How Men Can Improve Erectile Function Without Viagra
A recent study conducted by British researchers has raised concerns that impotence drugs, such as Viagra, may be linked to sudden hearing loss. This is disconcerting news for the approximately 2.3 million men in Britain who suffer from erectile dysfunction. It is believed that a series of chemical reactions triggered by Viagra may impact the inner ear.
While erectile dysfunction is more prevalent in older men, with around 65 percent of those over 60 experiencing it, approximately 40 percent of men will have encountered this issue by the age of 40. Erectile dysfunction can have various physical causes, according to Dr. Arun Ghosh, a general practitioner specializing in sexual health at the Spire Liverpool Hospital.
One of the potential causes is nerve damage resulting from conditions like diabetes or surgery for prostate cancer. Reduced blood flow due to factors such as smoking, high cholesterol levels, or high blood pressure can also lead to erectile dysfunction. Common medications like antidepressants and blood pressure drugs can affect performance, as can stress and even regular cycling.
Dr. Ghosh emphasizes that erectile dysfunction is closely linked to a decrease in libido, stating, “A lot of these men are suffering from testosterone deficiency syndrome, which can occur as they reach their 40s and gain weight around the stomach. This leads to a drop in testosterone levels, resulting in a loss of libido and erectile function. It’s worth requesting a blood test if you’re in your 40s and begin experiencing these symptoms.”
In addition to the mechanical aspect of the issue, psychological factors play a role in erectile dysfunction. Dr. Ghosh explains, “If you’ve experienced a problem once, you’re likely to be anxious about it happening again. In fact, one of the primary functions of any treatment is to provide a psychological boost. It’s crucial to combine treatment with some form of sexual counseling or therapy, even if the cause is a physical one like diabetes.”
With the recent news about Viagra’s potential side effects, many men may be considering alternative options. So, what are the best alternatives, whether available over-the-counter or prescribed by a doctor? We sought the opinions of leading experts on various pills, potions, and gadgets that claim to boost a man’s libido or assist with erectile dysfunction.
- Caverject or Viridal Duo (alprostadil): These are injected into the spongy parts of the penis at the base. This prescription-only treatment prevents blood from leaving the penis after it flows in, creating an erection that typically occurs within 15 minutes and lasts for 30 to 45 minutes. Dr. Ghosh notes that while this method may be intimidating for some, it can be highly effective, even for men with severe nerve damage due to diabetes or surgery.
- Ginseng Root: Some studies suggest that ginseng root may help with erectile dysfunction and low libido by increasing testosterone levels. However, experts like David Colquhoun, professor of pharmacology at University College London, remain skeptical about herbal aphrodisiacs.
- Tadalafil (Cialis) and Vardenafil (Levitra): These drugs, like Viagra, belong to the class of PDE5 inhibitors. They work by relaxing blood vessels to facilitate blood flow to the penis, aiding in achieving an erection. Dr. Ghosh prefers prescribing Cialis because it is not affected by food or alcohol and has a longer duration of action compared to Viagra. Levitra is also considered a viable alternative.
- Testosterone Patches and Gels: Testosterone therapy, available in various forms such as patches and gels, can treat low libido and erectile dysfunction but is only available by prescription. These products, like Testim and Testogel gels, are typically applied to the chest or thigh.
- Vacuum Pumps: These devices create a vacuum around the penis to draw blood into it, after which a ring is placed to prevent blood from flowing out. They are often used in conjunction with prescription drugs after prostate cancer surgery but can also be used on their own.
- Penis Rings: These are placed at the base of the penis to maintain an erection once achieved. They are available over-the-counter in pharmacies.
- Alprostadil Pellets: Alprostadil, the same drug used in injections, is also available in pellet form. It is inserted into the urethra and absorbed into the body, causing an erection within 5 to 15 minutes, lasting for 30 to 60 minutes.
- Penile Implants: Typically used as a last resort, these implants involve inflatable devices that are surgically placed. When activated, they create an erection. This option is often considered by men with severe spinal injuries or advanced diabetes.
In conclusion, while Viagra remains a popular choice for treating erectile dysfunction, there are several alternative options available, both over-the-counter and by prescription. The choice of treatment should be made in consultation with a healthcare provider, taking into consideration individual health factors and preferences.
