In the treatment of the psychogenic form of erectile dysfunction, psychotherapy plays an important role. It should be aimed at eliminating the causes that led to sexual maladjustment, resolving intrapersonal and interpersonal problems, and forming adequate ideas about intimate relationships.
The techniques of matrimonial therapy, training partners in effective interaction, methods of cognitive-behavioral therapy are used.
When treating the organic form, it is of paramount importance to eliminate the disease that led to erectile dysfunction. If impotence has endocrine causes, hormone replacement therapy is prescribed.
USA pharmacy cialis 20 mg
The goal of treatment is to achieve satisfactory erections with minimal side effects.:
cialis next day delivery usa
Pharmacological agents are widely used to enhance and prolong erection. The first-line drugs are oral PDE-5 inhibitors. PDE 5 is an enzyme found in the cavernous tissue. Blocking its work leads to relaxation of the smooth muscles of the corpora cavernosa and the emergence of an erection in response to sexual stimulation.
-
Ciara S. Marley, MD
It has been proven that the psychological causes of erectile dysfunction are based on organic diseases.
-
Eli F. Lizza, M.D.
It is also possible to inject drugs directly into the corpus cavernosum. In this case, a very thin needle is used, with the help of which the patient can independently inject the vasodilator selected by the doctor.
-
A unilateral injection is sufficient for bilateral enlargement of the penis due to cross blood flow. After Cialis 15 minutes, an erection occurs, which lasts up to two hours. The method has disadvantages - inconvenience of use and rare side effects such as priapism and fibrosis of the penis (2%).
Another method of increasing blood flow to the penis is vacuum constrictor therapy. In this case, the use of a vacuum device enhances blood flow into the corpora cavernosa of the penis, and the constrictive ring prevents venous outflow.