Erectile Dysfunction, Imotence, Premature Ejaculation and Sex Life
Erectile dysfunction of various degrees of severity is the most common, most prevalent medical condition of all. 10% of all men worldwide suffer to a greater or lesser degree from erectile failure, sufficient to prevent them from having sexual intercourse and thus causing distress both to themselves and their wives. So we must be allowed to call it a medical condition because it certainly is something that causes distress to those who suffer from it, and yet it is easily treated by straightforward medical methods. At VIR we require proper initial consultation and health evaluation, before we will offer treatment. Blood tests are required. Many patients have been very pleased to learn about important health problems that can then be dealt with in good time.
Initial supples of medication will be arranged and if these do not work ideally well then further consultations are without charge until your problem is under control. Further supplies can be arranged, or by prescription, as you wish, only for our own patients. We do not compete with the internet cheats. The medications prescribed are the real thing and any prices quoted include continuing medical support. Note for example that 'soft-tab Cialis' cannot be Cialis since the patent-holder and trademark owner (Eli Lilly) does not make any such thing. If you buy over the internet sight unseen you have absolutely no idea what is in the product supplied. No herbal preparation is any use for erectile dysfunction.
It is only within the last twenty years that a large range of possible medical treatments has become available. There is no possibility of listing them all so let's just mention a few and note that there are other uses for these drugs besides erectile failure. First in everyone's mind will be Viagra (sildenafil). It is a good drug; safe, with few problems for the majority of patients, and is still a common treatment in our clinic also. Two other drugs that work in a similar way, Cialis (tadalafil) and Levitra (vardenafil), have been prescribed by us since January 2003, long before they became generally known, and most patients who have tried it now use Cialis by preference because of its prolonged background action which eliminates worrying about when to take the medicine. However, which one to choose is a matter of patient individuality. Most men will succeed with Viagra, Cialis or Levitra and especially if they are properly taught by us about how to use them to best effect.
Viagra and the like are not the gold standard and nearly everything in the newspapers about them is misleading or grossly in error. Some men will need quite other sorts of treatment. It is because of our expertise with the whole range of available treatments that we are able to make our proud claim of no failures yet. Other treatments include: Injections of alprostadil or various drug mixtures, Hormones (including testosterone, occasionally), Vacuum devices, or Surgery to correct abnormalities, for example a bent penis. And there are other treatments that we use less frequently. Because of our uniform success with medical treatments, we have not yet found it necessary for any or our patients to undergo surgical implantation of a prosthesis to make an artificial erection, though that is always available either by choice or as the last resort.
Other problems. Patients may suffer from premature ejaculation or emotional upset or an abnormality of the genital organs, which they find embarrassing or in some other way makes difficulties for them. The range of possibilities is too large to be summarised here. Help can always be given, ranging from surgery to psychological therapy, though ordinary medical treatment will be enough in most cases.