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To understand what Erectile Dysfunction (ED) is and what its causes and treatments are it is necessary to briefly explain how the underlying process that results in an erection.
Achieving an erection requires an extraordinary collaboration of numerous bodily mechanisms. Blood vessels, nerves, hormones, and emotional state must work in concert to result in a healthy, firm and full erection. Disruptions in any of these mechanisms can reduce the firmness and duration of an erection, if not completely prevent it.
If the arteries supplying blood to the penis are too narrow, or the veins carrying blood away from the penis too wide, it will be difficult, if not impossible, to achieve or maintain an erection.
There is a myriad of causes of ED, but the most significant determinant is age. Certain medical conditions and medications also put men at a significantly higher risk of ED.
It was once wildly accepted by the medical community that psychological issues (stress, anxiety, etc.) were primarily, if not entirely, the cause of erectile dysfunction. Though emotional state and stress levels do indeed play a role in ED, modern studies have shown that it accounts for less than 20% of ED cases. Medical conditions and medications that disrupt the blood flow, nerves, or hormones needed to achieve and maintain a healthy erection are the cause to most ED cases.
Diabetes is one of, if not the most, common causes of ED. In fact, diabetic men are three times more likely to be diagnosed with ED. Prolonged uncontrolled blood-sugar levels damage blood vessels and nerves. The blood vessels and nerves the penis needs to obtain an erection are particularly susceptible to this damage.
Even diabetics who are proactive in monitoring and managing their blood-sugar levels regularly suffer from ED. Healthy blood flow is vital to successfully attain an erection. In addition to direct damage to the blood vessels and nerves of the penis, diabetes also contributes to other circulatory and nerve problems throughout the body which are themselves associated with ED.
The damage to nerves can also decrease sensation, which makes sex less enjoyable. If left untreated, this damage can become irreversible and may result in more serious conditions.
The prostate is a gland surrounding the neck of the bladder in men releasing prostatic fluid. The function of the prostate is to secrete this alkaline fluid, which constitutes around 30% of the volume of semen, which helps to neutralize the acidity of the vagina and prolong the life of sperm. Benign prostatic hyperplasia (BPH) is enlargement of the prostate. BPH is incredibly common as men age. Statistically, all men over the age of 70 will have an enlarged prostate.
A percentage of men suffering from prostate issues have difficulty achieving an erection. 10% of all men who have their prostate removed, known as transurethral resection of the prostate (TURP), experience ED. Common medications for prostate issues are drugs known as Alpha Blockers, or Alpha Reductase Inhibitors, have been conclusively proven to diminish sex drive and linked to ED.
Vascular problems, specifically heart disease, directly causes ED by constricting blood flow to the arteries that supply blood for an erection. The problem is compounded by the drugs used to treat heart disease. These drugs contain or increase nitroglycerin, which is a vasodilating agent, and other organic nitrates. Combining these drugs with other ED pills (Viagra, etc.), which also contain vasodilating agents, can cause a life-threatening drop in blood pressure. In severe cases, this may result in stroke, heart attack, or death.
All ED pills (i.e. Viagra, Cialis, etc.), whose route of administration is oral, must be absorbed through the lining of the intestine. After absorption, the drug is circulated throughout the body until it reaches the targed area (enzyme, tissue, etc.). ED pills ultimately are intended to cause, through a series of complicated chemical reactions, smooth muscle relaxation (known as vasodilation) of the penis. Vasodilation results in increased blood flow into the corpus cavernosome.
Specifically, ED pills are all drugs known as phosphodiesterase type 5 (PDE5) inhibitors. These drugs cause an increase in nitric oxide. Nitric oxide is a vasodilating agent. When it encounters blood vessels it causes the smooth muscles, which make up the walls of the vessels, to relax and increase in diameter. This allows more blood flow.
Medical conditions like diabetes and heart disease damage blood vessels and nerves required to achieve and/or maintain an erection. Without healthy blood vessels and nerves the drugs' mechanisms are not able to achieve the desired outcome.
If you have felt hopeless after telling your doctor that Viagra doesn't work for you, there is another more effective solution!
Pharmaceutical companies have benefited tremendously from the accidental discovery of Viagra (initially studied for another reason). Pfizer's stock more than doubled days after Viagra hit the market. Its' release also marked a fundamental change in the way prescription drugs were to be marketed.
Medical conditions, diseases, and medications that prevent the effectiveness of ED pills do so through impairment of blood vessels and nerves essential to the process of achieving and maintaining an erection. Medications that contain nitrates, commonly used to treat heart disease, can cause a potentially life-threatening drop in blood pressure with combined with ED pills.
Regardless of the reason, if you are one of the millions of men who have been disappointed by overstated promises of traditional pharmaceutical ED solutions, there are other, proven treatments available.
ED is diagnosed though a physical examination and health history exam by our board-certified physicians. ED can be diagnosed on your first visit. Signs and symptoms of ED can be graduation. Our physicians will determine the degree of dysfunction you are suffering from and provide a treatment plan tailored based on your unique medical circumstances.
Unlike ED pills, TMH uses a specially-formulated (based on your unique medical circumstances) liquid medication. The medication consists of many powerful vasodilating agents. An erection results in minutes after administration. Depending on dosage, the erection will last between 30 minutes to an hour.
Benefits of TMH ED Treatment
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