Sildenafil (Viagra) was the first oral phosphodiesterase type 5 (PDE5) inhibitor approved by the FDA in the United States for the treatment of erectile dysfunction (it is not approved for women). Sildenafil inhibits PDE5, which is an enzyme that destroys cGMP. By inhibiting the destruction of cGMP by PDE5, sildenafil allows cGMP to accumulate. The cGMP in turn prolongs the relaxation of the smooth muscle of the corpora cavernosa. Relaxation of the corpora cavernosa smooth muscle allows blood to flow into the penis resulting in increased engorgement of the penis. In short, sildenafil increases blood flow into the penis and decreases blood flow out of the penis.
Ginkgo improves the flow of blood to the penis and enhances sexual desire and treats ED. However, it should be used with precaution in patients taking blood thinners as Ginkgo increases the risk of bleeding. .
Another potential new treatment consists of penile low-intensity shock wave lithotripsy. This consists of 1500 shocks twice a week for 3–6 weeks. The purpose is to stimulate neovascularisation to the corporal bodies with improvement in penile blood flow and endothelial function. The use of low-intensity shock wave lithotripsy may convert PDE5 inhibitor non-responders to responders.47
In May, Frontdoor reported quarterly earnings that were significantly hampered by inflationary pressures and trends in the housing market. Three months later, not much has changed — because once again, these macroeconomic conditions have affected the home service provider’s performance. During a Q2 earnings call on Aug. 4, Frontdoor executives detailed the company’s latest results.
Prostate cancer is a malignant tumour in the prostate gland. It is the most common form of cancer in older men. There are various treatment options for localised prostate cancer. Two of the most common ones are radical prostatectomy and radiation therapy. These treatment options can affect sexual health, and men frequently experience erectile dysfunction (ED) after treatment.
A study reported in the Journal of Sexual Medicine found that males with erectile dysfunction who took 1,5o0 milligrams of niacin for a 12-week period showed significant improvements in erectile function. (28)
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2. DHEA – DHEA is known as dehydroepiandrosterone, which is a natural hormone created by human adrenal glands. DHEA is made into a safe and natural supplement, made from wild yam and soy extracts. DHEA is a vital hormone because it can be converted to both estrogen and testosterone in the body. Studies have shown that men, who experience ED symptoms, have shown to be low in DHEA. Clinical trials showed effective responses with a study of men who were experiencing ED symptoms. They were given 50 mg of DHEA supplements for six months and they were able to achieve and keep an erection.
Yes, the vacuum device is effective. In fact, with the use of the vacuum device, 88% of men will have an erection that is satisfactory for the completion of sexual activity. The vacuum device may be the only therapy that is effective after the removal of a penile prosthesis. Patients also use vacuum devices as part of penile rehabilitation after radical prostatectomy to help preserve the tissue of the penis and prevent scarring within the penis and loss of penile length. Its use, however, is limited by its mechanical nature of it and the time taken to pump the device and apply the band. Sex partners may complain about the penis being cool to touch.
Sexual dysfunction and ED become more common as you get older. Only about 5% of men age 40 have it. But the number rises to 15% of men age 70. This doesn’t mean growing older is the end of your sex life. Doctors can treat ED no matter your age. Age isn’t the only cause. Type 2 diabetes, obesity, smoking, and high blood pressure all make it more likely.
Unlike other treatments for erectile dysfunction, PDE5i medications requires sexual stimulation to function. Without stimulation, these medications will not provide any effect.
Your doctor will take a medical history to understand your general state of health. As part of the medical history your doctor will ask about any other conditions you may have. If you take any medication If you smoke When and how much you drink If you drink much coffee or alcohol If you use recreational drugs on a regular basis If you ever had pelvic surgery If you have any heart and/or vascular problems If you have hormonal disorders If you have any psychological problems
The risk of having ED after prostate cancer treatment depends on the surgical technique or type of radiation used by your doctor, but also on your:
Mayo Clinic “Acupuncture: Definition,” “Acupuncture: Why it’s done,” “Drugs and Supplements: DHEA,” “Dietary supplements for erectile dysfunction: A natural treatment for ED?”
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Erectile dysfunction is a condition that occurs mostly in men. A man cannot maintain an erect penis during sexual intercourse i.e the penis does not have the firmness required for penetration during intercourse.
In spite of this if you are having any comorbidity or if you are suffering from some serious illness, you are advised to consult your physician before starting the pills.