Viardot for the treatment of erectile dysfunction

Evaluation of the effectiveness of the use of dietary supplement "Viardo-forte" in complex programs of medical rehabilitation of patients with erectile dysfunction of vasculogenic origin in the center.

Relevance of the topic

The problem of restoring the functional state of organs and systems of a modern person and his copulative function is currently becoming increasingly important. The impact of a large number of adverse environmental factors, psycho-emotional overload lead to a change in the functional state of almost all organs and systems of the body. The cumulation of the phenomena of fatigue and overwork, as well as the developing imbalance between the regulatory and executive systems leads to the development of persistent organic disorders, chronic diseases, and, as a result, the occurrence of erectile dysfunctions that require a complex of rehabilitation measures.

Until recently, it was believed that 70-80% of sexual disorders are of psychogenic origin. However, the development of andrology and modern diagnostic methods made it possible to prove a change in the ratio of violations of the copulative function of organic and functional origin. According to Tiktinsky O.L. (14), up to 30-35% of erectile dysfunction in men occurs due to vascular and endocrine diseases. In 25-30% of cases, copulative disorders are caused by inflammatory diseases of the prostate gland, seminal vesicles, seminal tubercle. More than every 6-7th man (12-15%) has a weak sexual constitution and needs medical and physical therapy. Diencephalic impotence is 1.6%, spinal - 2.8%. 12-15% of patients suffer from psychogenic impotence.

A significant relationship has been established between Erectile dysfunction and the patient's history of diseases of the cardiovascular system (arterial hypertension, coronary heart disease), diabetes mellitus, depression, and the use of various medications (psychotropic drugs, nitrates, b-blockers, diuretics, etc.) .

Erectile dysfunction occurs: in diabetes mellitus - more than 55%; with coronary heart disease (CHD) - more than 39%; with IHD and smoking - in 56%; with arterial hypertension - in 15%; with depression - more than 90%; with hypercholesterolemia - more than 25%. The occurrence of erectile dysfunction after transurethral resection of the prostate due to its hyperplasia was noted in 8.3% of respondents.

Studies have shown that erectile dysfunction occurs in patients with multiple sclerosis, Alzheimer's disease, chronic bronchopulmonary diseases, and spinal cord injuries.

Research by E.B. Mazo et al. it has been shown that erectile dysfunction is observed in 56.6% of patients who underwent surgery on the pelvic organs, or trauma to the perineum or pelvic bones. While in chronic prostatitis, copulative disorders were noted in 52.9%.

Systematizing the pathogenetic mechanisms of the development of erectile disorders, Krotovsky G.S. identified the following main reasons for their formation: psychological disorders, endocrine disorders, disorders of the vascular system, organic changes in the penis, neurological disorders.

Based on the analysis of the literature data, it can be concluded that the clinical manifestations of functional and pathological processes occurring in the human body with erectile dysfunctions are of theoretical and practical interest and require the development of comprehensive rehabilitation programs aimed at restoring the health of patients, which in many respects depends on such an important component as sexual health.

Given the rather complex pathogenesis of erectile dysfunction, the rehabilitation of patients with this pathology has become the subject of numerous studies. It has been established that, depending on the etiology of the syndrome, rehabilitation programs should include: psychotherapy, drug therapy, intracavernous injections of vasoactive substances, vacuum therapy, intracavernous phalloprosthesis, surgical interventions on arterial and venous vessels, etc.

Analysis of literature data indicates that at present the issues of improving the rehabilitation treatment of patients with erectile dysfunction using advanced medical technologies are not sufficiently developed and require further study. Given the significant predominance of the proportion of patients with vasculogenic erectile dysfunction (up to 60% of the total number of erectile dysfunctions), it seems relevant to develop comprehensive programs for their medical rehabilitation.

The purpose of the study: To evaluate the effectiveness of the use of the dietary supplement "VIARDO-forte" in complex programs for the medical rehabilitation of patients with erectile dysfunction of vasculogenic origin.

Research program

Study design: open, prospective, randomized, controlled, comparative study.

The study involved 50 patients with erectile dysfunction (ED) of vasculogenic origin, meeting the inclusion/exclusion criteria.

Among the examined patients, persons aged 41 to 50 years (62%) prevailed. The bulk of patients with vasculogenic erectile dysfunction are patients over 40 years old.

Research methods

Upon admission to the department, all patients were examined according to the developed comprehensive program. Along with a thorough study of complaints, anamnesis of illness and life, the dynamics of objective data, a study of the state of erection was carried out.

Intracavernous test. mechanism of cavernous occlusion) in the absence of nerve stimuli.

