Modern stimulants for erectile dysfunction

Methods erectile stimulation

An erection is considered one of the most important functions of the male body, so if you have the slightest failures in the "main" Authority, representatives of strong half are beginning to panic and look for all possible ways to help cope with the problem. The pharmaceutical industry has taken care of male power, resulting in the sale of drugs were supporting women in excellent shape sexual - erection stimulant.

A man's life now takes place with the daily stress, health suffers from fast food and bad habitsSo nothing unexpected and surprising occurrence of problems in sexual life a man can get.

Experiencing sexual failure, the stronger sex begins to withdraw into themselves, compromising their emotional and psychological state. According to statistics, almost half of boys of the planet (≈40%) suffer from various kinds of sexual dysfunction.

According to the same statistics, the cases of suicide of men with such problems as sexual impotence is male aggression, fear and uncertainty.

That is why erectile stimulants are widely used. Many of them heard someone once tried, and some are not quite complete information on such preparations. There are synthetic and natural products that improve erectile function, homemade ways different erectors and vacuum pumps. Let us consider them in great detail.

Synthetic drugs for potency

The most famous among the products that will improve erectile function, are Cialis, Viagra, Levitra. The action of these agents is based on providing a strong tide temporary nature and increase vascular blood pressure in the penis. Such action erectile stimulants are, because they contain substances generics.

Cialis (Tadalafil)

These pills are recommended to take about a quarter of an hour before the anticipated sexual intercourse. Duration of tadalafil up to one and a half days. When tests showed no effect of food on the effectiveness of the drug. But with alcohol is not recommended to be taken with Cialis.

Viagra (sildenafil)

Such drug taking about an hour before sex, since its effect begins 50 minutes after administration. The duration of about 5 hours. Experts do not recommend to use Viagra with alcohol or fatty foods.

Levitra (vardenafil)

It is recommended to take Levitra 30 minutes before sexual intercourse. Tests have shown that, on average Levitra stretched to 10-12 hours. According to the instructions, fatty food and alcohol on the effectiveness of the tablets is not affected.

Take such drugs can be before sexual contact, and the resulting effect will continue to exist for some time. Numerous studies have confirmed the absence of habituation to these stimulants, although in order to achieve the desired effect it is indispensable to sexual arousal.

It is not necessary to assign itself an independent reception of synthetic stimulants erection, because even they have highlighted a number of contraindications such as cardiovascular pathologies or diabetes.

There may be side reactions in the erection stimulant like back pain, allergic rhinitis, headaches, nausea, etc.

Natural stimulants

Many positive reviews left men on herbal supplements that can help solve the problem of weak erection. They are quite a lot, some need to take a course, while others take on the tablet, if necessary, some are Badam, others are combined means, ie. E. the choice is huge.

Ogopleks

The means created from natural ingredients, it is necessary to take a course. In addition to the stimulating effect on the potency of the drug is an excellent means of prevention of prostatitis. The course lasts a month, 2 tablets daily. Ogopleks causes habit and is not toxic.

Veromaks

As part of the preparation contains amino acids, ginkgo biloba (leaf extract), ginseng (root). Also, the course is designed to receive, after which the man feels relatively long burst of sexual energy and strength. Veromaks refers to Badam.

Laveron

A very effective means combined preparation with mild action, promoting muscle relaxation of cavernous, enhance blood supply to the penis. Assuming it is recommended for about half an hour before intercourse after which effect maintained for another 6 hours. The assurances of experts, there are no contraindications Laverona.

Orgazeks

Effect of the drug is similar to the previous media and begins an hour after receiving the capsule. But for the duration of drug effect it is one of the leaders, because there are about 2 days. Moreover, the effectiveness of Orgazeksa affects neither alcohol nor overly fatty foods. Contraindications of the drug at no.

Homemade ways to stimulate

As an erectile stimulant can be used and some foods that, due to its composition, have an erection very positive effect. These products are called aphrodisiacs. For centuries our ancestors have successfully used these products for the awakening of sexual power.

nuts

The most effective stimulants include nuts. Almost all species are considered as an aphrodisiac, but the greatest efficiency have walnuts, peanuts, hazelnuts and almonds. And if the season of honey, then the efficiency will increase twice.

