Cialis en linea

+ You have trouble maintaining an erection during sexual acts OR.

If you experience any of these symptoms for more than 2-3 months, speak to your doctor.

To determine if you have erectile dysfunction, your doctor will inquire about your symptoms and your health history. They will do tests if necessary to determine whether or not those symptoms are caused by an underlying health issue. This may include a physical exam, blood pressure work, and examination of your penis

and

If surgery is needed, your doctor will go over the best method for you and give you your options. The most common oral medications prescribed in

patients

All these medications help to enhance erections and therefore do not trigger automatic erections as injections instead do. Therefore sexual stimulation is necessary for these medications to work.

The most common side effects of these medications are headache, facial blushing, upset stomach and mild temporal visual effects (only for Sildenafil).In most cases, the side effects are minor and tend to reduce with time.

Therefore only very few patients decide to discontinue the treatment due to side effects. Approximately 40% of men at the age of 50 suffer from erectile dysfunction and this prevalence increases around 10% each decade.

Although prevalence of erectile dysfunction increases with age, erectile dysfunction should not be seen as an inevitable consequence of ageing.

Erectile dysfunction can be subdivided in psychogenic and organic. Psychogenic erectile dysfunction, which is more common in younger men, cannot trace his origin to a physical problem or disease and is due to performance anxiety.

Organic erectile dysfunction is much more common than psychogenic erectile dysfunction and in most cases the causes can be easily identified. Once identified, proper treatment can be recommended to help patients return to a satisfying sexual life. Organic erectile dysfunction is usually caused by an injury (to the brain, spinal cord, peripheral nerves or arteries), by a disease (diabetes, high blood pressure or high cholesterol), by an operation (prostate gland removal, urinary bladder removal, surgery to the rectum, spinal surgery) and by substance abuse (tobacco, drugs, alcohol and some medications). A thorough examination and history taking is necessary to understand the nature of erectile dysfunction.

Patients with psychogenic erectile dysfunction may be further investigated with a nocturnal penile tumescence test to confirm that the nocturnal erections are preserved. The confirmation of the presence of normal nocturnal erections excludes the presence of an organic cause of erectile dysfunction and the patients should be therefore reassured and offered psychosexual counselling. When organic erectile dysfunction is suspected and an underlying cause is not obvious from the examination and history, efforts should be made towards the identification of any underlying condition, since erectile dysfunction may represent the first sign of diffuse cardiovascular disease.

A prompt identification of any of the cardiovascular risk factors such as diabetes, high blood pressure and high cholesterol levels is paramount to set up an adequate treatment plan and prevent further progression of the cardiovascular disease. The Doppler Ultrasound scan of the penis is a relatively simple investigation but it provides very important information on the blood supply to the penis. The management of the patient with erectile dysfunction is tailored to the underlying cause of erectile dysfunction and to patients’ preferences. Various drugs are now available for the treatment of erectile dysfunction. Some medications are administered orally, some are injected directly into the penis while other are inserted into the urethra at the tip of the penis.

When medical treatment is ineffective and contraindicated, the vacuum constriction device or penile prosthesis implantation guarantee the rigidity necessary for sexual intercourse. Injections are indicated in these patients who do not respond to oral medications or when oral medications are contraindicated. Injection therapy induces an erection even without the need of sexual stimulation. The main advantage of injections is that it can be easily self-administered while the main risk is to induce a

prolonged

dose

With the creation of a negative pressure, blood is rushed into the chambers of the penis.

Once the desired rigidity is achieved, a constricting ring is applied to the base of the penis to prevent the blood from rushing out of the penis and the vacuum pump is then removed. The vacuum pump can be a viable solution for patients who do not respond or are not suitable for oral and injectable medications and are not keen on penile prosthesis implantation.

We advise you to book a consultation with Mr Garaffa, one of the world leading experts in the diagnosis and management of erectile dysfunction and one of the largest penile prosthesis implanters in the world.

Your condition will be treated discretely and you will be offered the treatment that best suits

you

Erectile dysfunction, or male impotence, is

the

thyroid

If your physician suspects a psychological cause for erectile

dysfunction

It is important to understand that counseling can many times identify and solve many underlying psychological issues causing erectile dysfunction.

Such counseling may also be a part of a recommended regimen to treat the problem. When considering lifestyle changes as an approach to correct erectile dysfunction, consideration of habits that may be contributing to the condition need to be

addressed

These include: Decreasing or limiting the consumption of alcohol Dietary changes to reduce the intake of fat and cholesterol Eliminating the use of tobacco and substance abuse Losing weight Exercising regularly. A physician’s review of the medications you are presently taking may result in changes to them especially if they are known to cause erectile dysfunction. Non-invasive treatments that include the use of oral medications such as Viagra, Cialis and Levitra are all proven to improve blood flow to the penis by working directly on the blood vessels. They allow the arteries to expand to produce an erection. Note that while widely available today, they do

not

The pump device is placed over the penis and a vacuum is created mechanically enhancing the flow of blood into the penis. A rubber ring placed at the base of the penis helps to maintain the blood maintaining the erection.

These cannot be prescribed for patients with bleeding disorders, are on anticoagulants or those with sickle cell anemia. The patient inserts a small dose of medication directly into the urethral opening at the end of the penis where the medication becomes absorbed into the erectile tissue.

This causes the blood vessels to relax so that the penis fills with blood and becomes erect.

For this treatment, the patient or his partner inject medication directly

into

It relaxes

muscle

Surgery (Penile Implants) If the above treatments are unsuccessful in managing erectile dysfunction and psychological causes are ruled out, your physician may recommend penile implant surgery.