By JANE E. BRODYAUG.
1995 this is a digital version of an article from The Times Print Archive, before it starts online in 1996.
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Few people like the idea of having sex through "clinical" procedures.
Most people prefer sex to be a completely spontaneous behavior, which is the main reason why the contraceptive methods that must be used during sexual intercourse are less popular or unsuccessful.
However, when making a choice between Performing initial mechanical movements and not being able to enjoy sexual intercourse, more and more men with erectile dysfunction choose to abandon spontaneous behavior so that they can maintain an active sex life.
Compared to a decade ago, there are more men seeking help today and more ways and experts helping them.
Interestingly, penis implants that trigger current professional and public interest in the treatment of erection problems are now the most unpopular, and while still very effective, they are mainly used after other methods fail.
Nowadays, when the underlying cause of erectile dysfunction allows, methods that are less risky and cost-effective for external applications before sex is prioritized.
But experts warn people not to abandon themselves.
Over-treatmentthe-
So-called anti-remedy measures to stimulate erection.
Some may be dangerous and most of them are invalid.
Anatomy of Erectionement in addition to spontaneous erection occurring during rapid processeye-
Exercise, or dream, sleep, erection begins in a conscious brain and has a nervous system reaction to imaginary or actual erotic stimuli.
The penis has two compartments that collapse in a relaxed state, but when filled with blood, the two compartments expand to expand and pull the long penis.
The nerves provide a chemical signal to relax the smooth muscle meat that connects the arteries and these cavities.
The blood then flows into the cavity, causing the cavity to swell and temporarily squeezing the escape passage.
When the nerves are damaged, no chemicals that relax the muscles are released.
The penis cannot be filled normally when the artery is blocked.
When the escape valve fails, the blood leaks too fast.
In a relaxed state, there is relatively little oxygen reaching the penis tissue, but when the penis is erect, it has a rich supply of oxygen.
Research by the John Hopkins Medical Institution shows that nerves that stretch into the penis and surround its blood vessels produce nitrogen oxides, which can trigger erection and maintain the health of the blood vessels and the penis cavity.
Even during sleep, it is not possible to erect, which will deprive the penis tissue of oxygen and no for a long time, and may eventually cause permanent damage, which makes it difficult for the penis to attract blood.
Therefore, men with erectile dysfunction should not delay seeking treatment and the cost of treatment is borne by most insurance companies.
At present, treatment counseling, sexual therapy and psychotherapy for couples are still the best treatment for male erectile dysfunction, because male erectile dysfunction is caused by emotional factors and a small number of patients.
For those with organic impotence, modern treatments include one or more methods that can help almost everyone, for whatever reason.
A state-of-the-art, still experimental approach described at the annual meeting of the American Diabetes Association in June includes inserting one or two drugs that bypass the damaged nerves into the urethra.
Drugs such as Kaishi and prazoxine can relax the penis and expand the blood vessels to fill the penis with blood.
Vivus has developed a drug urinary system for erection called MUSE.
A pharmaceutical company in Menlo Park, California
They hope to bring it to market by 1997.
The drug is inserted into a tiny piston that produces an erection in 10 minutes for up to an hour.
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At the same time, it is also possible to inject high-efficiency drugs directly into the tissue of the penis, including Kaishi, papaverine, phentolamine, and forefront of loop E1.
The side of the penis is usually a painless injection, using a short and thin needle for $5 to $15 per dose.
It is said that 75 to 85% of the men who chose this method were successful.
Their main drawback is that frequent use may result in the accumulation of scar tissue from needle-punched wounds on the penis, which ultimately results in difficult erection.
Another external method that is becoming more and more popular is vacuum therapy.
Just before sex, place a cylinder on the penis and use a connected hand pump to create negative pressure inside the cylinder, causing blood to flow into the penis cavity.
Then slide a soft rubber ring at the bottom of the penis, which helps to keep the erection for about 30 minutes.
Then remove the cylinder. The two-
Using a device called "Erecaid" for a minute program can help about the third person to try it.
Its main side effects are mild and uncommon, mainly the red pointed rash on the surface of the penis, which can be bruised if the vacuum pressure remains too long.
The $400 electronic medical device is manufactured by osbyon medical systems in Augusta, Ga.
, And is provided only by prescription.
Another prescription vacuum device, the VED pump, for $395, is manufactured by Mission Pharma and is available (800)531-3333.
The third external method is oral medicine, which is said to increase the blood flow of the penis.
The main drug used is yuhenbin, which is extracted from the bark of the yuhenbin tree and has long been used in folk medicine to improve sexual desire.
Supporters say this helps improve erection for about a third user, especially those who are mentally causing impotence, and is most effective when combined with the anti-depression drug trazodone.
Many experts question its biological activity as a placebo that works on some men who are physically able to erect because men believe it will.
Side effects may include mild dizziness, nausea, tension, and headaches.
In addition, there are penis implants, which are mainly used in cases where other methods are unacceptable or ineffective.
Although it is expensive to install (
Costs for equipment, surgeons and hospitals up to thousands of dollars)
The procedure is not experimental and the cost is usually paid by insurance.
A consists of two semi-rigid but flexible rods inserted into the penis cavity, making the penis firm enough to penetrate, but still flexible enough to hide.
The other type includes the implantation of two penis cylinders, one pump and one liquid --
Full Reservoir.
When the pump is squeezed, the fluid fills the cylinder, creating an installation that can deflate by activating the release rod on the pump.
The third type of implant advertised includes a series of interlocking plastic blocks that can be "erected" or deflated by Springs
Through their load cables.
Inflatable implants sometimes fail but can be replaced if necessary.
Their main drawback is that the operation changes the penis permanently and cannot restore an independent erection or use other techniques.
A version of this article was printed on page 8 of the national version of cinterest on August 9, 1995, with the title: personal health;
Impotence: There are many choices, many experts and many successes.