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Effects of Impotence Treatment Newer Pharmacologic Alternatives for Erectile Dysfunction Erection problems are common in adult men. In fact, almost all men experience occasional difficulty getting or maintaining an erection. In many cases, it is a temporary condition that will go away with little or no treatment. In other cases, it can be an ongoing problem that can damage a man's self esteem and harm his relationship with his partner, and thus requires treatment. Be assertive instead of aggressive. "Assert" your feelings, opinions or beliefs instead of becoming angry, combative or passive. Paolo Serafini1, Kristen Meckel1, Michael Kelso1, Kimberly Noonan1, Joseph Califano2, Wayne Koch2, Luigi Dolcetti3, Vincenzo Bronte3, and Ivan Borrello1 Several medications are being studied for treating erectile dysfunction; they include IC351 (another PDE5 inhibitor), sublingual apomorphine, and the combination of yohimbine and L-arginine. Scientists also are studying gene therapy to treat erectile dysfunction. The team focused on a form of radiation therapy called intensity-modulated radiation therapy (IMRT). According to the American Cancer Society, IMRT is a cutting-edge, 3-D form of high-dose radiation therapy. The treatment is delivered by a computer-controlled machine that moves around the patient to target diseased tissue while avoiding healthy tissue, thereby allowing for the safer use of higher doses of radiation. Penile ultrasound to check for blood vessel or blood flow problems Tim Roddy, M.D., a urologist in Edmonds, Wash., agrees that the pressure of sitting on a bike seat can cause the problem: "A man can squeeze off some of the vital arteries and nerves necessary for normal sexual functioning by sitting on a hard bicycle seat too long," he says. Possible blindness due to nonarteritic anterior ischemic optic neuropathy and cilioretinal artery occlusion caused by PDE-5 inhibitors has been a concern. This is an extremely rare event, with only a handful of reported cases from the tens of millions of patients using PDE-5 inhibitor medications. This risk may be increased if the PDE-5 medication is misused or overdosed. "Regular intercourse has an important role in preserving erectile function among elderly men, whereas morning erection does not exert a similar effect," Koskimki said in a statement. "Continued sexual activity decreases the incidence of erectile dysfunction in direct proportion to coital frequency." SALES! Is saying "no" to sex really an option? Oral testosterone can reduce ED in some men with low levels of natural testosterone, but it is often ineffective and may cause liver damage. Patients also have claimed that other oral drugs—including yohimbine hydrochloride, dopamine and serotonin agonists, and trazodone—are effective, but the results of scientific studies to substantiate these claims have been inconsistent. Improvements observed following use of these drugs may be examples of the placebo effect, that is, a change that results simply from the patient's believing that an improvement will occur. Over time, high blood pressure damages your blood vessels, which can lead to erectile dysfunction. While it’s critical to get high blood pressure under control, ED is a side effect of some blood pressure control medications for some men. Topical Erectile Dysfunction Therapy Shows Promise Dr. Andrew McCullough, director of male sexual health, fertility and microsurgery at NYU Langone Medical Center, said the results are promising. A. MUSE (available since 1997) employs a small, specially-designed plastic plunger that is placed on the tip of the penis. Once the plunger is pressed, a rice-size pellet of medication (alprostadil) is pushed into the urethra. Moisture left by urine causes the pellet to dissolve, triggering an erection minutes later. Certainly less invasive than a hypodermic injection of medication, MUSE, an acronym for "medicated urethral system for erection," turns out to be a poor solution. Many men complain of a burning pain in the penis after the drug has been inserted, and there is a small risk of urethral injury. Since the efficacy of MUSE is extremely low - 10 percent or less, according to on 1998 study and the side effects are worse than injection therapy, I don't recommend it as a first-line treatment after a radical prostatectomy.

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