The result of the test was evaluated on the Unem scale after 15 minutes with the patient in the vertical position according to the degree of swelling and rigidity of the penis:

Dopplerography of the penis (examination of blood flow in the penis by ultrasound) was performed using an ultrasound machine LOGIC - 5 (Korea). The maximum systolic blood flow velocity (MSV) in the arteries of the penis (normally 25–30 cmsec), end-diastolic blood flow velocity (EDV) (normally up to 5 cmsec at a pressure level of 120 mm Hg, values of more than 5 cmsec venously) were assessed. -occlusive dysfunction).

Dopplerography is a highly informative non-invasive method for diagnosing the nature of erectile dysfunction and allows you to identify violations of veno-occlusive function in most cases.

Pharmacocavernosography is an X-ray technique - it is used to determine the type of venous leakage-discharge distal along the system of the deep dorsal vein, proximal from the legs of the penis, mixed discharge of DU (distal leakage) + PU (proximal leakage), as well as its severity (moderate, medium, pronounced). The study was carried out on a SIMENS X-ray machine (Germany) using an electron-optical converter (IOC) and a digital attachment that allows you to take pictures and record on an electronic converter with further viewing of the X-ray examination data at any time interval.

Vacuum test - local negative pressure (LOP). The LOD test is performed to diagnose pathological venous shunting of blood in erectile dysfunction. In the absence of venous pathology of the penis when dropping the clamping ring after creating an artificial erection with the help of a LOD device (we used an individual vacuum erector F-Elite standard ES-101 and with a manometer ES-105, Farnhurst Medical Ltd - UK), a satisfactory erection is maintained 5 6 minutes, in this case the sample is considered negative, less than 5-6 minutes positive. This is a technically simple and reliable non-invasive method for diagnosing pathological venous shunt.

The study of nocturnal penile tumescence (NPT) was carried out using the hardware-software complex (HSC) RigiScan Plus (Dacomed, USA) according to the standard method of the manufacturer.

Ultrasound of the genitourinary system (kidneys, bladder, prostate-TRUS, seminal vesicles, scrotum-testicles and epididymis) was performed according to standard methods on an ultrasound machine LOGIC - 5 (Korea).

Electrocardiographic study was performed using a multi-channel apparatus "Bioset" (Germany) according to the standard method.

The psychological study included the SMOL, Spielberger-Khanin and SAN tests.

All patients with ED we observed received complex treatment, which included: regimen, diet, vitamin therapy (Centrum or Spectrum), exercise therapy, training on simulators according to a special program, massage, acupuncture, vacuum therapy. Under this program, 20 patients with ED of the control group (CG) underwent rehabilitation.

Complex treatment of 30 patients with ED of the main group (MG), in addition to the indicated program, included taking dietary supplement "VIARDO-forte" at a dose of 1 capsule 4 times a day with meals. The duration of treatment of patients was 21 days.

The CG and MG patients did not differ significantly in age, severity of ED, and duration of inpatient treatment.

Discussion of results

In terms of age, composition, severity of ED and duration of treatment, patients in the CG (n20) and MG (n30) did not differ significantly. In the study of hormonal status in patients of both groups, the concentration of sex hormones in the blood did not exceed the level of normal values. According to the results of the intracavernous test, all patients were in the E1-E4 range according to the erection quality assessment scale and were promising for drug treatment.Doppler examination of the penis and pharmacocavernosography only detailed the diagnosis of vasculogenic erectile dysfunction and made it possible to identify the violation and severity of the disorder of the veno-occlusive mechanism. Of particular interest is a non-invasive study of the LOD test, which allows you to determine the severity of venous leakage (pronounced, moderate, mild), taking into account the severity of patient complaints.

The main method for assessing the quality of erection in patients with erectile dysfunction of vasculogenic origin is the study of nocturnal penile tumescence of the NPT using the hardware-software complex (HSC) RigiScan Plus (Dacomed, USA), which allows you to determine the most integral indicator - the coefficient of maximum rigidity.< /p>

As a result of complex rehabilitation treatment with the use of dietary supplement "VIARDO-forte" in patients of the MG (n30), compared with the CG (n20), the following trends were determined: the quality of erection (penile tension) improved, its duration, the quality of sexual intercourse, normalized psychological state of most patients. According to the control study of the hormonal status (sex hormones), in patients with vasculogenic erectile dysfunction, a tendency to increase the level of testosterone in the main group of MG (n30) is determined.

In order to improve the quality of treatment and increase the effectiveness of complex rehabilitation treatment of patients with erectile dysfunctions, it is desirable to conduct 3-week courses of taking dietary supplement "VIARDO-forte" 2 3 times with an interval of 1-2 months.

Monotherapy with the use of dietary supplement "VIARDO-forte" in young patients with psychogenic erectile disorders is not excluded.

