Nitrates: Nitroglycerin, Isosorbita mononitrate and dinitrate; Part of alpha-blockers: Carvedilol, Prazosin, Alfuzosin, Labetalol, Ergotamine.
When taken continuously, Sildenafil and Vardenafil are used 2 times / day with an interval of 12 hours, Tadalafil - 1 time / day. Side effects from these drugs are extremely rare and, as a rule, are associated with individual intolerance.
According to the recommendations of the American Society of Andrology, continuous use of the drug is preferable. It has been statistically proven to improve male sexual function compared to episodic treatment.
Contrary to the common misconception, against the background of these drugs, a persistent permanent erection does not occur - an increase in the penis occurs only with sexual arousal. Therefore, there are two drug regimens - constant and episodic (only before the outlined sexual intercourse).
Drug Feature Sildenafil Vardenafil Tadalafil Duration of action (hours) 12 12-15 36 Compatibility with food The effect practically disappears when the drug is taken together with any food. The effect of the drug is significantly weakened after taking fatty foods Does not depend on food. After 30 min. After 2 hours. The optimal dose is 100 mg 10 mg 20 mg.
Unfortunately, it is almost impossible to finally restore erectile function in a man with these pathologies. Therefore, the main goal of treatment is to provide an opportunity to have full sexual intercourse. This can be done with special impotence pills or surgery. What kind of tactics is better to choose should be determined by the attending physician urologist-andrologist.
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The success of this therapy technique is determined by the man's desire to restore the lost function and the experience of a psychotherapist-sexologist. Since drugs for impotence will not help eliminate the psychological problem, it is important to consult a specialist in a timely manner. He held a consultation and will find out the cause of the development of problems, after which he will determine further tactics. In some cases, successful treatment requires the participation of the patient's partner in the consultation and psychotherapy process.
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With a significant increase in the gland, it is recommended to remove it in a planned manner. Before the operation, it is necessary to reach the normal level of T3, T4, which can be done with the help of preparations of radioactive iodine or antithyroid action (Tiamazole).
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The probability of recovery after it is 70-90% of cases. When the tumor grows again, a similar operation is performed. If it is ineffective or the patient refuses, therapy with pharmacological agents is indicated: The method of treatment is determined individually for each person.
In addition to testosterone deficiency, other hormonal pathologies can also lead to weakening / disappearance of an erection. To eliminate their symptoms, a comprehensive treatment is carried out aimed at the cause of the disease and the mechanisms of its development.
Since all the symptoms of this disease arise from testosterone deficiency, therapy for hypogonadism consists in long-term use of drugs of this hormone. This will eliminate all symptoms, restore the libido and sexual capabilities of the man.
Most of the endocrine pathologies that lead to the appearance of signs of impotence can be cured or compensated for, which will lead to a full restoration of the male's sexual functions. The most common hormonal disorder is hypogonadism due to damage to the testicles or pituitary gland.
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