Published in June 3rd, 2008
Advertisements
Erectile dysfunction is affecting 25-30 million men in United States alone and it accounts for numerous outpatient visits every year.
Though sexuality is a very important issue, it is often overlooked by physicians. Generally, very few patients discuss their sexual problems until and unless the physician specifically asks. That is the reason it is very important for physicians to be comfortable while discussing sexual dysfunction and executing the appropriate remedy.
Currently, various treatment options are available for erectile dysfunction. They are PDE5 inhibitors, injection therapy, other oral prescription medicine, vacuum devices, surgical implants, herbal or over-the-counter medications.
Many people fear needles as way of treatment and are happy with non-invasive drug delivery or method of treatment. The transdermal approach using nitroglycerin cream and paste which is applied to the glans penis is one of the alternatives of topical medications used for treating erectile dysfunction. Side effects include headaches due to its rapid absorption inside the systemic circulation.
Other medicines such as papaverine also have been used transdermally. It is delivered in 15% or 20% base topical gel form and results using a small placebo-controlled trial have shown a increase in blood flow to the penis.
The usage of topically-acting vasodilating medications have met with some limited success. There are generally three main agents that are applied topically and help in promoting erection, but it is advisable to use condoms to prevent adverse effects to the partner. They are papervine, minoxidil and nitroglycerin.
Papervine gel is generally dispensed in 7.5, 15, and 20% formula which is applied to the penis, perineum and scrotum to increases penile blood flow. A phase I-placebo-controlled trial study which used the 20% gel in patients suffering from erectile dysfunction showed much increase in peak systolic flow velocity and cavernous artery diameter. Although papaverine can augment reflex erections, it can cause only 15% functional erection.
Another agent used as vasodilating medications is minoxidil which is used topically using a 2% solution with a dose of 1 ml (.28 mg). Though it is well known for its use in hypertension and alopecia, it is a vasodilator which acts on arterial smooth muscle by opening potassium channel. Minoxidil was found to be more effective than nitroglycerin in producing functional erections. The side effects as a consequence of using minoxidil are very few and include burning at the site of application.
Nitroglycerin is a well-known vasodilator and also a smooth muscle relaxant. Besides it usage for erectile dysfunction, it is used topically in treating Raynaud’s disease and heart disease. The dose for erectile dysfunction is 2 cm of a 2% ointment which is applied 30-60 minutes before sexual intercourse. A placebo-controlled study has shown occurrence of partial to full erection in patients with mixed impotence. More often than not, this is used in case of increased penile rigidity which is not enough to permit penetration. Its side effects are hypotension and headache.
Along with all options available for treatment of erectile dysfunction, it is also advisable to make changes in life styles. The patient must stop smoking, should not drink too much, keep his weight under control and do regular exercises.
try
Related posts:
- Understanding The Types Of Erectile Dysfunction Erectile dysfunction or ED is the inability of a man to attain or maintain a satisfactory erection long enough to satisfactorily participate in sexual activity. Erectile dysfunction can affect a man at any age or at any time. ED is a problem that can be experienced by all men, no matter what their sexual preference, [...]...
- Erectile Dysfunction Herbal Remedies – How To Cure ED ... Erectile dysfunction (ED) represents inability to achieve or maintain erection with sufficient rigidity and duration to permit satisfactory sexual performance. There are many causes, psychological, neurological, physical and other associated medical conditions such as diabetes mellitus, heart disease, hypertension and cigarette smoking which result in ED. Currently, various treatment options are available for erectile dysfunction. [...]...
- The Last Word On Erectile Dysfunction Symptoms Erectile dysfunction (ED), which is also called impotence, is characterized by man’s total inability to have erection which is hard enough to have sex or to maintain an erection long enough to complete intercourse. The symptoms of erectile dysfunction are: 1. Unable to have erection any time, either with masturbation or during sexual intercourse. 2. [...]...
- Your Must Know Guide To Erectile Dysfunction Signs Erectile dysfunction (ED), which is also called male impotence, refers to a condition where there is consistent problem in getting and keeping erection which is sufficient to complete a sexual intercourse. Some men have temporary erection problem, but that never means they are suffering from erectile dysfunction. A problem can be termed as erectile dysfunction [...]...
- Common Questions And Answers About Erectile Dysfunction There is plenty of information on the internet, magazines, TV talk show and other locations that deal with erectile dysfunction. While many of these sources provide a wide range of information, it is difficult at times to find a condensed list of the more frequently asked questions and answers to them. Here we hope to [...]...
- Natural Viagra Substitutes Are you embarrassed to talk to your doctor about erectile dysfunction? If so, then you may want to purchase a natural Viagra substitute instead. Natural Viagra medicine is available over the counter at your local pharmacy or superstore. There is no need to obtain a prescription from your doctor. If you are shy about the [...]...
- Smoking And Erectile Dysfunction – The Link Smoking can lead to erectile dysfunction and the risk of developing arteriosclerosis. Not only does smoking increase the risk of heart disease but also it can make you nearly twice as likely to develop eretile dysfunction. The more cigarettes you smoke the more likely the risk of being impotent later on in life. Smoking causes [...]...
- How Long Does Temporary Erectile Dysfunction Or Impotence ... Temporary erectile dysfunction problems are normally caused by either a psychological or environmental issue. There are certain factors which are necessary in order to achieve and maintain an erection, if one of these factors is hindered or disrupted achieving an erection is more difficult. Once an adjustment to these factors is made the problem will [...]...
- Looking for Erectile Dysfunction Cures? Just because a man is getting a bit older or may have a certain medical condition doesn’t mean he’s ready to give up on having a fulfilling sex life. He and his partner both may be interested in erectile dysfunction medications that will help him to get and maintain an erection, and that won’t be [...]...
- How To Treat Erectile Dysfunction Naturally Do you have enough information about erectile dysfunction? If the answer is no then keep on reading this article. Erectile dysfunction is also known as impotence. Impotence is inability to maintain an erection during sexual intercourse. There can be many causes of impotence. One of the many reasons can be lack of sexual excitement. There [...]...
Previous post:
«
Home Treatment For CoughNext post: Permanent Weight Loss Checklist »