1. Age
In 1992, the United States National Institute of Health concluded that age is closely related to erectile dysfunction and indirect risk factors, with age, the occurrence of erectile dysfunction increased possibility. Foreign reports, 20 to 30-year-old male erectile dysfunction prevalence rate of 7%, 70 ~ 79-year-old erectile dysfunction incidence was 57%.
Despite the possibility of erectile dysfunction improve with age, but erectile dysfunction in the aging process is not inevitable.
2. Disease
① cardiovascular disease such as heart disease, high blood pressure in patients with erectile dysfunction associated with the respective percentages of 39%, 15%. Erectile dysfunction and may be generalized atherosclerosis precursor.
② diabetes and erectile dysfunction are most closely related to one disease, diabetes prevalence rate of erectile dysfunction was 23% ~ 75%. Diabetes who happened more than 10 years the possibility of erectile dysfunction than 5 years 1 times higher. In addition, poorly controlled blood glucose, smoking increased the incidence of potential.
③ chronic renal failure associated with the ratio of erectile dysfunction in 40%.
④ hyperlipidemia, higher serum total cholesterol, high LDL close lower, the occurrence of erectile dysfunction more likely.
⑤ multiple sclerosis, stroke, demyelinating diseases, neurological disorders such as Alzheimer's are related to erectile dysfunction.
⑥ pituitary function deteriorated, hypogonadism, hyperprolactinemia, adrenal disease, hyperthyroidism, hypothyroidism and other endocrine diseases and erectile function.
⑦ prostate, penile diseases associated with the possibility of erectile dysfunction in 40%.
⑧ ulcer disease associated with the possibility of erectile dysfunction was 18%, arthritis, allergies, alcoholic cirrhosis, chronic obstructive pulmonary disease are closely linked with erectile dysfunction.
3. Psychological factors
Mental illnesses such as schizophrenia, depression and the treatment of depression with drugs related to erectile dysfunction. 50% ~ 90% in patients with depression desire indifferent; On the other hand, sexual dysfunction is often caused by depression, anxiety and other mental disorders.
4. Diuretic agents, antihypertensive agents, treatment of heart disease drugs, antipsychotic, antidepressants, hormones, anti-cholinergic drugs and the treatment of ulcer disease drugs may cause erectile dysfunction.
5. Unhealthy lifestyle
① smoking. Smoking and non-smokers with heart disease completely erectile dysfunction prevalence rates were 56% and 21%; smoking smoking and non-smoking hypertensive patients with complete erectile dysfunction prevalence rates were 20% and 8.5 %.
② alcoholism. Alcohol has "enhance sexual desire, reduced sexual power" theory. Overseas studies have shown that alcohol and non-alcoholic liver disease in patients with erectile dysfunction prevalence rates were 70% and 25%. And half years after the people in the abstinence failed to restore erectile function.
③ drug. Research has shown that heroin from erectile dysfunction prevalence rate of 32.2%.
6. Trauma, surgery or surgery of spinal cord injury, pelvic fracture with urethral injury, abdominal perineal radical surgery of rectal cancer, retroperitoneal lymphadenectomy, aortic reconstruction surgery, pelvic radiotherapy for prostate cancer, such as any damage to the penis nerve and vascular supply trauma, surgery are easily cause erectile dysfunction. Therefore, surgeons should make continuous improvement in surgical procedures, improve surgical techniques, the prevention of iatrogenic erectile dysfunction happen.
Wednesday, February 25, 2009
Chinese medicine and acupuncture impotence disease therapy
Impotence refers to penile erection should not have sexual intercourse, or penis erection but can not are able to maintain an adequate hardness in order to complete sexual intercourse, and are collectively referred to as impotence. Accidental factors (such as fatigue, lethargy or poor restless mind, no thought or energy to make love, etc.) should not cause temporary erectile impotence patients who should not count.
Impotence can be divided into two types of primary and secondary. Adult sexual intercourse from the failure to complete for those who love the process, called primary impotence. Penis erection that can lead a normal sex life, then emerged for various reasons erectile dysfunction, said secondary impotence.
Impotence caused by many reasons, around the following eight factors:
First, a child suffering from cryptorchidism (ie, deflated empty scrotum, testicles hidden in the body, resulting in testicular atrophy or dysplasia) or penile shrinkage in vivo. No knowledge of the parents, did not pay attention to this condition, son grew up to be married should not marital, fertility, only to find the reasons for a medical examination when found that the lateness of the hour. The author on the governance of several cases of such patients (acupuncture and massage services have a very long time Chinese medicine can be cured), is of primary impotence. Ways to prevent: parents of children, that is, pay attention to check whether the boy's testicles inside the scrotum, or small often in the body. Once found, immediately asked the doctor has experience teach you how to testicular or glans penis by vitro, two to three times daily until the next to the abdomen in vitro is not back to normal so far. Please note a matter of common sense, testicular sperm production is lower than the temperature required to do, God will scrotum hanging in vitro rather than in the body, have it are justified. Testosterone in the body must reduce the impact of its growth and development, the adult will cause impotence or male infertility.
Second, adolescence look yellow or lesser Television Books should not look to see pictures of the scene, resulting in sexual impulses, caused by masturbation into practices hurt their strength, causing the patient, this is an important primary cause of impotence cases.
Three, and his girlfriend make love on a clandestine love affair, a sudden shock, interruption of sexual intercourse, then suffering from impotence, which is clinically often heard v. disease causes. Governance of such disease in addition to conventional prescription impotence of governance, but also increases aizoon Anmyeon Acupoints do soothe the nerves.
Fourth, and his girlfriend or wife had a normal sexual life, then the relationship broke down and asks for love refused, resulting in loneliness, mental suffering, hatred of women do not trust the spirit of factors, caused by secondary disease impotence. taking impotence drugs is also invalid. Such diseases are common in clinical practice.
Friday, misuse listen to people talk, semen is the essence of the human body, such as pity sperm fate, not with their wives or girlfriends to make love, or in the penis when ejaculation is about to be taken out of human control to prevent ejaculation, and sometimes a long time of not only physical injury and cause impotence.
Sixth, the woman does not meet due to various reasons, whenever the man is about to orgasm, the man pushed the woman's body interrupted sexual intercourse stimulate the male unbearable immediately penis shrink from no longer erection, which is one of the reasons for impotence deficiency .
Seven due to injury, accident or other causes of injury in the lumbosacral or thoracic injury of lumbosacral vertebrae, or other surgical diseases, renal function or affect the reproductive system functions, or serious renal deficiency, causing impotence.
Eight, suffering from cardiovascular and cerebrovascular diseases, digestive system, urinary system, reproductive system diseases such as chemical drugs or long-serving drug addiction, resulting in no love's interested, gradually develop into impotence.
Male impotence is often described as difficult to talk of carrying the disease can not afford the first, long-term treatment is invalid, the woman known as pain-free period of trauma disease, although both very emotional, the cause of the family business are good, and children, women still make divorce.
I mainly use special acupuncture, massage cupping medicine service as a supplement, to be followed by the woman on the emotional and massage with a high cure rate. Acupuncture is the key, and point selection accuracy, selection needle thickness, the length of the right way, especially the quasi-needle eight points is the key to the key, before and after attacked, scalp acupuncture combined with body is particularly important.