Seafood

It is also quite powerful aphrodisiacs known for its ability to strengthen virility. Highlight possible oysters, lobsters, shrimps, crabs, mussels and sea fish meat.

Meat

Meat products are responsible for the maintenance of the body's protein and contribute to the strengthening of erection, only use recommended low-fat meats like beef. It has a similar effect and fungi, egg white, sour cream.

Plant food

A balanced diet recommended for enhancing erectile function, can not be without fruit and vegetable products. Among them the greatest benefit of male power are distinguished figs and pomegranates, onions and garlic, oranges and greens.

Stimulant drugs have supporting and extending the arousal effect on certain spinal departments. Natural stimulants promote blood flow and expansion of blood vessels and arteries of the penis. But you can not take them without medical advice.

A source: http://DoktorSos.com/andrologija/potenciya-libido/sposoby-stimulyacii-erekcii.html

The most effective stimulators of erection

The term should be understood erection penis enlargement in diameter and length of a tide of blood, facilitated sexual arousal men.

Provided the proper functioning of all organs and systems, as well as the erection of the reproductive system the state of the penis will remain for some time, as it takes a man to commit sexual intercourse.

But under the influence of negative factors may be a violation of this function, which causes weak, sluggish, occasionally disappears erection or its absence.

To help a man with similar problems can come certain medicines - stimulants, erectile function, the effect of which is aimed at creating all the conditions for occurrence erection.

Thus, tablets and other drugs help to artificially stimulate the process that causes a rush of blood to the penis, increase it and preserve this state for a certain term.

It remains only to choose the right stimulants erection, this will require a doctor's consultation.

Classification of preparations to stimulate erection

Any existing today disorders and disorders of the reproductive system, men can be caused by several groups of reasons. Namely:

• psychogenic factors impact;
• physiological disorders;
• Mixed causes of the problems with potency.

As a rule, drugs are stimulants help achieve an erection artificially erect male genitalia, regardless of the cause of the disorder. Medical experts classify all stimulants erection into two groups:

1. selective inhibitors - active potent substances in pills help to achieve an erection immediately before intercourse. Such remedies do not cure sexual disorder not eliminate its causes, and only provide a temporary effect, that the man was able to fully perform sexual intercourse. Representatives of this group include the following drugs - Viagra, Levitra Zidena, Cialis et al.
2. Biologically active additives - as a part of such funds is not intended to chemical components, so they need to take a course, rather than once before intercourse. Plant and animal extracts are composed of potency and stimulate an erection, while beneficial to the whole organism. Representatives of this group are considered drugs such as Furunbao, Vimaks, Vigriks plus and others.

Regardless of the composition and effects of the principle of two groups of erectile stimulants are officially recognized medicine have the best advice from experts, and widely used in the treatment of sexual diseases. The only difference is that the inhibitors act at once, but do not leave a positive result in Generally, when dietary supplements are beginning to have effect in the middle of a course of therapy, but heals the whole body complex.

The most popular stimulants erection

Typically, the inhibitors used by men with severe erectile disorders or for temporary relief, while supplements are assigned courses and in great demand. Inhibitors involve serious contraindications, and there are risks of side effects. Despite this the most effective and popular stimulants erection following drugs are recognized:

Viagra - inhibitor, which included the current synthetic substance found sildenafil.

He suggests decay of cyclic guanosine monophosphate in the corpora cavernosa area genitals men, affecting peripheral way on erectile function.

This is primarily due to the relaxing effect on the function of nitric oxide. Taking tablet need for 30-60 minutes prior to sexual intercourse, preferably on an empty stomach.

Levitra - tablets acting component which is vardenafil. It affects depressing phosphodiesterase 5, thereby starting to grow cyclic guanosine monophosphate.

This leads to the relaxation of vascular smooth muscle, as well as a greater flow of blood to the penis. At the same time the drug does not affect other organs and their functions, providing only the onset of erection.

