Modern Trends In The Management of Erectile Dysfunctio
Jul 30, 2008 18:56
For centuries, men suffered in silence. Erectile dysfunction (ED or
impotence) has been present since creation of man and there was never a
satisfactory treatment. The prevalence of this devastating disorder
increases gradually with age and is much higher than expected.
Worldwide, more than 100 million men are estimated to have some
degree of ED. ED is estimated to affect as many as 30 million men in
the US. Surveys in the United Kingdom and France have estimated the
overall prevalence of moderate-to-complete ED to range from 30% to 40%.
Given such shocking statistics one can only wonder how come the
public awareness is so limited in this area. Not only are the patients
uninformed about the availability of treatment to almost every case of
impotence, but also physicians are unaware of such modern diagnostics
& therapeutics for this problem. Viagra (Sildenafil) and more
recently Vardinafil (in clinical trials) are excellent medications but
are certainly not the only tool.
Management of erectile dysfunction requires a thorough
understanding of the various causative factors whether psychogenic or
organic, knowledge and experience in requesting investigations -as
needed- as well as interpreting results wisely. Empathy and respecting
the couple's preferences in treatment are basic qualities of any
effective Andrologist or sex therapist.
The patient's needs are best served through what is known as a
approach. A proper sexual & medical history as well as a focused
physical examination will allow us to reach a diagnosis in most cases.
Investigations are ordered if deemed necessary to confirm a certain
condition or direct future treatment. Patients should not be subjected
to multiple, expensive & invasive diagnostic procedures if this was
not expected to alter the treatment plan. This doesn't only save
patients unnecessary expenses but also saves them from additional
trauma resulting from what is referred to as 'false positive results'.
Therapy for erectile dysfunction is generally classified into first line, second line, and third line treatments.
. 1st line therapy
Oral erectogenic agents e.g. Viagra and new medications in clinical trials
Vardenafil & Cialis
Finally, the general public as well as physicians must be made aware
that at the beginning of the third millennium, Impotence might be the
first disorder that could almost always be reversed by proper treatment.
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