Treatment of erectile dysfunction should be comprehensive and pathogenic (directed at the cause of). When properly selected treatment can help 95% of patients.
In identifying chronic disease in the first place to its treatment. In the psychogenic and mixed erectile dysfunction, beginning with the normalization of the emotional background and the use of stimulants. In patients with significant psychological problems can be applied psychosexual therapy, alone or in combination with drugs.
There is a huge arsenal of drugs to treat erectile dysfunction. The ideal agent should be highly efficient, fast, have no toxic side effects and if possible have a prolonged effect. There are three main areas of medical treatment for erectile dysfunction: the treatment of intracavernous injections, oral medication and specific means of different groups. By means of various groups include adaptogens (Pantocrinum, Siberian ginseng), cardiovascular drugs are the generalized action, biogenic stimulators (aloe, vitreous body), sedatives (thioridazine), vitamins and amino acids (aevite, glycine), preparations (Tentex forte). The effectiveness of treatment these agents remains low and is, according to various estimates, more than 30% and can mainly be used in the treatment of psychogenic erectile dysfunction.
Given the high efficiency of specific oral drugs have become first-line therapies in patients with erectile dysfunction. Among these means there are drugs with peripheral and central mechanisms of action. The most modern and proven effective drugs are currently the phosphodiesterase-5 inhibitors. Drugs in this group differ in the amount of time, the actions and side effects, but each has a place in the treatment of erectile dysfunction and mild to moderate severity.
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