Tablets are much faster absorbed by the body than Viagra, already in 15-20 minutes after ingestion.

Cialis - tadafil as part of the process involves the inhibition of cGMP specific phosphodiesterase or 5. This ensures removal of vascular muscle tone, as well as the release of nitric oxide. This reduces muscle tone, better blood flows to the penis. Taking tablet need for 15 minutes prior to sexual intercourse, but softer Cialis affects the body than Viagra or Levitra.

Vimaks - natural means, which are active components of ginseng plant extracts, evrikomy, water chestnut and chinensis. Complex acting on the whole organism, dietary supplements provides an improvement of libido and potency, as well as enhanced feelings during sex. therapy provides 60-120 days.

Vigriks Plus - supplement based on vegetable components, such as Saw Palmetto, red ginseng, katubau et al.

The drug increases the sexual potential fine men in general, as well as the tone and energy of the whole organism. treatment means such rate is 30-120 days.

Additionally, after receiving such means increases libido and feelings exacerbated by sexual intercourse.

In addition to these funds for the erection commonly prescribed generic drugs - which are analogous to the composition and method effects on the well-known erectile stimulant, but from a different manufacturer.

Providing a similar effect on erections men, these drugs are usually much cheaper, not yielding to the properties of the true pacemaker.

Choosing the best remedy for erection, the man must rely on the goals he pursued, as well as expert advice.

A source: http://SilaMan.ru/stimulyatoryi-erektsii/

Stimulants Potency: natural, medication and other methods

all men sooner or later face the problems of potency. The disorder can occur at any age. Erectile dysfunction is developed for two main reasons: psychological and organic.

The first implies the presence of mental and emotional disorders. This happens under stress, conflicts, fatigue, excessive mental and physical stress.

Impotence often develops on the background of the first bad experience, low self-esteem, depression.

For organic cause of impotence characteristic is the presence of other diseases of organs and body systems.

Thus, impotence develops diabetes mellitus, cardiovascular disease, hormonal failure, disorders endocrine system and thyroid gland injuries of the pelvic organs, congenital anomalies of genital authorities.

Today, impotence treatment difficulties involved in many clinics. Methods potency of therapy there is a great set. It created a lot of drugs called stimulants potency.

Natural stimulant potency

To date, the pharmaceutical market there is a huge range of potency and erectile stimulants. But it is not always required their use.

If the problem is mostly psychological (fatigue, the effects of stress), you can resort to the help of natural products. Especially if a problem is detected in a timely manner.

Only need to adjust your diet. It is not for nothing they say, "We are what we eat."

Potency problems may indicate a deficiency in the male of certain trace elements and minerals. So, for the male body and potency are very important the following elements: zinc, selenium, iron, magnesium, potassium, calcium.

Additional optional vitamins are vitamins B6, B9, E and C. Thus, active zinc contributes to the development of the male hormone testosterone. Selenium enhances its synthesis.

Iron perfectly restores the blood, cleans it, prevents the development of anemia, which is very important for the male power.

Vitamins in Food

Magnesium and potassium have a positive impact on the blood vessels. These trace elements reinforce vessel walls, they purified from cholesterol. Thus, clearing blood vessels, increasing the general circulation, including blood flow to the pelvic organs. All of these components can be easily found in foods, which are called aphrodisiacs.

Natural stimulators of erection
Sour cream	Garlic	green onions	Seafood	Greenery
Vegetables	Honey	nuts	Chicken eggs	Green tea

Very important man to satiate your diet meat. Such animal fats should make up 1/3 of the total diet. In addition, the meat - a source of protein. Therefore, we can not exclude it from their diet.

It is only important to cook meat dishes correctly. Thus, it can be boiled, baked.

Grilled meat is saturated fat even further during the cooking process, and this will lead to excessive levels of cholesterol in the blood.

Also, a greater role for the good potency play fruit. Fruits improve the condition of the body as a whole. And this means improved erectile function of men.

Vitamins in fruits and vegetables to improve the condition of potency by enhancing sperm structure. So, when their regular consumption observed its dilution, increased the number of active motile sperm.

