The Erectile Dysfunction Master™ By Christian Goodman The Erectile Dysfunction Mastery Program and the Erectile Dysfunction Master eBook is a fine piece of work from an acclaimed and experienced therapist. It includes the appropriate set of exercises to exercise specific sexual muscles. However, the program does not restrict itself to the treatment of the muscles only and goes beyond for a more holistic betterment of the physical and mental health of the practitioner. It is an affordable and natural way to treat ED without undergoing any of the side effects that the allopathic medications may cause. If you want to overcome the condition of ED and more safely, you should give the solution a try. Thousands have already undertaken the program and have seen the benefits.
What are the alternatives if oral medications are ineffective for ED?
If oral medications for erectile dysfunction (ED) are ineffective or have unacceptable side effects, several treatment alternatives may be employed. Treatment alternatives vary from approach, invasiveness, to efficacy depending on the severity of the ED and the medical conditions of the patient. Some of the most frequent alternatives are listed below:
1. Penile Injections (Intracavernosal Injections)
How it works: Drugs such as alprostadil (Caverject) or a combination of alprostadil, papaverine, and phentolamine are injected directly into the penis. They dilate the blood vessels, causing blood to flow into the penis and result in an erection.
Effectiveness: Injections are very effective, with greater than 80% success rate for non-responders to oral drugs. The erection lasts for 30-60 minutes.
Consideration: Injection is intimidating to some, and there is risk of pain, scarring, or priapism (erection lasting more than 4 hours). Training is required to inject the drug properly.
2. Penile Suppositories (Intraurethral Therapy)
How it works: A tiny pellet of alprostadil is introduced into the urethra using a special device. The medicine is absorbed by the lining of the urethra to cause increased blood flow and an erection.
Effectiveness: Intraurethral therapy is effective 50-60% of the time. It is less effective than injections but may be considered for people who do not wish to use injectable treatments.
Consideration: Side effects are urethral burning or bleeding, and the treatment may be uncomfortable for some.
3. Vacuum Erection Devices (VEDs)
How it works: A vacuum pump creates negative pressure around the penis, drawing blood into the shaft. A band is placed at the base of the penis to maintain the erection.
Effectiveness: VEDs work about 60-90% of men, depending on how bad the ED is. It is a non-surgical and medication-free procedure.
Consideration: VEDs are cumbersome, and wearing a constriction band can cause discomfort or restricted blood flow if used for prolonged periods. They may also result in bruising or penile coldness.
4. Penile Implants (Surgical Options)
How it works: A penile prosthesis is placed into the penis through a surgical procedure. There are two main types:
Inflatable implants: These are a reservoir and pump system where the user inflates the implant whenever needed.
Malleable implants: These are rigid rods which are in erection state at all times but which can be adjusted manually for placement.
Effectiveness: Penile implants are extremely effective (around 90%), with the majority of men achieving satisfactory results.
Consideration: It is risky to have surgery that can cause infection, mechanical dysfunction, and reaction to anesthesia. It is resorted to when other treatments don’t work.
5. Hormone Therapy (Testosterone Replacement)
Mechanism: It is possible ED is caused by low levels of testosterone. In case of blood test low testosterone, hormone replacement therapy can be recommended. Injected, transdermal with patches, gels, and pellets.
Effectiveness: Testosterone therapy can improve libido and erectile function in men with low levels of testosterone but is not the solution for all persons with ED, especially if ED is not caused by testosterone deficiency.
Consideration: Testosterone therapy can be associated with side effects, such as increased risk for blood clots, sleep apnea, and prostate issues. Monitoring is regular.
6. Shockwave Therapy (Low-Intensity Shockwave Therapy)
How it works: It is a low-intensity sound wave therapy that increases blood flow to the penis through stimulation of new blood vessel growth (angiogenesis). It is noninvasive.
Effectiveness: There are signs of shockwave therapy being able to cure men with ED, particularly those with vascular insufficiency, and being effective for up to 1-2 years.
Consideration: The therapy is in continuous research, and it is not yet suggested to all. It could be expensive and could possibly have to be repeated.
7. Lifestyle Changes and Psychological Counseling
How it works: In some men, ED might be linked to lifestyle factors such as stress, anxiety, depression, smoking, or eating habits. Altering these with psychotherapy, reduction of stress, exercise, weight loss, and stopping smoking can improve erectile function.
Effectiveness: Cognitive-behavioral therapy (CBT) or sex therapy may be effective in cases when ED has a significant psychological etiology. General health improvements by taking steps may also cure ED.
Consideration: Although lifestyle change is essential in overall health, it may not cure ED alone, particularly when there are some medical root causes.
8. Herbal Supplements and Natural Remedies
How it works: Others take herbal supplements like ginseng, L-arginine, yohimbine, or horny goat weed in an attempt to increase erectile function. Such supplements are believed to work through numerous mechanisms, such as stimulating the release of nitric oxide or improving circulation.
Effectiveness: Most of the evidence for herbal remedies is poor or inconsistent. They can have small benefits, but they are less consistent and can interact with drugs or cause side effects.
