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Erectile dysfunction (ED)
Different Types of
Treatments for Impotence
Impotence – Treatments
Knowing impotence is the inability to maintain an erection long enough
to engage in normal sexual intercourse, many factors can contribute,
including emotional issues, dietary factors, use of alcohol or drugs,
and level of physical fitness. Homeopathic remedies sometimes help with
temporary difficulties. If the problem is constant or recurrent, a
doctor should be consulted to check for physical, hormonal, or nervous
system problems.
Aside from seeing a doctor for the problem, there are certain remedies
that, when used, have proved successful. These herbal remedies include:
Agnus castus:
This remedy may be helpful if problems with impotence develop after a
man has led a life of intense and frequent sexual activity for many
years.
Argentum nitricum:
This remedy may be helpful if a man’s erection fails when sexual
intercourse is attempted, especially if thinking about the problem makes
it worse.
Caladium:
This remedy may be helpful to a man whose genitals are completely limp,
despite having sexual interest.
Causticum:
This remedy may be indicated if physical pleasure during sex has
diminished and sexual urges are reduced.
Lycopodium:
People who need this remedy may have problems with erections because of
worry, and can also be troubled by memory loss.
Selenium metallicum:
This remedy is often helpful to men who have diminished sexual ability,
especially if the problem starts after a fever or exhausting illness.
Staphysagria:
Gentle-natured, quiet men with deep emotions may respond to this remedy.
Sex and/or couple's therapy When psychological factors or difficulties in the man’s relationship with his partner are considered an important cause for erectile dysfunction, a course of sex or couple’s therapy might be recommended. It is very useful in helping couples re-establish a sexual relationship when there has been a long period without sexual interaction because of erectile dysfunction. Sex therapy is sometimes advocated in combination with other forms of treatment. Vacuum constriction devices Several different designs of constriction devices are available. Essentially the device consists of a plastic cylinder connected to a pump, which may be either hand or battery driven, and one or more tension rings. The penis is inserted in to the cylinder and activation of the pump removes the air from within the cylinder so creating a vacuum. This results in blood being drawn into the penis, which immediately enlarges in a similar way to a natural erection. Once an adequate erection is produced, a tension band is slipped around the base of the penis to maintain the erection. The vacuum within the cylinder is then released and the cylinder removed from the penis. It is important that the tension ring is also removed within 30 minutes Intracavernosal injection therapy This is a highly effective form of treatment. The patient (or his partner) is taught to inject a drug directly into the shaft of the penis when he wants an erection. Erection usually follows within fifteen minutes of the injection. The procedure is easy to learn. Several different products are available. Transurethral therapy This is an effective needle-free form of treatment. A small pellet of drug is introduced into the urethra (the tube through which urine is passed) using a special disposable applicator. The drug is then absorbed through the wall of the urethra and passes into the erectile tissue, giving an erection within 5 to 10 minutes. Oral Treatments There are currently four oral drugs licensed for the treatment of erectile dysfunction. Three are tablets taken one hour before sexual activity, the other is a tablet taken sublingually (under the tongue) twenty minutes before sexual activity. All four drugs are effective and do not cause an erection unless the man is sexually stimulated. Another oral treatment which is not licensed is yohimbine. It is derived from the bark of an African tree and several studies have suggested it has a beneficial effect in enhancing erectile function. Hormone treatment Only a small proportion of cases of erectile dysfunction are caused by hormone abnormalities. The most frequent hormone abnormality is a reduced level of testosterone (male sex hormone) which can be restored by appropriate testosterone replacement. It is unwise to take testosterone preparations unless laboratory investigations confirm deficiency. Penile prosthesis Essentially these are splints which are inserted surgically in to the penis. There are two main types: semi-rigid rods which maintain the penis in a state of rigidity all the time but which allow the penis to be bent downwards out of the way when not required. The second type is more sophisticated and involves insertion of a hydraulic device which causes stiffening of the penis when a pump (implanted in the scrotum) is activated. As implantation of penile prosthesis causes destruction of erectile tissue, they should never be considered until other forms of treatment have been tried.
Related Sites:
Sexuality
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