This fact is very important when planning a pregnancy.

Daily eating such products, combining and alternating them already after 2-4 weeks will be seen a positive change in potency. Of course, there are a number of products that simply block the sexual activity of men.

These costs include, fatty fried foods, sausages, smoked meats, convenience foods, fast foods, alcoholic beverages. Stimulant potency is Life.

Therefore, subject to proper nutrition, an active lifestyle can avoid serious problems with potency, the reception of drugs.

Stimulants potency tablets

The most common treatment for impotence is receiving special pills to stimulate an erection. These stimulants are appointed only when a natural erection does not allow to make a full sexual intercourse. To understand their principle of operation, it is necessary to know the process of erection.

Thus, when stimulating blood flow excitation in the body increases, activated blood flow to the cavernous bodies of the penis. The outflow of blood through the veins is blocked automatically from the penis.

By such process and excitation occurs which allows to perform a full sexual intercourse. If some of the mechanisms is broken, intimacy becomes impossible.

Most pharmacological potency stimulants aim to smooth muscle relaxation and vasodilatation.

Great demand erectile stimulants such as dietary supplements. They contain only natural ingredients. As a rule, these are different herbs and extracts that enhance the potency functions, libido.

But the reception of such stimulants should be appointed only the doctor, after a complete diagnosis and to identify the main causes of potency disorders. With natural stimulants can improve erection, but does not cure erectile dysfunction. It can be used for the prevention of these problems.

Among these dietary supplements potency stimulants worth noting the following:

• Veromaks. The drug is taken the course. Composed of ginseng and ginkgo biloba, amino acids.
• Laveron. The drug is taken immediately before intercourse. Stimulator increases blood flow to the penis by relaxing the smooth muscle.
• Ogopleks. Stimulator potency, eliminates inflammatory processes in the prostate gland. receiving rate is about two months.
• Orgazeks. It is the most effective natural stimulant potency. Applied one hour before intended sexual intercourse.

Also, experts recommend the use of synthetic stimulants and potency. Some of them are able to completely cure impotence, and relieve man from failures in bed.

Synthetic stimulants potency exert their beneficial effects by increasing blood flow to the genitals. The most popular are Cialis, Viagra, Levitra. Stimulant Viagra gives a positive result in 85% of cases.

Take the pill you need 40-50 minutes before sexual intercourse. Erection persists for 5-8 hours.

Such a stimulator as Cialis may be applied for 10-15 minutes before sexual intimacy. A result may last up to 36 hours. Therefore, many men prefer this stimulant.

Also, its positive effects have no influence of any alcohol or greasy fried foods. Similarly, means is Levitra. However, the effect will not last more than 12 hours.

Synthetic stimulants also need to be taken solely on the doctor's orders.

Other ways to stimulate male sexual potency

Modern erection stimulants presented extensive list of drugs. So, at any pharmacy can be found tools such as creams and ointments for erection. Analogue of Viagra is a stimulant, like Maxi Maine. Available in the form of a cream.

The main components of the composition are stimulant potency B vitamins This group is responsible for the condition of the prostate, the viscosity of semen quality. Also, as a part of observed cardamom extracts and guarana.

Apply the cream to the glans penis and foreskin in 10-15 minutes before sexual intercourse. The cream leaves no residue on clothes.

Among potency stimulants can be noted and other forms of release. So, do not be difficult to find stimulants in the form of a gel, drops, sprays. The most popular are as follows:

• Falloston;
• MED 2002;
• V-Active;
• Power Active;
• Max Size.

[Youtube] PRgtNcLaOuk [/ youtube]

In modern medicine, the treatment of impotence is done by injection. Injections help to stimulate sexual activity. The most popular drug for stimulating injections is papaverine.

Prick done directly into the penis, in the area of ​​the corpus cavernosum. The first stab makes only a doctor. Thus, the Charter can be the most accurate dosage.

In addition, only a doctor can in a timely manner to eliminate possible side reactions.

