Online doctor cialis

Newswise — Statistically speaking, 50% of all men, have experienced erectile dysfunction (ED) at some time or another, and the chance of developing ED increases as you age.

The medical management of ED has evolved greatly over the past several decades. Prior to the introduction of oral phosphodiesterase inhibitors (PDE5i) such as Viagra, Cialis and related medications, doctors could offer patients one of only two definitive treatments for ED: implantation of penile prosthesis and surgical penile revascularization. The introduction of Viagra and related oral ED medications have ushered in a new era of non-invasive treatments for erectile dysfunction. While these drugs can be very effective, we know they are not indicated for all men suffering from ED.

An alternative to oral ED medications has been introduced.

It is called the GAINSWave™, and it uses high-frequency acoustical waves to treat the root cause of ED.

As a man ages, the blood vessels that supply the blood needed for good erectile function, begin to collapse or break down. The pulsating soundwaves of the GAINSWave™ improve blood flow by opening existing blood vessels and stimulating the growth of new blood vessels.

Increased blood flow results in improved sexual performance. Shockwave, or acoustical wave therapy represents the latest in an evolution of alternative treatments to oral ED medications that began with pumps and penial injections.

The GAINSWave uses technology that is known as “Extracorporeal Shock Wave Therapy,” also known as ESWT. The treatments are also sometimes referred to as Linear Shockwave Therapy, or LSWT, or simply “acoustical wave therapy.” ESWT has been used for several years for the treatment of conditions ranging from orthopedics to urology.

In the case of ED, the procedure uses high-frequency acoustical waves to open and repair blood vessels in the penis that tend to build up with plaque, or otherwise become compromised over time. When used to treat vascular related erectile online doctor cialis dysfunction, the mechanism of action for the ESWT is induced angiogenesis and neovascularization in the corpora cavernosa and corpus spongiosum. The resulting improvement in blood flow, achieved by the creation of new blood vessels and the rejuvenation of existing vessels, increases the patient’s ability to obtain and sustain an erection. Shockwave Therapy for ED has Been Clinically Proven.

In clinical trials, ESWT for ED proved to be effective, even for men that did not respond well to other treatments.

A recent study published in the Journal of Sexual Medicine , found that all of the men in the study treated with shockwave therapy showed improved erectile function. Men in the study who were using Viagra or some other ED medication, achieved significant improvement, and reported that they did not need to use their ED prescription for “several months” after the shockwave treatment.

A similar study, this one published in Therapeutic Advances in Urology , concluded “ESWT is a revolutionary treatment for ED, and probably possesses unprecedented qualities that can rehabilitate erectile tissue. The clinical improvement in erectile function together with the significant improvement in [blood flow] following ESWT confirm that ESWT has unique properties that may create a new standard of care for men with ED.” The technology has been successfully used to treat ED in Europe for 10 years, but it is new to the states.

The GAINSWave™ uses the only device that is approved by the FDA to provide ESWT for erectile dysfunction.

As compared to other ED treatments: Acoustical wave therapy for ED is drug-free and surgery free.

The treatment takes less than 30 minutes and is pain-free!

It is highly effective, with 80% of men reporting positive results. It is ideal for men who cannot take oral ED drugs, such as those with hypertension, heart disease, or diabetes.

It can be used as a preventive measure to delay, or actually prevent the onset of age-related erectile dysfunction.

The numbers of men suffering with some form of ED can be truly staggering, with estimates of over 600,000 new cases every year in the US.

Effective treatment for ED can improve your patients’ quality of life, self-esteem, and their ability to maintain intimate relationships.

Erectile Dysfunction (ED) Erectile Dysfunction is the inability of a man to achieve or maintain an erection sufficient for his sexual needs or the needs of his partner. Most men will experience erectile dysfunction at some point in their lives, usually by age 40, and are not psychologically affected by it.

Some men online doctor cialis experience chronic, complete erectile dysfunction known as impotence, and others, partial or brief erections. Frequent erectile dysfunction can cause emotional and psychological problems.

Some of the causes of erectile dysfunction are, but not limited to: use of drugs such as alcohol, antidepressants, sedatives, cigarette smoking; blood flow problems such as diabetes, Peyronie's disease or hardening of the heart arteries, nerve impulse problems due to diabetes, strokes and diseases of online doctor cialis the nervous system; surgery or trauma to the prostate, bladder or rectum; serious health problems which include severe liver, heart or lung disease; lack of hormones caused by kidney disease, liver disease, alcoholism or treatment of prostate cancer.

The symptom of erectile dysfunction is the inability to achieve or maintain an erection. There are many different types of treatment options for erectile dysfunction; the most common are medication, sex therapy, and surgical procedures.

