Viagra for Love
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This year doctors will diagnose nearly 219,000 men with prostate cancer. Many will undergo radical prostatectomy surgery. While radical prostatectomy provides an excellent cure, impotence (erectile dysfunction) is a common side effect. However early, postoperative penile rehabilitation can speed prostatectomy patients' healing, achieve natural erectile function and improve their quality of life.
Studies show that even 24 months after prostate cancer treatment sexual dysfunction was the most important quality of life issue. "Increasingly doctors are finding quality of life issues important in the overall treatment of any disease, including erectile dysfunction," said Dr. Skip Freedman, executive medical director for AllMed Healthcare Management.
Treating erectile dysfunction has changed over the last several years, and can offer men a confusing number of treatment choices. Today treatments can range from vacuum erectile devices, oral drugs and injection therapies to penile prostheses.
Working with postoperative patients, a doctor may choose either single or combined therapies based on a patient's rehabilitation need and lifestyle. "Starting penile rehabilitation early after a prostatectomy prevents tissue damage, or fibrosis, by oxygenating the cavernosa or erectile tissue," said Dr. Freedman.
Doctors commonly prescribe single oral therapies such as 5PDEI, or sildenafil (trade name Viagra). Studies of these drugs show early treatment with 50 to 100 milligrams a day (or every other day) improves sexual function and that higher doses produce better results. There's also a health benefit. Using sildenafil early preserves the smooth muscles in the penis. At 100 milligrams a day, 5PDEI increases the smooth muscle content of the cavernosa. With oral therapies, patients often will accept a lower degree of sexual satisfaction.
After post-radical prostatectomy, vacuum erectile devices (VEDs) or vacuum constriction devices (VCDs) aid earlier recurring erections while preserving the penile length and girth that heightens sexual satisfaction for men and their spouses.
Injecting vaso-active substances, such as alprostadil (Prostaglandin E1, or PGE1), increases blood flow and expands blood tissue vessels. Studies on intracavernous injections of PGE1 show it can prevent long-term postoperative damage by periodically increasing oxygenation of the spongy cavernosa tissue. Intraurethral PGE1 (MUSE, or Medicated Urethral Suppository for Erections) can promote the earlier return of spontaneous erections and sexual activity.
Intracavernous PGE1 or VCDs are best used during the first postoperative months, because they allow sexual activity to begin earlier and facilitate long-term healing. However, because of the postoperative nerve damage (neuropraxia), 5PDE1 medications are rarely successful in producing erections. In time, their efficacy improves, however.
Tri-mix, or Triple P, is a combined injection therapy using varying concentrations of PGE1, phentolamine and papaverine. It allows patients to inject lower doses of each and with less pain. Early low-dose Triple P can produce more effective erections than early low-dose PGE1.
Combining oral and injection therapies, such as using oral 5PDEI and intracavernous PGE1 can increase early sexual activity and improve natural erections. The oral addition of sildenafil with the injections allows a lower dose of PGE1 and decreases the patient's pain.
Today there are many treatment choices for men with postsurgical impotence. "Health insurers and re-insurers should consider their plan language, as well as the individual's need to decide on the medical necessity of penile rehabilitation therapy," said Dr. Freedman. "Insurers covering treatment for erectile dysfunction should also cover early penile rehabilitation, because after radical prostatectomy, all patients exhibit impotence."
Viagra for Love
Monday, December 3, 2007
Friday, June 15, 2007
Curing Impotence With Foods
By Tim Gorman
Stop Sexual Impotence - A Healthy Diet Can Help Maximize Potency And Provide Greater Sexual Health
If you want to maintain good health, then most medical experts would agree a healthy, well-balanced diet is an important factor. But although eating well can help you lose weight and feel good, did you know that it can also give your sex life a boost? It's often been said that certain types of foods are aphrodisiacs (oysters or chocolate, anyone?), but eating well achieves a lot more than just a temporary lift in your sexual interest. Sexual impotence is often caused by a lack of energy, stamina, or too much stress, and eating well can help reduce those issues. If you want maximum potency and greater sexual health, then here are some ideas for healthy diet that can help you.