Clinical author of nearly 40 years, Chinese and foreign impotence cure many cases of disease are now cite five cases for our readers, give the relationship between husband and wife who will soon disappointed with confidence.
First, 85 years my Feidong opened in Anhui since the reform and opening the first private Chinese medicine acupuncture clinic, heard of a school principal for several years suffering from impotence, Beijing, Shanghai and Guangzhou in the large hospital long rule invalid, no hope of end to divorce his wife, I ask Finally his wife give me a month of acupuncture time, further away from the too late. She was moved by my sincerity, promised to test needle for 30 days. The results of the needle 20 times after sexual intercourse, 30 times more. 89 years December 27 People's Daily Overseas Edition versatile text in good in one paper has reported this case.
Second, 90 Asian Games held in Beijing during the Chinese Cultural Exhibition of Chinese medicine, I was invited to Beijing with the national 100 experts, Chinese and foreign guests to the presentation of traditional Chinese medicine and cultural advantages. During this period, the Department of Energy of a Chinese leadership due to impotence, long-standing rule is invalid, in the General Assembly to find I tried to rule by the needle 10 times to experience their sexuality, his wife appreciate the special effects magic needle, fast.
Three, 95 years my Chinese medicine hospital in Zhuhai Jiuzhou out-patient specialist Dr. Ren Zhuzhi acupuncture to cure a case of Taiwan suffering from cardiovascular and cerebrovascular insufficiency doctor, Professor introduce him Panchiao City, Taipei County, a big boss suffering from impotence bald long, skeptical coming Zhuhai, doctor useless head the size of him, after the needle 60 are cured, especially bald little hair that he was full of praise for the needles.
Fourth, in September 2000 in Los Angeles I, a white teacher because of his wife suffering from breast cancer, uterine cancer after the surgery, suffer from insomnia for more than two years for refusing to love, so that he is suffering from impotence bald, my wife was sick he was a good confidence-needle acupuncture therapy, I heard that I will rule bald impotence, on the teeth and adhere to acupuncture, 60 patients two days a good fruit.
Friday, Example IV 76-year-old teacher, hemiplegia aphasia caused by a car accident six years, Northern California Special from Los Angeles came to find me acupuncture, not only speech, dressing and walking also secretly told the old lady, the old man can make love a. Three thumbs 6 Chan Chinese acupuncture great, the magic. (Both camera pictures as evidence)
The above simple example, not claim to medicine, but to let the suffering of the abyss in the family to see the efficacy of acupuncture and Chinese medicine dawn, rebuild the confidence of a happy family.
Impotence can be divided into two types of primary and secondary. Adult sexual intercourse from the failure to complete for those who love the process, called primary impotence. Penis erection that can lead a normal sex life, then emerged for various reasons erectile dysfunction, said secondary impotence.
Impotence caused by many reasons, around the following eight factors:
First, a child suffering from cryptorchidism (ie, deflated empty scrotum, testicles hidden in the body, resulting in testicular atrophy or dysplasia) or penile shrinkage in vivo. No knowledge of the parents, did not pay attention to this condition, son grew up to be married should not marital, fertility, only to find the reasons for a medical examination when found that the lateness of the hour. The author on the governance of several cases of such patients (acupuncture and massage services have a very long time Chinese medicine can be cured), is of primary impotence. Ways to prevent: parents of children, that is, pay attention to check whether the boy's testicles inside the scrotum, or small often in the body. Once found, immediately asked the doctor has experience teach you how to testicular or glans penis by vitro, two to three times daily until the next to the abdomen in vitro is not back to normal so far. Please note a matter of common sense, testicular sperm production is lower than the temperature required to do, God will scrotum hanging in vitro rather than in the body, have it are justified. Testosterone in the body must reduce the impact of its growth and development, the adult will cause impotence or male infertility.
Second, adolescence look yellow or lesser Television Books should not look to see pictures of the scene, resulting in sexual impulses, caused by masturbation into practices hurt their strength, causing the patient, this is an important primary cause of impotence cases.
Three, and his girlfriend make love on a clandestine love affair, a sudden shock, interruption of sexual intercourse, then suffering from impotence, which is clinically often heard v. disease causes. Governance of such disease in addition to conventional prescription impotence of governance, but also increases aizoon Anmyeon Acupoints do soothe the nerves.
Fourth, and his girlfriend or wife had a normal sexual life, then the relationship broke down and asks for love refused, resulting in loneliness, mental suffering, hatred of women do not trust the spirit of factors, caused by secondary disease impotence. taking impotence drugs is also invalid. Such diseases are common in clinical practice.
Friday, misuse listen to people talk, semen is the essence of the human body, such as pity sperm fate, not with their wives or girlfriends to make love, or in the penis when ejaculation is about to be taken out of human control to prevent ejaculation, and sometimes a long time of not only physical injury and cause impotence.
Sixth, the woman does not meet due to various reasons, whenever the man is about to orgasm, the man pushed the woman's body interrupted sexual intercourse stimulate the male unbearable immediately penis shrink from no longer erection, which is one of the reasons for impotence deficiency .
Seven due to injury, accident or other causes of injury in the lumbosacral or thoracic injury of lumbosacral vertebrae, or other surgical diseases, renal function or affect the reproductive system functions, or serious renal deficiency, causing impotence.
Eight, suffering from cardiovascular and cerebrovascular diseases, digestive system, urinary system, reproductive system diseases such as chemical drugs or long-serving drug addiction, resulting in no love's interested, gradually develop into impotence.
Male impotence is often described as difficult to talk of carrying the disease can not afford the first, long-term treatment is invalid, the woman known as pain-free period of trauma disease, although both very emotional, the cause of the family business are good, and children, women still make divorce.
I mainly use special acupuncture, massage cupping medicine service as a supplement, to be followed by the woman on the emotional and massage with a high cure rate. Acupuncture is the key, and point selection accuracy, selection needle thickness, the length of the right way, especially the quasi-needle eight points is the key to the key, before and after attacked, scalp acupuncture combined with body is particularly important.
Clinical author of nearly 40 years, Chinese and foreign impotence cure many cases of disease are now cite five cases for our readers, give the relationship between husband and wife who will soon disappointed with confidence.
First, 85 years my Feidong opened in Anhui since the reform and opening the first private Chinese medicine acupuncture clinic, heard of a school principal for several years suffering from impotence, Beijing, Shanghai and Guangzhou in the large hospital long rule invalid, no hope of end to divorce his wife, I ask Finally his wife give me a month of acupuncture time, further away from the too late. She was moved by my sincerity, promised to test needle for 30 days. The results of the needle 20 times after sexual intercourse, 30 times more. 89 years December 27 People's Daily Overseas Edition versatile text in good in one paper has reported this case.
Second, 90 Asian Games held in Beijing during the Chinese Cultural Exhibition of Chinese medicine, I was invited to Beijing with the national 100 experts, Chinese and foreign guests to the presentation of traditional Chinese medicine and cultural advantages. During this period, the Department of Energy of a Chinese leadership due to impotence, long-standing rule is invalid, in the General Assembly to find I tried to rule by the needle 10 times to experience their sexuality, his wife appreciate the special effects magic needle, fast.
