male sex hormone, which
influences the production and maturation of sperm) replacement
therapy is more dangerous than its female counterpart
(using estrogen). Its clinical use is warranted only
after a certain age, and only when the absence of prostate
disorders is ascertained by a thorough prostate examination
(including ultrasound, rectal touch and clinical history)
and the measurement of levels of PSA, an antigenic factor
present in the blood in abnormal concentrations when
prostate cancer is beginning.
Surgical Treatments
Vascular Surgery
For erectile dysfunctions due to vascular causes,
there are several kinds of vascular or arterial surgeries.
These surgeries close or decrease the number of faulty
"escape" vessels (which lead to more firm
and longer erections), or by bypassing or cleaning blocked
arteries. The success rate is high, but it is an irreversible
and expensive procedure.
Penile Implants
These are the most irreversible and drastic
ways of achieving artificial erection. Only when all
other measures have been exhausted with no longer-lasting
effects are achieved is that penile implants are warranted.
These are prosthetic devices made of inert silicone,
which are surgically inserted into the penis. Normal
erection cannot be achieved after that. There are two
kinds of penile implants:
Passive Implants: Two rods of silicone
are inserted into the penis, which remains erect all
the time. The silicone rods can be put in different
angles, but this may be an embarrassment in public occasions
such as swimming. Orgasm may be achieved unless there
are hormonal or neural factors which impede it.
Active Implants: These are inflatable
silicone pouches which are also implanted into the penis.
The penis remains in flaccid state until a proper manipulation
of the prosthesis causes its inflation and consequent
erection. One type of implant is activated by pressing
the glans (the head of the penis) with one hand. Liquid
is transferred from a reservoir to the main inflatable
pouches. In another type, the liquid reservoir is implanted
into the scrotal sac, and can be pumped by hand.
Other Treatments
Other surgical and non-surgical treatments
for impotence are being tried in an experimental
basis, and there may be a promising future for some
of them. For instance, groups of physicians in Russia
and Germany have been experimenting with electrical
stimulation of the pelvic area using an external pad
applied to the abdomen and back. There are already commercial
devices using this principle, which seems to increase
the blood flow in the genital area. Direct stimulation
of pelvic nerves (leading to a nerve-induced erection)
by using implanted electrodes and an electrical pacemaker-like
device are also being considered.
"Natural" or alternative methods do abound.
They range from "natural" foods which have
high testosterone or DHEA levels, such as green oats
(marketed under the brand name of SEXATIVA) or saw palmetto;
to yoga exercises to increase muscle tone and blood
flow in the genital area. It is hard to say whether
there are real effects or they are just the effect of
suggestion or placebo phenomena.
One thing has been scientifically determined, however.
The blood levels of testosterone increase just after
exercise, or by loosing excessive weight. Thus, a natural
way of combating mild hypogonadism might be frequent
exercising and keeping a normal weight.
Peyronies Disease : Peyronies
disease is a uncommon sexual dysfunction that makes
to having sex difficult and painful due to bent penis
during erection. It is characterized by a hard, fibrous
layer of scar tissue that normally develops under the
skin or the upper or the lower side of the penis so
as it gets erected the scar tissue pulls the affected
area off at an angle gives rise to the curved penis.
Click here to learn more on Peyronies >>
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