Male Impotence Treatment Options
Until recently, if you sought medical impotence treatment for impotence symptoms were told "It's all in your head".
Doctors labeled
you with a psychological disorder and they were referred to
counseling. Today, there are many impotence treatment options available.
The male impotence treatment option you choose for impotence symptoms should
be specific and responsive to your needs and expectations, as well as, your
partners. There are now impotence treatment medications that can effectively
treat the impotence symptoms enhancing a man's erections.
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Online Consultation for Male Impotence
Treatment Drugs
Secondary to the advent of the internet you can now communicate openly and candidly with a licensed
doctors. This affords you the opportunity to buy prescription impotence
treatment drugs online with no prior prescription from the privacy of your own home. Instead of the traditional visit to a
doctor's office. You are then requested to complete a medical questionnaire that addresses
your medical history. This is information that is required by a licensed
doctor so that he/she can make a decision whether the desired male impotence
treatment medication is appropriate for your current condition.
Once the once the doctor has reviewed your medical history he/she will send The On Line Pharmacy UK a prescription for the male impotence treatment medication. The prescription medication will be subsequently shipped discreetly (with no hint of the contents) to your home or office in 1-2 business days. The male impotence treatment drug order will include the prescription drug, information explaining the prescription drug contraindications/precautions, dosage and pharmacy contact information should you have any further questions or concerns.
Detailed information including comparisons of the most prescribed
male impotence treatment drugs by doctors worldwide, Viagra, Cialis, Levitra, Uprima.
The following table represents a summary of the most recommended male impotence treatment drugs by physicians for their patients. Although many these impotence treatment drugs are very similar, Viagra and Cialis represent the most prescribed erectile dysfunction drugs, worldwide. Some important notes, Viagra is the most prescribed impotence treatment drugs over the past four years, Pfizer Inc. has sold enough sildenafil citrate, brand named Viagra, to fill 100 million prescriptions for some 20 million patients worldwide, making Viagra one the most prescribed medicines in the world.
While Cialis is the only the only male impotence treatment drug that works up to thirty six hours following a single dose (most of the impotence treatment drugs will only provide impotence therapy for twelve hours).
Male
Impotence Treatment Drug Comparisons
| Medication | Time of Onset | Duration of Action | Effectiveness | Side Effects | Cost Per Dose |
| Viagra | 20 - 30 minutes | 12 - 18 hours | 90 - 95% of men |
facial flushing stuffiness | £3.50 order (click here) |
| Cialis | 25 - 45 minutes | Up to 36 hours | 80 - 90%
of men |
mild muscle pain | £4.30 order (click here) |
| Levitra | 30 - 60 minutes | 8 hours | 70 - 85%
of men |
flushing, dyspepsia | £6.20 order (click here) |
| Uprima | 25 - 60 minutes | 6 hours | 65 - 75% of men |
dizziness, light-headedness | £4.50 order (click here) |
Please note: Cost per dose is based on the purchase of the higher mg tablets and then splitting the tablets in half. For example Viagra is available in Viagra 25mg, 50mg and 100mg doses. The Viagra 50mg dose represents the standard dose, therefore, for a substantial cost savings individuals should purchase the Viagra 100mg dose and then split the 100mg tablet into two 50mg doses.
Viagra Male Impotence Treatment
Viagra (sildenafil citrate) has change the course of male impotence treatment impotence.
Viagra is
dispensed as a pill and ingested orally. Approximately 30-60 minutes later the drug is absorbed in the bloodstream.
The physiologic mechanism of erection of the penis involves release of nitric oxide (NO) in the corpus cavernosum
during sexual stimulation. NO then activates the enzyme guanylate cyclase, which results in increased levels
of cyclic guanosine monophosphate (cGMP), producing smooth muscle relaxation in the corpus cavernosum and allowing
inflow of blood. Viagra has no direct relaxant effect on isolated human corpus cavernosum, but enhances the
effect of nitric oxide (NO) by inhibiting phosphodiesterase type 5 (PDE5), which is responsible for degradation
of cGMP in the corpus cavernosum. When sexual stimulation causes local release of NO, inhibition of PDE5 by
sildenafil causes increased levels of cGMP in the corpus cavernosum, resulting in smooth muscle relaxation
and inflow of blood to the corpus cavernosum
(view
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for details}).
The following graph depicts how men rate the long term use of Viagra for male impotence treatment:
Viagra (sildenafil citrate) has changed the course of male impotence treatment. Rarely has there ever been so much enthusiasm surrounding a prescription medication.

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Cialis Male Impotence Treatment
Cialis Male Impotence Treatment
Cialis represents a new class of medications known as PDE-5 inhibitors for male impotence treatment. These
medications are used to treat male impotence. Cialis has been approved by the European Commission for the treatment
of male impotence and is already in pharmacies throughout Europe.