Three, 95 years my Chinese medicine hospital in Zhuhai Jiuzhou out-patient specialist Dr. Ren Zhuzhi acupuncture to cure a case of Taiwan suffering from cardiovascular and cerebrovascular insufficiency doctor, Professor introduce him Panchiao City, Taipei County, a big boss suffering from impotence bald long, skeptical coming Zhuhai, doctor useless head the size of him, after the needle 60 are cured, especially bald little hair that he was full of praise for the needles.
Fourth, in September 2000 in Los Angeles I, a white teacher because of his wife suffering from breast cancer, uterine cancer after the surgery, suffer from insomnia for more than two years for refusing to love, so that he is suffering from impotence bald, my wife was sick he was a good confidence-needle acupuncture therapy, I heard that I will rule bald impotence, on the teeth and adhere to acupuncture, 60 patients two days a good fruit.
Friday, Example IV 76-year-old teacher, hemiplegia aphasia caused by a car accident six years, Northern California Special from Los Angeles came to find me acupuncture, not only speech, dressing and walking also secretly told the old lady, the old man can make love a. Three thumbs 6 Chan Chinese acupuncture great, the magic. (Both camera pictures as evidence)
The above simple example, not claim to medicine, but to let the suffering of the abyss in the family to see the efficacy of acupuncture and Chinese medicine dawn, rebuild the confidence of a happy family.
How to conquer the male sexual dysfunction - impotence and premature ejaculation
Impotence reasons, superficial and points, rational and physiological heart (organ is) of two broad categories; 70 years ago less developed medicine that 90% of impotence are caused by psychological factors; but after the age of 80 found at least more than half of patients with impotence problem can be found in organs, not only gradually opened impotence mysterious secret anguish, but also for the treatment of male erectile dysfunction, the development of a number of ways.
A. psychological impotence
Psychological impotence is characterized by sudden, short-term or when the good or bad, many patients themselves to their own experience, when these psychological Su-excluded, the many anti-impotence drug can not be more male vibration as ever. Common causes such as the cause of heavy night or sudden changes, tired at the end of things is frequently out of position, not only the hardship erectile chicken, and even "interested" are dull, the improvement in physical and psychological pressure to lift after many can re - Zhen-Feng. Some patients met his wife on the "dejected" and other sexual partners but they gaggle, which "varies from person to person," the situation is a typical psychological impotence.
Another common factor is the psychological "sexual anxieties" (Performance anxiety), the aforementioned big event that will not do too much on the cases may have on his wife like a tigress; or excessive demand; or has in his "No" or performance sneer at him when good natter; sick themselves or their own expectations too high, feel like A film actor is not a man, so that each gave their own act before the pressure and expectation, I hope a good performance, often caused by "sexual anxiety "and do cold inverted.
B. organ sexual impotence
Other body organs or the penis itself can cause impotence problems, impotence is a sexual organ, other organs common illnesses such as diabetes, hypertension, heart failure, asthma, uremia, liver cirrhosis. Since sexual function is not necessary to sustain life, reproduce offspring are to survive in a healthy subject to be meaningful, so the foregoing when those who suffer from serious illness, is unable to show sexual function, the so-called "full warm thinking" is this reason. Therefore must be to improve the health of other organ diseases, will it be possible to improve impotence.
Impotence treatment
Treatment premise to consider the patient's age, health status and treatment motivation. Some people think that age has been great, no matter is not of good; I have also seen 80 mettlesome man, married a 28-year-old Thai bride, Tim had just one son,sexuality and unable to seek treatment; followed by the response to the causes of impotence and prescribe the right remedy.
Psychological treatment of sexual impotence First remove the psychological barriers and pressures, including the adjustment of life style, sexual partner's communication, feelings of culture, and even to different points in order to enhance life, aimed at creating a comfortable feeling happy, style and context. Of course, adequate sleep, balanced nutrition and moderate exercise to maintain physical health status is a basic requirement. If the result of these efforts are still unable to , then it must consult a psychiatrist.
Organic impotence, the first should be the treatment of its original medical diseases such as diabetes, although there is no cure, but should be a good blood sugar control; high blood pressure should be control of blood pressure, cirrhosis should pay attention to diet, nutrition and the amount of ascites, and then for the penis the cause of the treatment.
The second step is to see whether the lack of male hormone. Most of impotence patients do not lack testosterone, ventured to add, not only useless but harmful.
Is according to the penis for the most common vascular problem started.
Severe arterial insufficiency of the penile artery reconstruction surgery can be considered will be rough and healthy cavernosal arteries to increase blood flow into the supply, but this surgery and unpredictable consequences, connected to blood vessels may also be re-stenosis has been very less adopt.
Mixed venous serious penile vein ligation can do, but in fact can not be because of all vein ligation, addition of venous blood will be blocked from other small venous return, wait until these small veins gradually stretch, it also remains the Blood Leak . Vein ligation so one year and 50% of patients dying again.
Because of the penis against the effects of arterio-venous surgery is not very good, so for the treatment of vascular impotence generally are the following options:
1. Oral drug therapy
Used to increase blood supply to penis, commonly used drugs have ginkgo extract objects (such as Cerenin, Tebonin) or Pentoxifylline (trade name Trental or Ceretal), but the effect is not significant. Effects are better psychiatric antidepressants, such as Trazodone (Mesyrel, the United States), Fluoxetine (Prozac Prozac), simultaneously with the auxiliary erection and delayed ejaculation double effect, is the role of neurokinin in the central nervous system amine drugs (serotonin), the effect of up to more than half, has a slight disadvantage are the side effects of sleepiness, but also to take a few weeks in order to be effective. The most effective oral impotence drug Viagra is of course, this allows Pfizer earnedaphrodisiac century, please see the following section.
2. Urethral suppository
Urethral suppository - Miu silk (MUSE): Miao-wire is not a drug, but a urethral insert from the drug delivery methods are Medicated Urethral System for Erection of abbreviations into pharmaceutical are prostaglandin (PGE1), but Cypriot agent dose than intracavernous injection of larger doses. Miao-wire has just launched Flaccidity Mi really lift the spirit of the men, because well-known PGE1 could鸡鸡do not have to play in, and with the plug on it, but after a long time trial, found wonderful silk are only three or four into effect, and will stimulate urethral suppository, causing urethral pain, bleeding and infection, has now been abandoned.
3. Penis vacuum aspirator
Penis vacuum suction is like breast implants of "fast Takami" tubular suction device, the same principle, but designed to support the erectile penis pump, the fourth Units also have ads, but ads that will allow the penis and then grew up should be impossible, and disadvantage are feeling the penis has a lot of patients with cold and troublesome, especially in the Spring Lane stepholidine moment, but first drill out a pile of Items doubled,forget it, "head" have been dampen only unhappiness does. In addition occasional difficulties and penis ejaculation subcutaneous hemorrhage punctate. Can also be drugs or following injection with the use of PGE1.
4. Penis self-injection
This is second only to artificial penile implant surgery the most effective way (than Viagra is also effective). Injection of drugs are powerful vasodilator; with the smallest number of fine needle directly injected into the corpus cavernosum, the minutes on the "into a live dragon."
