Saturday, January 12, 2013

How to treat impotence now


How to treat impotence now

In the early 60's experts agreed that 90% of impotent men experiencing emotional difficulties. Older practitioners generalists usually administered to such patients injections of testosterone, which, apparently, to no avail. Younger and well trained therapists looked at this practice as a sort of witchcraft, and sent their patients for physiotherapy, which also did not help.In the mid 70's, doctors began to identify more than purely physical causes of impotence, and 10 years ago with this disaster began to quietly deal. Now experts are convinced that in most cases of impotence are purely organic (ie, psychological) causes. Some of these patients are treated by family doctors, most of the rest fall into the hands of Urology and andrology.All treatments for impotence are divided into conservative - invasive and noninvasive, and operational. By conservative treatments include oral impotence drug therapy or the use of a vacuum-constrictor device.Drug therapy of impotenceUntil recently, the main drug used to treat impotence, was the Yohimbine. The efficiency of its use does not exceed 10%. The need for long-term use of the drug (up to a year) and low efficacy of treatment, a large number of adverse reactions make this method of treatment are not very acceptable. At the present time to combat impotence is successfully used the drug "Viagra". The efficacy is unquestionable, but it can cause a lot of side effects.Current medications newfangled drugs (so-called sexual doping) used in clinical practice, can achieve higher efficiency of treatment, which reaches 70-80%. These drugs are distinguished by the presence of side effects such as minor headaches, sudden reddening of the face and neck, nasal congestion, changes in color vision and visual acuity.Vacuum-constrictor therapy impotenceThe essence of the method is to create a negative pressure in the cavernous bodies of the penis with a vacuum pump and the cylinder, causing the flow of blood and an erection that is held with the overlay at the base of the penis of a special ring contraction, restricting venous outflow. Thus, it is possible to perform the sexual act, no longer than 30 minutes.The effectiveness of the method is 40-50%. The disadvantage is the practical use of the device (can not hide from your partner, etc.), painful ejaculation (ejaculation), caused a contraction ring, bleeding on the penis, penile numbness, etc.The method of intracavernous injection of vasoactive drugsThe method involves microinjection of vasoactive drugs directly into the penis before sexual intercourse. The method of intracavernous injection of vasoactive drugs was the most common and most effective methods of conservative treatment of erectile dysfunction. For the treatment of prostaglandin used, both as monotherapy and in various combinations. The combination of drugs used to reduce the side effects of each of them by reducing the concentration and potency of the pharmacological action. An integrated policy approach to the appointment of intracavernosal therapy allows you to make use of this method is effective and safe.Intrauretralnaya treatment of impotenceFor intrauretralnyh applications using various drugs such as alprostadil. Drug absorbed from the urethra and enters the blood stream into the cavernous body, where the reactions take place, causing an erection. This method is similar to the previous one, but avoids an injection into the penis. Currently, this therapy is not widely used because of the high cost of drugs and adverse reactions (burning sensation in the urethra), and the need for mandatory use of condoms.Surgical treatment of impotenceSurgery was recently used less frequently because of the high efficiency of drug therapy.Surgical methods are used in extreme cases, when conservative treatment does not yield the desired results, and for certain indications. Surgical treatment of venous insufficiency of the penis is performed in case of defeat venozapiratelnogo mechanism of the penis.Despite the great age of this method, its efficiency is about 50%. However, even at relatively low results of venous surgery of the penis is still used in clinical practice, as an additional previously given to other methods that can achieve good results. Surgical treatment of arterial insufficiency of the penis is shown in the case of insufficient arterial blood flow to the erectile tissue. Microvascular arterial bypass surgery is carried out, the effectiveness of which varies from 30 to 50%. This operation demonstrates the high efficiency only in young patients.Penile Prosthesis is now the main method of restoring penile rigidity. Implantation is the final step in the treatment of impotence, when all previous methods of treatment have failed.Psychotherapeutic methodsIn the matter of treatment of impotence research medical advice sounded in unison some heads "Kama Sutra". Main role is assigned to a three-stage technique of focusing sensuality.This method advises during sexual intercourse to focus more on the satisfaction of the partner. In the first stage partners deliver mutual pleasure with no contact with the genitals.In the second stage partners relate to sexual organs and erogenous zones of a partner, but did not enter into sexual relations. Only at the third stage, the sexual intercourse.Some experts claim that 65% of cases for the treatment of erectile dysfunction just need to visit a therapist.Often a random failure in bed leaves a deep imprint in the psyche of man, and as a consequence, there is uncertainty about the "male power".Importantly believe in yourself and you are sure to succeed!

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