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14 Feb 2003

Only Viagra?
Is there any products to help or is only viagra the anwer to these problems?
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Expert
Sexologist
sexy

01 Jan 0001

ED treatment options:
The ultimate goal of therapy for ED has been described as being a treatment with the following ideal characteristics: simple to use, non-invasive, painless, highly effective, well tolerated and affordable. The introduction of agents with all of these characteristics should encourage more ED sufferers to seek remedy for their problems.
ED treatment options include the following:

Surgery:

Penile prosthesis implants:
A penile prosthesis is surgically implanted into the penis, an irreversible process. This is regarded as last resort due to the invasive nature of this treatment option

Venous / Arterial surgery
Option restricted to surgeons only and very few patients opt for it.

Vacuum pump devices
Vacuum constriction devices (VCD’s) consist of a closed plastic cylinder that is placed over the penis in order to create a vacuum effect that increases blood flow into the penis. Generally only recommended by specialists but high cost of importation limits its usage.

Intra-cavernosal injections
Intra-cavernosal injections (given directly into the penis), currently first line ED therapy for Urologists, but this situation may change with the advent of oral therapies. They are effective but because of the invasive nature of the administration, not deemed ideal by either sufferers or healthcare workers.
Intra-urethral pellet
A pellet of alprostadil is introduced into the penis (urethra) to evoke a local reaction, which results in an erection.

Oral treatments:

This therapeutic category is characterised by “off label” (unlicensed) use of a variety of scheduled products that have effects ranging from curing lethargy to increasing libido and as such are only marginally effective in treating ED and most have been evaluated in clinical trials in ED patients with the exception of sildenafil citrate (Sildenafil).

· Sildenafil citrate (Viagra): Launched in South Africa in March 1999, Sildenafil is effective in about 70% of ED patients. Sildenafil helps restore penile blood flow and erection in response to sexual stimulation

· Oral androgens: Oral androgens (testosterones), where low bodily testosterone is thought to be the cause of ED, are being used as first line therapy by GP’s and by Urologists.

· Psycho stimulants: Psycho stimulants are used by GP’s to cure lethargy associated with sexual dysfunction.

· Antidepressants: Antidepressants are used equally by Urologists and GP’s to break the vicious depression and ED cycle. Antidepressants are also used where the patient is suffering from depression.


Natural remedies:

Traditional healers (Sangomas and Nyangas) have, for centuries, made use of varying herbal remedies to treat what is traditionally known as loss of libido. Herbal medicines, most often registered as food supplements, offer many of the same therapeutic benefits as drug therapies, with a better risk/benefit ratio.

Coryanthe yohimbe:

Coryanthe yohimbe is reputed to increase libido and shorten the latency period between ejaculations. However, because of its possible effects in overdosing (anxiety, aggressive behaviour and raised blood pressure), this herbal medicine should only be taken under careful instruction.

Siberian / Korean / Panax Ginseng:

Ginseng is well known for its aphrodisiac properties. Called adaptogens, they seem to target any bodily system that needs nutritional support – resulting in higher energy production and improved function. A man is consequently better able to achieve and maintain an erection. Ginseng Panax quiquefolius is considered safer for long-term use.

Ginkgo biloba:

In several studies, Ginkgo caused increased peripheral blood flow both in normal healthy subjects and those with arteriosclerosis (hardening of the arteries). For instance, 60mg per day of Ginkgo extract increased penile arterial flow in a group of patients who had not responded to intra – caversonal injections.

Professional counselling:
Psychotherapy and or behavioural therapy alone may be helpful for some patients in whom no organic cause of ED is detected.

Dr Elna Mc Intosh

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical examination, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.
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