One food that definitely needs to be included in your quest for greater sexual health is garlic. It has a number of health benefits, including being antiseptic, a proven immune booster, and amazingly enough, an aphrodisiac. Garlic is a great ingredient, because it's versatile enough to add to lost of different dishes. However, its most effective if you eat it raw. And not just one nibble - two or three raw garlic cloves every day. If you're like me, that idea doesn't exactly appeal, so try chopping it up finely and adding it to a sandwich, or a salad vinaigrette. Onions also provide similar health benefits, and is also thought to improve overall sexual health and the libido. White onions are considered the most effective.
There are other vegetables that are recognized as helpful in the fight against impotence. If you want to increase your stamina, then give carrots a try. You need to eat around 150 grams of carrots every day for maximum benefit. Asparagus is another vegetable that's considered to have aphrodisiac properties. For centuries, many tribes have dried the asparagus roots and use it as an aphrodisiac.
Moving along to fruit that is beneficial in fighting impotence, we come to dried dates and raisins. They're both high in fiber, and give the body a sustained energy boost. Black raisins in particular are known for their aphrodisiac properties. It's generally suggested that you consume nuts at the same time as dried raisins or dates, in particular pistachio, almonds or walnuts. These help to give your body a protein boost, and work positively together with the high fiber in dried fruit.
Ginger is a herb that has often been used to cure sexual impotence symptoms. It has been popular for many years for treating a wide variety of ailments, among them premature ejaculation and impotency. The best way to use ginger is to extract its juice, and drink about half a teaspoon of the juice every night. Continue this for at least three weeks.
More generally, it's always beneficial for your health and your sexual health in particular, to increase your consumption of fresh fruit. Eaten regularly, fresh fruit helps to fight the free radicals present in your body. Whey protein is a good way of increasing your stamina, energy and endurance. Finally, make sure you avoid excess amounts of alcohol and caffeine, as these are well known for sapping your sexual energy.
Stop Sexual Impotence - A Healthy Diet Can Help Maximize Potency And Provide Greater Sexual Health
If you want to maintain good health, then most medical experts would agree a healthy, well-balanced diet is an important factor. But although eating well can help you lose weight and feel good, did you know that it can also give your sex life a boost? It's often been said that certain types of foods are aphrodisiacs (oysters or chocolate, anyone?), but eating well achieves a lot more than just a temporary lift in your sexual interest. Sexual impotence is often caused by a lack of energy, stamina, or too much stress, and eating well can help reduce those issues. If you want maximum potency and greater sexual health, then here are some ideas for healthy diet that can help you.
One food that definitely needs to be included in your quest for greater sexual health is garlic. It has a number of health benefits, including being antiseptic, a proven immune booster, and amazingly enough, an aphrodisiac. Garlic is a great ingredient, because it's versatile enough to add to lost of different dishes. However, its most effective if you eat it raw. And not just one nibble - two or three raw garlic cloves every day. If you're like me, that idea doesn't exactly appeal, so try chopping it up finely and adding it to a sandwich, or a salad vinaigrette. Onions also provide similar health benefits, and is also thought to improve overall sexual health and the libido. White onions are considered the most effective.
There are other vegetables that are recognized as helpful in the fight against impotence. If you want to increase your stamina, then give carrots a try. You need to eat around 150 grams of carrots every day for maximum benefit. Asparagus is another vegetable that's considered to have aphrodisiac properties. For centuries, many tribes have dried the asparagus roots and use it as an aphrodisiac.
Moving along to fruit that is beneficial in fighting impotence, we come to dried dates and raisins. They're both high in fiber, and give the body a sustained energy boost. Black raisins in particular are known for their aphrodisiac properties. It's generally suggested that you consume nuts at the same time as dried raisins or dates, in particular pistachio, almonds or walnuts. These help to give your body a protein boost, and work positively together with the high fiber in dried fruit.
Ginger is a herb that has often been used to cure sexual impotence symptoms. It has been popular for many years for treating a wide variety of ailments, among them premature ejaculation and impotency. The best way to use ginger is to extract its juice, and drink about half a teaspoon of the juice every night. Continue this for at least three weeks.
More generally, it's always beneficial for your health and your sexual health in particular, to increase your consumption of fresh fruit. Eaten regularly, fresh fruit helps to fight the free radicals present in your body. Whey protein is a good way of increasing your stamina, energy and endurance. Finally, make sure you avoid excess amounts of alcohol and caffeine, as these are well known for sapping your sexual energy.
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