Early impotence, also called erectile dysfunction at a young age today proved to be a fairly common problem. Even very difficult to find out what causes of the disorder must be considered as early, because the man usually should have erectile function in aged. Neurogenic impotence symptoms generally arise as a result of trauma, disease and so on. Erectile dysfunction occurs due to the difficulty of any nerve impulse in the cavernous body.
Chief hormonal factor – is impotence. This state has a relationship with the opposite sex in adulthood; however, often occur at a young age – 35 years. Similar signs of impotence of young men are likely to occur in endocrine disorders associated with the huge generation of prolactin. This hormone has an antagonistic action towards testosterone.
In all cases, treatment is required, but the young men refuse to be hospitalized. According to statistics, patients who have erectile dysfunction are not in a hurry to cure illness. The reason for this – are financial difficulties. Illinois School of Medicine`s researches showed that from 6 million of boys, only 20% have come to treat impotence. Rest of the patients did not have insurance, some of them were afraid of the consequences, while others had decided that the disease itself would`ve take place.
There are clinics that allow free pass of inspection, but the treatment – is the cost of expensive medicines. Also, some insurance companies do not provide complete coverage of damage to health, there is a lot of different factors and characteristics of the companies. Kevin McVary, Doctor of Medical Sciences says that many men can not come to the clinic because of embarrassment. They feel aggrieved, but do not realize that in bed they are more insignificant in front of their partners.
The more men are able to have sex, the longer they live. Doctor of Medical Sciences also noted that the treatment may be different for all types of men. All depends on the course of disease. Here are several types of treatment:
However, the most common method is the use of inhibitors of phosphodiesterase type 5. These include drugs such as Viagra (sildenafil), Levitra (vardenafil), and Cialis (tadalafil). They are usually appointed by the very first as a trial treatment, because are effective and popular. If they do not help, then it has already begun a detailed study of the problem. Arguments in favor of PDE-5 inhibitors:
Alprostadil – the first and only agent approved for intracavernous treatment of erectile dysfunction. As monotherapy for intracavernous administration it is most effective in doses of 5-40 mg. Erection occurs later and lasts 5-15 minutes depending on the dose. The patient will require training program (1 or 2 visits) to learn how properly to inject the drug.
Complications of intracavernous injection of alprostadil include pain in the penis (50% of patients after 11% of injections) is too prolonged erection (5%), priapism (1%) and cavernous fibrosis (2%). The pain is usually docked on its own long-term use. At fibrosis it is necessary temporarily to suspend the use of injections for several months.
If there are not enough male hormones in the male organism, it may be appointed androgen replacement therapy of drugs. The doctor strictly individual chooses medicine, its dosage and dosage regimen. The preparation may be in the form of injections, tablets or gel that is applied to the skin. During therapy should be monitored in the blood level of testosterone. In addition, every six months it will need to take a blood test for “liver function tests” (ALT, AST), as well as “good” and “bad” cholesterol.
It is understood that androgen therapy improves cholesterol figures. The potency should be restored within 1-2 months after initiation of treatment. All men over 40 should be performed digital rectal examination once a 6-12 months, and to determine the content of prostate-specific antigen in the blood serum. This is done so as not to miss out on prostate disease. Androgen therapy is strictly contraindicated if there is prostate cancer or benign tumor with severe bladder outlet obstruction.