Abozeid, M., Juenemann, K. P., Luo, J. A., et al (1987) Chronic papaverine treatment: the effect of repeated injections on the simian erectile response and penile tissue. Journal of Urology, 138, 1263.CrossRefGoogle ScholarPubMed
If it happens more often, it may be caused by physical health or emotional problems. Non-urgent advice: See a GP or go to a sexual health clinic if: .
Besides PDE5 inhibitors and among second-line therapies are VCDs which are clear plastic chambers placed over the penis, tightened against the lower abdomen with a mechanism to create a vacuum inside the chamber. This directs blood into the penis. If an adequate erection occurs inside the chamber, the patient slips a small constriction band off the end of the VCD and onto the base of the penis. An erection beyond 30 min is not recommended. These devices can be a bit cumbersome, but are very safe.40
Acoustic soundwave therapy has been around for over 50 years. This treatment method was originally developed to help patients with kidney stones. It was found that because of the increase in blood flow it causes, it could be used to help treat other common issues such as joint and muscle pain and erectile dysfunction.
Decreased blood flow, typically because vessels that supply blood to the penis have narrowed, is often the cause of erectile dysfunction (ED) in older men. Emotional issues are more commonly at the root of it for younger men.
The recent shift in the management and evaluation of ED, with primary care physicians replacing urologists in the forefront of ED diagnosis and therapy, has been a welcome and timely change.
Follow your doctor’s instructions when taking ED medicine. Usually, a man takes 1 tablet 30 minutes to 1 hour before he plans to have sex. Sildenafil works for 4-8 hours; vardenafil works for up to 8 hours; and tadalafil works for up to 36 hours.
If you’re interested in not having to bring those pesky little blue pills with you everywhere you go, don’t want to experience any negative side-effects and want to enjoy results that last for years instead of just a few hours, then GAINSWave is for you.
Williams, G., Mulcahy, M. J., Hartnell, G., et al (1988) Diagnosis and treatment of venous leakage: a curable cause of impotence. British Journal of Urology, 61, 151–155.CrossRefGoogle ScholarPubMed
Nearly 1000 years later, the Egyptian Papyrus Ebers, a medical Egyptian document dated 1600 BC, describes a cure for impotence in which baby crocodile hearts were mixed with wood oil and applied topically to the penis.4
Diet rich in vitamins and minerals is essential. Also, you must cut down on junk, caffeine, alcohol, and cigarettes.
If it happens more often, it may be caused by physical health or emotional problems. Non-urgent advice: See a GP or go to a sexual health clinic if:
Formerly known as impotence, erectile dysfunction (ED) is the ongoing inability to have an erection that is hard enough for penetration. Another symptom is an erection that does not last long enough for the completion of sexual activity. ED can have a significant impact on the sex life of a man and his partner.
Many men have micro-plaque in their penises without realizing it. Contact sports, other athletic activity, and vigorous sex can cause the formation of micro-plaque. As a man accumulates micro-plaque over time, he can develop conditions like Peyronie’s disease, which can cause erectile dysfunction. Peyronie’s disease leads to painful curvature of the penis that can make sex impossible or unenjoyable. GAINSWave® therapy breaks down micro-plaque to treat or prevent Peyronie’s disease.
MUSE offers an alternative route for administration of prostaglandin using a small pellet inserted using an applicator into the tip of the urethra (water pipe opening). Once massaged the prostaglandin is released and helps the blood to flow into the penis to gain an erection. Some men experience a mild burning sensation afterwards in the water pipe but this is a good alternative option for men who do not like the idea of using injection therapy.
Panax ginseng (red ginseng) is sometimes called “herbal Viagra”. There have been more than a handful of studies providing evidence that Panax ginseng can help with ED. However, the studies leave a fair bit to be desired in their methodologies and size. The evidence thus far points to the need for more research and the alluring potential of red ginseng as an effective treatment.
Oral drugs or pills are often prescribed for ED (Viagra, Cialis, Levitra, Stendra)Testosterone Therapy (if blood tests indicate low testosterone)Penile Injections (ICI, intracavernosal Alprostadil)Intraurethral medication (IU, Alprostadil)Vacuum Erection DevicesPenile ImplantsSurgery to bypass penile artery damage for some younger men with a history of severe pelvic trauma (this procedure is not recommended for older men with hardened arteries)