Treating Erectile Dysfunction (Impotence)

Erectile Dysfunction or Impotence is defined as the inability to achieve or sustain a satisfactory sexual encounter.

As outlined in our 1st blog the causes can be many, although it is a very traumatic experience that can destroy families

and lead men to depression advances in main has created the opportunity to reverse the effects of Erectile Dysfunction.

Since 70 % of erectile dysfunction is caused by vascular damage, one of the first things that needs to be done is treat the underlying cause of the vascular damage.

The three major culprits for vascular damage are:

    DM 

    HTN

    CARDIAC DISEASE

Treating these three diseases can improve sexual performance

Other causes or contributing factors to erectile dysfunction are 

• Poor Nutrition
• Lack of exercise
• Use of alcohol, cigarettes and drugs  
• Stress 
• Obesity

       Modification of lifestyle like:

        - Consuming proper nutritionally healthy, organic foods

        - Exercising regularly

        - Avoidance of drugs, cigarettes, and alcohol    

        - Stress management

        - Weight management

       Can reverse or ameliorate erectile dysfunction

In some cases hormonal imbalances can cause erectile dysfunction and correcting the imbalances

 can correct the erectile dysfunction:

         - Low testosterone levels can be corrected by treating with testosterone (creams, injections, pellets)

            and in some cases with BHCG 

         - High estradiol levels can be lowered by treating with aromatase inhibitors (they block the conversion

            of testosterone to estradiol in obese men)

         - High prolactin levels (cause erectile dysfunction) treating with medications that inhibit prolactin (hormone of    

           lactation)release from the brain

Other choices is the use of medications and supplements such as

            Prescription medications (PDE5-I) (dilate arteries so that blood can go into the penis)

                  -  Viagra®

                  -  Levitra®

                  -  Cialis® 

Over-the-counter supplements: 

               - Ginkgo Biloba

               - Tribulus

               - Muira Puama

               - Horny Goat Weed

               - Eurycoma Longofilia

               - DIM

               - Chrysin

-  Intracavernous injections : (cause vasodilation of penile blood vessels)

       - Alprostadil

       - Papaverine

       - BiMix : Papaverine + Phentolamine

       - TrMix : Papaverine + Phentolamine + Alprostadil

 -  Intraurethral suppository : Alprostadil.   

 -   Stem Cell Treatments

Other options are use of devices  such as Vacum Erection Devices

Treating psychological causes of erectile dysfunction can some times reverse the erectile dysfunction

      Surgical Treatment:

             - Penile implant surgery

             -  Penile Prosthesis

Regenerative Medical Treatment for Erectile Dysfunction:

   -  Low Intensity Extracorporeal Shockwave Therapy.( uses ultrasound wave energy to cause new blood vessel formation)

   -   Platelet-RIch Plasma ( releases growth factors to create new blood vessels)

In conclusion, with the myriad of options to treat Erectile Dysfunction the landscape of hope has widened for those who suffer from erectile dysfunction.

For more information please call our office @703 992 9815 or email us @info@zinniaaesthetics.com

Author

Dr. Anteneh Roba