Erectile Dysfunction Treatment
Information
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Erectile
dysfunction or ED, or impotence is defined as the inability to achieve
and/or maintain an
erection sufficient for mutually satisfying intercourse. The
incidence of erectile dysfunction correlates with your
age effecting some 87% of men by the age of 70 years old erectile
dysfunction impacts more than a man's sexual activity. The
emotions and uncertainties that coincide with this condition often
have a significant effect
on a man's self-esteem, as well as, his relationship with his
partner.
Although the incidence of erectile dysfunction increases with
age, it is not an inevitable result of aging especially with the
development of the erectile dysfunction drugs that have all
essentially erased all signs and symptoms of erectile
dysfunction in most men. Many men who have reported
erectile dysfunction symptoms in their early 20"s no longer have
any symptoms secondary to their use of the the different
erectile dysfunction drugs.
Erectile Dysfunction Treatment Drugs
(how to buy erectile
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Online Consultation for Erectile
Dysfunction Drugs -
secondary to the advent of the internet you can now
communicate openly and candidly with a licensed doctor. You can now buy prescription erectile dysfunction
treatment drugs on line with no prior prescription from the
privacy of there own home. Instead of the traditional visit to a
doctor's office, you are simply requested to complete a
medical questionnaire that addresses your medical
history.
This is information that is required by a licensed doctor so that he/she can make a decision whether the desired
erectile dysfunction drug is appropriate for your current condition.
Once the doctor has reviewed your medical history he/she
will send a prescription for the pharmacist to fill and dispense. The erectile dysfunction drug will be subsequently
shipped discreetly (with no hint of the contents) to your home or
office via an overnight courier.. The erectile dysfunction drug order
will include the erectile dysfunction drug, information explaining
the erectile dysfunction drug contraindications/precautions,
dosage and important pharmacy contact information should you have any
further questions or concerns.
Comparisons of
the most popular erectile dysfunction drugs including:
Viagra,
Cialis,
Levitra,
Uprima.
The following table represents a summary of the most
recommended erectile dysfunction treatment drugs by doctors for
their patients. Although many these erectile dysfunction treatment
drugs are very similar, Viagra and Cialis represent the most
prescribed erectile dysfunction drugs, worldwide.
Which Erectile
Dysfunction Drug Lasts Up to 36 Hours?
Some important notes, Viagra is the most
prescribed erectile dysfunction treatment drugs over the past four
years, Pfizer Inc. has sold enough sildenafil citrate, brand named
Viagra, to fill 100 million prescriptions for some 20 million
patients worldwide, making Viagra one the most prescribed
medicines in the world.
While Cialis represents the longest
lasting erectile dysfunction treatment drug, Cialis works up to
thirty six hours following a single dose (most of the erectile
dysfunction treatment drugs will only provide erectile dysfunction
therapy for up to twelve hours).
Want more information on the
erectile dysfunction drugs? Review the following chart for
comparisons of the most popular erectile dysfunction drugs:
Erectile Dysfunction Treatment Drug Comparisons
|
Medication |
Time of
Onset |
Duration
of Action |
Effectiveness |
Possible
Side
Effects |
Cost Per
Dose |
|
Viagra |
20 - 30 minutes |
12 - 18 hours |
90 - 95%
of men |
facial flushing stuffiness |
£3.50 order (click here) |
|
Cialis |
25 - 45 minutes |
Up to 36 hours |
80 - 90%
of men |
mild muscle pain |
£4.30 order (click here) |
|
Levitra |
30 - 60 minutes |
8 hours |
70 - 85%
of men |
flushing, dyspepsia |
£6.20 order (click here) |
|
Uprima |
25 - 60 minutes |
6 hours |
65 - 75%
of men |
dizziness, light-headedness |
£4.50 order (click here) |
Please note: Cost per dose is based on the
purchase of the higher mg tablets and then splitting the tablets
in half. For example Viagra is available in Viagra 25mg, 50mg and
100mg doses. The Viagra 50mg dose represents the standard dose,
therefore, for a substantial cost savings you should
purchase the Viagra 100mg dose and then split the 100mg tablet
into two 50mg doses
Important Erectile Dysfunction Drug Conclusions
Frankly it is hard to match experience.
Viagra remains the most popular impotence treatment. More
Viagra
is prescribed by doctors for their patients than all the other
erectile dysfunction drugs,
Cialis,
Levitra,
Uprima combined.
Again Since
Viagra was introduced in 1998
an amazing133 million prescriptions for Viagra have been written
so far by more than a million doctors in some 120 countries
around the world. A
Astonishingly, Nine Viagra pills are dispensed
every minute, worldwide.
Buy your Vigra now (click here for details)
More
importantly
Viagra also remains the
most recommended impotence treatment by Urologist (doctors
specializing in the genitourinary system).
