Until recently, if you sought
medical impotence treatment for impotence symptoms were told "It's all in your
head". Doctors labeled you with a psychological disorder
and they were referred to counseling. Today, there are many impotence
treatment options available. The male impotence treatment option
you choose for impotence symptoms should be specific and responsive
to your needs and expectations, as well as, your partners. There
are now impotence treatment medications that can effectively treat
the impotence symptoms enhancing a man's erections.
The following represents a summary, as well as comparisons of various
male impotence treatment options available today:
Online Consultation for Male Impotence
Drugs
Secondary to the advent of the internet you can now communicate
openly and candidly with a licensed physician. Individuals can now
buy prescription impotence drugs on line with no prior prescription
from the privacy of there own home. Instead of the traditional visit
to a physician's office, individuals are requested to complete a
medical questionnaire that addresses the patient's medical history.
This is information that is required by a licensed physician so that
he/she can make a decision whether the desired medicine is appropriate
for an individual's current condition.
Detailed information including comparisons of the most prescribed impotence treatment drugs by physicians worldwide, Viagra, Cialis, Levitra, Uprima.
The following table represents a summary of the most
recommended male impotence treatment drugs by physicians for
their patients. Although many these impotence treatment drugs
are very similar, Viagra and Cialis represent the most prescribed
erectile dysfunction drugs, worldwide. Some
important notes, Viagra is the most prescribed impotence treatment
drugs over the past four years, Pfizer Inc. has sold enough sildenafil
citrate, brand named Viagra, to fill 100 million prescriptions
for some 20 million patients worldwide, making Viagra one the
most prescribed medicines in the world. While Cialis is
the only the only male impotence treatment drug that works up
to thirty six hours following a single dose (most of the impotence
treatment drugs will only provide impotence therapy for twelve
hours).
Impotence
Treatment Drug Comparisons
| Medication | Time of Onset | Duration of Action | Effectiveness | Side Effects | Cost Per Dose |
| Viagra | 20 - 30 minutes | 12 - 18 hours | 90 - 95% of men |
facial flushing stuffiness | £3.50 order (click here) |
| Cialis | 25 - 45 minutes | Up to 36 hours | 80 - 90% of men |
mild muscle pain | £4.30 order (click here) |
| Levitra | 30 - 60 minutes | 8 hours | 70 - 85% of men |
flushing, dyspepsia | £6.20 order (click here) |
| Uprima | 25 - 60 minutes | 6 hours | 65 - 75% of men |
dizziness, light-headedness | £4.50 order (click here) |
Please note: Cost per dose is based on the purchase
of the higher mg tablets and then splitting the tablets in half.
For example Viagra is available in Viagra 25mg, 50mg and 100mg
doses. The Viagra 50mg dose represents the standard dose, therefore,
for a substantial cost savings individuals should purchase the
Viagra 100mg dose and then split the 100mg tablet into two 50mg
doses.
Viagra Impotence Treatment
Viagra
(sildenafil citrate) has change the course of male impotence
treatment impotence. Viagra
is dispensed as a pill and ingested orally. Approximately 30-60
minutes later the drug is absorbed in the bloodstream. The
physiologic mechanism of erection of the penis involves release
of nitric oxide (NO) in the corpus cavernosum during sexual
stimulation. NO then activates the enzyme guanylate cyclase,
which results in increased levels of cyclic guanosine monophosphate
(cGMP), producing smooth muscle relaxation in the corpus cavernosum
and allowing inflow of blood. Viagra has no direct relaxant
effect on isolated human corpus cavernosum, but enhances the
effect of nitric oxide (NO) by inhibiting phosphodiesterase
type 5 (PDE5), which is responsible for degradation of cGMP
in the corpus cavernosum. When sexual stimulation causes local
release of NO, inhibition of PDE5 by sildenafil causes increased
levels of cGMP in the corpus cavernosum, resulting in smooth
muscle relaxation and inflow of blood to the corpus cavernosum (view
the Viagra mechanism of action diagram as an impotence cure
{click here}).
The following graph depicts how men rate the long term use
of Viagra for male impotence treatment:
Viagra (sildenafil citrate) has changed the course of male impotence treatment. Rarely has there ever been so much enthusiasm surrounding a prescription medication.
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Cialis
Male Impotence Treatment
Cialis Male Impotence Treatment
Cialis represents a new class of medications known as PDE-5
inhibitors for male impotence treatment. These medications
are used to treat male impotence. Cialis has been approved
by the European Commission for the treatment of male impotence
and is already in pharmacies throughout Europe.