Commonly used drugs are poppy alkali (Papaverine) and prostaglandin PGE1, among PGE1 better and less side effects. Efficacy up.
The biggest disadvantage is to have an injection in the penis, the initial attempt to have a fraction of the courage of men really do, but there are a few points injection to pay special attention to:
Must be injected into the Intracavernosal to be valid, playing in the penile skin is invalid.
Regardless of poppy alkali or PGE1, is a strong vasodilator, the dose is too large a drop in blood pressure and even shock, so be sure to follow the doctors instructions, from the lowest dose began to slowly increase the dose; but the principle is valid, not playing more many more strong.
After injection to really pin down the mouth to stop bleeding, prevent penile subcutaneous hematoma, and not injected more than twice a week in order to reduce the injection sclerosis Department scarring.
After injection, if the erection does not subside over a few hours, treatment should be quick to find a doctor, otherwise the long-term cause of erectile smooth muscle Intracavernosal hypoxic damage, but will add to impotence.
5. Artificial penile implant surgery
This is the final step in the treatment of impotence is also a tricky move, once and for all and to be effective (unless of postoperative infections, must be removed).
A. psychological impotence
Psychological impotence is characterized by sudden, short-term or when the good or bad, many patients themselves to their own experience, when these psychological Su-excluded, the many anti-impotence drug can not be more male vibration as ever. Common causes such as the cause of heavy night or sudden changes, tired at the end of things is frequently out of position, not only the hardship erectile chicken, and even "interested" are dull, the improvement in physical and psychological pressure to lift after many can re - Zhen-Feng. Some patients met his wife on the "dejected" and other sexual partners but they gaggle, which "varies from person to person," the situation is a typical psychological impotence.
Another common factor is the psychological "sexual anxieties" (Performance anxiety), the aforementioned big event that will not do too much on the cases may have on his wife like a tigress; or excessive demand; or has in his "No" or performance sneer at him when good natter; sick themselves or their own expectations too high, feel like A film actor is not a man, so that each gave their own act before the pressure and expectation, I hope a good performance, often caused by "sexual anxiety "and do cold inverted.
B. organ sexual impotence
Other body organs or the penis itself can cause impotence problems, impotence is a sexual organ, other organs common illnesses such as diabetes, hypertension, heart failure, asthma, uremia, liver cirrhosis. Since sexual function is not necessary to sustain life, reproduce offspring are to survive in a healthy subject to be meaningful, so the foregoing when those who suffer from serious illness, is unable to show sexual function, the so-called "full warm thinking" is this reason. Therefore must be to improve the health of other organ diseases, will it be possible to improve impotence.
Impotence treatment
Treatment premise to consider the patient's age, health status and treatment motivation. Some people think that age has been great, no matter is not of good; I have also seen 80 mettlesome man, married a 28-year-old Thai bride, Tim had just one son,sexuality and unable to seek treatment; followed by the response to the causes of impotence and prescribe the right remedy.
Psychological treatment of sexual impotence First remove the psychological barriers and pressures, including the adjustment of life style, sexual partner's communication, feelings of culture, and even to different points in order to enhance life, aimed at creating a comfortable feeling happy, style and context. Of course, adequate sleep, balanced nutrition and moderate exercise to maintain physical health status is a basic requirement. If the result of these efforts are still unable to , then it must consult a psychiatrist.
Organic impotence, the first should be the treatment of its original medical diseases such as diabetes, although there is no cure, but should be a good blood sugar control; high blood pressure should be control of blood pressure, cirrhosis should pay attention to diet, nutrition and the amount of ascites, and then for the penis the cause of the treatment.
The second step is to see whether the lack of male hormone. Most of impotence patients do not lack testosterone, ventured to add, not only useless but harmful.
Is according to the penis for the most common vascular problem started.
Severe arterial insufficiency of the penile artery reconstruction surgery can be considered will be rough and healthy cavernosal arteries to increase blood flow into the supply, but this surgery and unpredictable consequences, connected to blood vessels may also be re-stenosis has been very less adopt.
Mixed venous serious penile vein ligation can do, but in fact can not be because of all vein ligation, addition of venous blood will be blocked from other small venous return, wait until these small veins gradually stretch, it also remains the Blood Leak . Vein ligation so one year and 50% of patients dying again.
Because of the penis against the effects of arterio-venous surgery is not very good, so for the treatment of vascular impotence generally are the following options:
1. Oral drug therapy
Used to increase blood supply to penis, commonly used drugs have ginkgo extract objects (such as Cerenin, Tebonin) or Pentoxifylline (trade name Trental or Ceretal), but the effect is not significant. Effects are better psychiatric antidepressants, such as Trazodone (Mesyrel, the United States), Fluoxetine (Prozac Prozac), simultaneously with the auxiliary erection and delayed ejaculation double effect, is the role of neurokinin in the central nervous system amine drugs (serotonin), the effect of up to more than half, has a slight disadvantage are the side effects of sleepiness, but also to take a few weeks in order to be effective. The most effective oral impotence drug Viagra is of course, this allows Pfizer earnedaphrodisiac century, please see the following section.
2. Urethral suppository
Urethral suppository - Miu silk (MUSE): Miao-wire is not a drug, but a urethral insert from the drug delivery methods are Medicated Urethral System for Erection of abbreviations into pharmaceutical are prostaglandin (PGE1), but Cypriot agent dose than intracavernous injection of larger doses. Miao-wire has just launched Flaccidity Mi really lift the spirit of the men, because well-known PGE1 could鸡鸡do not have to play in, and with the plug on it, but after a long time trial, found wonderful silk are only three or four into effect, and will stimulate urethral suppository, causing urethral pain, bleeding and infection, has now been abandoned.
3. Penis vacuum aspirator
Penis vacuum suction is like breast implants of "fast Takami" tubular suction device, the same principle, but designed to support the erectile penis pump, the fourth Units also have ads, but ads that will allow the penis and then grew up should be impossible, and disadvantage are feeling the penis has a lot of patients with cold and troublesome, especially in the Spring Lane stepholidine moment, but first drill out a pile of Items doubled,forget it, "head" have been dampen only unhappiness does. In addition occasional difficulties and penis ejaculation subcutaneous hemorrhage punctate. Can also be drugs or following injection with the use of PGE1.
4. Penis self-injection
This is second only to artificial penile implant surgery the most effective way (than Viagra is also effective). Injection of drugs are powerful vasodilator; with the smallest number of fine needle directly injected into the corpus cavernosum, the minutes on the "into a live dragon."
Commonly used drugs are poppy alkali (Papaverine) and prostaglandin PGE1, among PGE1 better and less side effects. Efficacy up.
The biggest disadvantage is to have an injection in the penis, the initial attempt to have a fraction of the courage of men really do, but there are a few points injection to pay special attention to:
Must be injected into the Intracavernosal to be valid, playing in the penile skin is invalid.
Regardless of poppy alkali or PGE1, is a strong vasodilator, the dose is too large a drop in blood pressure and even shock, so be sure to follow the doctors instructions, from the lowest dose began to slowly increase the dose; but the principle is valid, not playing more many more strong.
