CONVENTIONAL MEDICINE
• If you are taking any drugs, for any reason at all, discuss your problems with your doctor. Common suspects here include some hormones, blood-pressure medications, amphetamines, tranquilizers, antidepressants, and sedatives. It may be advisable to discontinue a medication, adjust the dosage, or switch to an alternative that works better for you. Do not simply decide to alter your use of a prescription drug on your own, however. Always consult with your physician. VigRX Plus, the best male enhancement pills to increase penis erection size.
• If there is no obvious cause for impotence, a complete physical examination, including hormone studies and anatomical evaluation, may be necessary.
• If a deficiency of testosterone is discovered, hormone therapy may be prescribed.
• Sometimes the blood vessels that serve the penis can become blocked by clots or atherosclerotic plaques. If a physical exam detects such a problem, surgery may be recommended to reconstruct or bypass the problem areas.
• If no physical cause can be found and a psychological basis is suspected, counseling may be all that is necessary. There are clinics and practitioners who specialize in this kind of work. Ask your physician for a referral.
• If all else fails, there are a number of “artificial” strategies to help men achieve erection. These include:
• External vacuum-type devices that draw blood into the penis, supplemented with a constriction ring to keep it there.
• Penile implants.
• Medications that cause blood to be held in the plexus of veins in the penis. These are administered by injection, either with a tiny needle or a plunger-type device, and can result in erections lasting an hour or more. Determining the proper dosage is important, as too much can cause painful, long-lasting erections.
• Yohimbine (Yocon, Yohimex) is a prescription drug that may increase peripheral blood flow, including blood flow to the penis. Depending on the cause of your problem, this may be worth a try. Possible side effects include elevated blood pressure and/or heart rate, irritability, tremor, and nervousness.
• The latest pharmaceutical offered for the treatment of impotence is sildenafil (Viagra). This drug relaxes blood vessels in the penis, allowing more blood to flow into it to create an erection. Sildenafil requires sexual stimulation to work-you cannot just take the drug and wait for results. Possible side effects include headache, flushing, digestive difficulties, nasal congestion, blurred vision, light sensitivity, and changes in color vision. There is also a risk of too-low blood pressure, heart failure, and cardiac arrest. You should not use sildenafil if you take any medication of the nitrate class for angina pectoris, or chest pain due to an inadequate supply of oxygen to the heart muscle. These drugs include nitroglycerin (Nitro-Bid, Nitro-Dur, Nitro- stat), isosorbide dinitrate (Isordil, Sorbitrate), and isosorbide mononitrite (Imdur, Monoket).
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