solutions to your impotence problem
solutions to your impotence problem
Before i tell you the ways to solve your impotence problem it is
worth to provide the vary basic reason behind the impotence and
here it is: "Impotence" is nothing but a condition in which a
men cannot achieve or maintain a firm erection. There are no
muscle contractions involved in making the penis erect,To become
erect, the penis instead uses pressurized blood.The penis can be
either limp or erect, depending on the flow of blood.
When a man becomes aroused, the arteries leading into the penis
open up so that pressurized blood can enter the penis quickly.
The veins leaving the penis constrict. Pressurized blood is
trapped in the corpus cavernosa, and this blood causes the penis
to elongate and stiffen. The penis is erect. If the arteries
leading to the penis do not open up properly, it is difficult or
impossible for a man to become erect. This problem is the
leading cause of impotence(erectile dysfunction).
To solve an erection problem when the cause is poor blood flow,
you need to open the arteries.
Both physical and psychlogical factors are responsible for
impotnce in men.All Physical Causes of Impotence reduces or prevents the blood
flow to the penis. whereas a men with Psychological Causes of
Impotnce feels anxious,guilty, or depressed. This anxiety
can often make the impotence worse. Only about 10% of impotence
cases have a psychological cause.
If you have the same problem then let me tell you that Impotence
can be treated and often cured.Acccording to American Medical Association
is doctors can effectively treat 95% of impotence cases.
So according to the basic of erection a man must be able to move
blood into the penis and maintain it there in order to achieve
an erection.Arteries are the vehicles which bring the blood into
the penis.Any process which damages the arteries and increases
the chances of vascular disease would make a man more likely to
have impotence. so,Whatever will be the treatment for
impotence,all treatment blocks any activity which reduces blood
flow in the penis.
There are various ways to solve your impotence problem which
includes:
Drug Therapy: In drug therapy various drugs such as Viagra,Cialis (tadalafil),and
Levitra (vardenafil) are used. An enzyme cGMP tells smooth
muscles that line an artery to relax. When they relax, blood
flow increases. Another enzyme called phosphodiesterase (PDE)
deactivates the cGMP. PDE5 is an enzyme that found in penis
accepts cGMP and breaks it down henec reducing the flow of blood
in penis. Viagra
contains sildenafil citrate a chemial which blocks (PDE),and
helps men to sustain erection for long time. Cialis (tadalafil), and
Levitra (vardenafil). blocks PDE5 with different chemicals.
Injection therapy:
There are several drugs which can be injected directly into the
erectile tissues of the penis to cause an erection. The most
commonly used are papaverine (Papaverine hydrochloride),
phentolamine (Regitine), and prostaglandin E1 (Caverject,
Prostin, or Alpoprostadil), which can be taken singularly or in
combination. Erection usually begins within 15 minutes and may
last several hours. Penile injection therapy involves injecting
a single drug or a combination of drugs into the side of the
penis. This produces a hard erection that can last for one to
two hours.These drugs must be used exactly as prescribed by the
physician. If not used correctly, the result could be a
prolonged erection, called priapism. When priapism occurs, the
blood fails to drain from the penis.This can damage the penile
tissue and be extremely painful. A person who has a history of
substance abuse, therefore, would be a risky candidate for this
therapy since its success requires the exact use of the
prescribed drug. Penile injections would be a difficult option
for an individual with SCI with limited hand function to use on
his own.He must have a partner who is willing to learn to give
the injections. Bimix and Trimix are injectables for
intracavernosal administration.They refer to any combination of
either two or three chemicals. Bimix is often a mixture of
papaverine and phentolamine, while Trimix (PPP) would add
PGE1.Other cocktails are used, mainly in Europe. These mixtures
are not commercially available but must be mixed by a
compounding pharmacy.They are generally much cheaper than
Caverject or Edex, and tend to minimize aching in the penis or
testicles which is a problem in some men with Prostaglandin
(PGE-1) alone. A compounding pharmacy is one which will create
custom medications on a doctor's prescription; it usually
doesn't include the corner drugstore or large chain pharmacies.
Vacuum erection device: Mechanical vacuum devices cause
erection by creating a partial vacuum around the penis, which
draws blood into the penis, engorging it and expanding it. The
devices have three components: a plastic cylinder, in which the
penis is placed; a pump, which draws air out of the cylinder;
and an elastic band, which is placed around the base of the
penis, to maintain the erection after the cylinder is removed
and during intercourse by preventing blood from flowing back
into the bod. One variation of the vacuum device involves a
semirigid rubber sheath that is placed on the penis and remains
there after attaining erection and during intercourse.
Penile implants: Penile implants (often called "internal
penile pumps") are one of several erectile dysfunction treatment
options. The inflatable penile prosthesis is a pump system
surgically placed in the penis. It allows a man to have an
erection whenever he chooses. The penis does not deflate after
orgasm until the man himself pushes a release valve that is part
of the prosthesis. A penile prosthesis is usually used when
there is a clear medical cause for the erection problem and when
erections are unlikely to improve naturally. Sometimes a penile
prosthesis is implanted during surgery to reconstruct the penis
when scarring has caused erections to curve. A penile prosthesis
changes the body permanently and so is not commonly used to
treat stress-related erection problems. About 90% to 95% of
inflatable prosthesis surgeries are successful; that is, the
implants produce usable erections. It is not known how many men
have the surgery and then are rarely sexually active, however.