1. In patients with ED of vasculogenic origin, 92% of cases had insufficient or short-term erection, 76% of patients had impaired venous-occlusive function, and 100% of patients had a decrease in the coefficient of maximum penile rigidity. The level of sex hormones in all patients with ED was within normal limits. 2. The use of dietary supplement "VIARDO-forte" in complex programs for the medical rehabilitation of patients with erectile dysfunction of vasculogenic origin in a rehabilitation center increases the effectiveness of their rehabilitation by improving the quality of erection, its duration, the quality of sexual intercourse, and improving the psychological state of patients.

Practical tips:

In the complex rehabilitation treatment of men of reproductive age with a vasculogenic form of ED and weakened erection, it is advisable to use the dietary supplement "Viardo-forte".

We consider the optimal dosage of the drug to be prescribed in a dosage of 1 capsule 4 times a day in courses of 21 days, with a possible repetition (1-2 courses) in 1-2 months.

The difference between viardot forte and viardot

Impaza and its advantages over analogues

Have you been struggling unsuccessfully with PROSTATITIS and POTENTITY for many years?

Head of the Institute: "You'll be amazed at how easy prostatitis can be cured by taking it every day.

"Impaz" is a homeopathic remedy for improving the erectile function of men. Many people have developed a distrust of homeopathy, because its methods differ from official medicine and its principle of "treating like with like" has not received scientific confirmation.

Our readers have successfully used M-16 to improve potency. Seeing the popularity of this tool, we decided to bring it to your attention. Read more here-

Impaza lozenges, like other homeopathic remedies, should be used together with traditional medicine (treatment by an andrologist or psychologist if impotence is psychological) and under medical supervision.

Impaza advantages: are analogues better or worse?

Drugs that positively affect the potency of men, such as Levitra, Cialis and Viagra, have passed more than one clinical trial proving their effect. However, these funds also have a significant disadvantage compared to the Impaza. And this minus is the price.

• PDE5 inhibitors used to improve potency do not affect libido and have a short-term effect. "Impaz" also has a prolonged action, improves sexual desire and makes the orgasm brighter. It gradually restores the production of nitric oxide, which is necessary for the onset and maintenance of an erection.
• Levitra, Cialis and other remedies for impotence have a lot of contraindications. These include, in particular, cardiovascular disease, leukemia, and any form of nitrate intake. "Impaz" is devoid of these shortcomings, it can be taken with various medicines. Therefore, Impaza can be recommended to people for whom traditional methods of treating erectile dysfunction do not help or are contraindicated. However, a preliminary consultation with an andrologist or sexologist is still necessary.

"Impaza" and other drugs to improve erection: "Afala" and "Viardo forte"

Afala and Impaza are homeopathic preparations.

This is where the similarities between them end.

They have different active ingredients:

• "Afala" - antibodies to PSA affinity purified.
• "Impase" - antibodies to endothelial NO-synthase affinity purified.

They are also intended for different states. "Afala" is used to treat prostate adenoma, and "Impaz" - for erectile dysfunction.

With benign prostatic hyperplasia (synonymous with prostate adenoma), there may be a problem in the sexual sphere, but Afala is not intended to solve it, it eliminates urination disorders.

High-speed (albeit short-term) analogues of Impaza are Levitra, Cialis and Viagra and their generics.

• This drug can be taken after meals and will not be aggravated.
• Levitra has more benefits for people with diabetes than other PDE5 inhibitors. This is extremely important for patients who suffer from erectile dysfunction but cannot use Viagra or serious and invasive procedures such as surgery.
• Studies that have been conducted regarding the side effects of Levitra have found that of the three drugs, it has the fewest cases of visual impairment.
• Studies have also shown that the action of Levitra occurs within 20 minutes after taking the drug. The drug lasts up to 5 hours.

• Boasts an extremely high degree of success. Taking Cialis helps 70% of men with symptoms of erectile dysfunction.
• Cialis has the longest duration of action - up to 36 hours.
• The drug begins to act 20-30 minutes after ingestion.

• The drug is relatively cheap compared to other drugs for the treatment of erectile dysfunction.
• Viagra has been used by many people with heart disease who were previously unable to take drugs to treat erectile dysfunction. However, patients with disorders of the heart and blood vessels should definitely consult with their doctor before taking Viagra.
• The effect of the drug lasts about 4 hours.

Frequently asked questions about Impaza and other drugs

1. Which is better - Sealex or Impaza? For each man - individually. Someone helps "Sealeks", someone "Impaz". There are reviews on the forums that none of these remedies helped, unlike, for example, Cialis, the effect of which comes very quickly.