Buy Viagra Impotence Treatment Online, the
erection enhancement drug recommended by more doctors than any
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Understanding Erectile Dysfunction
The
first step in treating erectile dysfunction is that you
understand the psychology, physiology and anatomy responsible
for the ability to achieve and maintain an erection. If
we can comprehend these events than we can better understand the
factors that are responsible for erectile dysfunction and address the questions
concerning treatment.
Normal
Erectile Function
For
something that appears so natural, an erection is a rather complicated
process involving the coordination of the psychological, neurological
and cardiovascular systems. The penis becomes erect following
a series of events. First, the nerves are stimulated, a
sensation known as arousal.
No matter what the nature of
the stimulus, visual, mental or physical the brain coordinates
the following series of events:
- Nerve impulses
transverse the length of the spinal cord to the pudendal nerve
and on to the penis. Smooth muscle within the walls of
the penile arteries respond by relaxing.
Subsequently,
the penile arteries dilate allowing up to eight times more blood
to flow into the corpora cavernosum, (two parallel cylinders
that transverse the length of the penis).
- The cavernosum
become engorged with blood expanding and lengthening the penis.
The expanding tissue then exerts a positive pressure compressing
the veins that normally empty the blood from the penis, maintaining
the blood in the penile tissue. When
ejaculation occurs or when arousal is discontinued the penis
returns to its non-erect state.
Causes of
Erectile Dysfunction
Historically,
when an individual consulted his doctor concerning erectile
dysfunction he was usually informed there were no known physiological answers
concerning his condition. Today, a generation of research
has resulted in significant advances in both the diagnosis and
treatment of erectile dysfunction. Doctors now understand that approximately
85% of erectile dysfunction is attributable to physical/organic conditions
while only 15% is due to psychological or mixed origin (both psychological
and organic). Some important causes of erectile dysfunction
are as follows:
Vascular
Disease as a Cause of Erectile Dysfunction
Vascular
Disease is the leading cause of erectile dysfunction. Vascular disorders
include arteriosclerosis (hardening of the arteries), hypertension,
hyper-cholestremia and other conditions which interfere with the
blood flow to the penis. Additionally, "venous leakage",
a condition occurring when the penile veins are unable to constrict
efficiently during an erection, also contributes to poor erections.
When these veins "leak", blood escapes to the periphery
resulting in a poor erection.
Diabetes as a Cause of
Erectile Dysfunction
Diabetes
is another common cause of erectile dysfunction. Approximately 50% of men
with insulin dependent diabetes experience some degree of ED after
55 years old. Diabetes results in poor circulation and/or
peripheral neuropathy. When the nerves are involved, sexual
stimuli are not transmitted appropriately to or from the brain
and erectile dysfunction develops.
Neurological Diseases a
Cause of Erectile Dysfunction
Neurological
diseases such as multiple sclerosis, Parkinson's disease,
spinal cord injuries and long term effects of diabetes can also
result in the disruption of the normal sequence of events necessary
for an erection to occur.
Endocrine
System Abnormalities
as a Cause of Erectile Dysfunction
Deficiencies in the Endocrine System are another source of
erectile dysfunction.
Low levels of testosterone or thyroid hormone can interfere with
the stimulation process necessary in the erection sequence.
Excessive production of prolactin by the pituitary gland may contribute
to decreased levels of testosterone resulting in a lack of desire.
Diabetes once again enters the scenario as it is classified as
an endocrine disorder.
Prescription
Drugs as a Cause
of Erectile Dysfunction
Prescription
medications often cause erectile dysfunction as a side effect.
Some two hundred known medications fall into this category including:
Antihypertensives
medications specifically:
- Beta-blockers
e.g. Atenolol, Propanolol and Tenorium.
- Diuretics
medications e.g. HydroDiuril and Lasix.
- Ace Inhibitors/Calcium
Channel Blockers medications e.g. Vasotec®, Lotension®,
Cardizem® and Norvasc® periodically cause erectile
dysfunction,
however, they are generally represent an excellent alternative
medication for individuals with drug induced erectile
dysfunction.
Antidepressant/Antipsychotic
Medications
as a Cause of Erectile Dysfunction
Antidepressant/Antipsychotic
medications -of almost any label can also result in
erectile dysfunction e.g. Prozac®, Elavil®, Zoloft®, Thorazine®
and Haldol®. Note: Many other medications in a variety of
classes can periodically cause erectile dysfunction. If you take a prescription
medication or an over-the-counter medication, regularly, please
consult with your doctor. However, never alter a dosage
or discontinue a medication without the advice of your doctor.
Smoking
as a Cause of Erectile Dysfunction
Smoking as
been linked to erectile dysfunction in numerous clinical studies.
The most common
causes of the organic component in erectile dysfunction are vascular abnormalities
associated with atherosclerosis and diabetes mellitus. Atherosclerosis
causes 60% of cases of erectile dysfunction, and in cases of diabetes mellitus
the prevalence of erectile dysfunction is 70%. Smoking is significantly associated
with the development of both atherosclerosis and diabetes mellitus.
