Erectile dysfunction - How to treat sexual impotence in men

The risk of impotence strains any man, because this attack can take you by surprise, regardless of age, physical condition and the number of bad habits. What is it, the causes of the disease and whether erectile dysfunction is treated - read about everything in this article.

What is erectile dysfunction

The concept of "impotence" has recently been used less and less, as it does not fully reveal the essence of the problem. In addition, the stigma of being impotent is "intolerant" in the realities of modern society and can cause a negative reaction from men.

Along with libido (sexual desire), ejaculation (ejaculation) and orgasm, a healthy erection ensures a full-fledged sexual intercourse. Any violation of the copulatory cycle, including such as Erectile dysfunction, is classified as a sexual disorder.

The persistent inability of a man to get and maintain a penis erection for sexual intercourse is considered a manifestation of erectile dysfunction (ED). In this case, "permanent" means that there is no erection either when changing partners or when masturbating.

It's no secret that a man, being in a close relationship with the same woman for a long time, often loses any sexual incentives for sexual activity with her. But he is able to prove himself with a younger and more attractive partner, sometimes without even expecting it, that he is still capable of something.

Currently, in the diagnosis of erectile dysfunction, emphasis is placed on the study of the nervous and vascular systems of the penis, as well as the functioning of the mechanisms of hormonal and tissue regulation. The conclusions from such examinations are considered more broadly, since the symptoms of ED, as a rule, indicate the likely development of more serious health problems in the patient, for example: with the cardiovascular system.

The concern of doctors is the fact that over the past decade, the prevalence of ED among young men has increased dramatically. Not so long ago, impotence was traditionally associated with the advanced age of a man, now it surprises no one when successful young people under 30 turn to the help of a urologist or andrologist.

What to pay attention to in order to avoid troubles in your sexual life yourself, to maintain your sexual health for many years and always remain "strong"?

Types of diseases

Unbiased medical statistics show that ED is extremely common in the world

There are two main types of erectile dysfunction. Modern medicine classifies them as follows:

Psychogenic erectile dysfunction

Caused by psychological and emotional causes. This type of ED is more characteristic of young men with a labile psyche, but can also be triggered by constant problems, emotional experiences or conflict situations in relationships with a partner.

Organic erectile dysfunction

It is a consequence of certain diseases. This type of ED usually develops in older men. Causes can be hormonal disorders, diabetes, metabolic diseases, high blood pressure, atherosclerosis, etc.

Erectile dysfunction of this type is often fueled psychologically, forming a vicious "circle": self-doubt and fear of failure, as well as the depreciation of his masculine essence in the eyes of a partner, can aggravate a man's sexual weakness.

Causes of impotence in men

The risk factors for ED include, first of all, overweight, a sedentary lifestyle, smoking, alcoholism, the development of atherosclerosis, hypertension, elevated blood sugar and cholesterol levels.

Secondly, ED can occur against the background of drug therapy, for example, in the treatment of diseases associated with high blood pressure, diuretic drugs (dichlorthiazide, polythiazide), as well as first-generation b-blockers (anaprilin, metoprolol).< /p>

Thirdly, impotence can be triggered by complications after surgery on the pelvic organs.

The timely conduct of comprehensive examinations in men at the first symptoms of erectile dysfunction and the implementation of measures to correct the identified disorders is of particular importance. The next step is the prompt selection of suitable drugs to normalize sexual function.

A qualified approach allows, in most cases, to normalize blood circulation in the cavernous bodies of the penis and restore an erection.

Erectile dysfunction treatment

Thanks to them, today almost 100% of men with erectile dysfunction can restore an erection. Both men and their partners note, as a result, an increase in self-esteem and the quality of intimate life.

At the first stage, identified risk factors are excluded, existing concomitant diseases are treated, and the couple is informed about the essence of the sexual problem and ways to solve it, taking into account the individual characteristics of the partners.

First-line therapy with phosphodiesterase type 5 (PDE5) inhibitors has been shown to be highly effective, with improvements seen in 80% of treated men. These inhibitors include sildenafil, tadalafil, vardenafil, avanafil, and udenafil. Sildenafil, better known in the pharmaceutical market as Viagra, remains the most powerful and most fully clinically studied since the end of the last century.

