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Treatments for Erectile Dsyfunction

Erectile dysfunction affects a great many men, especially over the age of 40. It can damage self-esteem as well as relationships. What are the treatments for this very frustrating problem?

If the erectile problem is mainly physical, drugs such as VigRx Plus, hormones or devices may be the answer. If it has psychological aspects, sex therapy and counselling may help.

If the erectile problem can’t be traced to a definite reason the man may be offered therapy with VigRx Plus, devices and counselling, regardless of its cause.

For some men, mechanical devices or drugs can restore enough confidence to sustain erections without them after a while. Since drugs and devices won’t overcome intimacy problems, sex therapy is often also suggested.

Mechanical erection-producing devices:

Penile prostheses of various kinds can restore erectile capacity without disturbing libido, ejaculation or orgasm, although they don’t enlarge the penis beyond its natural size. There are devices that actually do enlarge the penis, such as penis extenders.

Perhaps the most well-known penis extender is the SizeGenetics device. It is uncertain whether enlarging your penis with something like SizeGenetics can help overcome erectile dysfunction.


Vacuum devices (such as Penomet), placed on the flaccid penis, increase blood flow via a side arm that withdraws air and creates a vacuum into which blood flows.

The basic model contains a soft plastic tube that fits over the penis and a handheld pump. A rubber band is wrapped around the bottom of the penis to stop blood flowing out. The cylinder is removed during intercourse and the blood drawn into the penis keeps it erect.

“A man can get a good enough erection for penetration, but it’s not rock hard,” says one University of Toronto expert. “Some love the vacuum devices and others hate them. However, it takes practice to use them deftly.” They are rather cumbersome and may dim sensation, detracting somewhat from their popularity.


Permanent penile implants come in inflatable or non-inflatable models that are semi-rigid and can be bent down to seem more natural when not in use. The more complex the mechanical device the more likely it is to break down or malfunction.

Inflatable models – inflated for sex then deflated afterwards are the most popular and operate more like the real thing. One model is composed of two inflatable tubes put into the shaft of the penis with a fluid reservoir in the abdomen and a pump in the scrotum. Squeezing the pump moves fluid into the penis.

penile implant

Penile implants are a last resort as surgical insertion destroys some erectile tissue. Candidates must be in good health, have a high sex drive, good penile sensitivity and a desirous sex partner.

It is imperative that the couple be assessed for suitability and well informed about the benefits and risks. The risks include infection – requiting removal – swelling and pain.

Sex therapy can also help. Sex therapists are trained professionals such as physicians, social workers, psychologists, nurses and psychiatrists skilled in the art of helping people work through the guilt, hang-ups, worries, anger, sexual myths and misconceptions that bedevil our sex lives.

Sex therapy is particularly useful for dysfunctions that involve performance fears, relationship conflicts and spectatoring (observing oneself and one’s responses rather than participating in the event).

A non-directed “sensate focus,” in which the goal is sensuous pleasure rather than intercourse, often helps couples overcome conflicts around mismatched sexual desire or a lack of “connectedness.” The couple learns to approach sexual intimacy as mutual pleasuring rather than as intercourse or orgasm.

By concentrating on sensual play – neither partner being pressured or expected to become aroused – sensate locus exercises can often override performance anxieties and communication hurdles.

As neither partner expects to become sexually aroused, the couple learns to relax and playfully explore what gives the other pleasure. Each shows the other what kinds of touching he or she enjoys, where the most erotic places are, communicating verbally or by directing the partner’s hand. The exercises work equally well for gay, lesbian or straight couples.

The PLISSIT model of sex therapy, developed about 20 years ago, is based on the premise that many people benefit from the simplest of counselling – even just being permitted to talk about their erectile, desire or other problems. Reassurance, support and information are often enough to reverse a sex problem without intensive psychotherapy.

The acronym PLISSIT refers to four basic stages:

* Permission Giving (P) – permitting people to talk about their sex troubles, fantasies, fears or wishes;
* Limited Information (LI) – often used together with permission giving – providing some basic information (perhaps about erotic zones and genital anatomy) but no specific advice;
* Specific Suggestions (SS) – given for specific sex problems for instance telling someone with premature ejaculation what might slow things down or suggesting that someone with performance anxiety might try sensate focus exercises;
* Intensive Therapy (IT) – required by the relatively few with deeply-rooted psychological sex problems.

Sex therapy plissit

The first steps of permission giving and limited information are often enough to resolve a sex problem. Many of us occasionally get the feeling that what we are doing sexually is perverted, deviant or wrong.

All we may need is reassurance or someone to say, “If you are comfortable with it, carry on.” Once a sex problem has been pinpointed, its solution may be obvious to those versed in human sexual behavior.

