Friday, 3 July 2015

Treatments for Erectile Dysfunction

Psychological Counseling: 

 There can be ED due to psychological factors therefore counseling will be required to lessen anxiety to reduce impact of ED. Therapy can be used in this treatment. The problems of ED are evaluated by the therapist first and then performance anxiety and other problems are also solved in this treatment. The couple is educated by the professional about the normal sexual response in this problem. Men are trained how to obtain erection and longer time for ejaculation. Antidepressant medications can be used for premature ejaculation. The sexual partner is also involved in this treatment.

Muscle Toning:

Muscle toning is very important for erectile tissues inside the body as there can be stronger erection with tense tissues and ejaculation on their contraction. You are not required to put conscious effort for this ejaculation. There are pelvic floor exercises available which can help you in muscle toning.

Oral Medications:

Oral medications can be good in case of anxiety and emotional problems. These medications can be taken for physical ED problems. Lots of men are taking Viagra with its effective results. You can also have cialis and levitra oral medications which are available in pill form. Yohimbine is another oral medication which can be good for men with erection problems. You have to be careful about these medications because there can be chances of side effects as well.

Hormone Supplements:

There can be ED problems due to hormonal imbalance like excess prolactin, low levels of testosterone and excess estrogen. Intramuscular testosterone injections will be prescribed by the doctors if testosterone level is low. The prostate grow larger with testosterone due to which there can be urination problems. There can be increased risks of circulatory problems as well blood thickening due to hormones.

Vacuum Devices:

There are vacuum devices available as well for the treatment of ED aside from medications. Erection is produced and maintained with the help of vacuum device by creating vacuum around penis. The blood is drawn to the penis to make it erect.

Injection Therapy:

Self injection medication is involved in the injection therapy into penis shaft. There can be good quality of erection with this injection therapy for men who have erectile dysfunction problems. Prescription is required for injection therapy. Correct dose should be taken by the patient so that he can be able to get good results. You can have good erection for 30 to 60 minutes with this injection therapy. There are less risks in injection therapy as compared to surgery and you can have more natural erection than vacuum device. The downside of this therapy is that needle has to be put into the penis which cans turnoff to many men.

ED Treatment Options:

Here are some options of the treatment of erectile dysfunction which can help you.
Have you considered your other medication?
There can be ED due to some other medications therefore you should check the cause of ED. You should talk your doctor in this condition and don’t stop taking your medications. You can switch to the new medication as well.

Medication:

ED treatment tablet was launched in 1998 for the first time and now there are four tablets.
  • The blood flow in the penis can be increased with three tablets by affecting cGMP which can dilate the blood vessels during sexual arousal. These three tablets are tadalafil, sildenafil and vardenafil. The dose can be taken before having sex. These medicines are known as phosphodiesterase type 5 inhibitors.
  •   The level of chemicals in brain can be increased by apomorphine which can increase sexual arousal by sending message to the penis. This tablet can be taken 20 minutes before having sex.

There can be increase in the blood flow in the penis with a tablet even if blood vessels are not working well and it can lead to erection. ED can be treated with the help of tablets. These tablets can not cause erection without arousal. These tablets should not be taken in certain medical conditions. You should avoid taking PDE5 in case you are taking nitrate medicines which can be used for the treatment of angina.

Pelvic floor muscle exercises:

The muscles which are wrapped around underside of rectum and bladder are known as pelvic floor muscles. one of these muscles wraps the base of muscles which can prevent blood escaping during erection. It can be treated by pelvic floor exercises to prevent ED. The men can be able to regain their normal erectile function after course of pelvic floor exercises with improved results. These exercises should be done daily for period of three months. There can be problems for men with diabetes, heart disease and alcohol addiction.

Injection treatment:

This treatment was used commonly before use of tablets. The medicine should be injected into base of penis which can increase blood flow and develops erection.

Urethral medication:

Small pallet can be placed into the end of urethra which has similar medicine used for injection. The penis absorbs the medicine quickly resulting erection within 10 to 15 minutes.

