Erectile dysfunction may separate and distance couples, often causing conflict and emotional pain. Fortunately, many sexual difficulties can be improved or resolved through open communication between the couples and a mutual commitment to learn about the condition and carry through treatment options.
Erectile dysfunction is the inability to achieve or sustain an erection adequate for sexual intercourse. It is a common, treatable condition.
Couples need to communicate openly and honestly with each other. Most importantly, couples need to comfort any concerns they may have about ED by discussing their feelings and reassuring each other that they still care. Couples need to maintain this communication throughout the treatment process.
The first line treatment for erectile dysfunction is oral medication with a phosphodiesterase 5 inhibitor such as Sildenifil (Viagra), Vardenifil (Levitra) or Tadalafil (Cialis). This medication is taken only as and when necessary and is effective in about 80% of patients. They vary slightly in terms of mechanism of action, time of onset, duration of action and side-effects. However, it should not be taken together with other nitrate containing medications such as glycerine trinitrate for heart disease. This may result in possible cardiovascular side effects.
MUSE (Medicated Urethral System for Erection) has been approved for delivery of a pellet of Alprostidil 2-3 cm into the urethra, where it is absorbed through the mucosa. This has largely been superseded by oral agents and is now hardly used as a form of therapy for ED.
This will enable erection by increased blood flow to the penis through negative pressure suction generated by the device. This will enable the patient to obtain penile enlargement and rigidity for sexual intercourse.
One of the best newest forms of treatment involves the self-injection of a certain medication into the side of the penis. The relatively painless injection produces erections of good quality in about 70-80 percent of patients.
This treatment is usually reserved for those patients whose blood flow has been blocked by an injury to the penis or pelvic area. The goal of this treatment is to correct the blockage of blood flow to the penis so that erections will occur naturally.
This treatment involves the surgical placement of a device into two sides of the penis, allowing erections as often as desired. These implants come in two forms; an inflatable device and semi-rigid rods. This treatment is not recommended until other methods have been considered or tried first.
The good news for many men and their partners is that erectile dysfunction can usually be treated safety and effectively. In the light of recent medical advances, men no longer need to suffer from erectile dysfunction in silence nor must their impotency be a dividing force in their relationships. Most importantly, couples can now fully enjoy the enriching and exhilarating joy of intimate sexual contact
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