Further, if no side reactions are not observed, a man can carry out such self stimulation potency. Prick it has done 10 minutes before intercourse. The result is stored for 1-1,5 hours. The method and the method of stimulating potency selects only a specialist, based on their individual characteristics male body.

A source: https://cavalero.ru/potenciya/stimulyatory-potencii.html

Erectile dysfunction - treatment by modern methods

Erectile Dysfunction, its treatment as a problem quite often used only interested sexologists and urologists, but the advent of conservative therapy possibilities attracted the attention of other specialists. Let us consider how to treat a violation of potency with the help of modern medicine

Treatment of erectile dysfunction always begins with identifying and eliminating the causes of impotence, not only eliminate the symptoms.

Like all other diseases, erectile dysfunction is caused by a number of factors, some of which can be fixed by yourself: Learn to eat right, get rid of bad habits, cancel some medications that the patient takes, and that can affect the potency, as well as to begin to lead a physically active lifestyle.

Sometimes the correction of comorbidities, which the patient suffers, can lead to significant improvements in potency.

For example, if the patient is receiving antihypertensive drugs from the group, as a non-selective beta-blockers and thiazide diuretics, it would in the presence of erectile dysfunction should replace them with calcium channel blockers, ACE inhibitors, as well as alpha-blockers. These drugs are less affect the reproductive system.

Men who have androgen deficiency, shows andrologist consultation for a decision on the appointment of hormone replacement therapy. This problem is solved individually, because testosterone is recommended only to those men who do not have the effect of inhibitors fosfodiesterazy- 5 (Viagra and other drugs).

Further treatment of erectile dysfunction involves the use of invasive and non-invasive techniques, which we describe in more detail.

The use of medications for erectile dysfunction

Successful period of treatment potency disorders marked by the appearance in the pharmaceutical market of drugs with such active ingredients: sildenafil, tadalafil, vardenafil. The first drug was brand Viagra, then joined generic Cialis, Levitra and others.

Their mechanism of action is the same. Due to sexual stimulation and activation of nerve endings release of nitrogen into the smooth muscle cells of the vasculature penis accumulated cAMP, which provides a series of biochemical reactions leading to persistent and prolonged erection.

Treatment of erectile dysfunction in this manner shall entail a number of side effects, which can be found reviews of patients: swelling of the nose, change in color perception, hot flashes, headaches, diarrhea phenomenon. All of them are caused by the uneven distribution of the active substance through the body in different patients.

Drugs in this group are different durations of action. The greatest period in the tadalafil 36 hours. The rest of the work is not more than 5 hours. Sometimes such a psychological dependence on the time of administration to the patient before the drug intimacy leads to the development of a complex, uncomfortable feeling.

Other agents for the treatment of erectile dysfunction

Drugs that affect the potency, are divided into the following groups:

• Agents that increase the concentration of nitrogen oxide;
• Means of activating NO-synthase. These include homeopathic medicine Impaza;
• Alpha-blockers and selective alpha-adrenergic blockers as yohimbine;
• Substances similar to prostaglandin E These include Alprostadil;
• Hormones, androgens (testosterone);
• Antispasmodics myotropic action as papaverine;
• Preparations with a complex composition.

Yohimbine hydrochloride refers to homeopathic drugs group. This alkaloid African trees. Yohimbine blocking alpha-adrenoceptors, which leads to a moderate expansion of the pelvic arteries. This enhances an erection during sexual intercourse becomes more improved synthesis of sperm.

Noted and other drug action: increased attraction to the opposite sex, elevated mood, increased motor activity.

These properties give the right to use the drug for some forms of erectile dysfunction, e.g., with psychogenic, and as agent exhibiting tonic effect.

In an injection and a tablet formulation during the combined treatment of potency disorders applied nonselective alpha-blocker phentolamine.

Local use alprostadil, prostaglandin analogue E. Its action is based on the relaxation of smooth muscle fibers arranged in cavernous bodies, which considerably improves blood flow and increases the blood circulation in the penis. It does not affect the process of fertilization and ejaculation.