Vacuum devices:

There are various vacuum devices available which can pump and suck the air causing erection by drawing blood into the penis. The erection is maintained by the rubber band which is placed at the base of penis. Then plastic container is removed and erection is maintained.

Penile prosthesis:

Rod can also be inserted into the penis permanently which can inflate the pump causing erection. The penis remains rigid all the time.
  • Qi MANAGEMENT OF ERECTILE DYSFUNCTION:

Qi Therapy is known to have effects on the hypothalamic pituitary adrenocortical axis. Physiological effects such as an increase in the thickness of ht adrenal cortex. Increase in the circulating blood levels of ACTH and an increase in the urinary exertion of 17-Ketosteroids occur after Qi therapy. No doubt, other complex hormonal mechanisms are also called into play.
The discovery of endorphins and encephalin have added a whole new dimension to the Qi phenomenon.

Principles of treatment:-


a)       Use of points of the Ren and Stomach Channels situated in lower abdominal area.
b)      Use of points of the urinary Bladder Channel in the low back area.

  1. Use of the main Tonification points especially where there is under-activity of gland function.
  2. Use of the points of the Kidney Channel (in traditional Chinese medicine the Kidney includes the adrenal glands, the testes and the ovary).
  3. Use of the points Jianjing (G.B.21), Which is a specific endocrine point that may be used in all endocrine imbalances.
  4. Use of Quchi (L.I.II.). the main homeostatic point of the body.

HYPOGONADISM:

Hypogonadism denotes the failure of the functions of one or both of the testes, these being the production of spermatozoa, and the secretion of androgens (i.e. hormones which control the secondary sex characteristics, such as the distribution of hair and the deepening of the voice). When this condition occurs before puberty, the external genitalia and the secondary sex characteristics fail to develop. If it occurs after puberty, there will be a gradual loss of pubic hair and the external genitalia will atrophy, Fatigue, loss of initiative and loss of sex drive are common symptoms.
 
Baihui (Du.20)
Local points:- Qugu (Ran2) zhongji (Ren3)
Guilai (St.29), Guanyuan (Ren4), Tonification points:-
Gihai (Ren6) zusanli (St 36), Sanyindiao (Sp6)
Distal point: Taixi (K.3).

SEXUAL IMPOTENCE:

The absence of sexual drive in the male may be due either to organic or more usually to psychological factors – when it is due to organic factors (e.g., diabetes mellitus, alcoholism, , dorsalis) the underlying cause may have to treated firs.
Ejaculation praecox or the too early emission of semen during intercourse may be a precursor to impotence and is associated with a general debility of the patient select from: - Baihui (DU.20), Qugu (Ren.20), Zhongui(Ren 3), Gunyuan (Ren4) Qihai (Ren6) Mingmen (DU.4), Shenshu (UB.23) Zubsanli (St.36), Sanyinijio (SP.6), Taixi (K.3) Quguan (Liv.8

Impotence & Smoking:

Cigarette Smoking:

   A public health campaign from the past:     
                  If  you smoke cigarettes, stop
                 If  you don's smoke, don't start.
       That says it all, really. Is there anyone, anywhere, today who can say anything positive about cigarette smoking? Added to all the other health risks are results of clinical studies that showed cigarette smoking as  major risk factor for E.D. in patients who had either heart disease or high blood pressure. Overall, 56 percent in the group of men evaluated, of current smokers who had treated heart disease, were impotent. compared to 21 percent of current nonsmokers. Patients who were taking various heart disease and high blood pressure medications were much more likely to experience E.D. if they also smoked.

Address:

Dr. Mens care 463 polymed clinics Shadman 1 Near Shoukat Khanam Opposite Fatima Memorial Hospital Lahore, Punjab, Pakistan.