In technical terms Cialis exerts its action by effecting two enzymes, Cyclic guanosine monophosphate (cGMP) and phosphodiesterase type 5 (PDE5) that play important roles in erectile function. Sexual stimulation triggers the local release of nitric oxide (NO) from nerves and endothelial cells in the penis. NO stimulates an enzyme that catalyzes formation of cGMP from the nucleotide guanosine 5-triphospate (GTP) in the penile blood vessels and corpus cavernosum walls.
The cGMP causes vasodilation
of arteries, allowing the influx of blood into the corpus cavernosum.
Increased blood flow into the penis causes the erectile tissue
to expand. When the erectile tissue has expanded sufficiently,
the veins draining the corpus cavernosum become compressed. This
decreases the outflow of blood from the penis, and the blood
remains in the corpus cavernosum to keep the penis erect.The
enzyme PDE5 eventually causes degradation of the cGMP, and the
erection ends (view
the Cialis mechanism of action diagram for impotence cure {click
here}).
Cialis is a prescription impotence treatment medication. Cialis
(pronounced see-AL-iss) was shown to improve erections for up
to 36 hours following the initial dose. During clinical studies,
some men reported improved erections as quick as thirty minutes
after taking Cialis. The male impotence treatment medication,
Cialis, is being called the "weekender"
because men only have to take on dose of Cialis for an entire
weekend of male impotence treatment.
Cialis Male Impotence Treatment Facts:
Cialis
has been called the "weekender" individuals can take
the
medication Friday afternoon and have improved erections for the entire
weekend.
Cialis
has less reported side effects when compared to Viagra for male impotence
treatment.
Cialis
works quickly, most men report improved erections within
thirty minutes of taking Cialis.
Cialis
has now been approved in both Europe and the United States
for
male impotence treatment.
Cialis is the most recent medication to be approved for the male
impotence treatment. The medication is unique from both Viagra Uprima,
and Levitra in the length of time the medication exerts its positive
effect. Most of the men during clinical studies stated that
they could have successful intercourse for a period of 24 to 36 hours
following a single dose of Cialis. Male impotence treatment for thirty-six
hours.
"Cialis has the potential to be a valuable new treatment option for men with male impotence symptoms and their partners," said Dr. Harin Padma-Nathan, urologist and lead investigator of the study. "A therapy that allows a man with impotence to engage in intercourse within a 36-hour window permits the couple to regain spontaneity in their sexual relationship."
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Levitra Impotence Treatment
Levitra
(vardenafil) mechanism
of action is similar to Viagra in male impotence treatment.
Viagra was the first of the so called, "PDE-5 inhibitors" and
Levitra is known in the same class to significantly help individuals
treat their erectile dysfunction (impotence). Similar to Viagra,
Levitra increases the quantity of blood supplied to the penis
thus improving the erection. Levitra is very selective in inhibiting
the PDE-5 without affecting other isoenzymes. This allows a
smaller dose of Levitra to have a more pronounced effect as
a larger dose of Viagra (the standard dose of Levitra dose
is 10mg while the standard dose of Viagra dose is 50mg). Through
this action, smooth muscle in the penis remains relaxed for
a longer period. This allows for increased blood flow into
the cavernous tissue of the penis thereby generating an erection.
Levitra is unique in that it increases a natural occurring
process, therefore, only through sexual stimulation will an
erection occur.
More specifically, Penile erection is a haemodynamic process. During sexual stimulation, nitric oxide is subsequently released. The nitric acid activates an enzyme guanylate cyclase, resulting in an increased level of cyclic guanosine monophosphate (cGMP) in the corpus cavernosum of the penis. This results in smooth muscle relaxation in the penis, allowing increased inflow of blood into the penis. The level of cGMP is regulated by the rate of synthesis via guanylate cyclase and by the rate of degradation via cGMP hydrolysing phosphodiesterases (PDEs).
Levitra is a potent and
selective inhibitor of the cGMP specific phosphodiesterase type
5 (PDE5), the most prominent PDE in the human corpus cavernosum view
the Levitra mechanism of action diagram as an impotence cure
{click here}).
Levitra enhances the effect of endogenous nitric oxide in the
corpus cavernosum by inhibiting PDE5 for impotence treatment.
When nitric oxide is released secondary to sexual stimulation,
inhibition of PDE5 by Levitra results in increased corpus cavernosum
levels of cGMP. Sexual stimulation is required for Levitra to
produce its beneficial therapeutic effects.
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Uprima Impotence Cure
Uprima
(apomorphine) is one of the most recent impotence treatment
drugs on the market designed to help men achieve and maintain
a sufficient erection for intercourse. Uprima
is the first clinically tested sublingual medication to enhance
erections by activating chemicals found in the brain.
