In 20-75% of the patients irradiated for malignant disease, the onset of ED occurs. ED may occur immediately after irradiation, or it may develop over a few years.
Many medicines can also lead to a worsening in erectile dysfunction. Medicines to treat high blood pressure (beta blockers, calcium antagonists, thiazide diuretics), antidepressants and antipsychotics, antiarrhythmics (digoxin, amiodarone), drugs that affect hormone status (LH-RH agonists, antiandrogens, estrogens, spironolactone, cimetidine and others).Endocrine causes of ED
Diabetes mellitus, hyperprolactinemia and hypogonadism are the major metabolic abnormalities which may lead to the emergence of ED.
In the diagnosis and treatment of ED, of primarily importance is an open conversation. A conversation with your partner may help to some extent alleviate the problem. Problems should also be discussed without shame or prejudice with your doctor.
In assessing the degree of buy viagra online at viagraonline-australia.com.au discount , doctors utilize the questionnaire IIEF-5 to check any medicines that the patient is taking. In addition, a history should be done based on clinical examination. Doctors also pay attention to metabolic disorder (a disorder of metabolism of testosterone), obesity, high blood pressure, etc. Additionally, they perform basic laboratory tests including the determination of serum levels of glucose, fats (lipids) and tests of liver and kidney function. In the case of suspected endocrine disorder, a certain level of testosterone is detected in serum.
Despite modern treatments for ED, it is often a taboo subject and many men still fear and are ashamed to seek professional help. The basis for the successful treatment is a partner’s understanding and encouragement and frank and honest conversation.Modern treatment of ED is viagraonlinepharmacy.com.au based on the usage of tablets in the first instance as well as a recommendation to change lifestyle habits and make omissions. We recommend getting regular physical activity, reducing weight, not smoking and moderate consumption of alcoholic beverages. Even a visit to a psychotherapist can help in the treatment of organic ED.
If hypogonadism is suspected then we measure the level of testosterone or if the level is too low, men are prescribed testosterone enhancers.
PDE5 Inhibitors for Erectile Dysfunction
Revolutionizing the treatment of ED was the discovery of phosphodiesterase inhibitors type 5 (PDE5). The only approved PDE5 inhibitors are VIAGRA (sildenafil citrate), LEVITRA (vardenafil), Staxyn(vardenafil) and Cialis (tadalafil).
These medications increase the effect of nitric oxide (NO). NO dilates blood vessels, thereby increasing blood flow to the male penis. Medicines in themselves do not work, the erection occurs only when adequate sexual desire and stimulation are present. Since prescription drugs have certain limitations and precautions, it is necessary to assess the patient’s ability to participate in physical activity and the activity of sexual intercourse.
PDE5 inhibitors should not be prescribed for patients who are taking nitrates (angina). It is also not recommended to use PDE5 inhibitors together with alpha-receptor blockers (BPH). Concomitant use can lead to a decline in blood pressure (hypotension). We recommend at least 6 hours of spacing between the intake of an alpha-receptor blocker and a PDE5 inhibitor.
The dose should be adjusted in patients with severe liver or kidney disease.
PDE5 inhibitors are typically in health insurance system under the negative list (drugs are payable). Therefore, these drugs are usually prescribed as white, durable medications (used by a patient for one year).The medicines are also available through several online stores. In these cases, medicines often contain much less active ingredients than is declared, are untested and, in extreme cases, are harmful.
It is therefore recommended not to purchase PDE5 inhibitors and other drugs through unverified internet shops. We recommend that you talk about your problems with your doctor who can give you a prescription and thus have access to quality medications from a licensed pharmacy