How is erectile dysfunction treated?

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Erectile dysfunction is a concern of many men. However, due to the view that this is a secret disease, it leads to low self-esteem and guilt, which makes very few people confess or seek treatment at medical facilities. So can erectile dysfunction be cured and how?

1. What is Erectile Dysfunction?

Erectile dysfunction (ED) is simply the inability of a man to achieve and maintain an erection of the penis for complete sexual intercourse.
Generally, the older you are, the more likely you are to have erectile dysfunction. Other men with a high risk of erectile dysfunction are usually men living in cities, intellectual workers (office workers, business workers), people who often work late at night, drink a lot of alcohol, working in a polluted environment, being exposed to toxic chemicals,...

Uống nhiều rượu bia làm tăng nguy cơ rối loạn chức năng sinh lý đàn ông

2. Can erectile dysfunction be cured?

First of all, it is necessary to confirm that erectile dysfunction can be completely cured with many effective and safe drugs.
The treatment process to achieve high efficiency needs to reduce risk factors (especially psychological failure) by combined measures for each person. There is no single cure for erectile dysfunction that works for everyone of all ages. In addition, good coordination between husband and wife, between patient and doctor is a favorable factor for the treatment of erectile dysfunction.
In particular, you should not buy drugs floating on the market because these drugs of unknown origin can be harmful to health or even life.

3. How to cure erectile dysfunction?

3.1. Oriental medicine remedies

Oriental medicine has approached the treatment of erectile dysfunction many centuries ago with herbs, herbal remedies, and herbal remedies. Most of these remedies have heirloom properties or are treated according to folk experience, have not been extensively tested on a scientific basis, so it is not possible to confirm the effectiveness of the drug, making it difficult to assess the side effects. of them. Therefore, although oriental medicine has had many remedies since ancient times, so far these remedies have not satisfied the wishes and needs of patients.

3.2. Vacuum pump

This method has the same principle as a pump to pump gas into the penis to fill it up. When gas is full of the penis, tie it to the base of the penis to keep the penis hard during intercourse, when the intercourse is complete, remove the cord at the base of the penis. This method has helped mentally for many patients before the advent of specific drugs.
Currently this method is prescribed by doctors for patients who do not want to take drugs or do not respond to drugs. However, the effect is also limited and some patients find it inconvenient to have to do many procedures during intercourse.

3.3. Using testosterone

This method only works well for cases of erectile dysfunction due to a lack of testosterone, helping men to improve their penile erection, increase libido and increase sexual ability. In addition, the use of testosterone also helps the body of these men become stronger and stronger.
Using testosterone can be in three ways, oral, injectable, and topical. The use of testosterone must be based on low testosterone test results to be used and it should be noted that it is contraindicated for people with prostate enlargement, people with polycythemia vera or blood clotting disorders.

3.4. A group of vasodilators that act directly on the penis

This group of drugs includes papaverin, prostaglandin E1 (Carveject) is indicated for erectile dysfunction cases of neurological (myeloma), vascular, psychological causes, in addition they are also used. To investigate the cause of erectile dysfunction.
These drugs are produced in two forms:
Urethral preparations such as MUSE 500mcg, the patient is instructed to insert the urethra 10 minutes before intercourse. Side effects are easy irritation causing urethral ulcers. The product to be used by injection is Carverject 20mcg injected directly into the cavernous body at the base of the penis. The effect of the drug appears after using about 5-10 minutes and lasts about 1 hour. This method of using muscle relaxants directly into the penis due to side effects such as bruising, hematoma, fibrosis, urethral ulcers, prolonged penile pain, penile curvature, is rarely used.

3.5. PDE5 . inhibitor class

Currently, this class of drugs is the first choice of doctors for patients with erectile dysfunction. This group includes active ingredients such as Sildenafil, Tadalafil, and Vardenafil, which are indicated for the treatment of most cases of erectile dysfunction. Effective treatment can improve about 80% of men with erectile dysfunction.
The drug is used orally in two ways:
The most common way is to take it on demand, give it to the patient to take 1 hour before intercourse, take effect 30 minutes after taking it, and stop working after about 10 - 36 hours depending on the drug. The second, less commonly used way is to take the daily dose, doctors will find the minimum effective dose is usually 50mg with Sildenafil, 10mg with Vardenafil, 20mg with Tadalafil then maintain the drug like that for many months, even even many years. This method is used when the required dosing regimen has not achieved the desired effect. It should be noted that when using it, it is recommended to start at a low effective dose and caution should be exercised when combining the drug with cardiovascular and blood pressure drugs, in patients with diabetes, the starting dose needs to be higher.

3.6. Surgery to treat erectile dysfunction

Currently, surgical treatment is the last resort, there are two types of surgery in the treatment of erectile dysfunction.
First: the surgical method of angioplasty in case the arteries supplying blood to the penis are damaged. This method hits the right cause, so it usually has a good effect. Second: the method of implantation of the prosthesis, the patient must accept permanent damage to the cavernous body in order to install the prosthesis.

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