Drug treatment of impotence

The topic of sexual dysfunction is so painful for any man that it can lead to emotional disorders and mental illness, not to mention a decrease in the quality of life and social lability. Medicine comes to the aid of the victims, offering drug therapy as one of the methods for restoring sexual function.

Reasons

The solution to every serious problem must begin with a visit to a specialist. An experienced doctor will determine the root cause of the disease, which may lie in concomitant diseases. Sources of erectile dysfunction can be the following:

• Psychogenic, provoked by emotional clamps, post-traumatic syndrome, depression. Consulting a psychologist and psychotherapist to a large extent helps to overcome the problems that have arisen and restore potency. Additionally, medications are prescribed that promote treatment at the physiological level;
• Organic are the most common causes, observed in 75% of patients. Caused by a malfunction of the internal organs that do not have a direct connection with the genitals, or congenital defects of the penis. Injuries to the groin and spine, unsuccessful surgeries, diabetes mellitus, atherosclerosis, neuropathies, nicotine and alcohol addiction, hypertension, low testosterone levels, prostatitis, obesity, diseases of the nervous system caused by long-term use of antihistamines, antidepressants and beta- adrenoblockers;
• Mixed, organo-psychogenic - when factors that affect sexual function overlap one another. Initially, organic impotence leads to psychological problems, complicating diagnosis and treatment. In this case, the usual methods of therapy are supplemented by psychotherapy.

Recovery tools

The mechanism of action of drugs is due to the work of the nervous system, which involves the neurotransmitters adrenaline, acetylcholine, oxytocin, nitric oxide. Pharmaceutical drugs affect their content in the blood, thereby regulating potency. For a long time, drugs of various composition and principle of action have been used as oral drugs for sexual impotence:

• Serotonin reuptake inhibitors (Trazodone, Dapoxetine) are prescribed for impotence caused by depression or other affective disorders, as well as in combination with external medications;
• Adaptogens (Pantocrine, Eleutherococcus, ginseng) indirectly affect the regulation of potency due to a tonic and tonic effect.
• Vasoactive drugs (xanthinol-nicotinate), improve blood circulation in the cerebral and coronary peripheral vessels;
• Dopamine receptor antagonists ( apomorphine) affects the brain, stimulating the development of an erection;
• Vitamins, amino acids (glycine, enerion, aevit);
• Herbal medicines (tentex-forte, koprivit, permixon, prostamol uno, prostanorm , speman, testalamin);
• Alpha-blockers (yohimbine) in the right dosages improves blood circulation in the pelvic organs, improves sperm quality;
• Androgens testosterone, andriol, proviron, etc. are effective in cases not sufficient production of male sex hormones as part of hormone replacement therapy.

These drugs have a restorative effect with a frequency of about 30%, which is not much superior to the placebo effect. However, as an auxiliary measure, it is used as part of the treatment of psychogenic impotence.

The first tablets based on it were Viagra, which left far behind all previously used methods and means. These are the same miracle pills that return male power in a short time. True, not for long- These also include:

• Sildenafil (Viagra) is the most famous of the "blue pills" and has become a household name. The drug is well tolerated under conditions of correct dosage, but has contraindications and may cause adverse reactions. It is taken an hour before sexual intercourse, it lasts for 4 hours!
• Tadalafil (Cialis) has a similar mechanism of action, but it cannot be combined with alcohol intake. It works for more than 30 hours, it is taken half an hour before sexual intercourse.
• Verdenafil (Levitra) includes the same active ingredient as the previous two drugs, the effect disappears after 12 hours. Recommended for the treatment of impotence of diabetic origin.
• Avanafil, udenafil (Zidena) is a potent drug that ensures readiness for sexual intercourse within 10-15 minutes. It is taken once and as a course, as a result, the level of hormones is increased in patients and the quality of spermatozoa improves.

The mechanism of their action is to relax the cavernous tissue, improve blood flow and prevent its outflow through the veins.

As a result, a stable erection is observed, with psychogenic impotence - in approximately 66% of cases. Despite the improved efficacy of phosphodiesterase 5 inhibitors, they have a number of adverse reactions: from the gastrointestinal tract in the form of nausea and diarrhea, dizziness, insomnia, lowering blood pressure, visual impairment. Viagra and its analogues are contraindicated in people with cardiovascular diseases, disorders of the liver, kidneys, gastrointestinal tract. It is unacceptable to take it simultaneously with nitrates and alcohol.

For patients with diseases of the cardiovascular system, there is a homeopathic medicine Impaza. It also relaxes the muscles of the penis, promotes better blood flow to the cavernous bodies, but does not affect blood pressure. It is also important that e can be consumed simultaneously with nitrates.

Local preparations

Medicines acting locally act faster than other means - 5-7 minutes are enough. In fact, this is not a treatment, but a way to temporarily relieve erectile dysfunction. However, as part of the complex therapy of organ-psychogenic erectile dysfunction, it gives good results.

Nitroglycerin ointment and its derivatives contain glyceryl trinitrate, which dilates blood vessels. Suitable as a component of complex therapy for psychogenic, neurogenic and diabetic origin of the disease. Requires careful application, avoiding mucous membranes, otherwise you can get burned.

Phytopreparations (maxoderm, eromax, himcolin, etc.) contain essential oils and plant extracts that have a vasodilating effect, which also leads to better blood filling.

The advantages of using creams and gels are the absence of adverse reactions from the liver and kidneys, the speed of the effect, some also act as a lubricant.

There are few contraindications to the use of gels and creams: damage to the skin and mucous membranes of the penis, individual sensitivity to medicinal components, sex with a pregnant, lactating woman or for the purpose of conception.

Erectation stimulation - intraurethral administration of a suppository, which includes prostaglandin E1 analogs (alprostadil), which relaxes the smooth muscles of the penis, improves blood flow and slows down venous outflow. The effect comes in 10 minutes and lasts about an hour. Adverse reactions can be expressed in burning in the urethra, bleeding, pain in the groin, urinary incontinence. Contraindicated for use in combination with other antihypertensive and vasodilator drugs.

The method of intracavernous therapy is injections directly into the penis with papaverine, alprostadil phentolamine and their combinations

In the past 10 years, there has been an increase in those suffering from sexual impotence.

The reasons are obvious - a sedentary lifestyle, unhealthy diet, excessive use of alcohol and low-quality tobacco, disturbed sleep and wakefulness. If the problem has risen to its full height, modern medicine is ready to help. But it is easier, cheaper and more correct to foresee risk factors and not give room for weakness.