After injection to really pin down the mouth to stop bleeding, prevent penile subcutaneous hematoma, and not injected more than twice a week in order to reduce the injection sclerosis Department scarring.
After injection, if the erection does not subside over a few hours, treatment should be quick to find a doctor, otherwise the long-term cause of erectile smooth muscle Intracavernosal hypoxic damage, but will add to impotence.
5. Artificial penile implant surgery
This is the final step in the treatment of impotence is also a tricky move, once and for all and to be effective (unless of postoperative infections, must be removed).
What is impotence premature ejaculation?
Impotence and premature ejaculation are the most modern plague disease Men suffering from impotence premature ejaculation disorders Man, sometimes people could not lift head of inferiority, and even the impact of marital life, family happy, the family line. Since ancient times, emperors have a word, Nanjing lose the trust of the world, Mo lose in women, impotence and premature ejaculation can be seen how important it is for the Man.
Male impotence premature ejaculation are the patient belong to a fault, belong to renal dysfunction of a disease, modern people suffer from this disease has an increasing number of phenomena, a normal male sexual behavior of the process is to first sexual excitement, And the penis genital hard up, genital penile penetration of the vagina, producing pleasure, be able to maintain a certain amount of time, so that women can feel pleasure, and then ejaculation, the penis after ejaculation genital hardness only slowly disappear, this series of actions, if all very smooth, and it is considered normal sexual behavior. If you can not reach the normal sexual behavior, it is possible you are suffering from premature ejaculation impotence disease.
Male impotence premature ejaculation are the patient belong to a fault, belong to renal dysfunction of a disease, modern people suffer from this disease has an increasing number of phenomena, a normal male sexual behavior of the process is to first sexual excitement, And the penis genital hard up, genital penile penetration of the vagina, producing pleasure, be able to maintain a certain amount of time, so that women can feel pleasure, and then ejaculation, the penis after ejaculation genital hardness only slowly disappear, this series of actions, if all very smooth, and it is considered normal sexual behavior. If you can not reach the normal sexual behavior, it is possible you are suffering from premature ejaculation impotence disease.
What is impotence
The so-called impotence main point is that the adult males, although the demand for sex, but should not congestive genital penis erection, not lift, or lift, although not enough, however hard, or hard up soon go on the soft, or no sexual desire, sexual intercourse, after repeated failure, unable to live a normal sex life, all adult males, have not been to a period of recession sex, male genital mutilation should not happen often erection, or erection not hard, this is called impotence disease. Whether it is impotence or premature ejaculation can affect sex life and even affect the reproductive line.
What are the reasons for impotence
Impotence caused by modern medicine has a lot of reasons, for example, excessive sexual, excessive masturbation, sexual hormone deficiencies, or diabetes, alcoholism, excessive smoking, over-sleeping pills, nutritional disorders, genital variant can cause impotence and so on.
In fact, symptoms of impotence to modern people, most of them are feeling nervous or mental disorder caused by a maximum.
According to statistics have 40-85% of the people belong to the spirit of sexual impotence, because of mental factors, the daily lives of too nervous, panic, extremely excited and so on, would give rise to the cerebral cortex, the control of genital erectile enhancement or inhibition of neural function in spinal cord disorders caused by central impotence.
Chinese medicine for impotence causes disease have a more detailed comparison of in-depth study, based on my clinical experience, would have happened impotence at least six kinds of different reasons to cause, treatment of the time to detail the dialectical theory of governance in order to achieve more ideal treatment.
1. Sexual or long-term excessive masturbation has a bad habit, causing depletion of kidney essence and blood, one day cause impotence long.
2. Diet,drink cold, head cold food eaten, causing Mingmen, Kidney Yang loss, impotence caused by cold blood.
3. Seven of the injury, thought excessive, excessive worry, wear Heart, resulting in deficiency Huowang often flare up, body fluid or dry anger liver injury, liver depression, or panic renal injury, inability to Qi-deficiency, can cause impotence .
4. Traumatic injury buckle block blood meridian, causing impotence.
5. Humid place, hot tendon injury cases, moisture Group Network, that is, chronic kidney, urethra, bladder inflammation, or diabetes can cause impotence.
6. Liver inadequate, resulting in impotence, liver bad people, the majority of people will be impotence. (Impotence and liver and kidney by 2 has a very close relationship.liver, genital penis is Nakasuji, liver through the meridians around the overcast, and liver weakness, Nakasuji on weak liver so bad people will definitely happen impotence).
In fact, symptoms of impotence to modern people, most of them are feeling nervous or mental disorder caused by a maximum.
According to statistics have 40-85% of the people belong to the spirit of sexual impotence, because of mental factors, the daily lives of too nervous, panic, extremely excited and so on, would give rise to the cerebral cortex, the control of genital erectile enhancement or inhibition of neural function in spinal cord disorders caused by central impotence.
Chinese medicine for impotence causes disease have a more detailed comparison of in-depth study, based on my clinical experience, would have happened impotence at least six kinds of different reasons to cause, treatment of the time to detail the dialectical theory of governance in order to achieve more ideal treatment.
1. Sexual or long-term excessive masturbation has a bad habit, causing depletion of kidney essence and blood, one day cause impotence long.
2. Diet,drink cold, head cold food eaten, causing Mingmen, Kidney Yang loss, impotence caused by cold blood.
3. Seven of the injury, thought excessive, excessive worry, wear Heart, resulting in deficiency Huowang often flare up, body fluid or dry anger liver injury, liver depression, or panic renal injury, inability to Qi-deficiency, can cause impotence .
4. Traumatic injury buckle block blood meridian, causing impotence.
5. Humid place, hot tendon injury cases, moisture Group Network, that is, chronic kidney, urethra, bladder inflammation, or diabetes can cause impotence.
6. Liver inadequate, resulting in impotence, liver bad people, the majority of people will be impotence. (Impotence and liver and kidney by 2 has a very close relationship.liver, genital penis is Nakasuji, liver through the meridians around the overcast, and liver weakness, Nakasuji on weak liver so bad people will definitely happen impotence).
Sexual dysfunction
Impotence (sexual inadequancies) refers to a result of sexual repression and the capacity reduction, and can not be sexual gratification. Include: male impotence, premature ejaculation, and women sexless.
Impotence (erectile failure):
Refers to inability of penile erection or can not be completed with time to maintain an erection enough to complete sexual intercourse. The original level of incompetence: never had intercourse; secondary impotence: At least 25% can not have an erection. Impotence reasons not love him partner or a woman angry retaliation. primary impotence has four possible reasons: It is tempting mothers, believe in the extreme orthodox religion, homosexuality, preferences, and the failure of the first sexual intercourse experience (of alcohol or drugs of interference). secondary impotence is the main reason for the failure of alcohol-related experience, (too much alcohol, too little sleep and thoughts are occupied by others, etc.), one of each after the failure of sexual contact are considered to be the pilot masculinity, resulting in a vicious circle.
Premature ejaculation (premature ejaculation):
Refers to men reach orgasm earlier he had looked forward to, at least in more than half of the time unable to control ejaculation long enough to enable partners to meet the situation. Their early sexual experiences are the end of the request as soon as possible completed.