Please note: A sex therapist should never ask you:

* to take off your clothes, unless for a medical examination;
* to engage in any type of sexual activity with or without your partner in the therapist’s presence.

Sex Therapist

Drugs and Products for Erectile Dysfunction

* Testosterone replacement therapy, VigRx Oil or other drugs can correct some male hormone deficiencies.

* Volume Pills weren’t necessarily designed to treat erectile dysfunction, but some men report that this semen-enhancer boosts performance in the bedroom.

* Corrective surgery for venous leaks and arterial blockage can sometimes restore erectile ability.

* Yohimbine, a plant derivative that stimulates the parasympathetic nervous system and decreases blood outflow from penile tissue, is modestly successful in improving erectile capacity.

Side effects of the drug include facial flushing, tachycardia (racing heart), occasional panic attacks, low blood pressure and tremors. Natural male enhancement products such as VigRx Plus do not contain Yohimbine.


* Minoxidil, a vasodilatordrug sprayed onto the penis, may achieve erection in some.

* Papaverine, a self-injectable drug used since 1983, is a smooth muscle relaxant that increases arterial blood flow in the penis and restricts venous outflow.

Injected directly into the side of the penis just before intercourse, it produces an erection in 5-10 minutes, without disturbing ejaculation or orgasm.

Possible side effects of papaverine include dizziness, cardiac complications and a painful, prolonged erection lasting several hours – which requires medical relief measures.

The efficacy of papaverine may diminish with repeated injections and it occasionally leads to scarring. Therefore, it is now often used in combination with phentolamine and perhaps also prostaglandin E1 as “triple therapy,” with greater efficacy, reduced doses and fewer side effects. Some doctors are recommending certain natural herbs which can also create an erection very quickly.

* Newer drugs can be as effective as papaverine therapy and may be combined with it, but some users don’t find Vimax to be as effective as other forms of treatment.

Vimax pills

Reasons for Erectile Dysfunction

Physical reasons:

* Medical disorders such as kidney impairment, liver cirrhosis, prostate disorders, alcoholism, Peyronie’s disease (curvature of the penis), Parkinson’s disease, multiple sclerosis and diabetes.

* Endocrine (hormonal) imbalances such as low testosterone output, thyroid disorders, hyperprolactinemia (excess prolactin hormone), Cushing’s syndrome and other adrenal gland disorders.

* Neurological problems such as spinal cord injury.

* Surgery for the prostate, bladder, or rectum (which may damage the nerves responsible for erection).

* Blood vessel disorders that restrict penile blood flow such as artery-narrowing due to atheroscierosis or veins that don’t clamp off to maintain erection. Penile veins that don’t close off properly allow blood to drain out and cause penile collapse – a condition sometimes repairable by surgery. The natural ingredients present in natural male enhancement pills such as VigRx Plus are known for increasing blood flow throughout the body, including to the penis.

* Smoking tobacco – a major reason for erectile failure – because nicotine causes spasms in small penile arteries and also leads to atherosclerosis. Doctors now recommend using a vaporizer to protect the health of the body.


* Alcohol- another major cause – can leave a man unable to have an erection. Not realizing it’s due to alcohol, the man may fear some permanent disability or organic disease, creating intense anxiety.

People who down large volumes of liquor, or come home from work to pour themselves several drinks and collapse into the comfort of mental and physical detumescence may not be the sort to develop stable sexual relationships.

Drinking excess alcohol may also cause atrophy (shrinkage) of the testes and impair the mechanism that shunts blood into the penis.

drinking impotence

* A long list of medications can dampen erections, including antihistamines, antidepressants, marijuana, minor tranquillizers, cimetidine (for stomach ulcers), muscle relaxants and especially anti-hypertensives (blood pressure medications) – major culprits in causing impotence.

As many as 40 percent of men on diuretics and other blood pressure pills have erectile problems. They should consult their family physician about it.

Psychological reasons:

* Depression, anger, stress, fatigue, guilt, performance anxiety, job loss or impending exams.


* Childhood experiences of parental conflict, early sex abuse or disapproving, unjoyful attitudes to sex.

* A negative sex encounter that leaves a man full of self-doubts about his sexual competence. Even though a man may be perfectly capable of attaining erection, feelings of inadequacy may make him hesitate to attempt intercourse. The longer anxiety lingers, the greater the chance of a sex problem.

* Lack of privacy (at home or in student quarters).

* Poor communication with a partner, lack of access to natural male enhancement products such as VigRx Plus or VigRx Oil, fear of causing pregnancy, divergent views on what constitutes a happy sex life and varying perceptions of normality.

The film “Annie Hall” portrays a classic gender communication gap. When the therapist asks how often they have sex, the woman (Annie) replies: “All the time – three times a week,” while he (Woody) answers “hardly ever – only three times a week.”

erectile failure

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