Means for Erectile Dysfunction Treatment: Classification
Remedies for erectile dysfunction are a combination of various drugs, dietary supplements, as well as folk recipes for decoctions, tinctures of medicinal herbs and other components. All these differences in nature means are gathered into one large group, since they have one common property – ability to improve or normalize n erection in a man, making it sufficient for full sexual intercourse.
Means against Impotence – General Characteristic of Existing Methods of Treatment
Impotence can be due to various reasons, including the use of certain medications or any systemic chronic diseases of organs that do not directly relate to the reproductive system. For effective treatment of erectile dysfunction, it is necessary to take into account cause that provoked problems with potency. A general tactic of therapy should include the simultaneous use of drugs aimed at eliminating causative factors, as well as symptomatic drugs that can improve potency. Isolated use of symptomatic drugs that improve potency, without treatment of causative factor, usually turns out to be ineffective.
So, at present, there are the following treatments for impotence, which are used in different situations depending on the causative factor:
1. Means of Conservative Treatment of Impotence:
- Psychotherapy is effective for eliminating impotence, provoked by psychological factors such as stress, conflict, depression, lack of sexual experience, sense of embarrassment before the partner, fears associated with sex, previous unsuccessful or negative experiences of sexual intercourse, etc.
- Replacement hormone therapy (reception of male sex hormones) is effective for the treatment of impotence caused by androgen deficiency, usually found in older people.
- Oral therapy (intake of various drugs and dietary supplements) is effective for impotence caused by various variants of blood flow to penis disorders (most cases of impotence).
- Local remedies (creams and ointments intended for application to the penis) are effective for impotence due to low libido, violation of blood flow to the penis, etc.
- Traditional methods of treatment (tinctures, decoctions, formulations, etc.) are effective for impotence associated with malnutrition, stress, etc.
- Use of foods that improve the production of sperm and increase sexual desire (for example, ginseng, honey, cucumber, hot pepper, garlic, squid, shrimp, etc.) is effective for impotence caused by inaccuracies in diet, wrong lifestyle, irregular sexual intercourse, transferred venereal diseases, etc.
- Vacuum pumps (apparatus creating negative pressure, which allows stimulating an erection) are effective for all types of impotence, regardless of reasons that provoked it.
- Acupuncture – stimulation of certain points on the body, capable of improving potency, by introducing needles.
2. Minimally Invasive Means:
- Intraurethral therapy – the introduction of drugs into the urethra.
- Intracavernous injection – the introduction of drugs directly into tissues of the penis.
- Gene therapy (this method is experimental and not yet widely used). In human body genes are introduced, on the basis of which development of biologically active substances providing erection takes place. Usually, these genes are damaged or inactive at impotence, and the introduction of the same genes from outside replaces their own inferior and allows to again conduct normal sexual intercourses. In experimental studies by XL Pharmacy staff, this method proved to be very effective, but there is as yet no official authorization for its use in any country in the world.
In the past, minimally invasive methods have been used in the treatment of impotence, but now they have quickly lost their place to various conservative means, as the latter has become much more effective and easier to use.
Drugs for Erectile Dysfunction – Classification and Brief Description
Currently, a group of drugs used in the treatment of impotence is called potency regulators. In turn, potency regulators are classified into the following groups:
1. Preparations that increase the content of nitric oxide in vessels of the penis:
- selective inhibitors of phosphodiesterase-5 (PDE-5) – sildenafil, tadalafil, vardenafil, udenafil;
- activators of NO-synthase – Impaza.
- selective alpha-2-adrenoblockers – Yohimbine;
- non-selective alpha-blockers – Phentolamine.
3. Prostaglandin-E analogs – Alprostadil.
4. Androgens (male sex hormones) – Testosterone, Andriol, Mesterolone, Proviron, etc.
5. Myotropic antispasmodics – Papaverine.
6. Preparations with the complex composition (herbal remedies, homeopathic medicines, animal drugs, and dietary supplements) – urological drops Gerbion, Kopriva, Milo 11, Permikson, Prostamol Uno, Prostanorm, Prostakor, Tentex Forte, Himcolin, Speman, Testalamin, Golden Pipit, Red Root, Arginine, Viardot, Vuka-Vuka, etc.
7. Preparations of various pharmacological groups:
- dopamine receptor antagonists – Apomorphine;
- serotonin reuptake inhibitors – Trazodone, Dapoxetine;
- neuroleptics – Sonapax;
- adaptogens – Pantocrine, Eleutherococcus, Ginseng, etc.;
- peripheral vasodilators – Nitromaz.
8. New drugs for the treatment of impotence (experimental) – Minoxidil, Melanotan, Vaso-intestinal peptide.