(orgasmic dysfunction):
Means the woman can not be sustained to reach orgasm symptoms, the original class : never been through any type of sexual activity experienced orgasm; Situational : experienced in some time but no longer or only have can, in exceptional circumstances (such as masturbation) can be realized. sexual pain (dyspareunia) and vaginal Hsiukuluan spasm (vaginismus) are also obstacles. attitudes towards sex, homosexual preferences, and sexual partners are the reasons for sexual disorders.
Treatment of sexual dysfunction:
Is performance anxiety (performance anxiety) the elimination of first communication, to find a sensitive point, and for the treatment of problem, sub-impotence has a cure rate of 74%, female sexual dysfunction and premature ejaculation men who have 80% of the cure rate, the original level of incompetence, only 59 percent success rate.
To enhance the pleasure of sex life:
Three principles: communication between partners, emphasis on pre-show, willing to try out new skills.
Impotence (erectile failure):
Refers to inability of penile erection or can not be completed with time to maintain an erection enough to complete sexual intercourse. The original level of incompetence: never had intercourse; secondary impotence: At least 25% can not have an erection. Impotence reasons not love him partner or a woman angry retaliation. primary impotence has four possible reasons: It is tempting mothers, believe in the extreme orthodox religion, homosexuality, preferences, and the failure of the first sexual intercourse experience (of alcohol or drugs of interference). secondary impotence is the main reason for the failure of alcohol-related experience, (too much alcohol, too little sleep and thoughts are occupied by others, etc.), one of each after the failure of sexual contact are considered to be the pilot masculinity, resulting in a vicious circle.
Premature ejaculation (premature ejaculation):
Refers to men reach orgasm earlier he had looked forward to, at least in more than half of the time unable to control ejaculation long enough to enable partners to meet the situation. Their early sexual experiences are the end of the request as soon as possible completed.
(orgasmic dysfunction):
Means the woman can not be sustained to reach orgasm symptoms, the original class : never been through any type of sexual activity experienced orgasm; Situational : experienced in some time but no longer or only have can, in exceptional circumstances (such as masturbation) can be realized. sexual pain (dyspareunia) and vaginal Hsiukuluan spasm (vaginismus) are also obstacles. attitudes towards sex, homosexual preferences, and sexual partners are the reasons for sexual disorders.
Treatment of sexual dysfunction:
Is performance anxiety (performance anxiety) the elimination of first communication, to find a sensitive point, and for the treatment of problem, sub-impotence has a cure rate of 74%, female sexual dysfunction and premature ejaculation men who have 80% of the cure rate, the original level of incompetence, only 59 percent success rate.
To enhance the pleasure of sex life:
Three principles: communication between partners, emphasis on pre-show, willing to try out new skills.
Impotence
Impotence of the human heart desires are unleashed, but one person happened impotence condition, their self-confidence must mind and serious injuries, sexual impotence is the result of sexual repression and sexual function for some reason the reduction or loss of sexual satisfaction can not be reached, including the men's Impotence, premature ejaculation and women sexless, sexual impotence are the nightmare of middle-aged men, male impotence also known as impotence, male impotence is rather biased towards the physical problem, 20 percent of men to the 60 years old, penile erection will not be able to, but have 20 percent of men to 90 years old, still has capacity, the male is unable to erectile impotence, impotence caused by the reasons, simply put, is the impact of psychological barriers, drug side effects hormonal disorders, neurological impairment oppression, lack of testosterone, blood circulatory system disruption, pelvic organ damaged area, drug paralysis, excessive drinking, or the loss of the genitals and so on, in most patients after treatment, can still enjoy a happy sex life, while the female is rather biased towards impotence psychological problems between spouses to each other to enhance the pleasure of sexual life to step up cooperation in the matter of feeling and experience of communication, attention to romantic foreplay before the show, willing to try new sex techniques, not shame not to take it for granted Seoul, not to make fun of each other, in the event of incompetence of the unfortunate happen, the best way is to identify the causes of impotence and treatment.
How to treat impotence? As follows:
Lack of testosterone: by sexual stimulation, if the body has enough testosterone, it will be able to smoothly start the capacity, because if orchiectomy or testicular function of the poor, even if it has strong sexual temptation, nor can provoke sexual desire Therefore, testosterone injection, the lack of testosterone on the curable sexually impotent.
Nervous system damage: Healthy brain stimulation in an after climax through the nervous system to convey the message to go to create a climax genital effects, if damage to the nervous system for some reason, even if the brain how excited or indifferent genitalia, such as stroke , diabetes, muscular sclerosis nerve compression, resulting in damage to the nervous system, it required a long rehabilitation nerve!
Obstructed blood circulation system: the penis to an erection, blood circulation system required extra blood delivery to the penis, so that filling the penis bulging hard, so in order to advance women's vagina, and hardening of arteries often makes the blood to the penis can not be smooth, resulting in penile erection can not afford , surgery or drugs used to clear the blood vessels should be curable.
Pelvic organs damaged region: cancer due to Luo, and in the prostate after the body area Rongji, and sometimes the nerve will be removed to connect the penis, or in abdominal surgery, the pelvic region endanger the blood supply, resulting in pelvic organs damaged region into impotence, such a situation it is difficult to heal the miles!
Psychological disorder: a result of anxiety, loss of sexual partners interested, depression, exhaustion, obsessive, fear of sex, has been the shadow of sexual assault, sexual skills of the poor, lack of sexual knowledge, tension, inability to happen erection or premature ejaculation, these can be by psychological counseling to treat, as long as the restoration of self-confidence, quickly cured a!
Drugs and blood alcohol palsy: use of negative effects lead to impotence drugs, such as blood pressure drugs, tranquilizers, sleeping pills, narcotic, drug overdose, excessive smoking or excessive drinking and so on, can cause sexual incompetence, encountered such a circumstances, the ring on the ring, the , or just wave and say that!
Habits of physical problem: No sports person has obesity, high cholesterol due to the body caused by blood vessel blockage, blood can not be transported to the penis, will be the formation of impotence that can be used oral impotence medication, such as Viagra, Viagra, etc. treatment, the magic incomparable miles!
Loss of genital: genital unless artificial alternative technology rather perfect, otherwise there is no medical mile!
Impotence among men and women excluded from the situation:
Impotence: inability to refer to penile erection or can not complete and maintain an erection sufficient time to complete sexual intercourse, the case of male impotence happen, not because he does not love his spouse or Wordless retaliation, impotence is divided into the original level of incompetence: primary causes of impotence happen to have around an attractive mother, extreme orthodox religious belief, homosexual preferences may fail when the first sexual intercourse experience, sexual inexperience, by the psychological fear of the impact of secondary impotence: at least four one of their number can not an erection, secondary impotence is the main reason for most alcohol-and drug-related failures such as excessive drinking, lack of sleep, mind attention, taking tranquilizers and sleeping pills, etc., in the first sexual behavior after the failure of will for each subsequent one-time acts are regarded as the challenges of masculinity, resulting in a vicious cycle of psychological pressure, impotence can be through psychological counseling and drugs to treat, not so serious it!
