Methods of treatment of erectile dysfunction
Physical activity, proper nutrition, refuse smoking and much intake of alcohol, struggle against overweight are important therapeutic factors for patients with erectile dysfunction.
However, in many of cases this is not enough and than necessary to use different methods of treatment. Psychotherapy and behavioral therapy as independent treatment may be effective in the case of absence of organic causes of erectile dysfunction as psychological factors are very importent almost in all forms of ed. The proper examination of psychological condition and try to decrease the psychosexual anxiety of the man should be mandatory part of the therapeutic effects when such disease. There are a lot of methods of erectile dysfunction treatment formed over the time of the people’s history – from very simple and almost noneffective to high quality pills as viagra, cialis and levitra for example. Let’s talk about some of them.
Vacuum devices help a lot of patients, but from the aesthetic point of view it’s suit only for a small number of patients. The such surgical treatment as operation on the penis’s vessels, which was very popular in the past, currently is used very seldom in connection with its low long-term effectiveness. However, it gives very good results for the patients with pelvic and perineal trauma. The installing the prosthesis into the penis in the almost all cases leads to the complete recovery of the patient, but nowtimes this method is used only if all other are noneffective. The method of introducing of the medicanal preparations into the penis has certain shortcomings and the most important of it is need to make painful injections into the penis and the presence of such complications, as priapism. (painful prolonged erection)
There was really revolutionary event in the sphere of ed treatment, when in 1996 appeared the drug called sildenafil of citrate, which became popular and famous under the Viagra brand name! This drug, taking orally in the tablet’s form, increased effectiveness of healing of erectile dysfunction and provided general doctors with the opportunity to help patients suffered from erectile dysfunction. However, a lot of people, especially suffered from hard form of erectile dysfunction, diabetes, arterial hypertension,and patients wha had undergone radical prostatectomy, aren’t fully satisfied with the existing treatment of erectile dysfunction. In addition, the effect of sildenafil depends on eating and drinking, which are often sexual components, and also it has effect on a man only during 4-6 hours – and all that may cause some troubles with planning of sexual intercourse. These circumstances lead to the fact only 50% of patients taking sildenafil, intend to continue treatment.
Next approved for the use drug after sildenafil, became tadalafil also called Cialis. As opposed to sildenafil, this drug has a long period of partial ejection (about 18 hours) and its pharmacokinetics is independent from food eating and alcohol drinking. Thus, the duration of cialis’s effect is about 36 hours, that allows to feel much more comfortable during planning of the sexual intercourse and to keep the spontaneity and romance of sexual relations. However, recent led experiments show that anly 13% of asked patients, suffered from ed, are interested in duration of drug’s effect and mainly are interested in reliability (40%) and safety (40%) of received therapy. In addition, some of the patients, using tadalafil, have such side effects as back pain, and some of them have such side effect as long as the drug’s effect lasts. Generic Cialis tadalafil is available in a single dose (20 mg), that may cause some problems with the correction of the therapy depending on the effectiveness and tolerability. Thus, some number of the men suffered from ed, dissatisfied with the previous treatment of erectile dysfunction, as well as a lot of patients with undiagnosed and untreated disorders of erection, should use new and more effective drug. The ideal therapy for ed treatment noninvasive and highly tolerable treatment. And only Levitra (hydrochloride of vardenafil) meets the all mentioned cases among all existing med products.
Levitra is new, highly efficient and the most potent inhibitor of PDE5. Vardenafil is stronger than sildenafil in more than 10 times in the case of influence on PDE5. Vardenafil has less light effect (feeling of colors) then sildenafil and less influence on spermatogenesis. Vardenafil is rapidly absorbed and the maximum level of the drug in the blood plasma is reached after about 30 minutes after oral taking. The duration of levitra is about 4-5 hours, that is sufficient for a complete sexual intercourse, and there isn’t such result of using as accumulation of the drug in the organizm. This is else one difference from the tadalafil, the long-term period of partial ejection of which is the reason of side effects during daily admission. The food and alcohol don’t have influence on the effectiveness of the drug. The clinical experiments showed that vardenafil is highly effective (85-89%) and safe in use drug for ed treating. The more strong effect of this drug let use it not only in general cases, but also sildenafil and tadalafil are not effective. The effectiveness of the levitra is about 72% for patients with siabetes, and 62% – for patients unsuccessfully used sildenafil before. Due to such properties of the drug as rapid pronounced effect, not depended on food and alcohol taking, the patients may plan sexual act at any convenient time. The drug is manufactured in three doses (5, 10 and 20 mg), that allows the doctor to make corrections of therapy depending on the effectiveness and tolerability. these and also other differences from viagra (the lack of tachyphylaxis’s effect for example) give the great hopes during long term therapy of erectile dysfunction.
Thus, pills, existing today for ed treatment can give positive results for most of patients. Unfortunately, there are many persons suffered from erectil dysfunction, which can’t get any effect using any pharmacotherapy. For this group of patients another types of treatment of erectyle dysfunction are used (combined oral therapy, surgical kinds of treatments, etc…)
Thanks for a good article, really useful information.