One of the recent studies assumed that those men who use a great variety of drugs for the treatment of different health problems increase their risks for impotence than those who do not have to take lots of drugs.
According to the results of the study, the risk of having ED increased in men who had to take more medications. Those with no health problems did not experience any sexual disorders.
Such factors as age, underlying medical disorders leading to impotence and lifestyle of men were also investigated during the study. Finally, when all other negative factors were eliminated, the scientist came to conclusion that using a lot of medications results for many men in erectile problems.
The scientists cannot say for sure what effect of medications may be causing impotence in men. Still they are convinced that using many medications at once or for a long period of time may lead to dangerous consequences to health of any person. The medical society advises doctors not to prescribe unnecessary medications or try to avoid the use of extra medications in patients who have to use lots of drugs for their condition.
One of the recent studies conducted in men with erectile dysfunction who didn’t have an adequate response to Viagra (sildenafil) demonstrated that the use of Viagra in combination with Lipitor may improve the situation with erections for men. The study involved 8 adult male patients with erectile dysfunction who said that when they used Viagra alone they did not have any beneficial results for their condition. When they were administered Lipitor daily for 6 weeks, they experienced significant improvements for Viagra. Viagra started to work better in these men.
Lipitor (atorvastatin) is a HMG CoA reductase inhibitor, a medication often called statin. It reduces levels of low-density lipoprotein, or LDL- bad cholesterol and triglycerides in the blood, and boosts the levels of good cholesterol or high-density lipoprotein (HDL). The medication is indicated to treat high cholesterol in adult patients and to reduce the risk of stroke, heart attack and other heart complications in patients with diabetes (type 2) and coronary heart disease.
The scientists suggest that if endothelium (a layer of cells in the blood vessels) can be sanified with statin treatment, more nitric oxide will be produced. Thus the endothelial function will be improved and such medications as Viagra would give more benefits for the patient.
More studies are needed the researchers said. The fact of coexistence of erectile dysfunction with heart disease and cardiovascular risk factors in many patients can induce further studies of the lipid status in some patients with erectile dysfunction.
Viagra may soon become a daily medication for patients with diabetes mellitus. A new animal study held on mice assumes that Viagra may ease one of the difficulties accompanying diabetes. This difficulty is known as a serious persistent condition when the stomach of a diabetic cannot deplenish after a meal.
It was assessed that more than 75% of all people with diabetes experience gastroparesis, an aftertrouble resulting in bloating, nausea, and vomiting. Viagra could become a real relieve for such patients if it works the same way in these patients as it did in mice with diabetes.
There is no current information why diabetics’ stomachs cannot discharge food and release it into the gut, still some experts suggest that the sphincter muscle at the stomach’s lower end does not work properly and cannot relax. One of the causes for this might be an insufficiency of the gaseous neurotransmitter nitric oxide, a potent natural muscle relaxant of the body.
Actually, mice having lack of nitric oxide have difficulties in stomach discharge, the same way as diabetics. So the scientists tested if mice with diabetes also had gastroparesis and, in case it is so, if a nitric oxide insufficiency was the reason.
The researchers examined animals in which the insulin-generating cells in the pancreas had been destructed, resulting in diabetes. These mice were compared with normal mice and it was found out that the diabetic mice kept food in their stomachs about 2 times longer than normal ones. In addition, the enzyme releasing nitric oxide practically disappeared in the nerve cells of the intestine. The researchers gave the animals insulin and this fully modified the decrease in nitric oxide production and reinstated normal food mechanism.
People with diabetes, still, commonly have gastroparesis even if they use insulin as a replacement therapy. Viagra enhances nitric oxide signaling in blood vessels so the scientists decided to try this medication in their tests. Viagra use in diabetic mice demonstrated an improvement in a stomach emptying to the rate which was the same as mice without disease had. The success of the study is that it demonstrates that diabetic mice and perhaps people have a lack in nitric oxide signaling. The scientists will attempt to investigate if nitric oxide insufficiency may be affect normal food processing and cause stomach problems in healthy patients. All in all more research is needed to provide information about possibility to use Viagra in diabetics.
In one of the Viagra studies involving 21 patients, Viagra administration demonstrated greater erectile quality in 48% taking the 25 mg dose and 52% of those taking 50 mg of Sildenafil.
A larger study of 268 diabetics gave amazing results: improved erections in 56% of those taking the drug. In healthy volunteers Viagra beneficial results range from 65% to 88%.
Viagra can help diabetics improve erectile function, still if men with this condition want to get better results and improve general health, they should control blood glucose level, avoid alcohol and stop smoking. Besides, sport helps to increase stamina, lower blood sugar levels and improve general health which in turn improves sexual function in men.
Viagra has been clinically tested in men with stable heart disease caused by atherosclerosis of the coronary arteries, and found effective and safe in the treatment of erectile dysfunction on condition that these males do not take any nitrates. The actual attention is not in the safety of Viagra tablets but in the possibility of sexual activity to provoke heart attacks or irregular heart rhythm in patients with heart disease.
The hazard of developing heart attack or irregular heart rhythm during sexual activity is small in males with controlled hypertension, mild disease of the heart valves, controlled heart failure, stable angina, and a previous history of heart attack (which occurred more than 2 months ago). Viagra can be taken safely by the men with mentioned above conditions.
The chance of heart attack or irregular heart rhythm during sexual activity is greater in males who have been diagnosed with unstable angina, uncontrolled hypertension, severe heart failure, severe disease of the heart valves, recent heart attack, recurrent ventricular tachycardia, and severe disease of the heart muscles. These men are not recommended to use Viagra. They are generally advised to start the treatment of their primary condition and wait until it gets stable, and then they can use Viagra.
