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Attention ALL Men! Do you suffer from ED? Erectile Dysfunction is the inability to get and maintain an erection suitable for sexual activity. Its sometimes referred to as Impotence.
What are the symptoms of ED?
1. Having trouble achieving an erection
2. Unable to maintain an erection during sexual activity.
3.have low or reduced libido.
Cardiovascular Diseases, Diabetes, Hypertension, Damage from cancer or surgery, Obesity, advancing years, Stress, Anxiety, Relationship Problems, Drug Use, Alcohol or smoking are some of the reasons a man may be suffering from ED.
- Erectile dysfunction (also known as impotence) is a very common condition, which affects the majority of men at some point in their lives. Up to 50% of men aged 40 – 70 and up to 70% of men over the age of 70 suffer from erectile dysfunction to some extent.
So, what can be done about it? Well the first thing you should do is consult with your doctor, if you are on any kind of medication then ask whether this may be what is blocking you from having sex, or are there any other physical reasons for this happening? It’s worth noting that while any of the causes above might be the reason none are in themselves completely so.
- There are several options, which are currently licensed for the treatment of erectile dysfunction in the UK. Modern treatments are safe and effective and may help up to 80% of men treat erectile dysfunction. However as with many other medicines for all sorts of aliments, the patient must believe that it will work for it to be effective. Don’t believe and it doesn’t work!
There is a wide range of Drugs formulated to treat Erectile Dysfunction, the majority are in the form of Pills, but others include, Injections, Creams and Insertable.
What are the differences between erectile dysfunction drugs? About half of men ages 40 to 70 have erectile dysfunction (ED) to some degree, although only one in 10 report a complete inability to have erections. Taking an ED drug produces an erection sufficient to start intercourse in about 70% of otherwise healthy men.
Sildenafil (Viagra) is often the first drug your doctor offers. It’s been on the market longest and its side effects and the medications and foods it interacts with are well known.
But the main challenge to finding the best ED drug for you may turn out to be health insurance rules—not biochemistry. It’s a common practice among insurers to limit the number of pills you can obtain per month.
In addition to Viagra, other ED drugs available include avanafil (Sentra), tadalafil (Cialis) and vardenafil (Levitra). These all improve blood supply to the penis. In combination with sexual stimulation, the drugs can produce an erection sufficient to initiate and complete intercourse. There is also a fast-dissolving form of Levitra, called Stay, that you put under your tongue.
One ED drug, Cialis, is approved for use daily in a dose of 2.5 or 5 milligrams. This helps to produce erections on demand and may also help relieve urinary problems, like difficulty starting urination, that result from an enlarged prostate
Doctors usually start with the simplest treatments for erectile dysfunction — in fact, they may suggest lifestyle changes before trying medication.
Consider these other treatment options:
- Make lifestyle changes. Quitting smoking, cutting back on alcohol, getting regular exercise, and losing weight have all been shown to help with erectile dysfunction.
- Seek psychological help. In about 60 percent of ED cases, the source is psychological: Anxiety, depression, and relationship issues may all contribute to erectile dysfunction. Working with a mental health provider may help.
- Try injectable medications. If oral drugs do not work, other drugs may be injected or inserted into the penis (causing an erection within minutes). Although they have been shown to be very effective, they may come with a certain amount of discomfort.
- Use a vacuum pump. A pump can be placed over the penis and used to draw blood into the penis to cause an erection. An elastic ring at the base of the penis can be used to maintain the erection for up to 30 minutes.
- Consider surgery. Surgical procedures used to treat erectile dysfunction include implants and reconstruction of blood vessels in the penis. Surgery is usually the last resort — but it can be an effective solution for some.
- And Then! There is our special way to treat ED, but read on we will address this later in this book.
- Alprostadil self-injection. With this method, you use a fine needle to inject alprostadil (Caverject Impulse, Edex) into the base or side of your penis. In some cases, medications generally used for other conditions are used for penile injections on their own or in combination. Examples include papaverine, alprostadil and phentolamine. Often these combination medications are known as bimix (if two medications are included) or trimix (if three are included).
Each injection is dosed to create an erection lasting no longer than an hour. Because the needle used is very fine, pain from the injection site is usually minor.
Side effects can include mild bleeding from the injection, prolonged erection (priapism) and, rarely, formation of fibrous tissue at the injection site.
The most common side effects of ED drugs, in order of most to least common are headache, flushing, upset stomach, nasal congestion, urinary tract infections, vision problems, diarrhoea, dizziness, and rash. A man who has an erection that lasts four hours or more needs to get to a hospital or risk permanent damage.
None of the ED drugs is safe to take with cardiac drugs called nitrates because it could cause a dangerous drop in blood pressure. Drugs that many men take for urinary symptoms, called alpha blockers, can also lower blood pressure, so take them at least four hours apart from ED drugs. Your doctor may start you on a smaller dose of the ED drug if you already take an alpha blocker, or may recommend the alpha blocker tamsulosin (Flomax), which affects blood pressure less.
