Guideline about Erectile Dysfunction

What is Erectile Dysfunction?

Erectile dysfunction is an inability to maintain an erection sufficient to carry out sexual intercourse if these disorders continue for at least three months. That is, it is a long-lasting inability to achieve or maintain an erection. The term “erectile dysfunction” is proposed in the US instead of the old “impotence”, implying too categorical problem perception. Currently, the term erectile dysfunction includes not only an erection disorder but also libido and ejaculation disorder.

Causes

  • Chronic prostatitis: insufficient erection or lack of it leads to prostate gland inflammation.
  • Psychological disorders: nervous stress, excessive excitement, fatigue, drug addiction, alcoholism, depression, specific psychopathological disorders – the so-called “fear of sexual impotence,” depleted sexual technology, etc.
  • Neurological disorders: spinal cord diseases (spinal cord injuries), cerebral blood flow disorders (stroke), fracture of the spine and pelvic bones, multiple sclerosis, Alzheimer’s disease, Parkinson’s disease.
  • Endocrine disorders: diabetes, hypogonadism, obesity, hypothyroidism, prolactinoma (brain tumor).
  • Penile organic changes: trauma, injury, Peyronie’s disease (penile curvature), transferred inflammations, etc.
  • Disorders of the vascular system: an arterial sclerotic disease of the penis on the background of smoking, diabetes, venous system disorders, hypertension, high blood cholesterol, the pelvic arteries blockage.
  • Medications application: antidepressants, hormones, hypotensive, tranquilizers.What is Erectile Dysfunction and Its Causes_

Erectile Dysfunction Diagnosis

Diagnosis of erectile dysfunction starts from a visit to a doctor for carrying out consultation and examining the detailed history of erectile dysfunction development. It is necessary to evaluate the disease onset, its duration and predisposing factors.

For the exact quantitative determination of erection reduction degree, various surveys are implemented:

  • talking with a sexual partner.
  • complex male examination: external genitalia (phimosis, penile curvature, Peyronie’s disease, developmental anomalies), the blood test (hormonal status, biochemical analysis), nervous system (reflexes).

Details of the presence of chronic diseases and a group of constantly taken drugs are also examined. Functional researches are carried out: ultrasonic Doppler examination of penile vessels, monitoring of night spontaneous erections, Viagra-test, an intracavernous injection of vasoactive drugs. Depending on the patient’s condition, additional, more complex studies (cavernosometry, cavernosography, radioisotope phalloscintigraphy, neurophysiological studies) can be admitted for establishing a proper diagnosis.

Thus, modern diagnostic methods using a sufficient amount of research can determine the cause of erectile dysfunction with high accuracy.

Erectile Dysfunction Treatment

Erectile dysfunction treatment should be complex and pathogenetic (aimed at the disorder’s cause). With the appropriate treatment, 95% of patients can be helped.

Treatment with Canadian Pharmacy Medications

When defining a chronic disease, first of all, its treatment is necessary. In case of psychogenic and mixed erectile dysfunction, the treatment begins with the psychoemotional background and the use of stimulants normalization. In patients with significant psychological problems, psychosexual therapy can be applied either alone or in combination with medications which may be bought in Canadian Pharmacy.

Considering the high effectiveness of specific oral medications from Canadian Pharmacy have become first-line therapy in the erectile dysfunction treatment. Among these drugs here are preparations with a peripheral and central mechanism of action. The most modern and proven effective drugs are currently PDE-5 inhibitors like Viagra, Cialis and Levitra. The drugs of this group differ in the time of action and the number of side effects, but each of them occupies a worthy place in the erectile dysfunction treatment of mild and moderate severity.

Watch the video to get to know more about ED medications: Viagra, Cialis and Levitra:

Intracavernous and Intraurethral Therapy

Intracavernous and intraurethral therapy becomes an appropriate treatment option in the case of contraindications or the inability to use oral medications. This method of treatment was proposed in 1982 and are still effective. The only generally accepted contraindication to the use of intracavernous injections is sickle cell anemia. Disadvantages of this treatment method are the presence of many side effects, as well as many local reactions (priapism, hematomas, penile pain, cavernous fibrosis).

Vacuum Devices as ED Treatment

Vacuum devices are one of the best solutions for older men. These devices create a negative pressure, which causes a blood flow to the penis, which is then squeezed by a special ring at the penile base. Vacuum devices provide in general adequate for sexual intercourse erection in about 60% of men suffering from erectile dysfunction, although a full erection is often not achieved.

Side effects: penile pain, temporary loss of sensitivity and delay in ejaculation.

Surgical Erectile Dysfunction Treatment

Conservative therapy, despite a large selection of drugs, often turns out to be ineffective or gives only a temporary effect especially in men suffering from severe chronic diseases (diabetes mellitus, hypertension, obesity), whose further treatment worsens sexual function. In such cases, the choice is surgical treatment.

The most promising in young patients is vascular surgery. The purpose of the operation lies in the blood flow change in the penis, by creating arterial anastomoses or selective ligature of the veins. There are many microsurgical techniques aimed at restoring normal blood flow. The effectiveness of vascular surgery, depending on the individual characteristics, is from 50 to 80%. In any case, after the operation, the use of drugs to treat erectile dysfunction is more effective and allows you to achieve the desired level of sexual activity.

Prostheses as ED Treatment

The final stage of erectile dysfunction treatment in case of an unsuccessful outcome, when the use of other methods of sexual function restoration is impossible, is a penile prosthesis. All prostheses are divided into 3 large categories: rigid, plastic and inflatable.

  • Rigid prostheses are the simplest and least comfortable prostheses. They are paired elastic silicone nails giving the penis the necessary hardness, without plastic memory or variable rigidity.
  • Elastic (plastic) prostheses have a metal core inside (silver or steel wire), which allows the penis to assume different positions.
  • Inflatable two- and three-component fillable prostheses, which are the most advanced, have a special reservoir and a pump in the scrotum, which, during compression of the scrotum, provide an erection. At the end of sexual intercourse, the erection stops by activating a special mechanism.

At present, prosthetics of the penis is the only method that permanently relieves a man from erectile dysfunction. Modern prostheses are made of quality materials and are installed in such a way that it is not always possible for a specialist to determine his presence in a man.