Treatment options for Penile Dysfunction
Many men will experience impotence at some point in their lives. While most episodes are temporary, chronic impotence requires medical attention. Impotence, or erectile dysfunction (ED), is defined as the inability to achieve or maintain an erection sufficient to engage in or to complete sexual intercourse. No matter a man’s age, impotence is not a normal condition.
An unhealthy lifestyle–obesity, smoking, too much alcohol or stress–can cause occasional ED. However, impotence more than 50 percent of the time may indicate more serious medical conditions such as diabetes, kidney disease, atherosclerosis, neurological disease, vascular disease, prostate enlargement or cancer, or depression. Additionally, many prescription medications can contribute to ED.
The three prescription ED medications–tadalafil (Cialis), vardenafil hydrochloride (Levitra), and sildenafil citrate (Viagra)–are effective when prescribed and used properly. Nevertheless, these medications can have serious and potentially life-threatening side effects.
They may be inappropriate for patients with heart problems who use nitrates, those with liver or kidney problems, or men with uncontrolled high blood pressure. Sudden hearing loss has also been reported by a small number of patients using these drugs.
Many men turn to natural products with the hope of avoiding the side effects of prescription ED medications. Consumers have many choices and may find an experienced herbalist or reputable retailer helpful in understanding the various herbal mixtures and in choosing a safe product.Taken by an unsuspecting cardiac patient or someone with high blood pressure, these supplements could cause a fatal drug interaction. Most herbal supplements for ED claim to increase blood flow or improve muscle tone. Commonly, these products contain at least some combination of Asian ginseng, yohimbe extract, and horny goat weed (Epimedium).
Derived from the bark of a tree native to western Africa, yohimbe is used traditionally as an aphrodisiac and to treat sexual dysfunction. However, herbal yohimbe should not be confused with yohimbine hydrochloride, a standardized form used to treat ED available only by prescription.
There are few studies on herbal yohimbe, but considerable research on the prescription form has been done. Most recent work seems to indicate that it is no better than a placebo when used alone and only moderately effective when combined with the amino acid L-arginine. There is even less research on the effectiveness of horny goat weed.
The various herbs found in natural supplements may have beneficial properties, but the evidence does not yet verify their effectiveness for ED. Furthermore, negative side effects from these herbal products can vary based on the amount ingested and the user’s overall health.
Trust Your Physician to Treat ED
To gain an erection, blood must flow to the penis to engorge the tissue. Whether synthetic drug or herbal, an anti-impotence compound must facilitate this mechanism in some way. These treatments can be a problem for menwith circulatory, pulmonary, cardiac,or blood pressure problems, especially if undiagnosed.
Men who experience occasional, temporary impotence may find that lifestyle changes such as losing weight and exercising improve their sexual function. Those with more serious causes of ED must rely on their physicians.
Erectile dysfunction more likely in non-exercisers
Men of all ages can be affected by erectile dysfunction, but this problem is more likely to occur as men age. In a research using a questionnaire that asked men about their sexual function, physical activity level, body weight, smoking status, and overall health, the researchers found that about one-third of the men had an incidence of erectile dysfunction in the recent past. The problem was found to be most common in obese participants and least likely to occur in those who exercised consistently. Those who reported a smoking habit also showed a higher incidence of dysfunction.