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| Treatment of erectile dysfunction,low libido and premature ejacu |
How is erection dysfunction treated? Most physicians suggest that treatments proceed from least to most invasive. For some men, making a few healthy lifestyle changes may solve the problem. Quitting smoking, losing excess weight, and increasing physical activity may help some men regain sexual function. Cutting back on any drugs with harmful side effects is considered next. For example, drugs for high blood pressure work in different ways.
If you think a particular drug is causing problems with erection, tell your doctor and ask whether you can try a different class of blood pressure medicine. Psychotherapy and behavior modifications in selected patients are considered next if indicated, followed by oral or locally injected drugs, vacuum devices, and surgically implanted devices. In rare cases, surgery involving veins or arteries may be considered. Psychotherapy Experts often treat psychologically based ED using techniques that decrease the anxiety associated with intercourse.
The patient's partner can help with the techniques, which include gradual development of intimacy and stimulation. Such techniques also can help relieve anxiety when ED from physical causes is being treated. Drug Therapy Drugs for treating ED can be taken orally, injected directly into the penis, or inserted into the urethra at the tip of the penis. In March 1998, the Food and Drug Administration (FDA) approved Viagra,
the first pill to treat ED. Since that time, vardenafil hydrochloride (Levitra) and tadalafil (Cialis) have also been approved. Additional oral medicines are being tested for safety and effectiveness. Viagra, Levitra, and Cialis all belong to a class of drugs called phosphodiesterase (PDE) inhibitors. Taken an hour before sexual activity, these drugs work by enhancing the effects of nitric oxide, a chemical that relaxes smooth muscles in the penis during sexual stimulation and allows increased blood flow. These drugs are used with prescription and are very dangerous to take as the chemicals included can have severe side-effects such as blindness and loosing your hearing ability.
Therefore Natural viagra or herbal viagra as an alternative to increase potency, virility and sexual endurance and gain harder erection is recommended among many doctors and herbologists as these have minimum of side effects. While oral medicines improve the response to sexual stimulation, they do not trigger an automatic erection as injections do. The recommended dose for Viagra is 50 mg, and the physician may adjust this dose to 100 mg or 25 mg, depending on the patient.
The recommended dose for either Levitra or Cialis is 10 mg, and the physician may adjust this dose to 20 mg if 10 mg is insufficient. A lower dose of 5 mg is available for patients who take other medicines or have conditions that may decrease the body's ability to use the drug. Levitra is also available in a 2.5 mg dose. None of these PDE inhibitors should be used more than once a day. Men who take nitrate-based drugs such as nitroglycerin for heart problems should not use either drug because the combination can cause a sudden drop in blood pressure. Also, tell your doctor if you take any drugs called alpha-blockers, which are used to treat prostate enlargement or high blood pressure. Your doctor may need to adjust your ED prescription.
Taking a PDE inhibitor and an alpha-blocker at the same time (within 4 hours) can cause a sudden drop in blood pressure. Oral testosterone can reduce ED in some men with low levels of natural testosterone, but it is often ineffective and may cause liver damage. Patients also have claimed that other oral drugs�"including yohimbine hydrochloride, dopamine and serotonin agonists, and trazodone�"are effective, but the results of scientific studies to substantiate these claims have been inconsistent. Improvements observed following use of these drugs may be examples of the placebo effect,
that is, a change that results simply from the patient's believing that an improvement will occur. Research on drugs for treating ED is expanding rapidly and herbal viagra and natural viagra as sexual enhancers for increasing sexual desire, gaining harder erections, keeping sexual endurance longer are dramatically increasing as the chemical products such as Viagra, Cialis and Levitra has proven to have severe side-effects such as the possibility of blindness and loosing the hearing ability. |
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