Premature ejaculation: refers to the male time to reach orgasm than their expected time is short, can not control the timing of ejaculation, their sexual partners to meet to meet, premature ejaculation can also be accessed through psychological counseling and drugs to treat, but also okay!
: refers to women unable to achieve sustained orgasm symptoms divided into the original class: never been through any type of sexual experience to orgasm, and scenario-based climax of obstacles: in some time had experienced orgasm, but not be able to enjoy, or only in exceptional circumstances, such as masturbation, can experience pain and uncomfortable sexual intercourse and vaginismus are also obstacles, attitudes towards sex, homosexuality and sexual preferences obstacles are the reasons for sexual partners, and by to sexual partners and doctors to communicate, to identify solutions to eliminate the anxiety, to find out the climax of the two sides to stimulate the sensitive points, for the treatment of problem, sub-74% of impotence The cure rate, female sexual dysfunction and premature ejaculation men have a 80 percent cure rate, while the original level of incompetence, only 59% cure rate, as long as get rid of one, you can enjoy a better sex life miles!
How to treat impotence? As follows:
Lack of testosterone: by sexual stimulation, if the body has enough testosterone, it will be able to smoothly start the capacity, because if orchiectomy or testicular function of the poor, even if it has strong sexual temptation, nor can provoke sexual desire Therefore, testosterone injection, the lack of testosterone on the curable sexually impotent.
Nervous system damage: Healthy brain stimulation in an after climax through the nervous system to convey the message to go to create a climax genital effects, if damage to the nervous system for some reason, even if the brain how excited or indifferent genitalia, such as stroke , diabetes, muscular sclerosis nerve compression, resulting in damage to the nervous system, it required a long rehabilitation nerve!
Obstructed blood circulation system: the penis to an erection, blood circulation system required extra blood delivery to the penis, so that filling the penis bulging hard, so in order to advance women's vagina, and hardening of arteries often makes the blood to the penis can not be smooth, resulting in penile erection can not afford , surgery or drugs used to clear the blood vessels should be curable.
Pelvic organs damaged region: cancer due to Luo, and in the prostate after the body area Rongji, and sometimes the nerve will be removed to connect the penis, or in abdominal surgery, the pelvic region endanger the blood supply, resulting in pelvic organs damaged region into impotence, such a situation it is difficult to heal the miles!
Psychological disorder: a result of anxiety, loss of sexual partners interested, depression, exhaustion, obsessive, fear of sex, has been the shadow of sexual assault, sexual skills of the poor, lack of sexual knowledge, tension, inability to happen erection or premature ejaculation, these can be by psychological counseling to treat, as long as the restoration of self-confidence, quickly cured a!
Drugs and blood alcohol palsy: use of negative effects lead to impotence drugs, such as blood pressure drugs, tranquilizers, sleeping pills, narcotic, drug overdose, excessive smoking or excessive drinking and so on, can cause sexual incompetence, encountered such a circumstances, the ring on the ring, the , or just wave and say that!
Habits of physical problem: No sports person has obesity, high cholesterol due to the body caused by blood vessel blockage, blood can not be transported to the penis, will be the formation of impotence that can be used oral impotence medication, such as Viagra, Viagra, etc. treatment, the magic incomparable miles!
Loss of genital: genital unless artificial alternative technology rather perfect, otherwise there is no medical mile!
Impotence among men and women excluded from the situation:
Impotence: inability to refer to penile erection or can not complete and maintain an erection sufficient time to complete sexual intercourse, the case of male impotence happen, not because he does not love his spouse or Wordless retaliation, impotence is divided into the original level of incompetence: primary causes of impotence happen to have around an attractive mother, extreme orthodox religious belief, homosexual preferences may fail when the first sexual intercourse experience, sexual inexperience, by the psychological fear of the impact of secondary impotence: at least four one of their number can not an erection, secondary impotence is the main reason for most alcohol-and drug-related failures such as excessive drinking, lack of sleep, mind attention, taking tranquilizers and sleeping pills, etc., in the first sexual behavior after the failure of will for each subsequent one-time acts are regarded as the challenges of masculinity, resulting in a vicious cycle of psychological pressure, impotence can be through psychological counseling and drugs to treat, not so serious it!
Premature ejaculation: refers to the male time to reach orgasm than their expected time is short, can not control the timing of ejaculation, their sexual partners to meet to meet, premature ejaculation can also be accessed through psychological counseling and drugs to treat, but also okay!
: refers to women unable to achieve sustained orgasm symptoms divided into the original class: never been through any type of sexual experience to orgasm, and scenario-based climax of obstacles: in some time had experienced orgasm, but not be able to enjoy, or only in exceptional circumstances, such as masturbation, can experience pain and uncomfortable sexual intercourse and vaginismus are also obstacles, attitudes towards sex, homosexuality and sexual preferences obstacles are the reasons for sexual partners, and by to sexual partners and doctors to communicate, to identify solutions to eliminate the anxiety, to find out the climax of the two sides to stimulate the sensitive points, for the treatment of problem, sub-74% of impotence The cure rate, female sexual dysfunction and premature ejaculation men have a 80 percent cure rate, while the original level of incompetence, only 59% cure rate, as long as get rid of one, you can enjoy a better sex life miles!
Impotence Drug: Viagra Viagra
Composition and role of the principle of
1.ViagraSildenafil citrate are just in March 27, 1998 the United States Food and Drug Administration (FDA) approved the listing of prescription drugs, must be used by a physician's prescription. Is the first FDA approved a treatment for impotence drugs.
The chemical composition of 2.Viagra for: 1 - [[3 - (6,7-dihydro-1-methyl-7-oxo-3-propyl-1H-pyrazolo [4,3-d] pyrimidin-5-yl) -- 4-ethoxyphenyl] sulfonyl]-4-methylpiperazine citrate.
3.Viagra the role of Principle: When sexual excitement when, Viagra in the corpus cavernosum penis generated Nitric oxide, referred to as NO, NO could activate guanylate cyclase, thus increasing cyclic guanosine monophosphate (referred to as cGMP) for selecting, cGMP can intracavernous relaxation of smooth muscle, smooth muscle relaxation First, a large number of blood will be injected into corpus cavernosum of erectile.
Effect
1.Viagra after oral administration, was quickly absorbed in the blood concentration of 60 minutes on the highest point, can last four hours, 2 hours later, performance started to decrease, therefore, taking the best time, are having sex one hour before. But 30-4 minutes before using it, is still an acceptable range.
2.Viagra of any reasons for impotence are valid, the so-called impotence, refers to the penis when sexual excitement could not erectile. Whether it is psychological impotence, or erectile dysfunction caused by disease, have a therapeutic effect, such as diabetes, high blood pressure, spinal injury , prostate surgery, and unknown causes of impotence. their effects are more than 60%.
Who should not take viagra?
1. Child
2. Are taking Containing Nitrates (such as: nitroglycerin-a coronary artery expansion agent) and other drugs. A combination of viagra and nitrates may cause a rapid decline in blood pressure, but also in sexual intercourse at that time, increase the heart load, if the rapid decline in blood pressure, may be lethal.