Before Viagra treatment is started it is urgent in the patients with heart disease to determine if the heart can safely obtain the workload of sexual activity. Men with coronary artery heart disease have to undergo a treadmill stress test to find if there is adequate perfusing to the heart muscle during exercising at levels comparable to sexual activity.
Psychotherapy is a type of therapy indicated to cope with emotional problems and mental disorders.
Psychotherapy is a talk with a professional therapist, individual, in a group or with a sexual partner, wife, or husband. It enables a patient to look into the depth of a problem, your concerns and fears. Besides, it can help to manage certain habits and mental disorders, such as depression, anxiety, manic disorders and others.
Psychotherapy can be of different types depending on its goal, privacy and intimacy of the matter discussed:
• Single or personal therapy – the talk between the patient and the therapist.
• Group therapy – the talk between more than 1 patient and the therapist. Patients may talk about their concerns and worries and understand they are not alone with their problems and there are other people with the same difficulty.
• Marital or family therapy – involves partners and family members understand each other better, find points of contact and learn how to solve problems together.
There are different therapy methods a doctor may offer and use during treatment. These methods are based on the individual condition and underlying factors contributing to this condition. The most common are talking, reading, art, music, drama or dancing (movement) and others.
For males with ED couple or family therapy is most beneficial for both partners. Still if a male is not ready to discuss his erectile difficulty with a sexual partner, he may probably benefit from individual psychotherapy.
A psychosocial exam is often used to determine psychological factors which may contribute to erectile dysfunction in men. This involves interviewing and special questionnaires to find out expectations and sensibility to the subject of a man and his partner.
Psychotherapy is a special treatment recommended for different mental conditions which may contribute to erectile dysfunction. During psychotherapy, a man talks to a mental professional. This helps to find out the factors or situations that cause anxiety, stress or depression.
A patient learns to understand the situations, emotions, and ideas that lead to his mental disorder and provokes sexual problems. The psychotherapy determines the life problems or events contributing to the problem and how to solve these difficulties to improve the situation. The techniques used in psychotherapy help to restore control over the situation and have again a feeling of happiness and pleasure in life.
The most common condition affecting sexual health in men is erectile dysfunction. This condition prevents penis from getting hard to have satisfactory sexual intercourse. Atherosclerosis, diabetes and alcoholism are the most common causes of erectile dysfunction.
A painful, prolonged erection known as priapism condition which consequences may be even necrosis of the penile tissue and impotence is a very serious medical condition which requires immediate help.
Paraphimosis condition is characterized by the inability of the foreskin of the penis to be removed to its normal position.
Hypospadias is a defect from birth, characterized by the improper place of the urine opening. The condition can be fixed with surgery.
A penis deformity such as abnormal curvature of its shaft is known as Peyronie’s disease. This condition may develop after injuries to the genital area.
Urethritis infection or inflammation is a medical condition caused by gonorrhea and Chlamydia. The condition demands serious medication treatment.
Gonorrhea, Chlamydia, and Syphilis are caused by bacteria transmitted during sexual intercourse. The other very often condition is herpes caused by viruses HSV-1 and HSV-2.
Penis cancer is the condition very often met in the countries where circumcision is not practiced. The procedure of circumcision greatly lessens the chances of penis cancer.
The normal penile anatomy prevents different conditions and diseases leading to sexual problems and disorders. The male sex organ, penis contains two chambers – corpora cavernosa and urethra. Corpus cavernosa consists of two columns of tissue going along the length of the upper side of the penis. Naturally, blood fills corpus cavernosa and this causes an erection. The corpora cavernosa inside is a spongy tissue consisting of smooth muscles, fibrous tissues, spaces, veins, and arteries.
The urethra is the channel for urine and ejaculation. It goes along the underside of the corpora cavernosa.
Other parts of the penis are albuginea membrane which surrounds the corpora cavernosa, veins which drain blood out of the penis, glans or heads, corpus spongiosum. The glans of uncircumcised males are protected with special tissue -mucosa. The circumcised males do not have the foreskin tissue, because it is surgically ejected.
Corpus spongiosum is a tissue going along the front of the penis. It gets filled with extra blood during an erection.
Normally penis reaches its full size during the development of a young man to an adult. The penis as a male’s sexual organ performs its main sexual function and works as an organ helping urine to evacuate from the body.
A natural erection occurs when certain changes in blood flow happen in the penis and its tissues. In a sexually aroused man nerves work stimulating blood vessels in penis to expand. Extra blood gets in and stays within the penis, making the corpus cavernosa tissue hard and strong.
Physical abnormalities of the penis or injuries to the penile tissue may cause different sexual disorders including erectile dysfunction and prevent a person from having normal sexual life.
The choice of the treatment for erectile dysfunction directly depends on the cause of the problem. The treatment is usually started with the therapy of the underlying condition which contributes to the impotence in a person, in addition, lifestyle alterations are advised to enhance the general health and sexual life of a person. If there is a special need for medical treatment of erectile dysfunction doctors usually recommend using one of the PDE5 inhibitors, known as sexual agents improving man’s sexual abilities. This drug class includes most popular Viagra, Cialis, Levitra and other generic alternatives. In case a person cannot use these medications because of other conditions he may have, he may be recommended to try other methods to fight erectile problems:
• Medications inserting (placing) directly into the urethra;
• Medications injected into the penile tissue;
• Penile surgery;
• Special mechanic devices to provide extra blood flow into the penis.
Remember that it is always necessary to consult your doctor before trying any of the mentioned methods to treat ED.