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Treating Male Impotence

Male impotence, or erectile dysfunction, refers to the inability to attain or maintain an erection sufficient for successful sexual activity. Male penile erection results when the arteries carrying blood to the organ widen allowing more blood to flow in, while the veins carrying blood away from it become compressed restricting blood from flowing out. Certain male hormones and nerves also have a role in triggering and sustaining an erection. Abnormalities associated with the proper function of these nervous or hormonal systems (caused by medication or disease), could affect a man’s ability to have and sustain an erection and/or experience an orgasm.

Erectile dysfunction may be the result of any number of physical and psychological factors. Classification of the disorder generally can whether it is caused by organic (i.e., due to a bodily organ or organ system malfunction) or psychogenic (mental) factors. Erectile dysfunction may be caused by diseases, nutritional imbalance, trauma, surgical procedures or medications that alter the nervous, vascular or hormonal systems responsible for the erectile function. A combination of these factors could cause erectile dysfunction.

Medications can help improve or restore the erectile function; with some men requiring more than one prescription (depending on the response and tolerance of the patient to various medications). However, sufferers are encouraged by their doctors to make lifestyle adjustments to help arrest the underlying cause of the condition. Changes could include improving eating habits, quitting use of tobacco products, moderating alcohol intake and getting regular exercise.

Non-surgical treatments for male impotence aside from oral or topical medication include external vacuum devices, hormonal therapy, penile injection therapy, and intra-urethral pellet therapy. Many who contend with male impotence prefer not to discuss their sexual problems, but sex counseling helps in conjunction with these therapies. An experienced urologist combines several of these methods in several cases. When none of these methods work, surgical treatment like penile prosthesis is a possible option.

The first oral pill that has achieved such a wide recognition for effective treatment of male impotence is sildenafil citrate (Viagra). It is widely known for helping sufferers of erectile dysfunction achieve erections for successful sexual intercourse. The drug, however, does not improve erections in healthy men; neither is it an aphrodisiac to help increase libido.

Several other drugs in addition to sildenafil citrate are now available. Just like Viagra, tadanafil (Cialis), vardenafil (Levitra), and avanafil (Stendra) work by prolonging the action of a penile enzyme that stimulates arousal, which in turn causes the erection. It has been determined that Cialis can be effective up to 36 hours while Levitra can help sustain an erection from 4 to 16 hours. It has been found that Stendra takes effect within 15 – 30 minutes and could be taken with alcohol.

Intake of drugs for erectile dysfunction, just like any medication is not without possible complications. Consultation with a qualified and experienced urologist is still highly recommended for proper diagnosis and treatment and administration of the proper medication dosage.

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