Oral Medications: use selective enzyme inhibitors that facilitate enzyme reduction and increase levels of cyclic guanosine momphospate (cGMP, a chemical factor in metabolism) which causes the smooth muscles of the penis to relax, enabling blood to flow in the corpora cavernosa. Common Oral Medications: Viagra®, Levitra®, Cialis® Self-Injection Medications: use a short needle to inject medication through the side of the penis directly into the corpus cavernosum, which produces an erection. Common Self-Injection Medications: Caverject®, Edex®, Regitine® Transurethral Therapy: uses a small applicator to deliver a soft, tiny, medicated pellet to the urethra which causes the blood vessels to relax. Sex Therapy: uses a qualified therapist to assist in reducing tension, improving sexual communication and treating self-esteem problems.

Vacuum Erection Therapy: uses a hand-operated or battery-operated pump to create a vacuum that draws blood into the penis, causing an erection.

Venous Flow Constriction Therapy: uses a band that is placed around the base of the penis which traps blood in penis during an erection. Prosthesis Surgery: uses an artificial device implanted in the penis to achieve an erection. There are three types of implants: malleable, self-contained inflatable and fully inflatable.

Book an appointment today and let one of our physicians examine your urological health. We are committed to providing you with the latest and most advanced healthcare.

Platelet-Rich Plasma is prepared by taking a small sample of blood and subjecting it to centrifugation (spinning the blood sample at a high rate of speed), which separates red blood cells and white blood cells from the remaining plasma.

The remaining plasma is “packed” with platelets that remain behind, hence the term Platelet-Rich Plasma (PRP).

PRP contains numerous Growth Factors which have the ability to promote the repair and healing of damaged or injured tissue throughout the body.

Considered a very effective but often under-utilized treatment for Erectile Dysfunction, ICP involves an injection of a combination of FDA-approved vasodilators into the spongy tissue of the penis, using an auto-applicator. This combination causes an expansion of the penile arteries and penile tissues, resulting in increased blood flow to the penis.

The erection feels perfectly natural and normal; however, it will not subside after ejaculation until the effect of the medicine wears off.

In rare cases side-effects of ICP include penile bruising, pain or tenderness, scarring, and a prolonged erection (known as a priapism).Boston

Medical

Because it is applied locally and is non-systemic, it is often recommended for men with diabetes, heart conditions, high blood pressure or other illnesses.

In the last 15 years ICP has re-emerged as a treatment option for men who do not respond to well-known oral medications for ED.

Many men prefer to use ICP over other methods given its record of safety, quality, and highly predicable results.

Oral medications for ED have become very well known, and their convenience often makes them the first-line of treatment.

While effective for many men, those who take nitrates for chest pain should not use oral medications given the potential for an unsafe drop in blood pressure. Other potential side effects include, but are not limited to, blurred vision, loss of hearing, and headaches. MUSE contains a vasodilator known as Alprostadil (or Prostaglandine E1) prepared in the form of a pellet that is inserted into the urethra, via an applicator. The medicine is absorbed through the urethral wall into the erectile chambers known as the corpus cavernosa. Given the availability of less invasive, more effective treatments, penile prosthesis is often a treatment of last resort. The best penile prosthesis is comprised of two inflatable tubes, a pump, and a reservoir. The tubes are surgically inserted into the corpus cavernosa, the pump in the scrotum and the reservoir behind the pubic bones. When the pump is activated, fluid flows from the reservoir into the tubes, which harden and become erect. Pressing a valve on the pump mechanism deactivates it, and the fluid returns to the reservoir, resulting in a flaccid penis. Complications can include infection, bleeding, pain and discomfort, mechanical failure, or extrusion of part of the prosthesis through a weakened wall of the erectile chambers.

Penile implant surgery is a major surgery that is usually invasive and expensive.

Nonetheless, it can benefit men who do not respond to any other form of treatment.

These surgical procedures are not performed by Boston Medical Group physicians. A VSD is a battery or manually-operated cylindrical pump which fully encloses the penis.

When activated, it creates a vacuum by sucking air out of the sealed chamber, which draws blood to the penis. A firm rubber ring is placed around the base of the penis to trap the blood in the erectile chamber, which keeps the penis firm. Disadvantages can include incomplete erections, discomfort, and the time required for operation, but VSDs are often valuable when used along with other treatments, like ICP.

Approximately 2% to 5% of patients are candidates for vascular reconstructive surgery, which includes arterial bypass and venous ligation. Risks include those related to other major surgical procedures. Boston Medical Group physicians do not perform these surgeries.

Some men experience a condition called andropause, similar to menopause in women, which can be caused by low testosterone. Symptoms can include, but are not limited to, feelings of sluggishness, fatigue, poor sleeping habits, weight gain, low sex drive, or erectile dysfunction.

For the appropriate candidate, hormonal replacement therapy can be valuable in reversing these symptoms and even improve libido (sexual drive).

Blood tests are required for the purpose of diagnosis, monitoring the treatment effectiveness, as well as any other adverse side-effects.

Sex therapy is often the treatment of choice for patients with psychological Erectile Dysfunction. It demands the cooperation of the sexual partner, multiple sessions, and an experienced sex therapist for the best results. For men who can otherwise tolerate the side-effects of Oral Medications but want a more potent and faster acting solution. These tablets have the same contraindications and side effects as standard Oral Medications but due to faster absorption the have a faster onset of response.

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