Consideration: Always consult a doctor before taking herbal supplements since they can interact with prescribed drugs or cause side effects.
Conclusion:
If oral therapy for ED does not work or is inappropriate, there are other alternatives from non-invasive to surgery such as penile implants. Treatment must be determined based on the etiology of the ED, patient preference, and a healthcare professional’s recommendation. In some men, the combination of these treatments with lifestyle modifications or psychocounseling may provide the optimal outcome.
Long-term use of erectile dysfunction (ED) medication is safe for the majority of people, but this depends on a variety of factors, including your general health, existing medical conditions, and the quality of drug care. This is a general summary of the key issues in long-term use:
1. Safety of ED Medications in General
ED medications like sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra) are tolerable when taken as directed. These medications work by supplying blood to the penis to achieve and sustain an erection. They have been thoroughly studied, and in most men, they may be taken safely over the long term when a physician prescribes them.
2. Potential Long-Term Risks
Although ED drugs are relatively safe, there may be risks involved with their long-term use, especially if used improperly or when they are combined with some drugs or illnesses. Some of the potential hazards of long-term use include:
Cardiovascular Health: ED drugs may decrease blood pressure, which could be an issue for some patients with certain cardiovascular diseases, like low blood pressure or heart disease. If you’re taking ED drugs long-term, your doctor will check on your heart health and overall cardiovascular risk.
Vision Problems: Vision disturbances can occur in some users of ED drugs, such as blurred vision or a blue tinge to vision. Sildenafil (Viagra) is the most likely of these drugs to cause this side effect and typically a brief period after drug intake. While unusual, repeated use of ED drugs occasionally may result in more severe vision disturbances. This is why eye tests may be recommended for chronic users.
Hearing Loss: While not common, some individuals who take ED drugs have experienced sudden hearing loss. In the event that this happens, one should immediately stop taking the drug and see a doctor.
Priapism: Priapism is prolonged erection lasting greater than 4 hours and perhaps resulting in a permanent injury of the penis. Although rare, priapism is a very serious condition possibly linked to drugs used for treating ED. In the unlikely case it happens, call emergency medical services at once.
Drug Interactions: Long-term use of ED medication has the potential to interact with other drugs, particularly those for treating diabetes, hypertension, or cardiovascular disease. As mentioned earlier, nitrates, alpha-blockers, and other medications may produce dangerous side effects when used with ED medication.
3. Monitoring Health Condition
If you are on long-term ED medication, monitoring underlying medical conditions that may affect the efficacy or safety of the treatment is crucial. For example:
Diabetes: Diabetes in men is a common cause of ED, and long-term treatment of diabetes can influence the safety of ED drugs. It is essential to maintain blood sugar levels under control and discuss with your doctor on a regular basis the most appropriate treatment strategy.
Prostate Health: Men with benign prostatic hyperplasia or other prostate diseases might have to balance ED drug with other therapies, like alpha-blockers or 5-alpha reductase inhibitors, cautiously.
4. Psychological Effects
While ED medication can be an important treatment element for erectile dysfunction, reliance on them for extended periods will mask the underlying psychological or emotional underpinnings of ED. The psychological and emotional problems that have the potential to cause ED, such as stress, anxiety, depression, and relationship issues, need to be addressed.
A psychological dependence upon ED drugs may develop in certain men, who feel they can’t have intercourse without them. This can affect self-esteem or the sexual relationship negatively.
5. Benefits of Long-Term Use
When used as directed and monitored, ED medications can restore sexual function and provide men with confidence, which can enhance quality of life. This, in turn, can have a positive impact on mental health and relationships, resulting in better overall well-being.
6. Routine Check-Ups and Monitoring
Routine check-ups with a prescriber are required for men on ED medications long-term to monitor:
Blood pressure and cardiovascular health
Kidney and liver function, especially if other medications are administered
Any potential side effect, such as visual or auditory alterations
Drug interactions with other medications
Conclusion
The use of ED medications for prolonged periods can be safe for the majority of individuals if monitored appropriately. However, long-term use should always be done under the guidance of a health provider, particularly in individuals with concomitant illnesses or on other medications. It’s crucial to balance the use of ED medications with lifestyle changes (such as dietary enhancement, physical activity, stress management) and address any psychological or emotional factors contributing to erectile dysfunction.
If you have concerns about long-term ED drug use or interaction with other medical conditions, it’s always best to discuss these with your doctor on an individual basis.
Would you like additional information on how to treat long-term ED safely or consider alternatives?
The Erectile Dysfunction Master™ By Christian Goodman The Erectile Dysfunction Mastery Program and the Erectile Dysfunction Master eBook is a fine piece of work from an acclaimed and experienced therapist. It includes the appropriate set of exercises to exercise specific sexual muscles. However, the program does not restrict itself to the treatment of the muscles only and goes beyond for a more holistic betterment of the physical and mental health of the practitioner. It is an affordable and natural way to treat ED without undergoing any of the side effects that the allopathic medications may cause. If you want to overcome the condition of ED and more safely, you should give the solution a try. Thousands have already undertaken the program and have seen the benefits.