According to the modern treatment approaches, erectile dysfunction is considered to be a complex problem that doesn’t develop on its own: as a rule it’s a symptom of another chronic disease or a symptom of an aggravated problem. The core reasons may be quite different: from diabetes and hypertension to a significant adverse reaction of antihypertensive drug. The reasons for ED symptoms may also be caused by depression and mental conditions, chronic intoxications (alcohol, drugs, etc.), as well as testosterone failure (age hypogonadism, menopause, hormonal drugs treatment, etc.). The core reasons for the problem are many.
The fact should be underlined that impotence is not a urological disease – the condition has a purely therapeutic nature. Historically, that a patient suffering from erectile dysfunction refers to a urologist; however, to deal with the issue quicker and more effectively, a person should seek assistance of a physician, endocrinologist, sexologist or andrologist.
An average case under the microscope
So let us examine an average erectile dysfunction case according to the observations in Washington Central Hospital. The majority of those suffering from ED are 55 years-old men with hypertension (risk factor 1), obesity (a risk factor 2) and/or low testosterone (a risk factor 3). Careful diagnostics is required, the chances that the symptoms are triggered by the disease should be excluded (in rare cases prostatitis treatment is appointed, while the problem itself has little to do with erectile dysfunction).
Thus, in such cases an effective therapy aimed at eliminating hypertension is needed to be selected; the doctor should choose the complexes of measures and drugs that don’t adversely affect erection. Therefore, by treating obesity and atherosclerosis or restoring the normal level of testosterone the problem can be dealt with effectively and the symptoms can pass away. As a rule, therapists have to choose from a 3 lines of treatment.
The directions practiced in ED treatment
Therefore, the 1st line therapy consists in elimination of risk factors by a rational use of medications, diet and exercising. This is where a range of neoteric PDE-5 inhibitors – Viagra, Levitra, Cialis and a huge number of their generic alternatives come to the rescue, demonstrating impressive efficiency results (these preparations have a noteworthy positive effect in 72 – 79% of ED patients). These medications boast a relatively narrow list of side effects (manifesting mostly in non-aggressive forms) and contraindications. These preparations can be used within a treatment course as well as ‘on demand’ solutions.
Read also: Comparsion – Viagra, Cialis, Levitra: which one is best?
The onset of action in PDE-5 drugs is observed within 15 – 50 minutes depending on the drug and individual reaction of the body (thus, Canadian Cialis provides the effect within 15 – 25 minutes, while in Canadian Viagra works 40 – 50 minutes after reception).Therefore, in combination with elimination of ED causes, normalization of normal blood pressure and testosterone a patient may take PDE-5 drugs (in the event of no contraindications) and restore the erectile function even with the first intake. This way or the other, the effectiveness of such drugs as Cialis or Levitra should be evaluated after a 1 – 2 weeks of treatment. That’s the second line of treatment, but the borders between the first and the second line are quite blurred, that’s why the tests reveal no crucial changes in the current patient’s condition, the chance a doctor will prescribe one of the mentioned drugs increases heavily.
As for intracavernous injections, this method can hardly be considered as treatment approach focusing on natural restoration of erectile function. Such injections only lead to short-term stimulation of blood circulation that even without proper sexual stimulation leads to the onset of an erection. Such injections must not be performed frequently because because of significant risk of injuries. Thus, after 30-50 injections the rumen in the cavernous tissue may gradually develop, which in the process of time may lead to a complete loss of erectile function. Because of inaccurately made injection, even a single procedure may result into bruising, the development of local fibrosis and penile curvature, which may also lead to disastrous consequences.
A less minor, yet still existing risk, is the infection, which due to purulent lesions of cavernous tissue with the transition to a total fibrosis can also lead to full loss of erection, decrease in size of the penis and no chance for recovery. In this regard using PDE-5 inhibitors is a way more reasonable solution – the drugs enhance naturally caused erection and do not provide a stimulating effect. Moreover, this approach is way more cheaper – now with the emergence of such platforms as Canadian Pharmacy, gathering hundreds of sellers under one roof, you can always buy quality medications without putting your health in jeopardy and saving hundreds of dollars in the long run.
Finally, if a diet, testosterone therapy, metabolism normalization and other measures produce zero results, penile prosthesis can be considered – the last option and the 3rd line of treatment.
Of course, different patients require different approaches and sometimes to make a proper decision consultations of various specialists are required. The fact is that statistically 25+ years old males are likely to have physiological problems in the event of ED symptoms manifestations. Indeed, it is considered that the most widely spread erectile dysfunction type is a mixed one (when physiological and psychological factors are combined). Nevertheless, in such cases psychological impact emerges taking on the background of physiological problems; while purely psychological issues are more likely to manifest in case of serious mental diseases or in early age, when the first sexual experiences are associated with stress and excessive nervousness.