The degree of effectiveness of sildenafil in the normalization of erection depends on the dose of the active substance. Scientists came to this conclusion as a result of six months of clinical trials of the drug. You can see the combined data in the diagram below:

Side effects of PDE5 inhibitors

Sildenafil and other drugs of the group of selective PDE5 inhibitors have side effects and quite serious contraindications.

The most commonly observed side effects when taking Viagra and its analogues include:

• headache and muscle pain
• nasal congestion
• flushing of the skin due to hot flashes
• dyspepsia
• temporary color disturbance
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As a rule, the severity of undesirable effects is insignificant and does not require discontinuation of the drug.

How to choose the dosage of Viagra

The starting dose of sildenafil, which appeared in 1998, at that time was recommended to start with 50 mg. In the future, depending on the result obtained, it was prescribed to reduce it to 25 mg, or, conversely, increase it to 100 mg.

In order to reduce the risk, a lower initial dose of 25 mg is also desirable in patients with severe forms of hepatic and renal insufficiency, as well as in the treatment of CYP3A4 inhibitors (for example: erythromycin or ketoconazole) and a-blockers (ergotamine, tamsulosin, dihydroergocryptine ).

In subsequent years, as experience gained in the use of the drug, the recommendations have undergone some changes. According to them, the approach to choosing the initial and subsequent dosages of sildenafil (Viagra) in the treatment of dysfunction in men is purely individual, since no two people are the same.

A doctor will help you choose the optimal dosage, especially since you need a prescription to purchase such medicines in the pharmacy chain.

Which doctor to contact for erectile dysfunction

For questions about the treatment of erectile disorders, you can contact the doctors of the following specialization:

• urologist
• andrologist
• sexologist

If you can make an appointment with the first one in almost any clinic, then you still have to look for an andrologist with a sexologist, since these specialties remain quite scarce in our country.

When visiting a specialist urologist, you should consult about the choice of treatment plan in accordance with your state of health and the degree of ED. What you should pay attention to:

• the degree of erectile dysfunction
• your sexual activity
• the presence of risk factors for the development of the problem
• the presence of contraindications to taking erection pills
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Medications for potency




At present, the consumer has a wide choice of drugs for the treatment of ED. These are the original pharmacy drugs Viagra, Cialis, Levitra, and certified analogues, and generics without a prescription for online sale.





List of the most popular pills to increase potency




Original phosphodiesterase-5 inhibitors:




• Viagra
• Cialis
• Levitra
• Stendra
• Zidena



Viagra analogues, which can be purchased with a prescription at a pharmacy:




• Vizarsin
• Dynamic
• Sildenafil-SZ
• Vildegra
• Effect Sildenafil
• Sildenafil Vertex
• Tornetis
• Olmax Strong
• Vivaira



List of pharmacy medicines containing tadalafil to replace Cialis:




• Dynamico Long
• Tadalafil-SZ
• Frametus
• Cupid 36
• Sitara
• Tadalafil Bacter
• Tadalafil Vertex
• Tadallis



Read more about Cialis substitutes here. You can read about them here.





Other treatments




It is unlikely, but still, it may happen that taking PDE5 inhibitors will be ineffective in the treatment of sexual weakness.





Second line




In this case, to stimulate an erection, a man may be recommended intracavernous injections of vasoactive agents (alprostadil, caverject) into the penis or the introduction of suppositories with such a drug into the urethra. This is the second line of treatment.Despite their effectiveness of about 85%, these procedures are associated with unpleasant, sometimes painful sensations for the patient and therefore are not popular.




It is also possible to use a special pump device to create a vacuum inside the flask placed on the penis. Due to the rarefaction of air inside this flask, an area of low pressure is created, and blood fills the vessels and cavernous bodies of the penis in a larger volume, causing a significant increase in its volume.




When using this method, under the influence of the observed obvious increase in penis size, a man is tempted to go over the fine line of the permissible load on the genital organ, which is fraught with serious vascular injuries, swelling, numbness of tissues and the risk of thrombosis.




If necessary, according to the doctor's opinion, it is possible to combine several approaches to restoring an erection, for example: medication, injection and manual, as described above.





Third line




In the most difficult case, if erectile function is not restored, or further use of conservative methods of therapy is undesirable for medical reasons, a man may be offered the final treatment option - phalloprosthetics.




This is the third line therapy for erectile dysfunction. It involves the implantation of special rods (falloprosthesis) into the cavernous bodies of the penis. Despite the obvious prejudice of the vast majority of men to this operation, today it is the most effective method of treating impotence.