In technical terms Cialis exerts its action by effecting two enzymes, Cyclic guanosine monophosphate (cGMP) and phosphodiesterase type 5 (PDE5) that play important roles in erectile function. Sexual stimulation triggers the local release of nitric oxide (NO) from nerves and endothelial cells in the penis. NO stimulates an enzyme that catalyzes formation of cGMP from the nucleotide guanosine 5-triphospate (GTP) in the penile blood vessels and corpus cavernosum walls.
The cGMP causes vasodilation of arteries, allowing the influx of blood
into the corpus cavernosum. Increased blood flow into the penis causes the
erectile tissue to expand. When the erectile tissue has expanded sufficiently,
the veins draining the corpus cavernosum become compressed. This decreases
the outflow of blood from the penis, and the blood remains in the corpus
cavernosum to keep the penis erect.The enzyme PDE5 eventually causes degradation
of the cGMP, and the erection ends
(view
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for details}).
Cialis is a prescription impotence treatment medication. Cialis (pronounced
see-AL-iss) was shown to improve erections for up to 36 hours following
the initial dose. During clinical studies, some men reported improved erections
as quick as thirty minutes after taking Cialis. The male impotence
treatment medication, Cialis, is being called the "weekender"
because men only have to take on dose of Cialis for an entire weekend of
male impotence treatment.
Cialis Male Impotence Treatment Facts:
Cialis
has been called the "weekender" individuals can take the
medication Friday afternoon and have improved erections for the entire weekend.
Cialis
has less reported side effects when compared to Viagra for male impotence
treatment.
Cialis
works quickly, most men report improved erections within
thirty minutes of taking Cialis.
Cialis
has now been approved in both Europe and the United States for
male impotence treatment.
Cialis is the most recent medication to be approved for the male impotence
treatment. The medication is unique from both Viagra Uprima, and Levitra
in the length of time the medication exerts its positive effect. Most
of the men during clinical studies stated that they could have successful
intercourse for a period of 24 to 36 hours following a single dose of Cialis.
Male impotence treatment for thirty-six hours.
"Cialis has the potential to be a valuable new treatment option for men with male impotence symptoms and their partners," said Dr. Harin Padma-Nathan, urologist and lead investigator of the study. "A therapy that allows a man with impotence to engage in intercourse within a 36-hour window permits the couple to regain spontaneity in their sexual relationship."

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Levitra Male Impotence Treatment
Levitra (vardenafil)
mechanism of action is similar to Viagra in male impotence treatment. Viagra
was the first of the so called, "PDE-5 inhibitors" and Levitra is known in the same class to significantly
help individuals treat their erectile dysfunction (impotence). Similar to Viagra, Levitra increases the quantity
of blood supplied to the penis thus improving the erection. Levitra is very selective in inhibiting the PDE-5
without affecting other isoenzymes. This allows a smaller dose of Levitra to have a more pronounced effect
as a larger dose of Viagra (the standard dose of Levitra dose is 10mg while the standard dose of Viagra dose
is 50mg). Through this action, smooth muscle in the penis remains relaxed for a longer period. This allows
for increased blood flow into the cavernous tissue of the penis thereby generating an erection. Levitra is
unique in that it increases a natural occurring process, therefore, only through sexual stimulation will an
erection occur.
More specifically, Penile erection is a haemodynamic process. During sexual stimulation, nitric oxide is subsequently released. The nitric acid activates an enzyme guanylate cyclase, resulting in an increased level of cyclic guanosine monophosphate (cGMP) in the corpus cavernosum of the penis. This results in smooth muscle relaxation in the penis, allowing increased inflow of blood into the penis. The level of cGMP is regulated by the rate of synthesis via guanylate cyclase and by the rate of degradation via cGMP hydrolysing phosphodiesterases (PDEs).
Levitra is a potent and selective inhibitor of the cGMP specific phosphodiesterase
type 5 (PDE5), the most prominent PDE in the human corpus cavernosum
view
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for details}).
Levitra enhances the effect of endogenous nitric oxide in the corpus
cavernosum by inhibiting PDE5 for impotence treatment. When nitric oxide
is released secondary to sexual stimulation, inhibition of PDE5 by Levitra
results in increased corpus cavernosum levels of cGMP. Sexual stimulation
is required for Levitra to produce its beneficial therapeutic effects.

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Uprima Impotence Male Impotence Treatment
Uprima (apomorphine) is one of the most recent impotence treatment drugs on the market designed to help men
achieve and maintain a sufficient erection for intercourse.
Uprima is the first clinically tested
sublingual medication to enhance erections by activating chemicals found in the brain.
