Posts Tagged ‘erectile dysfunction’


// October 25th, 2010 // No Comments » // Impotence

Viagra Is Not an Aphrodisiac

Currently available impotence treatments all work in different ways to help man acquire an erection. For example, yohimbine (Yocon, Yohimex) has been thought of as an aphrodisiac, a medication that increases a man’s libido or sexual desire. Viagra does not increase sexual desire.

Sexual Stimulation Required

Some impotence treatments like intrapenile papaverine, alprostadil (Caverject) injection, or MUSE (medicated urethral suppository) will allow a man to have an erection in the absence of any sexual stimulation. Indeed, men who opt for penile injection or MUSE therapy can experience penile swelling and a full erection within twenty to thirty minutes after their first treatment in the asexual, antiseptic environment of a doctor’s office. It is likely that both intrapenile injections and MUSE work by increasing levels of intrapenile NO and cGMP, directly bypassing the normal mechanisms involved in a sexually stimulated erection. There is, however, a difference between the erections men have after Viagra and sexual stimulation and intrapenile injection or MUSE therapy.

Priapism Is Uncommon After Viagra

The erection triggered by both intrapenile injections and MUSE does not always fade spontaneously after ejaculation. This results in a serious medical problem: a persistent painful erection called priapism. Unfortunately, priapism occurs with distressing frequency in men using penile injection or MUSE. Priapism is less common but can occur in a handful of Viagra-treated men. Priapism, whether caused by intrapenile injection, MUSE, or after Viagra use, is considered a medical emergency. Men whose erection lasts for more than four hours require immediate medical treatment. Fortunately, for the majority of men the effect of Viagra is not sustained beyond the moment of ejaculation.Thus, because of Viagra’s gentle action in turning on and allowing nature to turn off male sexual chemistry, Viagra seemed to be an ideal medication to use for men with erectile dysfunction.

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// October 25th, 2010 // No Comments » // Impotence

You Are Not Alone

what is impotence

what is impotence

Whether he calls it impotence or ED — erectile dysfunction — the man experiencing a sexual problem often believes his predicament is unique to him. As we start to talk honestly about sex, it is becoming increasingly apparent that more and more men and women are having sexual difficulties. This chapter provides answers to the most frequently asked questions about male sexual dysfunction, or ED, including these: How common is it? Is aging a factor? Do common medical problems like hypertension, diabetes, and depression cause impotence, or is it the medications used to treat these conditions that disrupt a man’s sexual function? Can you do anything to prevent impotence?

When a man is unable to achieve an erection satisfactory for intercourse, he is considered impotent. Today the term “erectile dysfunction)” or “ED” has supplanted “impotence,” probably because ED is a less emotionally charged term. This is not surprising because the dictionary defines the word “impotent” as (1) lacking physical strength or vigor: weak, (2) powerless; ineffectual, (3) incapable of sexual intercourse. This definition is more than just demeaning, for it strikes at the very fabric of a man’s maleness.

Generally speaking, the phrase “erectile dysfunction,” or “ED,” has been promulgated by those who are frankly promoting different impotence treatments and are themselves more comfortable saying that they have a new product to correct ED than a novel impotence treatment. However, the individual man with sexual problems rarely comes to the doctor saying, “My primary problem is that I have ED” or “Doc, now that you’ve helped lower my blood pressure, I wonder if I could discuss my erectile dysfunction with you.” Men, if they discuss their sexual difficulties at all, either resort to euphemisms such as “I can’t get it up anymore” or fall back on the embarrassing admission “I guess I’ve become impotent.”

However you choose to label it, the truth is that many men, if not all men, have at one time or another experienced isolated episodes of ED, or impotence. Often this is transient, a result of fatigue, excessive drinking, or preoccupation with business or family problems. Under these circumstances, it would be inappropriate to saddle the man with a diagnosis of complete impotence; instead he is said to have experienced situational erectile dysfunction. Criteria established by Masters and Johnson indicate that a diagnosis of impotence is appropriate only when a man experiences failure more than 25 percent of the time during attempted intercourse.