The drug is administered as a intracavernosally and intrauretralnogo. If administered drug into the urethra, the total absorption through the mucous membranes occurs already after 10 minutes a spongy body, and the action continues for another half an hour to an hour.

Alprostadil interestingly, is not recommended to be administered with other medications, since the time of onset of erection in this case can be tightened.

How to treat erectile dysfunction, caused by testosterone deficiency, we describe below. Testosterone is used as a biological natural product with its own failure. It can be used as an injectable and oral forms of the drug. The main indication - erectile dysfunction caused by hypogonadism.

Strengthen erections can papaverine, which experts recommend to enter into a double dose. This is achieved once the two effects: the expansion of the arteries and narrowing of the veins. That is, the mechanism is triggered venookklyuzionny. To avoid side effects, papaverine is used in combination with phentolamine, and these may be added alprostadil.

New in the treatment of erectile dysfunction

New in the treatment of erectile dysfunction is the test is not yet up to the end of the studied drugs. An example is the activator Minoxidil calcium channels. The use of a simple -nanositsya on the glans penis, causes vasodilatation.

The data on the effectiveness of the opioid receptor antagonist is naltrexone and naloxone. Probably, their effect is due to changes in hormone levels, by reducing their release in the central nervous system.

Test runs apomorphine dopamine receptor antagonist, which is available in sublingual forms and in the form of nasal sprays.

In the long term - to develop a plan, how to treat erection with the least side effects. For example, drugs from the group melanocortin receptor antagonist.

The problem of erectile dysfunction remains relevant, despite the numerous drugs, regulators potency.

Every day, specialists are getting closer to the simple and the most appropriate method for the treatment of potency disorders.

A source: http://repsys.ru/ed/lechenije/erektilnaya-disfunktsiya-lechit.html

Treatment of erectile dysfunction 1, 2 and 3 lines

Current treatment of erectile dysfunction is a complex undertaking.

It includes causal (treatment aimed at eliminating the effects of a causal factor of the state) and pathogenetic (recovery of functional activity of the structures that are involved in penile erection) therapy. Modern treatment methods have been developed based on the latest achievements in the study of the erection process and mechanisms for its violation.

Basic principles of therapy used by an andrologist, based on the recommendations of the European Urological Association concepts that were developed in 2007.

These include the sequential therapy of erectile dysfunction with 3 lines, performing basic medical measures.

The essence of such a treatment step is usually carried out after the diagnosis, treatment includes 1st line in the case of absence of the desired effect, begins execution of therapeutic measures 2nd line, and further, if necessary, third line.

The main directions of causal and pathogenetic therapy

Conventionally isolated two main groups of causes that lead to the development of erectile dysfunction, namely:

• psychogenic factors;
• organic changes of the penis.

To eliminate the influence of psychogenic factors (stress, depression, fear of men in relation to the lack of erection during sex) use different methods of psychotherapy, which are usually carried out with a double pair. When erectile dysfunction associated with depression (prolonged depressed mood) can be used only a few representatives of antidepressant drugs (eg trazodone).

Read on:

When diagnosing organic erectile dysfunction is the main focus of treatment pathogenetic therapy using drugs of phosphodiesterase-5 (PDE-5) that by blocking the corresponding enzyme leads to an increase in the concentration of nitrogen oxide (NO) in the cavernous bodies of the penis, they expand and better filling blood. When an organic and psychogenic erectile dysfunction and additional physical therapy techniques are applied, in particular LOD therapy (local negative pressure), and others.

Table 1 - Differential diagnosis of organic and psychogenic forms of erectile dysfunction.

Treatment of erectile dysfunction 1 line

First line therapy for erectile dysfunction include the use of drugs selective pharmacological group (polling) PDE5 inhibitors. The mechanism of action of these drugs is based on the increase of nitric oxide concentration in the cavernous (cavernous) bodies penis, whereby there is a relaxation of the walls and improving the filling with blood, leading to an erection.

