Erectile dysfunction
Synonym: erectile impotence, erectile dysfunction
With erectile dysfunction, the man cannot achieve anerection sufficient for sexual intercourse. The penis does not become stiff orsags after a short time. Only when these problems persist for at least six months and show up in more than two-thirds of attempts to get an erection is it a disorder that needs treatment. If there are only occasional erectile problems, this is completely normal.
The older a man is, the greater his risk of developingerectile dysfunction. There are many physical and psychological causes. In mostcases, erectile dysfunction can be successfully treated with medication, mechanical aids or psychotherapy. https://www.aptekakamagra.pl/blog/
Colloquially, erectile dysfunction is also known asimpotence. However, this is only one form of impotence, the so-called erectileimpotence (Impotentiacoeundi). However, the term impotence also refers to infertility (impotentiagenerandi).
Symptoms
Is your penis not getting stiff enough for intercourse?
Does your erection subside too quickly?
Do you often have erectile dysfunction?
Then it could be erectile dysfunction. The penis does notbecome stiff enough to be able to have sexual intercourse. Sometimes thiserectile impotence is accompanied by other sexual dysfunction. These include premature ejaculation (ejaculatio praecox) and delayed ejaculation (ejaculatioretarda).
Erection problems quickly affect man's self-esteem. If itdoesn't work in bed, the pressure increases enormously that it will work thenext time. This affects the quality of life of those affected. The relationship between men also often suffers from erectile dysfunction.
When to the doctor
Erectile dysfunction can be an early warning sign of seriousillness such as diabetes , a heart attack, or a stroke . You should thereforesee a doctor if you have problems with potency for a long time.
treatment
Erectile dysfunction that has physical causes is treated withmedication or various aids. If the cause of the erectile dysfunction is anotherdisease, this must be treated. In rare cases, the impotence is corrected with an operation. For erectile dysfunction that can be traced back to psychological causes, psychological sex therapy is recommended - possibly even with your partner.
Medical therapy
To improve blood flow to the penis, doctors often prescribesomething called a phosphodiesterase-5 inhibitor.These include the activeingredients Avanafil, Sildenafil, Tadalafil and Vardenafil. Avanafil is the only one not yet registered in Switzerland. All drugs with these active ingredients inhibit the work of the enzyme phosphodiesterase-5. It breaks down a messenger substance that increases the blood flow in the penis when sexually aroused. If it is disturbed by the drug, more of the messenger substance and thus the erection is retained. With Tadalafil, the effect sets in after a good half an hour and lasts for 24 to 36 hours. The doctor can also prescribe medication with this active ingredient to be taken regularly, up to one tablet per day. With avanafil, sildenafil and vardenafil, the erection-promoting effect lasts for 4 to 12 hours. The phosphodiesterase-5 inhibitors are not drugs that promote sexual pleasure, they only help to build an erection when the man is sexually aroused. The side effects includeHeadache , dizziness, burning stomach , nasal congestion, flushing of the face with a feeling of heat, back pain, muscle pain and visual disturbances.
Phosphodiesterase 5 inhibitors can lower blood pressure. Forthis reason, they should by no means be taken at the same time as nitrates, asprescribed for cardiac patients, for example - this can cause the blood pressure to drop to a life-threatening level. Illnesses such as a past stroke, liver or heart disease can also speak against the administration of a phosphodiesterase 5 inhibitor.
Doctors strongly advise against ordering drugs that aresupposed to increase potency from the Internet. Studies have shown that they oftencontain other ingredients than specified or that the dosing instructions are incorrect.
Hormonal therapy
It is perfectly normal for testosterone levels in men todecrease with age and does not need treatment. However, if a man has erectiledysfunction, it can be helpful to correct the testosterone deficiency (hypogonadism). Sometimes this has a positive effect on potency. The phosphodiesterase 5 inhibitors also often work better when they are taken together with hormone therapy. Testosterone can be injected at longer intervals or applied to the skin as a gel. This form of therapy has been controversial for a while because it appeared to increase the risk of heart attack or prostate cancer . However, according to current studies, this is not the case.