The
Epidemiology and Pathophysiology of Eerectile Dysfunction
The Journal of Urology 1999 Jan; 161(1):5-11
After smoking two cigarettes, the diameter of the internal pudendal
artery narrows and the penile arteries almost completely close.
This evidence suggests that smoking can cause an acute vasospastic
constriction of the arteries in the penis. These observations
are supported by physiological evidence that nicotine causes acute
peripheral vasoconstriction.
Acute Vasospasm of Penile
Arteries in Response to Cigarette Smoking. Urology 1990; 36(1):99-100
Researchers
at Wake Forest University in Winston Salem, North Carolina concluded
that male smokers who suffer from long standing hypertension are
26 times more likely to be impotent than those
individuals
who do not smoke. July 2008, The Journal of Family
Practice.
Aside from
erectile dysfunction, smoking as also been linked to the following negative
effect concerning male sexual health:
- Reduced
volume of ejaculation
- Lowered
sperm count
- Abnormal
sperm shape
- Impaired
sperm motility
Antidepressant/Antipsychotic
Drugs as a
Cause of Erectile Dysfunction
LH-RH
Analogs/Antiandrogen medications e.g. Lupron Depot®,
Eulexin®, Nilandron®, Casodex®, etc. are medications
are used in the treatment of prostate cancer. They function
by decreasing the production of testosterone in the testes and
adrennal glands, which decrease in testosterone often results
in erectile dysfunction.
Chemotherapy/Radiation as a
Cause of Erectile Dysfunction
Chemotherapy/Radiation
therapy is also a significant contributors to erectile
dysfunction.
These drugs/treatments are used in the treatment of cancer.
Substance Abuse as a Cause
of Erectile Dysfunction
Substance
Abuse can also negatively effect male potency.
The chronic use of cocaine, marijuana, alcohol, steroids etc.
often results in erectile dysfunction, as well as a decrease in desire.
Excessive tobacco use can also attribute to erectile dysfunction by accentuating
the effects of other risk factor such as vascular disease or hypertension.
Radical Pelvic Surgery as a
Cause of Erectile Dysfunction
Radical
Pelvic Surgery also result in erectile dysfunction. Surgical procedures
involving the prostate gland, bladder or colon may interfere with
the nerves involved in the erectile dysfunction. Radiation therapy
for cancer may also effect the erectile dysfunction.
Psychological Erectile Dysfunction as a
Cause of Erectile Dysfunction
Psychological Erectile Dysfunction is usually diagnosed when no physical causes
can be defined. Pure psychological erectile dysfunction usually occurs
suddenly without warning as opposed to physical erectile
dysfunction that
may gradually develop over the years.
Some
common causes of psychological erectile dysfunction are as follows:
- Performance
anxiety is one of the most common causes of psychological
erectile dysfunction. When a man feels pressured to achieve or maintain
an erection, he will commonly become anxious and nervous when
in a sexually demanding situation. Stress increases the
body's production of catecholamines such as adrenaline and nor-
adrenaline, which act as erection inhibitors. The release
of these inhibitors further contributes to failure resulting
in more anxiety. Therefore, the cycle begins, increased
stress resulting in increased catecholomines that further inhibits
the erectile process.
- Depression
is another cause of psychogenic erectile dysfunction. Unfortunately,
many of the popular antidepressant medications (for a list see
prescription medications in the next section) have side effects
which include erectile failure.
Anatomical Deviation as a
Cause of Erectile Dysfunction
Anatomical
Deviation of the Penis
Anatomical Deviation of the Penis, known as Peyronie's
Disease, may also cause erectile dysfunction. This condition
usually develops from an inflammatory process and results in
fibrous scaring of the penis. The cause of this process is not
yet understood; however, when an erection does occur,
there is a bending of the penis secondary to the scar tissue.
This curvature may interfere with erectile capacity and/or
ejaculation.
Final Erectile Dysfunction
Treatment Conclusions
Again, although the
popular erectile dysfunction drugs remain the primary treatment
option for most men with erectile dysfunction. There are
alternative erectile dysfunction treatment options that have
proved to be very beneficial.
The so called "herbal
Viagra" or male libido enhancement supplements remain the most
popular erectile dysfunction treatment (other than the erectile
dysfunction drugs). The Physicians Select Better Erection
Enhancement Pills are the most popular erection enhancement pill
as an alternative alternative to Viagra or Cialis.
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Vacuum therapy has proved a beneficial
erectile dysfunction treatment for those men that have not had
beneficial results using the erectile dysfunction drugs. Many
men have achieved exceptional results when they combine vacuum
therapy with the erectile dysfunction drugs.
Finally, surgical procedures are
usually reserved for those men with debilitative diseases, such
as, diabetes where all other erectile dysfunction treatment
options have not enhanced the individual's erections.