2. Impaza or Viardot forte? "Viardo forte" is a fairly cheap drug containing wheat germ oil, zinc lactate and selexene.

• Selenium and zinc are needed by the male body for normal sperm production and the longevity of spermatozoa.
• In combination with vitamin E contained in wheat germ, selenium protects the walls of blood vessels and the heart muscle, prevents the oxidation of cholesterol and its carrier proteins, and reduces the formation of cholesterol plaques.
• Viardo forte increases testosterone levels and does not adversely affect the heart.

Like Impaza, Viardo Forte has a complex effect on the body. And the question "which is better," Impaza "or" Viardo forte?) can be answered as follows: try both drugs and compare if the attending physician does not mind. They can be taken at the same time.

Analogues of "Impazy" and their price

As you can see, in comparison with the Impaza, its analogues and their price lose significantly. However, in order to fully experience the effect of Impaza, up to six months is required, while other drugs for potency act very quickly.

Which drug to choose for potency - the patient must decide together with a specialist sexologist or andrologist, based on the state of health and the presence of contraindications.

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The rhythm of modern life does not always imply the possibility of a normal rest. Constant stress, problems at work and at home simply do not leave time to relax and enjoy a cup of coffee, along with an interesting book. And it often happens that as a result of the accumulation of negative emotions, men begin to experience difficulties not only of a psychological, but also of a physiological nature. However, do not despair, because in these cases there are biologically active additives Viardot forte. They will not only help a man return to life, but also supply the body with all the necessary minerals and vitamins. Next, let's look at the scope, what is the price, composition and reviews of numerous men, as well as doctors.

The composition of dietary supplements is exclusively natural. Viardo forte significantly improves male sexual health and activates the sex hormone testosterone.

BAA is an additional source of vitamin E, selenium, zinc, phytosterols and polyunsaturated fatty acids. All these components improve metabolism, strengthen the cardiovascular system and increase male libido. The drug stimulates potency, increases the number of spermatozoa and increases their mobility.

Phytosterols normalize all hormonal functions of the body. Zinc is involved in the synthesis of testosterone. It is worth knowing that in the process of ejaculation a man loses a lot of zinc and without its rapid replenishment, there is a risk of developing prostatic hyperplasia. That is why the need for zinc in men is much higher than that of women.

Selenium included in Viardot Forte improves sperm quality and increases libido. Additionally, it protects blood vessels and prevents cholesterol from being oxidized. Thanks to such a rich "male" set of this remedy, testosterone levels are normalized in the stronger sex, sexual desire is restored and impotence disappears.

Polyunsaturated fatty acids are incorporated into the membranes of spermatozoa, thereby improving the properties of their shell and ensuring their higher viability. As a result, a man not only improves potency, but also increases the likelihood of more successful reproduction of offspring.

Instructions for use highlight such positive effects:

• Impotence treatment.
• Normalization of the genitourinary system.
• Increased potency.
• Increased libido.
• Normalization of hormone levels.
• Stimulation of testosterone production.
• Restoring sperm quality, etc.

When using the drug, it is necessary to take into account what is said in the instructions for use.

Composition, release form and cost

Supplements are available in the form of capsules in a gelatin shell. The composition includes wheat germ oil, zinc, selenium, vitamins A, D, E, B, polyunsaturated fatty acids and phytosterols. The drug can be found in pharmacies in packs of 18 or 60 pieces.

For 18 capsules. In pharmacies, the drug can be found at significant discounts. In specialized stores, the price of dietary supplements can be a little higher. Therefore, if you are ready to wait for delivery, you should give preference to orders via the Internet.

Peculiarities of use

For men, regardless of age and weight, the instructions for use are the same. Capsules should be taken 3-4 times a day with meals. The course of admission should not be less than two weeks. A maximum of Viardot forte can be taken for no more than four weeks. It is allowed to drink tablets with any meal, both at lunch and in a light evening snack with a sandwich, yogurt or a piece of cake. The reviews of men who took this drug are almost all positive, and the effect of taking it can be observed within a few days after the start of therapy.

According to the instructions, supplements are allowed to be taken 3-4 times a year with interruptions. This means that you can take a 2-4 week course every 3-4 months depending on the condition.

What is prohibited

It should be understood that the dietary supplement Viardo forte is not a medicine, but only compensates for the deficiency of essential trace elements and normalizes the main processes in the genitourinary system, including increasing potency. In addition to this drug, doctors may prescribe other pills for men.

Viardo forte helps only at the initial stage of potency disorders, when the problem is more psychological and is reversible. However, do not abuse dietary supplements. After all, vitamins in their composition with excessive use can do much more harm than good. And the contraindications for taking Viardot forte are as follows:

• Intolerance.
• Allergy to any component of the drug.

In the event of an allergic reaction, contraindications should be taken into account and immediately stop taking and drink a course of histamine preparations.