Uprima tablets are dissolved under the tongue which stimulate dopamine
receptors in the hypothalamus and mid brain regions. Subsequently,
once sexual stimulation as occurred an excitatory signal is transmitted
via the spinal cord to stimulate parasympathetic activity in the
pelvic region that results in smooth muscle relaxation in the walls
of the arteries supplying the penis. The relaxation of walls of
these arteries allows the arteries to expand so more blood can
flow to the region, hence, improved erections (view
the Uprima mechanism of action diagram as an impotence cure medication
{click here}).
Uprima is unique in that it works through the central nervous system, producing a series of events that enhances the ability to achieve and maintain an erection. Uprima is administered sublingually (under the tongue) allowing the medication to bypass the gastro-intestinal tract. This allows for a rapid absorption of the medication allowing men to achieve and erection typically under 20 minutes.
"Uprima offers several benefits for patients: it works fast, and it works similarly to the way men normally have erections," said Prof. Jeremy Heaton, of Queen's University and Kingston General Hospital, Ontario, Canada. "Long- term data in men who continued in studies demonstrate that UPRIMA is successful in more than 90 percent of attempts at intercourse."
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Alternate Impotence Treatment Options
Herbal "Viagra" Male
Impotence Cure - have become very popular as an impotence
cure. Herbal supplements for the treatment of impotence should
contain a combination of the following ingredients: Yohimbe (bark),
Maca (root), Horny Goat Weed (leaf), Saw Palmetto (berry), Schizandra
(berry), Guarana (seed) Tribulus Terrestris (aerial part), Ashwagandha
(root), Asparagus Racemosus (aerial part), Ginger (root) Cayenne
Pepper (berry), L Tyrosine, and L Histidine. The Physicians Select
Herbal Viagra formula has all of these natural herbs plus a large
dose of Yohimbe, the most effect herbal impotence cure.
Penile
Injection Male Impotence Treatment - uses a hypodermic
needle to inject medication that is a mixture of papaverine,
phentolamine and prostoglandin into the side of the penis. The
medication relaxes the smooth muscle tissue of the penis allowing
for an erection. These injections can be painful, result in scare
tissue formation at the injection site and cause priapism, the
prolonged and painful engorgement of the penis).
Muse
Urethral Insert Male Impotence Treatment - consists
of a disposable applicator, small enough to fit into the urethra.
The applicator is inserted into the urethra approximately one
inch and the prostaglandin E-1 medication is released. As a result,
an erection occurs lasting 30-60 minutes. Patient acceptance
is still an issue secondary to expense and the low success rate
as compared to other treatments for male impotence.
Vacuum
Therapy Impotence Cure - works by placing a cylinder
with an attached pump over the penis. The pump creates a vacuum
in the cylinder, which pulls blood into the penis to create an
erection. The cylinder is then removed while simultaneously a
constriction band is placed at the base of the penis. This will
usually keep the penis erect for up to thirty minutes.
Hormonal
Therapy Male Impotence Treatment - is used to treat
the small percentage of individuals who have abnormally low levels
of testosterone. During the initial consultation, a physician
will likely order LH and Prolactin hormone test to exclude other
causes of low testosterone levels. If appropriate, testosterone
is available in a transdermal adhesive patch.
Vascular
Surgery Male Impotence Treatment - may involve both
the arterial and venous systems. Venous ligation has been reported
to be effective in patients with venous leakage. However, it
is often difficult to diagnose individuals with this condition
with the current testing capabilities; therefore, it is difficult
to predict their outcome prior to surgery. Arterial re-vasculation
procedures are limited to congenital or traumatic vascular abnormalities.
Similar to venous testing, complete standardization diagnostic
testing has not been established, so difficulties persists in
predicting surgical results.
Penile
Implants Impotence Male Impotence Treatment - requires
surgical insertion of a prosthetic device. Three forms of penile
prosthesis are currently available flexible, malleable and inflatable.
Flexible or Malleable rods consist of two semi-rigid, flexible
rods that make the penis firm enough for intercourse. There are
also inflatable prosthetic devices that produce a more natural
erection. When an erection is desired the pump (located in the
scrotum) is squeezed, this in turn inflates a cylinder, which
creates an erection.
Following intercourse, the pump is released and the penis returns
too normal. These devices have been associated with postoperative
infections, mechanical failure, silicon particle shedding and the
risk of the initial surgery.
Psychotherapy
and/or Behavioral Therapy Male Impotence Treatment - have
been found to be beneficial in treating impotence. Although the majority
of causes of impotence are physical, there are quite frequently underlying
psychosocial factors involved as well. Psychotherapy and/or behavioral
therapy may be helpful in individuals whom no organic cause for impotence
has been detected. Therapy often focuses on complications surrounding
performance anxiety, dysfunctional relationships, loss of a partner,
psychotic disorders, substance abuse, etc.
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