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Non surgical management of erectile dysfunction

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Erectile dysfunction is inability to retain normal erection while initiating a sexual act or indulging in intercourse. It has been a problem of many men in the recent times and can be managed very well with non surgical treatment choices when addressed early. Discover the options here...


Sex counselling and therapy

This is the first line of management for ED. You should visit a sex counsellor if you are facing regular ED problems, along with relationship issues. Your doctor would be evaluating your lifestyle, eating habits and might suggest you to undergo some blood tests to determine your hormone and lipoprotein profile.

Sometimes erectile dysfunction is just temporary due to work stress, fatigue, exhaustion, etc. In that case your counsellor would let you know various ways to improve your lifestyle, diet and relationship, etc., along with that you need to take vitamin supplements to get back to a satisfying sex life.


Medication or Pills

The most common non surgical treatment option to get over erectile dysfunction is use of pills. The pills are consumed before intercourse in order to achieve proper erection during the act. They work by enhancing blood circulation in the penis and relax its muscles to achieve the desired erection.

For example:  Sildenafil (Viagra), tadalafil (Cialis) and yohimbine (Yohimbine, Yocon), and vardenafil (Levitra). Some side effects of pills are headache, dizziness, flushing, indigestion, etc.

You need to consult your doctor before taking the medicines, especially if you have heart problems, high or low blood pressure, liver disease or are taking any kind of drugs, like alpha-blockers, nitrate combinations, etc.

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Penile Injections

The mode of action for penile injection is same as that of pills i.e. increased blood flow to penis. They have been used since long time and are known to have 70-8-% success rate on appropriate penetration of the injection. Your doctor will teach you how to use the injection in the appropriate site and will determine the dosage.

The medicines used for injection are alprostadil or combination drugs of alprostadil, phentolamine, and papaverine. It is not advised to people consuming anti coagulants.

Some associated side effects are long (lasting for 4 hours) and painful erections and bleeding and pain at injection site.


Urethral suppositories

The process also known as transurethral pharmacotherapy is used for men who cannot use injections or consume pills. The drug is popular as MUSE (Medicated Urethral System for Erections), which is nothing but alprostadil. It is delivered with a hand-held device from the external opening of urethra, which is then absorbed by the surrounding penile tissues, resulting in proper erection.

Continuous use of urethral suppositories can induce pain in penis.


Mechanical device

A vacuum device is an easy and convenient option to achieve proper erections. The device is worn around the penis and there’s a small vacuum pump that helps to draw in blood. You can operate it for 1-3 minutes to obtain the much needed result and then remove it. A constriction ring comes with the device which you have to wear to continue with the erection.

It’s important to read the instructions before using the device practically. The constriction ring should not be worn for more than 30 minutes.

A disadvantage of vacuum device is, men who have severe ED problem may not find the device very effective.


Testosterone therapy

If you have been diagnosed with low levels of testosterone, then testosterone therapy would benefit your. Your doctor will evaluate your health and offer you to adjust your testosterone levels with the help of patch, gels, creams, pellets, or pills.

All in all, do not hesitate to communicate with your doctor as well as your spouse to find the best possible way out.

Written by: healthplus24.com team
Date last updated: April 10, 2014

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