Erectile dysfunction is the inability to achieve or maintain an erection (stiff penis ) long enough for satisfactory sexual activity. Erectile dysfunction is also referred to by terms such as erectile dysfunction and impotence . However, impotence is also used to indicate other sexual problems in the man, such as premature ejaculation or lack of sex drive, viagra helps to overcome erection. So erectile dysfunction is a more specific term.
Erectile dysfunction is very common and can occur at any age. However, its occurrence does increase with age and is particularly affected by men over the age of 60.
Treatment Erection Problems
If a physical problem forms the basis of erectile dysfunction, there are several options for treatment: pills, injection therapy, or an erection pump. Because the different treatments have advantages and disadvantages, making the right choice is of great importance.
Medicines To Take Before Sexual Relationship
Available on prescription, oral treatments should be taken no later than 20 minutes to one hour before intercourse. These drugs are not currently reimbursed by Health Insurance. Be careful, these drugs should never be used in combination with each other in the hope of getting better results, Viagra is the best medicine it’s already proven. Please visit topapotheke24.de to find the best erection medicine.
There are also topical treatments that are used just before sex. They are administered by the patient himself, applied to the penis or directly into the penis (by injection). The injection technique of the latter requires training in a medical environment.
Erectile dysfunction can be very serious for a relationship and for a man’s self-esteem. Because the man often sees sex as an achievement, the idea of always wanting or having to perform can cause fear of making love.
Self-confidence decreases, with the result that the man focuses so much on the desired erection, that the spontaneity and pleasure of sexual play are lost. This can eventually lead to the man avoiding sex and any form of intimacy.
Four different erection pills are currently available. Although these promote the quality of the erection, they are not always without risk: not everyone is allowed to use these pills. In addition, erection pills are frequently offered via the internet, without any guarantee that the composition of these pills is correct.
The treatment of erectile dysfunction is therefore not a quick prescription of an erection pill, because an erection pill does not solve the underlying causes.
Local Action Oral Medicines
Avanafil (SPREDA), sildenafil (VIAGRA and its generics), tadalafil (CIALIS and its generics, and vardenafil (LEVITRA and its generics) are medicines that work by making the penis filled with blood.
Their most common side effects are: headache, flushing of the face, a feeling of a stuffy nose, dizziness, digestion and vision problems (blurred vision or change in color perception). Warning: these drugs are incompatible with the treatment of angina pectoris of the vasodilator family (angina) and with the intake of amyl nitrite (a sexual stimulant also called “poppers”, “boosters” or “snappers”) . Their simultaneous use can cause a sudden drop in blood pressure (hypotension) which can lead to death.
Medicines For Penile Application Or Intracavernous Injection
There are also treatments for erectile dysfunction in the form of a cream to be applied to the end of the penis or to be injected into the penis. They contain a substance (alprostadil) which acts locally by causing the blood vessels in the penis to dilate, thus allowing an erection. They are not painful, but it is important to take the dosage prescribed by the doctor. Using too much of a dose can cause an erection that is too intense and too long (priapism) which is painful and can sometimes cause lasting damage to the penis.
These drugs are usually prescribed for people for whom oral treatments are contraindicated or have been shown to be ineffective. They are covered by Health Insurance (15% for cream and 30% for intracavernous injections) in certain cases (multiple sclerosis, paraplegia, nerve damage linked to diabetes, etc.) in the context of the procedure for exceptional drugs.
The treatment in the form of a cream works quickly (in 5 to 30 minutes) causing an erection for 1 to 2 hours depending on the man. It comes in the form of a single-dose container. The entire contents of the single-dose container should be applied to the end of the penis. It should not be used more than 2 to 3 times per week, or more than once in 24 hours. It can cause local side effects, including vaginal irritation in the partner. The use of condoms is recommended.
Yohimbine is a herbal substance that has been used for many years as an adjunct to erectile dysfunction. Its mechanism of action is poorly understood and the available data do not allow its effectiveness to be assessed. Only a drug based on yohimbine is still available.
Non-medicinal solutions can be proposed when the man does not wish to take medication or when the latter is contraindicated to him.
The Vacuum Pump (Also Called Vacuum)
It is a device comprising a cylinder placed on the penis and in which the patient creates a vacuum using a manual or electric pump. The suction of air into the device allows an influx of blood causing the erection which is maintained, after removing the cylinder, by an elastic ring placed at the base of the penis. The ring should not be held for more than 30 minutes. The side effects are minimal, including pain, a feeling of cold penis and difficulty ejaculation, medicine called a viagra is better than vacuum pump.
This is a definitive solution requiring surgery under general or regional anesthesia. It is usually reserved for men who have severe and irreversible conditions for which other treatments have failed or cannot be used.
Penile prosthesis are medical devices placed in the cavernous bodies of the penis. They are of different types: rigid, semi-rigid or malleable and inflatable. Their use may require training. The risks associated with fitting these penile prosthesis are mainly mechanical failures and the risk of equipment infection (1 to 5% of cases) which often require the removal of the prosthesis.
To find out more about penile implants: patient info sheet published on urogrance.org.
Penis revascularization surgery involves performing arterial bypass surgery to improve blood flow and pressure in the cavernous bodies. This microsurgery is only suitable for certain patients, for example young patients who have lesions following trauma.