ED is often an early warning sign of underlying cardiovascular disease, such as clogged arteries (atherosclerosis). “It can predate a diagnosis of cardiovascular disease by at least a few years We don’t have strong proof yet that starting to live a healthier lifestyle can reverse erectile problems, but it can’t hurt.
- Alprostadil urethral suppository. Alprostadil intraurethral (Muse) therapy involves placing a tiny alprostadil suppository inside your penis in the penile urethra. You use a special applicator to insert the suppository into your penile urethra.
The erection usually starts within 10 minutes and, when effective, lasts between 30 and 60 minutes. Side effects can include pain, minor bleeding in the urethra and formation of fibrous tissue inside your penis.
- Testosterone replacement. Some men have erectile dysfunction that might be complicated by low levels of the hormone testosterone. In this case, testosterone replacement therapy might be recommended as the first step or given in combination with other therapies.
If medications aren’t effective or appropriate in your case, your doctor might recommend a different treatment. Other treatments include:
- Penis pumps. A penis pump (vacuum erection device) is a hollow tube with a hand-powered or battery-powered pump. The tube is placed over your penis, and then the pump is used to suck out the air inside the tube. This creates a vacuum that pulls blood into your penis.
Once you get an erection, you slip a tension ring around the base of your penis to hold in the blood and keep it firm. You then remove the vacuum device.
The erection typically lasts long enough for a couple to have sex. You remove the tension ring after intercourse. Bruising of the penis is a possible side effect, and ejaculation will be restricted by the band. Your penis might feel cold to the touch.
If a penis pump is a good treatment choice for you, your doctor might recommend or prescribe a specific model. That way, you can be sure it suits your needs and that it’s made by a reputable manufacturer.
- Penile implants. This treatment involves surgically placing devices into both sides of the penis. These implants consist of either inflatable or malleable (bendable) rods. Inflatable devices allow you to control when and how long you have an erection. The malleable rods keep your penis firm but bendable.
Penile implants are usually not recommended until other methods have been tried first. Implants have a high degree of satisfaction among men who have tried and failed more-conservative therapies. As with any surgery, there’s a risk of complications, such as infection.
Recent studies have found that exercise, especially moderate to vigorous aerobic activity, can improve erectile dysfunction. However, benefits might be less in some men, including those with established heart disease or other significant medical conditions.
Even less strenuous, regular exercise might reduce the risk of erectile dysfunction. Increasing your level of activity might also further reduce your risk.
Discuss an exercise plan with your doctor.
If your erectile dysfunction is caused by stress, anxiety or depression — or the condition is creating stress and relationship tension — your doctor might suggest that you, or you and your partner, visit a psychologist or counsellor.
Before using any supplement, check with your doctor to make sure it’s safe for you — especially if you have chronic health conditions. Some alternative products that claim to work for erectile dysfunction can be dangerous.
The Food and Drug Administration (FDA) has issued warnings about several types of “herbal Viagra” because they contain potentially harmful drugs not listed on the label. The dosages might also be unknown, or they might have been contaminated during formulation.
Some of these drugs can interact with prescription drugs and cause dangerously low blood pressure. These products are especially dangerous for men who take nitrates.
For many men, erectile dysfunction is caused or worsened by lifestyle choices. Here are some steps that might help:
- If you smoke, quit. If you have trouble quitting, get help. Try nicotine replacement, such as over-the-counter gum or lozenges, or ask your doctor about a prescription medication that can help you quit.
- Lose excess pounds. Being overweight can cause — or worsen — erectile dysfunction.
- Include physical activity in your daily routine. Exercise can help with underlying conditions that play a part in erectile dysfunction in a number of ways, including reducing stress, helping you lose weight and increasing blood flow.
- Get treatment for alcohol or drug problems. Drinking too much or taking certain illegal drugs can worsen erectile dysfunction directly or by causing long-term health problems.
- Work through relationship issues. Consider couples counselling if you’re having trouble improving communication with your partner or working through problems on your own
|ED drugs: How soon they start working and how long they last|
|avanafil (Sentra)||15-30 minutes||6-12 hours|
|sildenafil (Viagra)||30-60 minutes||4-5 hours|
|tadalafil (Cialis)||30-45 minutes||24-36 hours|
|tadalafil (Cialis) daily||continuous||Continuous|
|vardenafil (Levitra)||30-60 minutes||4-5 hours|
Pills can cost from £2.00 a throw to up to £15 depending on the strength and quantity bought.
Other treatments such as Injections (self-administered) around £35.-£40
Remember all of the above you would need to keep repeating every time you are about to have sex.
And Surgery can easily run into thousands of pounds. Plus, there are no guarantees that the outcome will be satisfactory.
So, No Pills, NO surgery, No Implants, no Pumps, No Injections, no missed opportunities and NO MORE FAILURES
In the forgoing discussion you will probably have noticed that a couple of things stick out as being important.
- All of the treatments discussed in Part One, are in effect only treating the symptoms of Erectile Dysfunction.