3. Women: FDA temporarily prohibited for women, but some medical institutions have begun to trial in women, according to the rationale for study of drug response, similar male penis, Viagra can also make it more sensitive and congestive. Should be able to make women more vulnerable to climax, so the near future, perhaps some women can also be used to do a Viagra treatment.
How to use?
There are three agents: 25mg, 50mg, 100mg, in general are from 50mg to start, can only be taken once a day each in 30 minutes before sexual activity to be taken four hours, preferably 1 hour ago. To rely on their individual response to different , the dose can be increased to 100mg or 25mg.
Taking those matters to the attention?
A: do a good job before taking a medical examination and consult their physician to identify the causes of impotence.
B: Some of anemia, leukemia, multiple myeloma, or abnormal penile shape of people taking viagra, it may lead to persistent erection (Priapism) while using this drug is not recommended.
C: What position should reduce the amount of drugs: (1). Older people over the age of 65, poor kidney function, liver cirrhosis or other liver disease, because blood viagra slower excretion, blood concentrations increased, so reduction must be taken. (b) are taking Cimetidine, Erythromycin, Itraconazole, Ketoconazole and other drugs, the reduction should take
D: and other impotence drugs is not clear whether the combination, therefore, is not recommended while taking.
Side effects
If you control the use of not more than twice a week, each no more than 100mg, side effects are quite low. Not satisfied with the drug use of people give up, only 2.5%.
The role include: headache, facial flushing, gastrointestinal discomfort, stuffy nose, diarrhea, fear of light, a temporary visual impairment, such as blue-green to distinguish unclear.
Conclusion
According to statistics, the United States has 30 million men, suffer from some degree of impotence (Impotence or Erectile dysfunction), if the same ratio to the population count, Taiwan, about three million men have a similar problem, viagra birth, will be for these people has brought great confidence.
Notes
1: aged between 40-55 years old men, if have not the problem of impotence, but now it has to use Viagra, Please note that cardiovascular examination, because of his impotence, is very likely that the potential cardiovascular disease symptoms of an advance.
2: From the FDA has approved the listing at the end of July 1998, the United States 35000000 Viagra already left for the hospital, and can be described as unprecedented, but in 69 cases have died after taking the report, therefore, the American Heart Association and American Heart Association August 10 warned that the following three conditions, taking Viagra should be particularly cautious with: 1. Although there were no prior taking nitrate drugs, but in taking Viagra after myocardial infarction, at this time if taking nitrate drugs, may still be fatal, 2 . hyperemia and hypotension in patients with heart disease, 3. to multiple drug treatment of hypertensive persons.
69 deaths, the average age is 64 years old, therefore, over 60 years old and has cardiovascular problem, and taking Viagra, they should be particularly cautious.
1.ViagraSildenafil citrate are just in March 27, 1998 the United States Food and Drug Administration (FDA) approved the listing of prescription drugs, must be used by a physician's prescription. Is the first FDA approved a treatment for impotence drugs.
The chemical composition of 2.Viagra for: 1 - [[3 - (6,7-dihydro-1-methyl-7-oxo-3-propyl-1H-pyrazolo [4,3-d] pyrimidin-5-yl) -- 4-ethoxyphenyl] sulfonyl]-4-methylpiperazine citrate.
3.Viagra the role of Principle: When sexual excitement when, Viagra in the corpus cavernosum penis generated Nitric oxide, referred to as NO, NO could activate guanylate cyclase, thus increasing cyclic guanosine monophosphate (referred to as cGMP) for selecting, cGMP can intracavernous relaxation of smooth muscle, smooth muscle relaxation First, a large number of blood will be injected into corpus cavernosum of erectile.
Effect
1.Viagra after oral administration, was quickly absorbed in the blood concentration of 60 minutes on the highest point, can last four hours, 2 hours later, performance started to decrease, therefore, taking the best time, are having sex one hour before. But 30-4 minutes before using it, is still an acceptable range.
2.Viagra of any reasons for impotence are valid, the so-called impotence, refers to the penis when sexual excitement could not erectile. Whether it is psychological impotence, or erectile dysfunction caused by disease, have a therapeutic effect, such as diabetes, high blood pressure, spinal injury , prostate surgery, and unknown causes of impotence. their effects are more than 60%.
Who should not take viagra?
1. Child
2. Are taking Containing Nitrates (such as: nitroglycerin-a coronary artery expansion agent) and other drugs. A combination of viagra and nitrates may cause a rapid decline in blood pressure, but also in sexual intercourse at that time, increase the heart load, if the rapid decline in blood pressure, may be lethal.
3. Women: FDA temporarily prohibited for women, but some medical institutions have begun to trial in women, according to the rationale for study of drug response, similar male penis, Viagra can also make it more sensitive and congestive. Should be able to make women more vulnerable to climax, so the near future, perhaps some women can also be used to do a Viagra treatment.
How to use?
There are three agents: 25mg, 50mg, 100mg, in general are from 50mg to start, can only be taken once a day each in 30 minutes before sexual activity to be taken four hours, preferably 1 hour ago. To rely on their individual response to different , the dose can be increased to 100mg or 25mg.
Taking those matters to the attention?
A: do a good job before taking a medical examination and consult their physician to identify the causes of impotence.
B: Some of anemia, leukemia, multiple myeloma, or abnormal penile shape of people taking viagra, it may lead to persistent erection (Priapism) while using this drug is not recommended.
C: What position should reduce the amount of drugs: (1). Older people over the age of 65, poor kidney function, liver cirrhosis or other liver disease, because blood viagra slower excretion, blood concentrations increased, so reduction must be taken. (b) are taking Cimetidine, Erythromycin, Itraconazole, Ketoconazole and other drugs, the reduction should take
D: and other impotence drugs is not clear whether the combination, therefore, is not recommended while taking.
Side effects
If you control the use of not more than twice a week, each no more than 100mg, side effects are quite low. Not satisfied with the drug use of people give up, only 2.5%.
The role include: headache, facial flushing, gastrointestinal discomfort, stuffy nose, diarrhea, fear of light, a temporary visual impairment, such as blue-green to distinguish unclear.
Conclusion
According to statistics, the United States has 30 million men, suffer from some degree of impotence (Impotence or Erectile dysfunction), if the same ratio to the population count, Taiwan, about three million men have a similar problem, viagra birth, will be for these people has brought great confidence.
Notes
1: aged between 40-55 years old men, if have not the problem of impotence, but now it has to use Viagra, Please note that cardiovascular examination, because of his impotence, is very likely that the potential cardiovascular disease symptoms of an advance.
2: From the FDA has approved the listing at the end of July 1998, the United States 35000000 Viagra already left for the hospital, and can be described as unprecedented, but in 69 cases have died after taking the report, therefore, the American Heart Association and American Heart Association August 10 warned that the following three conditions, taking Viagra should be particularly cautious with: 1. Although there were no prior taking nitrate drugs, but in taking Viagra after myocardial infarction, at this time if taking nitrate drugs, may still be fatal, 2 . hyperemia and hypotension in patients with heart disease, 3. to multiple drug treatment of hypertensive persons.
69 deaths, the average age is 64 years old, therefore, over 60 years old and has cardiovascular problem, and taking Viagra, they should be particularly cautious.
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