Archive for the ‘Prostaglandin’ Category

When Viagra, Cialis, Levitra, Don’t Work

May 24, 2010

Erectile dysfunction (ED) is a serious disorder that affects millions of men – as many as 30 million Americans.  With the aging of the US population, ED will become even more prevalent.  Erectile dysfunction can profoundly impact quality of life and, with the aging trends of the United States population, will become an increasingly important public health problem The likelihood of developing ED increases significantly with age, but this is not an old man’s disease as it also affects younger and middle aged men as well.

And, among those who do seek treatment and receive Viagra, one in three men do not have a satisfactory response. These are cases of drug-resistant erectile dysfunction, or DRED.  Some men find using the drug every time they want to have sexual relations inconvenient, or they don’t like the occasional headaches and other side effects.  What’s worse is when a man tries the drug, it doesn’t work, and he becomes depressed and it affects his marriage and other relationships.  That’s the bad news.  The good news is that there is a cure for ED, including drug-resistant ED, which works for nearly all men who suffer from the tragedy of the bedroom.

Success of the various treatments varies widely. Although the manufacturer of Viagra claims that it is effective in 82% of cases, studies have documented a high percentage of men who do not respond to the drug. Response seems to be somewhat linked to the underlying cause of ED. For example, men with diabetes are less likely to have a positive response than those with high blood pressure.

This leaves a significant population who require other more invasive options for the treatment of ED.  Another group for whom alternative therapies should be considered are those men who are taking nitrates for their angina. For these 6 million men, Viagra, Levitra, and Cialis are strictly contraindicated, since the nitroglycerin and the ED drugs can cause a severe drop in blood pressure.

Other treatment options include pellets of prostaglandin inserted into the urethra, injections of prostaglandin through a tiny needle into the penis, the use of an external vacuum device, and the surgical insertion of a penile prosthesis.

Bottom Line:  ED is a common condition and nearly everyone can be helped.  No one needs to suffer the tragedy of the bedroom.

If Viagra Doesn’t Work-Prostaglandin Might Help Treat Your Erectile Dysfunction

March 17, 2010

Erectile dysfunction is a common condition affecting nearly 30 million American men.  It wasn’t long ago that most cases were thought to be do to psychological causes.  Now we know that most men have a physical cause.

Erectile dysfunction occurs with greater frequency after age 40, although it is not inevitable consequence of aging.  The condition can result from complications of chronic conditions, such as coronary artery disease, high cholesterol levels, high blood pressure, and diabetes mellitus.  Side effects of surgery, medications, and psychological influences are also associated with impotence, as are lifestyle factors such as high-fat diet, drug abuse, excessive alcohol consumption and smoking.

Since July 1995, prostaglandin (Caverject) has been approved by the Federal Drug Administration for the treatment of impotence.  Prostaglandin offers men and their partners hope for a problem for which there was previously no approved medication.

Caverject is administered via a small needle through the skin on the top of the penis.  The drug works by relaxing smooth muscle tissue, which, in turn, enhances the blood flow into the penis, creating an erection.  The drug is used for the treatment of erectile dysfunction, whether the cause is neurological, vascular, or psychological.  Men who choose this treatment option receive an initial injection from their physician to determine the optimum dosing.  Then the patient can administer prostaglandin once he has been trained in the technique of self-injection.

Prostaglandin is only available by prescription.

An erection usually occurs 3-5 minutes after the injection and will last for 30-45 minutes.  Men are able to enjoy orgasm and normal ejaculation using prostaglandin injection.  However, the recommendation is to limit the use to twice a week.  Side effects include slight pain at the site of the injection, occasional bruising, and less than 3 percent will have an erection that requires medication to reverse the drug effect.

The results of using prostaglandin are favorable since more than 80 percent of patients diagnosed with erectile dysfunction who use prostaglandin experience an erection adequate for sexual intimacy.

If you suffer from erectile dysfunction, it is a good idea to see your physician so that the proper diagnosis can be made and the appropriate dose of prostaglandin can be selected.  It is now possible to find an effective treatment for most men who suffer from this common medical problem that significantly impacts a man’s quality of life.

Bottom Line:  If you have tried one of the oral medications for erectile dysfunction and you are not receiving the result you would like, consider self-injection therapy with prostaglandin