URL: http://www.polymedclinics.com/

Mob: 0333-2821919

Keywords:
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Thursday, 18 June 2015

Erectile Dysfunction

The sexuality of men can be affected by a number of disorders. One of the best known is the erectile dysfunction, also known as impotence. It refers to the inability to ensure sufficient stiffness (Erection Gain) of the male member (penis) for satisfactory sexual intercourse can. This includes neither the required Erection do not reach long enough to be able to maintain. Sexual pleasure (Libido) Is often still present. In time, but can also disappear, the libido, as people so not with their alleged "failure" must be confronted.
Erections, caused by the complex interaction of the blood vessels, nervous system, hormones and muscles. It is understandable that many erectile dysfunction Causes can have. They are often an accompanying symptom of diseases such as Diabetes mellitus, Coronary heart disease, arterial circulatory or neurological diseases. The reasons are also genital malformations and surgery in the pelvic area. But the capture of certain drugs, alcohol and nicotine consumption can result in erectile dysfunction too. Similarly, psychological problems may affect the erectile function.
In the center of a diagnosis have a detailed interview, physical examination, especially of the penis and testicles, blood and hormonal tests, and other special methods. Since sexual problems in society have largely been taboo before, and therefore many men undergo any treatment, there was a long time, very little reliable statistics on the incidence of erectile dysfunction. As is secured: Erectile dysfunction increases with advancing age. It should be diagnose as soon as possible from sexual specialist in Pakistan, sex treatment Lahore or sex treatment Karachi centre or near your city.


How is Erectile Dysfunction Diagnosed?

Following questions will be answered by the doctor during patient interviews.

   1. Is there ED or loss of libido or  ejaculation  disorder?
   2. Is Ed due to physical or psychological factors?  

There can be involuntary erection in healthy men. Psychological factors like anxiety or stress are involved Ed in men instead of physical factors. There can be no involuntary erections with physical factors like smoking, atherosclerosis and diabetes.

   3. Is there physical cause of ED? Smoking, strokes, heart attack and poor circulation can cause atherosclerosis leading to ED. There can be diabetic nerve damage with diminished penis sensation, bladder dysfunction and decreased sweetening. There can be low testosterone levels with lack of sexual fantasies, diminished facial hair and low sexual desire.


   4. Is there ED due to side effect of certain medications?


Physical examination:

The physical causes of ED can be determined with physical examination. There can be problem in nervous system causing ED if penis is unable to respond to touching. There can be hormonal problems like hypogonadism in case of lack of facial hair, small testicles and enlarged breasts. You can find reduced blood flow due to atherosclerosis by finding reduced arterial pulses or listening for bruits with stethoscope. There can be ED with unusual penis characteristics like bending of penis with erection causing pain.

Laboratory tests
Ed can be evaluated with the help of following laboratory tests.
    * Blood counts
    * There can be sign of kidney damage and diabetic mellitus with abnormal urinalysis tests.
    * There can be atherosclerosis with high LDL cholesterol levels found in the Lipid Profile test.
   * There can be sign of diabetic mellitus high glucose levels in the blood found in Blood Glucose            levels.
    * Blood Hemoglobin A 1c test to find diabetic mellitus.
    * Serum Creatinine test to diabetic damage to the kidney.
    * Liver function and liver enzyme tests to find gonad dysfunction and hormonal imbalance.
    * Total testosterone level tests
    * Hormone level tests
    * PSA level tests
    * Other blood tests


Imaging tests
The bony abnormalities can be found with X-rays. The testicular size and structure can be found with the help of ultrasound penis and testicles. You can have additional information of blood flow in the penis with the help of ultrasound with Doppler imaging. Angiogram can also be used in case of vascular surgery.


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Other tests:
The penile blood flow can be determined with the help of prostaglandin E1 which is directly injected into covernosa with the help of which blood vessels dilation can be determined. It can also promote the blood flow in the penis. There can be normal or adequate blood flow in the penis with normal erection. You can be able to find the physical or psychological causes of the erectile dysfunction with the help of monitoring erection usually in the sleep. The penile nerve function can be determined with the help of direct vibrational stimulation.

Psycho social examination:
The psychological factors of the ED can be determined with the help of interview or questions.

Address:
Dr. Mens care 463 polymed clinics Shadman 1 Near Shoukat Khanam Opposite Fatima Memorial Hospital Lahore, Punjab, Pakistan.

URL: http://www.polymedclinics.com/

Mob: 0333-2821919

Keywords:
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