Men’s Health-erectile dysfunction

Sexual dysfunction disorders and erectile dysfunction in particular are generally much more common than previously thought.

Erectile dysfunction is a condition that can cause a lot of embarrassment for men and can lead to unsatisfactory sexual life. With proper diagnosis and treatment, however, you can overcome this condition and have a normal and healthy sexual life.

When a man is unable to maintain a penile erection or keep it long enough for sex, it is called erectile dysfunction.It’s also sometimes referred to as impotence.This condition is usually followed by several psychological and emotional symptoms such as anxiety, loss of sexual desire, embarrassment and shame.

Many diseases and problems may cause sexual dysfunction. In the past these factors were classified according to their sources: emotional, psychological and physical factors. Today we are aware that this classification is artificial, because the connection between the soul and the body is very close and cannot be separated.

Causes of erectile dysfunction are variable and include:

Psychological stress: such as personal problems and marital relationship problems, anxiety about sexual performance (fear of sexual failure, etc.).

Common diseases such as diabetes, hypertension, hyperlipidemia, calcification and atherosclerosis. The common denominator of these diseases is that they all affect the blood flow to the penis, so they may affect sexual performance and lead to erectile dysfunction. The same applies to drugs used to treat these diseases (beta blockers, lipid lowering drugs, diuretics, etc.).

Problems with innervations: such as after spinal disc herniation, pelvic surgery or radiation therapy.

Depression and anxiety are two very common diseases; one of their most prominent symptoms is the decline in public life and in sexual performance. Anti-serotonin therapies like selective serotonin reuptake inhibitors (SSRI) are also exacerbate the problem, and this is one of the side effects of these drugs.

Heart disease and its treatments: It can also affect sexual performance. It is known today that a person who had a heart attack can get back to the practice of his sexuality, what only he needs is help and encouragement.

Medicines: such as sedative drugs, digestive drugs.

There are other causes like hormonal changes, obesity, metabolic diseases, alcohol, smoking and substance abuse, also deficiency of testosterone, treatment for other conditions such as prostate cancer.


Today, there are several options available to treat erectile dysfunction. The usual treatment methods are:
Medication: Medicines like PDE-5 inhibitors can be taken before sexual intercourse. Viagra is the most well-known pill.

Oral medications are often the first treatment line for erectile dysfunction. For most men with erectile dysfunction problems, these drugs work well and can help men achieve a good erection during intercourse. Sildenafil (Viagra), vardenafil (Levitra), Tadalafil (Cialis) and Avanafil are oral medications that reverse erectile dysfunction by enhancing the effects of nitric oxide; a natural chemical produced by the body that relaxes muscles in the penis increasing the blood flow and allows you to get an erection in response to sexual stimulation.These medicines can be bought over the counter

Although they work in similar ways, each oral drug has a slightly different chemical composition. These minor differences affect the way each drug works, such as how quickly it affects and degrades.

Sildenafil (Viagra): This drug is most effective when taken on an empty stomach one hour before sex. It is effective for up to six hours.

(Levitra): This drug is most effective when taken before an hour of sex and can be taken with or without food. It’s effective for up to seven hours.

Tadalafil (Cialis): This drug is taken with or without food one to two hours before sex. It’s effective for 36 hours. It can be taken in a small dose daily or by a larger dose as needed.

Avanafil: This drug is taken with or without food 15 to 30 minutes before sex, depending on the dose. It lasts up to six hours.

Oral disintegrating tablets which are designed to dissolve in the oral cavity rather being swallowed completely like Sublingual tablets which is a different way to give oral medication. The sublingual administration involves putting the medication under your tongue to dissolve and absorb into your blood through your tissue there

Sublingual medications have their advantages. Because the drug is quickly absorbed, these types of administration can be important when you need the medication to work immediately

Moreover, these drugs do not pass through the digestive system, so they are not metabolized through the liver. This means you may be able to take a lower dose and get the same results.

Another advantage is that you do not need to swallow the medicine. Drugs that are absorbed under the tongue or between the cheek and gums can be easier for people having problems with swallowing pills.



There are also injections for treating ED. A shiny sharp needle is probably the last object you want near this sensitive area. However, the needle itself is quite small and must be felt with minimal discomfort. The specified medicine that would be used can vary. Some of the common drugs used when giving injections for erectile dysfunction include Papaverine, Phentolamine, Prostaglandin E-1 and Atropine.

Penile injection therapy is a therapeutic option that involves injecting vessels directly into the penis. This vessel dilator greatly increases blood flow to the penis and causes a strong erection. The main thing is that this method of treatment allows a man who suffers from erectile dysfunction to have a rock erection at the right time and gives the opportunity to regulate its duration

The erection starts after 5-15 minutes of taking the medicine and lasts for more than an hour. Injection therapy can help treat erectile dysfunction caused by a variety of primary diseases, such as diabetes, arteriosclerosis and nerve damage due to surgery or trauma.

Papaverine: belongs to a group of drugs called vasodilators. They work by causing blood vessels to expand, thus increasing blood flow. Papaverine is used to produce erection in some men with erectile dysfunction. When Papaverine is injected into the penis, it increases the blood flow to the penis, leading to an erection.

Phentolamine: works by preventing nerve signals that lead to muscle contractions. The end result is muscular relaxation.

Prostaglandin E1 (Alprostadil):Is a natural chemical already present in your body. It causes your vessel to extend. Additionally prostaglandin injections E-1 relax the muscles causing erection.

Atropine:can beneficially relax blood vessels in the penis causing surges in blood flows thus leading to erection.

Trimix: is an injectable three-drug prescribed medication used to treat erectile dysfunction. The active ingredients in the mixture are usually Alprostadil, Papaverine, and Phentolamine and thus enhancing the effect.

Bimix: A combination of Papaverine and Phentolamine.The main indicator for the use of the Papaverine / Phentolamine mixture is ED patients with whom have felt PGE1 is painfully unbearable, which relatively usually the case after major pelvic surgery (RRP, cystectomy, rectum amputation) or this minority patient PGE1 monotherapy has turned out to be inferior to Papaverine / Phentolamine

Super TriMix: A highly concentrated version of the standard TriMix Injection

QuadMix: Super TriMix with Atropine added

Super QuadMix: A highly concentrated version of the standard QuadMix Injection

Also Custom combinations and concentrations available


You are a good candidate as long as you are not allergic or don’t have other medical conditions that can prevent you from the use of penile injections include sickle cell anemia, cavernosal fibrosis, and Peyronie’s disease. Additionally, you should not use these drugs if you take any blood thinners, such as Coumadin or warfarin.

Other products:

Arginine /lysine cream: this cream is used to increase blood flow prior to sexual activity.

Oxytocin: Oxytocin benefits from initial sexual attraction between two individuals. In turn, physical contact triggers more Oxytocin in the blood, which heightens sexual feelings. This activates more Oxytocin, and then an immaculate cycle is created. It is available as a nasal spray and troches.