- The patient must believe that the Pill, Injection etc will work
- The treatments only work if the patient is about to have sexual activity
- Medicines including Pills Injections etc have to be taken every time and at exact time interval before sex
- The cost is continuous and replenishment of supply constant
You may be offered any number of remedies including, Pills, Pumps, Injections, Implants, even Surgery, well if you enjoy these go right ahead, they may work or they might not and here is why! They only attempt to treat the symptoms and not the real cause. Secondly, with all these treatments you have to do some conscious action such as take a pill at a precise time interval before sex or maintain and prepare a device for action. Not to mention having to keep buying pills which are not cheap or other ongoing expenses. All this tends to be a bit of a turn-off for most men.
Sexual arousal in men is extremely complicated because it involves the brain, emotions and the mind.
The difference between the BRAIN and the MIND
Most people will be aware of the different sections of the Brain The physical BRAIN, similar to the computer’s hardware.
But the MIND can be thought of as the software which runs on the above.
One’s mind can be considered as having two distinct parts, The Conscious and the Subconscious.
The Conscious part of our minds is the part that most of us are very familiar with, it’s the thinking, reasoning and action part, which has only a short memory.
The Subconscious mind is the part that few of us are aware of on a daily basis, it is the part that is responsible for all those tasks like Breathing, Pulse Rate, and all such things we do not normally have to think about which seem to just happen on their own, it is also the place where everything we see. hear or any other way perceive is remembered for ever. But here is the big but, it cannot actually reason, or calculate. Moreover, it does not store these memories in the same logical way a computer memory would but has a system of its own based on associations. Most of the time our subconscious mind does not communicate with the conscious part unless we take some action to ask and assist it to do so. As an example, you will have experienced a time when you could not remember the name of something during your conversation with another person, try as hard as you can you cannot recall it there and then, but later when you are not thinking about it, not consciously looking for the name/word it suddenly pops up into your head, and like magic there it is. Your subconscious mind has been working on finding the word, name or whatever and on finding it has passed it to your consciousness.
What is Hypnotism?
It’s a way of helping someone to reach a very relaxed state called a TRANCE. A trance can be best described of as being in a relaxed state somewhere between Fully Awake and Deeply Asleep. However, there is one important limitation to this and it is that the person being hypnotised can only reach a trance if they are willing to do so and co-operate with the hypnotist trying to help them. This will be obvious from your understanding of the above explanations of how the mind works, your conscious mind acting as the gateway to your deeper thoughts, so you are always in control.
Once in a deep trance the hypnotist can begin to offer SUGGESTIONS, you can accept or reject these as you wish, but they are designed to try and find the memory in your subconscious which have been causing the issue you wish to remove from your life. The aim is to bring them to the conscious part of your mind where they can be dealt with and removed from limiting your desired actions for ever. Thus, hypnosis is a safe treatment for very many illnesses and often more effective than any other.
How can hypnosis help the person with ED?
Hypnosis, is merely a heightened relaxation state which all of us have experienced at some time in our lives. How often have you been so engrossed in some activity that you lose track of time and ended up being late for an appointment or schedule? Under those conditions it is described as a trance, somewhere between awake and fast asleep, day dreaming in fact!
When you are in an extremely relaxed state, your subconscious mind is susceptible to suggestions and will eventfully find and recall anything you have witnessed in the past and make that knowledge available to your conscious mind where it is dealt with. In so doing anything stopping you from doing what you wish you could do once more, goes forever and you are restored to the fully functioning self you hoped you would always be.
So, No Pills, NO surgery, No Implants, no Pumps, No Injections, no missed opportunities and NO MORE FAILURES
What you need to do to ensure that this will work for you?
In short you will be fully committed to accepting that this is the right thing for you and that your recovery will be achieved. The actual retrieval of the memory will happen under hypnosis in seconds it just needs you to be in the right state of mind and fully relaxed for it to work. If you are going to undertake this please understand that for the most part your recovery to be successful depends largely on your willingness to follow instructions and co-operate with the treatment provided. WE know from our part that the process works for the great majority of sufferers and that in cases where it has not worked it can be shown that the patient has not achieved the degree of relaxation required to connect with their subconscious. So do make it your earnest intention to get the full benefit of our treatment which you deserve. You must prepare yourself by relaxing and keeping in the forefront of your brain the fact that you are going to get better. Sit or lay down whichever is the most comfortable and shut out all distractions. Allow at least one hour where you are on your own and will not be disturbed by anything or anyone. Play the MP3. You will only hear my voice which will guide you to the most relaxed state you have ever witnessed, you will find it so agreeable you may later wish to return having enjoyed the experienced so much, most of my patients feel this way about hypnosis. Keep your CD or Download is a safe place so it cannot be accessed by anyone else and is available for you to repeat if and when you feel it necessary, which you should not need to do too often if at all.
SUMMARY: GETTING AN ERECTION AND MAINTAINING IT IS A SUBCONSCIOUS ACT, YOU SHOULD NOT EVEN HAVE TO THINK ABOUT IT.
ALS Therapeutic Services
Would like to acknowledge and sincerely thank all contributors to this publication.