Uprima tablets are dissolved under the tongue which stimulate dopamine receptors in the hypothalamus and mid
brain regions. Subsequently, once sexual stimulation as occurred an excitatory signal is transmitted via the
spinal cord to stimulate parasympathetic activity in the pelvic region that results in smooth muscle relaxation
in the walls of the arteries supplying the penis. The relaxation of walls of these arteries allows the arteries
to expand so more blood can flow to the region, hence, improved erections
(view
the Uprima mechanism of action diagram as a male impotence treatment medication {click here
for details}).
Uprima is unique in that it works through the central nervous system, producing a series of events that enhances the ability to achieve and maintain an erection. Uprima is administered sublingually (under the tongue) allowing the medication to bypass the gastro-intestinal tract. This allows for a rapid absorption of the medication allowing men to achieve and erection typically under 20 minutes.
"Uprima offers several benefits for patients: it works fast, and it works similarly to the way men normally have erections," said Prof. Jeremy Heaton, of Queen's University and Kingston General Hospital, Ontario, Canada. "Long- term data in men who continued in studies demonstrate that UPRIMA is successful in more than 90 percent of attempts at intercourse."

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Herbal Viagra, Natural Erection Enhancement For Effective Impotence Treatment
Herbal
"Viagra" Erectile Impotence Treatment - has become
very popular as a male impotence treatment. If you are
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erections look for the following ingredients on the lablel:
Yohimbe (bark), Maca (root), Horny Goat Weed (leaf), Saw
Palmetto (berry), Schizandra (berry), Guarana (seed)
Tribulus Terrestris (aerial part), Ashwagandha (root),
Asparagus Racemosus (aerial part), Ginger (root) Cayenne
Pepper (berry), L Tyrosine, and L Histidine.
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Alternate Male Impotence Treatment Options
Penile Injection Male Impotence Treatment - uses a hypodermic needle to inject medication
that is a mixture of papaverine, phentolamine and prostoglandin into the side of the penis. The medication
relaxes the smooth muscle tissue of the penis allowing for an erection. These injections can be painful, result
in scare tissue formation at the injection site and cause priapism, the prolonged and painful engorgement of
the penis).
Muse Urethral Insert Male Impotence Treatment - consists of a disposable applicator, small enough
to fit into the urethra. The applicator is inserted into the urethra approximately one inch and the prostaglandin
E-1 medication is released. As a result, an erection occurs lasting 30-60 minutes. Patient acceptance is still
an issue secondary to expense and the low success rate as compared to other treatments for male impotence.
Vacuum Therapy
Male Impotence Treatment - works by placing a cylinder with an attached pump over the
penis. The pump creates a vacuum in the cylinder, which pulls blood into the penis to create an erection. The
cylinder is then removed while simultaneously a constriction band is placed at the base of the penis. This
will usually keep the penis erect for up to thirty minutes.
Hormonal Therapy Male Impotence Treatment - is used to treat the small percentage of individuals
who have abnormally low levels of testosterone. During the initial consultation, a physician will likely order
LH and Prolactin hormone test to exclude other causes of low testosterone levels. If appropriate, testosterone
is available in a transdermal adhesive patch.
Vascular Surgery Male Impotence Treatment - may involve both the arterial and venous systems. Venous
ligation has been reported to be effective in patients with venous leakage. However, it is often difficult
to diagnose individuals with this condition with the current testing capabilities; therefore, it is difficult
to predict their outcome prior to surgery. Arterial re-vasculation procedures are limited to congenital or
traumatic vascular abnormalities. Similar to venous testing, complete standardization diagnostic testing has
not been established, so difficulties persists in predicting surgical results.
Penile Implants Impotence Male Impotence Treatment - requires surgical insertion of a prosthetic
device. Three forms of penile prosthesis are currently available flexible, malleable and inflatable. Flexible
or Malleable rods consist of two semi-rigid, flexible rods that make the penis firm enough for intercourse.
There are also inflatable prosthetic devices that produce a more natural erection. When an erection is desired
the pump (located in the scrotum) is squeezed, this in turn inflates a cylinder, which creates an erection.
Following intercourse, the pump is released and the penis returns too normal. These devices have been associated
with postoperative infections, mechanical failure, silicon particle shedding and the risk of the initial surgery.
Psychotherapy and/or Behavioral Therapy Male Impotence Treatment - have been found to be beneficial
in treating impotence. Although the majority of causes of impotence are physical, there are quite frequently
underlying psychosocial factors involved as well. Psychotherapy and/or behavioral therapy may be helpful in
individuals whom no organic cause for impotence has been detected. Therapy often focuses on complications surrounding
performance anxiety, dysfunctional relationships, loss of a partner, psychotic disorders, substance abuse,
etc.
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