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Treatment of erectile dysfunction
Currently, there are quite a number of methods of medical treatment of erectile dysfunction (ED). The choice of the method is determined by its invasiveness. In case of insufficient efficacy less invasive technique in introducing more invasive. Thus, most clinicians begin treatment with the purpose of oral inhibitors of phosphodiesterase type 5 (PDE-5), with lack of effectiveness are prescribed other oral medications, injections intrakavernoznye or vacuum devices. It is also possible the holding of combined treatment. When inefficiencies such techniques may conduct surgical interventions, but the need for them arises less frequently.
Aphrodisiacs for treatment of erectile dysfunction
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For centuries, in order to prolong sexual longevity used various stimulants, mainly of plant origin, many of which are classified as hallucinogens, stimulants and narcotics. Such drugs are now united by the name of aphrodisiacs. Its name, these drugs are required to Aphrodite, the Greek goddess of love. Despite the fact that the effectiveness of various aphrodisiacs has been proved and their use does not have a scientific basis, the market of such tools is quite large and at this time. In the absence of reliable data on the mechanisms of action and effectiveness of these substances do not exist, we do not consider it necessary to dwell on the individual representatives of this vast class of drugs.
Existing techniques and methods for correcting for treatment of erectile dysfunction can be grouped into four main groups: psychosexual, medical, vacuum-erektornuyu therapy and surgical treatment. In recent years the interest of researchers also began to attract the possibility of correcting the image of life in treatment of erectile dysfunction.
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Correction lifestyle, as treatment of erectile dysfunction
The primary task of every physician is to improve the patient''s condition. Consequently, the primary goal in management of patients with ED is to determine the causes of the disease and its treatment. It is known that ED may be combined with reversible factors, such as, for example, lifestyle or taking of medicines that can be corrected using special treatment techniques. For all patients recognized the positive effect of eliminating the risks before or simultaneously with the start of direct treatment, even if it is not enough to cure ED.
However, as mentioned earlier, some patients correction of adverse lifestyle factors such as lack of physical activity, smoking and obesity can to restore erectile function, which is associated with improvement of the impaired functional capacity of the endothelium. This trend in the treatment of erectile dysfunction is currently attracting particular interest of researchers.
Psycho-sexual therapy for treatment of erectile dysfunction
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In patients with significant psychological problems can be applied psycho-sexual therapy, as monotherapy and in combination with other treatments. New methods of therapy offered Masters and Johnson in the 60''s. In general, psychosocial factors play a role in all forms of ED, even in cases of purely organic ED is almost always the presence of secondary reactive psychological component. Psycho-sexual therapy in the form of direct communication with the patient alone, or, if possible, and with the patient and his partner, might be beneficial in the treatment of both organic and pure psychogenic ED.
Hormonal therapy for treatment of erectile dysfunction
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The history of hormone replacement therapy for ED has already started with the above-mentioned famous French neurologist Charles Edward Brown-Seckar (1817-1894). In 1889, at age 72, Brown-Seckar made him an injection of testicular extracts of dogs and guinea pigs after which the improved physical and mental capacity, facilitating urination and relief from constipation. Later in the creation and application of various "elixir of youth and rejuvenation operations were" seen "such famous scientists as Steinach, Lespinasse, and many others.
The substance responsible for numerous "anti-aging" effect was first identified in Holland in 1935 and became known as testosterone (the dough - testes, sr - sterol, he - ketone).
Currently, the ratio of doctors to conduct hormone replacement therapy (HRT) in men remains controversial. Popular terms such as "andropauza" and "male menopause" is in fact significantly different from similar conditions in women and in many cases of clinically ambiguous.
For a long time been widely discussed question of whether there actually decrease testosterone levels in men with aging. Studies have shown that the concentration of testosterone in the blood plasma is reduced on average by 30% in the period from 25 to 75 years. It is considered that, since 50 years the average annual decrease in plasma concentration of testosterone is 1%.
It is known that blood plasma 60% of testosterone is related to sex hormone binding globulin (Sex Hormone Binding Globulin - SHBG) (SGSG), 38% in relation to albumin and only 2% is in non-associated, and therefore, biologically active state . Given that the level of SGSG increases with age, the concentration of biologically active testosterone is reduced to a greater extent than the total testosterone and the degree of its reduction to 50% from 25 to 75 years.
