Introduction Erectile dysfunction - most of the men in 40s and above have faced it sometime or the other! Partially or chronically ED is one of the major concerns of emotional drainage and diminished self esteem of one self. The frequency increases with age. Let’s look at treating male impotence with a little pragmatism and openness. Take a look at the numbers According to National Ambulatory Medical care Survey (NAMCS), approximately 22 out of every 1000 men in US sought medical treatment for ED in 1999. In 2002 an estimated 15 million to 30 million men faced chronic ED in USA. Out of the patients facing chronic ED 50% were in the age group of 40 and 70, 15-25% of the men were in the age group of 65 and 5% were in their 40s. 70% of the chronic ED resulted from diseases like diabetes, kidney disorders, alcoholism and artherosclerosis and the rest 10 to 20% were due to psychological factors like depression, anxiety and stress.
ED Treatment
The treatment of ED can be surgical as well as non-surgical. Thanks to Pfizer Pharmaceuticals for having discovered Viagra, the first FDA approved official pill to treat ED in men. Let’s look at the various ways of treating ED.
Sex Therapy Psychological reasons like depression, fear, stress etc. can impair normal functioning and damage a couple’s married or love life. Sex therapists qualified to treat this psychological pressure helps in reducing tension between couples thorough counseling sessions. This is often combined with medical treatment and ED drug therapy.
Medical Intervention
Ed drug therapy
Oral medication is used to help in achieving and sustaining erection during sexual stimulation through the working of enzyme inhibitors and increasing nitric oxide in the body selectively to increases the blood flow to the penis. Viagra, Levitra, Cialis are the most commonly sought after drugs that the doctor recommends after carefully examining and confirming medical history and condition of the concerned patient. However in certain cases like in the case of those taking medication containing nitric oxide or nitroglycerine or those having coronary problems, liver problems, high blood pressure, vision problems or any other abnormalities, Viagra and other PDE5 inhibitors cannot be used as they can prove fatal for the body.
Self Injection and urethral suppositors
They are injected or inserted in the penis and are relatively less painful. However, this may lead to priapism and also might damage erectile tissues due to repeated use. This might further impair erection
Vacuum Device
Mechanical vacuum device causes erection by creating a partial vacuum which draws blood into the penis by expanding it.
Surgery
Implanted devices such as prostheses help in restoring erection in men with ED. Also at times arteries are reconstructed to increase blood flow to the penis. Although with rapid technological breakthrough such options are gradually diminishing.
Other alternatives
Much safer alternatives are also sought after due to minimal side effects. These usually involve herbal pills and supplements. Examples are Gingko Biloba, Ashwagandha, Shilajit etc. Conclusion ED affects more than 50 million men in the world. There are many alternatives besides seeking ED drug therapy. So there is no need to panic, all you need to do is get in touch with an expert like an urologist specializing in this field of medicine and be rest assured of finding a suitable and safer way of treating ED.
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