Satisfaction rates with an inflatable implant are high;
typically 80% to 90% of men express satisfaction and say that
they would choose surgery again. More detailed questions,
however, suggest that some men who overall say they made the
right choice still feel dissatisfied with the appearance and
size of the penis or their pleasure during sex. Urethral
suppository:
MUSE: is short for "medicated urethral system for
erection." This treatment is based on the discovery that the
urethra (the tube passing from the bladder to the tip of the
penis through which urine is passed and semen ejaculated) can
absorb certain medications, which can then pass into the
surrounding erectile tissue creating an erection. The active
ingredient in MUSE is alprostadil. This is identical to a
naturally occurring substance within the penis which is involved
in the development of an erection. Alprostadil has been used in
the treatment of impotence for many years. Before the
introduction of MUSE it had to be injected into the penis when
an erection was wanted. Alprostadil relaxes the muscles in the
erectile tissue of the penis allowing increased blood flow, the
basis of a normal erection. In MUSE, alprostadil is formulated
as a small pellet which is supplied in a specially designed
applicator. Each MUSE applicator is individually foil wrapped.
The applicator has a narrow stem which can be introduced easily
into the urethra. After inserting the applicator, the
alprostadil pellet is then released into the urethra by
depressing a button on the top of the applicator. The
manufacturer recommends that immediately prior to insertion of
MUSE, the man urinates and then gently shakes the penis several
times to remove excess urine. A moist u urethra makes
administration of MUSE easier and facilitates the absorption of
alprostadil.
A man generally will get an erection within 10-15 minutes of
application. The erection will last about 30-60 minutes. When
this form of treatment is effective, an erection generally lasts
30 to 60 minutes. Extremely rarely a prolonged erection may
occur. MUSE can be used twice in any 24 hour period, however 2
units should not be used consecutively Side effects have been
reported only infrequently. When first using MUSE, some men
experience minor discomfort from insertion but prior urination
will reduce the chance of this happening. Following the first
dose of MUSE, fainting has occurred, but only in an extremely
small proportion of men. However, for this reason, it is
recommended that the first dose of MUSE should be in the
doctor's office. Other side effects that have been reported,
albeit extremely rarely, include light-headedness, dizziness,
fainting, rapid pulse and swelling of the leg veins. Patients
are advised not to drive up to one hour after using MUSE.
Non-prescription treatments for impotence:
Cock ring: A cock ring is a strap or ring that fits
behind the scrotum around the base of the penis. (Some rings
just fit around the base of the shaft, such as the ones that
come with pumps.) It keeps blood from flowing back out of the
penis, keeping it hard longer. They vary from simple rubber
rings to straps that fasten with a snap or Velcro to truly
complex leather systems of straps and rings that are used more
for bondage than for erectile dysfunction. There is also a
prescription constriction band called Actis that has a slide
closure. It constricts the base of the penis, preventing blood
from flowing back out of the corpora cavernosa. If you filled a
water balloon with water until it was rigid and then just let go
of it, the water would leak back out and the balloon would
collapse. If you fill the balloon and then fasten a rubber band
around the base, the water stays in and the balloon stays rigid.
Cock rings work on the same principle as the rubber band. Herbal
treatments: Among the herbs used for erectile dysfunction are
yohimbine, gingko biloba (to increase blood flow), ginseng,
pygeum, and muira puama.
Penile sheath: A penile sheath or prosthesis is a rigid
or semi-rigid support put over the penis to support it for
intercourse. The support is placed on top of the penis and
anchored behind the scrotum with a loose rubber band. A condom
is then put on over the penis and prosthesis. One popular sheath
is made by Condex. Some people say they help a great deal;
others complain of reduced sensation. You might see if you can
try one out and decide whether you like it before you buy.
hormonal therapy for impotence: A severe deficiency of
the male hormone, testosterone, can cause impotence. The nature
of the treatment is to give the man either oral testosterone or
an injection in the arm or buttocks to raise the hormone to
acceptable levels. In these cases, the treatment can be an
effective one. Only about 4% of the male population, however,
have the problem and can benefit from the treatment. Side
effects of testosterone replacement therapy can be serious, and
patients with a medical history that includes liver disease,
heart disease, kidney problems, or prostate cancer should
probably avoid supplemental testosterone. This chemical can lead
to the retention of fluids, enlargement of the prostate, and
damage to the liver. Men with low sex drive and erectile
dysfunction may have low levels of testosterone (the male
hormone). As a general guideline, a testosterone level of 300
ng/dL or less is considered low, but this varies depending on
the laboratory that does the testing and the time of day the
sample is taken. Hormone replacement may be beneficial,
especially when used in combination with other therapies for
erectile dysfunction; however, testosterone supplementation
alone is not particularly effective in treating erectile
dysfunction Sexual desire (libido) and an overall sense of
well-being are likely to improve when serum testosterone levels
(the level of the male hormone in the blood) are restored.
Replacement testosterone is available in the following forms:
Injections: Injections are the most reliable way to restore
testosterone levels, but this therapy requires periodic
injections (usually every 2 weeks) to sustain an effective
level. It also causes high hormone levels right after the
injection and low hormone levels just before the next shot. This
is thought to be slightly more risky than other methods that
maintain a moderate hormone level throughout the treatment
period. Skin patches and gels: Skin patches and gels that are
rubbed into the skin deliver a sustained dose and are generally
well accepted. A strip that is placed in the mouth on the gums
is also available. With the patches and the gels, skin rashes
and irritation are the most common problems.
Oral therapy: This is the least effective therapy. Pills
are also associated with a small risk of liver problems.
Testosterone pills are not recommended.
Impotence treatments all have different complications and side
effects. However, the best treatment for impotence depends on
many things. These include a man's health and relationship, as
well as personal and physical tolerance for the treatment.
Contact a urologist who specializes in impotence treatments. The
doctor will be able to diagnose your impotence and discuss
various treatments with you and your spouse or partner.