For sufficient efficacy PDE5 inhibitors, there are several basic prerequisites, which include:

• presence of libido in men (sexual attraction to the opposite sex);
• sufficient levels of the male sex hormone testosterone in the male body (some andrologist at concomitant testosterone deficiency in first line therapy of erectile dysfunction include the use as hormone);
• mandatory sexual stimulation during accumulation of active drug substance in the blood (usually sexual stimulation has the best effect on erection 15-20 minutes after receiving drug).

Pharmaceutical preparations market data is represented by several basic active substances which include:

• Sildenafil (Viagra) - the first and the main representative of this group of drugs (for more information about the drug here). It begins to have an effect already 30 minutes after administration, tablets with a duration of action up to 12 hours. Produced in oral dosage form (capsule or tablet) in multiple doses: 25, 50 and 100 mg of sildenafil in the tablet. In severe erectile dysfunction recommended initial dose of 100 mg, followed by at least achieve the desired effect is reduced. The bioavailability of the active ingredient is reduced, while the use of food and alcohol, it is recommended to apply fasted tablet.
• Tadalafil (Cialis) - characterized by a long-lasting effect of up to 36 hours. The drug is available in oral form in doses of 10 and 20 mg. Treatment is recommended to start with 10 mg and then, if necessary, to achieve a positive result may increase the dose (held individual selection - titration dose).
• Vardenafil (Levitra) - a representative PDE5 inhibitor with short-lived to 12 hours. However, 21% of men effect occurs already after 10 minutes after taking the drug, thus ensured spontaneous and natural intimacy, which is important during the treatment of psychogenic disorders erection. There are several dosages of the drug - 5, 10 and 20 mg. The average therapeutic recommended dose is 10 mg, its change, if necessary.
• Udenafil (Zidena) - new drug (in Russia at the pharmacological market has appeared recently) with a rapid onset of therapeutic action and prolonged effect (an average of about 1 x day). Alcohol and fatty foods have virtually no effect on the absorption of the active ingredient.

Table 2 - Clinical efficacy of PDE-5 inhibitors (data recording preparations in Europe - EU Summary of Product Characteristics, 2007).

Virtually all members of this pharmacologic groups of drugs have certain negative effects after application, which include sensations flushing, headache, dizziness, stuffy nose, muscle pain (myalgia), impaired color perception, dyspeptic symptoms (nausea, vomiting, bloating, unstable chair). The most common side effects are headache and dizziness.

Due to the increasing incidence of erectile dysfunction, due to the reduction of developing hormone testosterone level before start application preparations of PDE5 inhibitors, blood analysis is performed with the determination of testosterone. In case of reduction of sex hormone-andrologist doctor decides whether the additional hormone replacement therapy.

During the 1-line drug therapy may further be used as an alpha-lipoic acid Thioctacid. However, due to the possibility of side effects, it can be used only after a doctor's prescription.

Treatment of erectile dysfunction line 2

In the event of failure of therapy for erectile dysfunction 1 line, the doctor prescribes the use of the 2 nd line treatment measures. it includes intracavernous and intraurethral administering vasoactive (vascular) drugs.

Method intrakvernoznogo administration involves injection of several groups of drugs directly into the penile cavernous body. This ensures the effectiveness of the treatment to 70%, to such drugs for intracavernous administration include:

• Papaverine - antispasmodic wide spectrum of action, which contributes to the expansion of the corpus cavernosum and better filling with blood.
• Phentolamine - the drug groups alpha-blockers, which due to the blockade of the receptors leads to the relaxation of the cavernous bodies and the walls of their better blood supply.
• Prostaglandins - biologically active substances, a positive influence on the functional state of the corpus cavernosum.

For greater efficiency, the medicaments may be administered in combination (mixture).

In connection with a certain risk of complications of priapism (continuous erection of the penis) after the application of papaverine, its intracavernous introduction limited.

For intraurethral administration special soluble capsules containing prostaglandins used in the cavity of the urethra.

In comparison with the intracavernous administration of drugs, this technique is less traumatic (no need to puncture skin) has a sufficiently high efficiency (up to 70%), but sometimes after application rate can develop pain mocheispuskatelnom channel.

