What is erectile dysfunction (ED) & Premature Ejaculation?

Modern treatment of Erectile Dysfunction has been revolutionized by the worldwide availability of three PDE5 inhibitors for oral use – sildenafil, tadalafil and vardenafil. These drugs have high efficacy and safety rates, even in difficult-to-treat populations, such as patients with diabetes mellitus or who have undergone RP. Patients should be encouraged to try all three PDE5 inhibitors. Patients should make up their own minds about which compound has the best efficacy, while also considering other factors, such as time of onset, duration of action, window of opportunity and how side-effects affect them individually.

Treatment options for patients who do not respond to oral drugs, or for whom drugs are contraindicated, include intracavernous injections, intraurethral alprostadil, vacuum constriction devices or implantation of a penile prosthesis.

It is very important that the physician warns the patient that sexual intercourse is a vigorous physical activity, which increases heart rate as well as cardiac work. Physicians should assess the cardiac fitness of patients prior to treating Erectile Dysfunction .

Any successful pharmacological treatment for erectile failure demands a degree of integrity of the penile mechanisms of erection. Further studies of individual agents and synergistic activity of available substances are underway. The search for the ideal pharmacological therapy for erectile failure aims to fulfill the following characteristics: good efficacy, easy administration, freedom from toxicity and side-effects, with a rapid onset and a possible long-acting effect.

Premature ejaculation (PE) is another very common male sexual dysfunction, with prevalence rates of 20% to 30%. Four major definitions of PE are currently used and the most widely accepted classification of PE includes “lifelong” (primary) and “acquired” (secondary) forms (syndromes). Diagnosis of PE in everyday clinical practice is based on medical and sexual history assessing IELT, perceived control, distress, and interpersonal difficulty related to the ejaculatory dysfunction. Physical examination and laboratory testing may be needed in selected patients only.

Pharmacotherapy is the basis of treatment in lifelong PE including daily dosing of SSRI’s and topical anesthetics.

Unhappy with Your Size? Consider Male Enhancement

Why do men patronize the male enhancement industry? Most men have the average penis size but still get anxious about how big they are down there. Men think that big size guarantees good performance in bed and compare their equipment with the massive members of porn stars. The more concerned a man is about penis size, the more insecure he will be in other aspects of his life. But what are the ways in which a man can enlarge his penis? The following are the recommended male enhancement methods:

Male Enhancement Supplements and Transdermal Products

There are many available male enhancement supplements – in the form of capsules and tablets – and transdermal male enhancement products – in the form of creams, gels, lotions, oils, and patches. These products offer money back guarantees. Both the oral and transdermal products use herbs and other natural substances to increase blood flow. A quality male enhancement supplement will cost you between $150 to $180 for a three-month supply. The transdermal products are a little cheaper.

Male Enhancement Exercises

Male Enhancement Exercises are meant to enlarge the penis. You have to order the really good ones usually together with a male enhancement supplement or device. Most of these exercises are based on jelqing, the ancient Arabian penis massage technique.

Pumps, Weights, and Extenders

A penis pump is a cylinder placed around the penis that pumps out air using a vacuum to draw blood into the penis and produce an erection. Penis weights of various designs and weights are hung on the penis in an effort to enlarge it. Extenders were developed as an improvement on weights and provide constant traction along the length of the penis in order to stimulate growth. If used improperly, these three devices can cause serious and permanent damage to your penis.

Surgery, Implants, and Injections

There are several methods of phalloplasty or penis enlargement surgery: cutting supportive ligaments, transplanting fat cells, and dermal transfer. Cutting the suspensory ligaments that support the penis is the most common surgical method and is performed to create an illusion of a larger penis. The transfer of fat cells involves getting excess abdominal fat and putting it inside the penis. Dermal transfer involves transplanting strips of skin and fat together, as the skin prevents possible reabsorption of the fat. There are two types of penile implants: rigid, semi-rigid, or malleable rods, and an inflatable prosthesis which is pumped by hand. Penile injections are used to improve erection quality and are often confused to be a male enhancement method.

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