About Erectile Dysfunction (ED, Impotence)
Naturally, when a man is sexually aroused, he gets an erection. Failure to get or keep an erection when sexually stimulated results in an erectile dysfunction. The focus is on a man because it is more prevalent in men than women and has long been the subject of research.
There are many causes of erectile dysfunction and is usually a combination of many factors. They range from physical factors; due to an underlying medical condition such as diabetes, heart disease and obesity to psychological factors; that affect the mental state of the person such as anxiety depression and stress and moreover, reduced libido.
The risk factors that increase the probability of a person getting an erectile dysfunction includes the use of certain medications such as antidepressants,, smoking, being obese, injuries to nerves or blood vessels that control erections such as a spinal injury, heavy drinking of alcohol, substance abuse and chronic conditions including diabetes and heart diseases. Furthermore, stress and anxiety is also a risk factor.
Signs and symptoms include a persistent problem in getting or keeping an erection.
There are many treatment options to treat erectile dysfunction which includes;
This involves seeking the advice of a psychologist or a counselor to assist you if the cause of the erectile dysfunction is brought about by stress in marriage, relationship issues due to lack of communication, financial issues or social issues. It will involve counseling of both partners for a better outcome.
A change in habits of a person such as quit smoking through tapering the number of cigarettes one smokes until they stop. For the heavy drinkers, they need to reduce their drinking to moderation of at most two bottles of beers in a day. Drug and substance abusers should seek medical attention and be rehabilitated. Obese persons should reduce their weight to achieve a normal basal metabolic rate and excises to improve blood flow to tissues.
Treatment of the underlying medical condition
Erectile dysfunction is caused by some underlying medical conditions such as diabetes and cardiovascular diseases. Treating these diseases may improve the condition if the dysfunction was due to the disease.
One can undergo a surgery to an occluded blood vessel supplying the penis such as a bypass procedure or a surgical repair. Although this is a treatment option, the obstruction of the blood vessels is very rare and the procedure is very expensive.
These medications have been very successful in the market because they can be taken orally. Among these oral medications is tadalafil (Cialis) approved by the Food and Drug Administration (FDA). It belongs to a class of drugs known as phosphodieserase isoform 5 inhibitors (PDE-S). These drugs act to increase cyclic guanosine triphoshate (cGMP) leading to relaxation of the nonvascular smooth muscle of the corpora carvenosa in the penis. This relaxation allows inflow of blood at nearly arterial pressure into the sinuses of the carvenosa and it is the pressure of the blood that causes an erection. Cialis works a little bit faster compared to the placebo and its effects are more pronounced for a longer period of time. Other drugs in the same class of PDE-S inhibitors include vardenafil and sildenafil.
Once swallowed, Cialis has a faster onset of action to produce an erection around fifteen minutes boosting the confidence of the person prior to having sexual intercourse and its effects lasts for a longer period of time.
Since Cialis has a longer half life of up to thirty six hours, it is taken as a single dose once a day. It occurs as a tablet in the strength of 2.5mg, 5mg, 1omg and 2omg. The dose is individualized and is taken when needed. Furthermore, the dose may be increased or decreased depending with the response of the person.
They include alprostadil that can either be injected directly into the carvenosa or placed as a mini-suppository in the urethra. Phentolamine can also be used by injecting it into the carvenosa. Both of these drugs will cause an erection.
Like any other medication out there in the market, Cialis also has side effects and one needs to consult with their family doctor before starting the medication. The use of this drug in combination with other drugs such as nitroglycerine or alpha-blockers can significantly lower blood pressure and is dangerous. Consult with your pharmacist too.