Treatment of erectile dysfunction Line 3

In case of failure of the first 2 lines of erectile dysfunction therapy the physician may prescribe the third line. It includes the implementation of surgical reconstruction of the arteries of the penis.

Maximum effective, this operation may be in men younger occlusion with local (violation blood flow or blockage of the lumen) of one or more arteries of the penis, in particular as a result of undergoing injury.

In older men on the background of systemic atherosclerotic lesions of arteries (cholesterol shelving in the vessel walls to the formation of atherosclerotic plaques that reduce or cover their lumen), the effectiveness of this intervention is questionable, and a positive result in terms of erection short-lived.

Reconstructive surgery including ligation of the dorsal vein of the penis, as well as plastic balloon arteries. For further indications can be carried out with arthroplasty penile implantation of a dense material or special air tanks in the corpora cavernosa.

All 3-line therapy for erectile dysfunction are common tactic, selection of specific agents and their dosages, methods of administration, as well as the use of additional mechanical methods (LOD-therapy, special hard condoms) is conducted individually by your doctor.

The latest therapies

Scientists are constantly looking for new and better methods of treatment of certain pathologies. Successful clinical trials took place a fundamentally new method of treatment of erectile dysfunction.

It lies in the genetic modification of endothelial cells of the corpora cavernosa of the penis, which leads to enhance production of specific proteins (Maxi-K), which is directly involved in the process erection.

General Practitioner Krivoguz I. M.

Recommended viewing:

A source: http://MenQuestions.ru/urologiya/ed/lechenie-erektilnoy-disfunktsii-1-2-i-3-linii.html

Modern facilities for the treatment of erectile dysfunction

According to modern ideas concept erectile dysfunction (ED) means the inability to achieve and / or maintain an erection sufficient for conducting sexual intercourse. By etiology separated organic and psychogenic form.

The organic ED separated on vascular, neurogenic, anatomical and endocrine. Psychogenic form can be generalized (primary or associated with the aging of the organism), and situationally dependent (associated with a partner or directly with sexual intercourse (e.g., accelerated ejaculation, etc.).

But the more common erectile dysfunction half-bred. In addition, ED can occur as a result of certain medications (e.g., beta-blockers, selective serotonin reuptake inhibitors, diuretics etc.).

Depending on the severity of erectile dysfunction emit light, moderate, moderate severity and severe ED.

The risk of developing ED increases with age. Do not forget that sometimes the ED may be the only symptom of serious diseases such as diabetes, coronary heart disease, and depression.

So be sure to conduct a survey of patients with ED, for an exception of diseases of the cardiovascular system.

A patient is not suffering from erectile dysfunction, but having risk factors for cardiovascular diseases such as hypertension and hyperlipidemia, and smoking should be alerted about the need to control for these factors in order to prevent the development of erectile dysfunction.

The main risk factors for disorders of potency:

• Age
• Diabetes
• Cardiovascular disease (including hypertension)
• Side effects of drugs
• Diseases of the prostate gland
• spinal cord injury
• Depression
• Drinking alcohol and smoking

In most cases, erectile dysfunction is due to several reasons.

Diagnosis of ED include:

Figuring medical history, inspection and palpation of external genitalia, special tests (Rigiscan-test), rigidometriyu, color Doppler ultrasound, study hormonal status, psychological examination, laboratory tests, neurophysiological examination cavernosography, penile ultrasound, electromyography, and the pelvic floor muscles etc.

In the appointment of treatment potency disorders the patient must actively participate in the selection of therapy.

At the same time in the patient's decision, in addition to the traditional criteria of efficacy and safety, impact cultural, religious, social and economic reasons, as well as the following factors: the ease of therapy; Minimally invasive; the possibility of discontinuation; The cost of treatment; mechanism of drug action (peripheral or central).

Any doctor has set itself the aim of curing the disease. Therefore, in patients with ED should first establish the etiology and eliminate it if possible, not be carried out only symptomatic treatment. However, it is shown that the impact is only on the organic risk factors does not result in a significant improvement in erectile function.

A source: http://CDL.ru/sredstva-dlya-lecheniya-erektilnoy-disfunkcii/