UK Online Pharmacy: Impotence
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Impotence is a condition whereby a man is unable to develop
and/or maintain an erection. There may be a variety of reasons
for this, ranging from psychological (stress) to physiological
(diabetes), and many of them are completely treatable. Impotence
is also often referred to as erectile dysfunction
Physiologically speaking, an erection occurs when blood enters
the penis and is maintained there. It is essentially a hydraulic
process designed to facilitate sexual intercourse.
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Physiological impotence occurs when this process is somehow
physically impeded, and this kind if impotence is most often
completely treatable. Psychological impotence is when a person’s
thoughts and feelings prevent them from developing and maintaining
an erection. This can quite often be cured, particularly through
the use of placebos which have proven to be highly effective
in combating this type of impotence.
Because a man’s masculinity is a very sensitive subject,
and sex plays such a big role in our society and forms the
basis of our day-to-day relationships, erectile dysfunction
can have a devastating psychological impact on a man. He may
feel ashamed or inadequate, or that he has somehow lost a
part of himself.
It is important to remember that impotence is usually very
treatable, and that seeking medical help is strongly advised
in order to head off any further psychological problems. This
is worth emphasizing, since a man may feel embarrassed about
talking about the situation with another person, but he must
of he is to get the assistance that he needs. It is also well
worth remembering that around ten percent of all men will
experience some period of recurring impotence during the course
of their lives, so it is not at all an uncommon condition.
The original pharmaceutical cure for impotence was the legendary
Viagra, a trade name for the drug sildenafil, back in 1990.
Viagra is still used today, and is very popular both treatment-wise
and when used recreationally (a practice which is strongly
discouraged on health grounds)
Most medical treatments for erectile dysfunction work on
a short-term, temporary basis. They help a man to achieve
and maintain an erection long enough to do what he needs to
do, but will not remedy the underlying cause of the impotence
long-term.
Three different kinds of oral treatment for impotence are
popular at the moment, and these all work like Viagra, combining
with some sexual stimulation in order to achieve an erection.
Depending on the type of treatment and the individual patient,
they may need between twenty minutes and one hour to become
effective, and may remain so for as little as a few hours,
or as long as a day and a half.
Alprostadil is another kind of impotence remedy. It is either
injected or inserted directly into the penis using a special
applicator shortly before sex. This treatment is primarily
used in cases where oral drugs may cause unwanted side-effects
as a result of passing through the normal digestive system.
A vacuum pump is a device used to physically draw blood
into the penis directly before sexual intercourse. Their effectiveness
is somewhat limited, and these devices are also sometimes
used recreationally.
In some small handful of cases, a man may receive hormone
treatment for an erectile dysfunction problem. This depends
heavily on the nature of the problem and the potential for
other solutions, but it has proved effective in some cases.
As a last resort when other forms of treatment have rove ineffective,
a prosthetic implant may be used to insert a stiff ‘rod’ into
the penis, which will allow it to do its job to some extent.
This is of course far from an ideal solution.
In cases of suspected psychological impotence, counseling
is often advised. In fact, due to the nature of impotence
and the psychological side-effects it can have, a course of
therapy may be recommended for any man who suffers from a
prolonged bout of impotence. Placebos are found to be extremely
effective in cases of psychological impotence, sometimes it
seems all a man needs is to feel like he is whole again, and
it will be so.
The action of anti-impotence drugs is framed in terms of
a discussion on what are called PDE5 inhibitors.
Phosphodiesterases are a group of enzymes which catalyse
the hydrolysis ot the nucleotides cyclic GMP and cyclic AMP.
They may be used to treat a variety of issues involving brain
dysfunctions.
One particular form of phosphodiesterase is PDE5, whose inhibitors
are the common anti-impotence drugs sildenafil, vardenafil
and tadalafil, more commonly known as Viagra, Levitra and
Cialis. These drugs block the action of PDE5, which in turn
allows the muscle around the arteries of the penis to relax,
allowing increased blood flow and permitting the shaft to
fill with blood and become ‘erect’.
Another experimental drug treatment, bremelanotide, acts
in a different way, being thought to act on the brain in a
manner which increases sexual desire in both man and women
The exact mechanism of this action remains under investigation,
but it is thought to involve the activation of melancortin
receptors in the brain.
Melanotan is a similar kind of treatment to bremelanotide,
working to increase sexual drive rather than on the physical
mechanical action of the penis.
The popular recreational supplement ginseng has been proven
to be measurably more effective than a placebo in treating
erectile dysfunction.
Zinc is also a common nutritional supplement which is known
to have e beneficial effect on sexual performance. It stops
the conversion of testosterone into estrafiol, which leaves
more testosterone available to assist the erectile process.
A process in which it plays a key role.
Many healthcare providers and nutritionalists recommend supplementing
with zinc in order to assist in cases of erectile dysfunction.
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