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Although the fact that reducing the concentration of androgens in the blood of men age there is no doubt accurate data on the number of men suffering from androgen deficiency is really now no, because of a lack of clear biochemical criteria, and the complexity of clinical manifestations of hypogonadism differentiate itself from the manifestations of aging. Among these features are also considered by many authors and erectile disorders.
Effects of testosterone and its derivatives (primarily dihydrotestosterone and estradiol) in adults are quite diverse and include effects on reproductive function, secondary sexual characteristics, a positive effect on mood and libido, anabolic effects on bone and muscle tissue. In addition, testosterone and its derivatives have an effect on the cardiovascular and hematopoietic systems, the distribution of adipose tissue and in many other systems and organs. Effects of androgens on erectile function remains unclear. To date, it is clear that it is very multifaceted and individually. Since ancient times, is known that some eunuchs were able to achieve an erection for many years after castration. The studies found no direct relationship between blood testosterone levels and erectile function by different men, at the same time, individual fluctuations in the level of androgens can influence the quality of erection.
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Male Erectile Dysfunction - female "frigidity"
Nothing causes greater concern than a sign or symptom of problems in sexual life - whether it''s inability to perform sexual intercourse, enjoy it, or conceive a child. Because the reproductive system, and enjoy sexual intercourse depends on the complex physical and psychological factors, not always easy to resolve such problems. But knowing how the system should work, and recognition of symptoms, indicating disturbances of sexual function (many of which are successfully treated), largely dispel unnecessary fears.
Male Erectile Dysfunction
One of the most troubling problems openly discussed now, patients with their physicians - Erectile Dysfunction, inability to implement and support such an erection, which allows you to perform penetration and have fun. Erectile Dysfunction, however, not be confused with male infertility. A man incapable of an erection may be perfectly normal in everything else and fully able to become a father.
Not counting the cases of injury or sudden illness, Erectile Dysfunction usually develops gradually. After a long wonderful sex life, you begin to notice that your strength is reduced. Initially, you do not panic. In the end, no perfect people. Periodic disruptions should be, is not it? So you dump the periodic lack of success on the fatigue, too strong drink, depression or problems at work. You are absolutely sure that everything will be fine "next time". But when it comes, you will not get again. At some point you start to worry, but as the situation worsens, eventually realize that something is wrong. In this article we consider that it might be in your particular case.
To understand the cause of his Erectile Dysfunction, you should first assess all the complex signals from different parts of the body and to them, which makes possible an erection. The main players - the brain, as there appears sexual desire, the real - from a partner or imagined - from reading, porn film, or the influx of your own thoughts. To have an erection you could use (as opposed to the morning, which often occurs during the filling of the bladder), you need a sexual stimulus to the brain interprets it as such. Once you realize that whatever as erotic, includes a chain of events. Less likely that a person in severe depression or grief to answer such an incentive, as opposed to just drunk young men. However, the brain''s ability to interpret the stimulus as erotic - not the state of mind, but something else. Several hormonal factors also matter. For example, a 25-year-old woman will not react as a man of the same age, the sight of an attractive beauty, lifts her skirt to adjust her stockings, or lying on the beach in a bikini too thrifty. To a man sexually aroused, it requires a sufficient amount of testosterone, the male sex hormone. Remove the eggs, the source of this hormone (how often do far come with prostate cancer), or give him large doses of female hormone, and nothing excites him.
Hormone imbalance - this is the reason why the majority of alcoholics, men eventually become impotent. Man''s body forms both male and female hormones, just as the female. The difference between the sexes is that men formed a very significant amount of testosterone and a tiny - estrogens, female hormones, whereas in women the opposite. Liver supports that normal balance. Men who drank too much and too long, the liver is damaged toxic effects of alcohol, and many of its functions are violated. As alcohol abuse continues, and the liver are increasingly being destroyed, it is no longer able to control the level of estrogen in the blood. Female hormones are accumulated and eventually neutralize the action of testosterone. These men are losing their masculine characteristics, they no longer need to shave twice a day, but only once every two or three days, their testicles shrink, and breasts grow, their sexual desire decreases, so does their capacity for erection.
But alcoholism and liver damage is not the only reason to reduce testosterone levels. Pituitary gland in the brain produces a hormone that stimulates the formation of testosterone in the testicles. When the pituitary gland is poorly developed, as some teenagers, or surprised, perhaps a tumor, it does not produce enough of the hormone, and the man becomes sexually impotent.
On the other hand, the pituitary gland may be in order, but the disease - within the testes, and no stimulation of the pituitary gland does not compel them to form a male hormone in the quantities needed for an erection.