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TREATMENT FOR ERECTILE DYSFUNCTION

Erectile dysfunction affects a growing percentage of men and may appear in younger and younger age groups. Problems with potency may be caused by an inappropriate lifestyle, stress, and the co-existence of certain conditions, such as hypertension or diabetes. One of the methods of treating erectile dysfunction is temporary application of potency medications. A platelet-rich plasma procedure provides more lasting effects.
Pharmacological treatment of erectile dysfunction consists in taking a medication before a planned sexual intercourse. The medication increases synthesis of nitric oxide, a compound responsible for dilating blood vessels. As a result, the corpora cavernosa are filled with blood, which gives an erection and maintains it. Erectile dysfunction treatment with platelet-rich plasma involves injecting a concentrate of blood platelets into the penis. Growth factors released by the platelets stimulate synthesis of collagen fibres and new blood vessels, making it easier to achieve an erection.

ERECTILE DYSFUNCTION TREATMENT METHODS

1

PHARMACOLOGICAL TREATMENT

Pharmacotherapy of erectile dysfunctions consists in taking oral phosphodiesterase 5 inhibitors. Phosphodiesterase 5 is an enzyme responsible for metabolising GMP, a compound essential for causing the erection. To better understand how these medications work, we need to analyse the sequence of biochemical changes that lead to an erection. During sexual arousal, signals from the brain cause an increased release of nitric oxide. This compound reaches the smooth muscle cells of the corpora cavernosa, where it leads to increased synthesis of cGMP high energy compounds Under the influence of cGMPs, calcium ions flow out of the cells, which results in relaxation of smooth muscles in blood vessel walls. The blood flow to the penile corpora cavernosa increases, forming an erection. After ejaculation, the phosphodiesterase type 5 enzyme breaks down the cGMP molecules, blood vessels constrict and the penis becomes flaccid again.

Very often, too low levels of nitric oxide and cGMP are responsible for problems with achieving an erection. Potency medications inhibit activity of the enzyme, leading to a decrease in cGMP levels, which translates into the ability to get and keep an erection. Today, there are many OTC potency medications on the market. They contain such compounds as sildenafil or tadalafil. Prescription medications contain the same compounds, but with higher concentrations of active ingredients. Erectile dysfunction medications should be taken after consulting a physician. The fact that these medications are not available without a prescription does not mean that they can be used without restrictions. A dose of the medication and administration regimen should be determined by a physician after analysing the health conditions and eliminating contraindications to pharmacotherapy. The most important contraindications include hypertension, ischaemic heart disease, arrhythmias, cardiomyopathies or a recent heart attack or stroke.

2

TREATMENT WITH PLATELET RICH PLASMA

Platelet rich plasma is a concentrate of platelets and stem cells obtained from the Patient’s blood. Plasma is used in aesthetic medicine and to support the body’s regeneration processes. Recently platelet rich plasma has been increasingly used in treating erectile dysfunction. The plasma is then injected into the penile tissues. The procedure starts with collecting a few dozen millilitres of blood, which is then centrifuged. The platelet concentrate obtained in this way is injected subcutaneously within the penis. The aim of using platelet rich plasma is to comprehensively stimulate regenerative processes. Plasma stimulates synthesis of collagen fibres and formation of new blood vessels. The more new vessels, the better oxygenated and nourished the cells are, and the more blood flows through the penile tissues.
One procedure takes several dozen minutes. It should be repeated 3-5 times, with a recommended interval of 4-5 weeks. Thanks to this regimen, we obtain long-term stimulation of regenerative processes in penile tissues. The first effects of the procedure are visible after several weeks. The vast majority of men undergoing the procedure experience improvement in the quality of their sexual life. They find it easier to get an erection and keep it for a longer time. The effects last for about 12-18 months.
The procedure does not require recovery; the only thing the Patient must remember is to limit physical activity and maintain sexual abstinence for several days after the procedure.
The main contraindications for the procedure of injecting platelet rich plasma into penis include: – presence of blood coagulation disorders
– low blood pressure
– infections and inflammations of the penile skin
– sexually transmitted diseases
– urinary tract infections.

HOW SHOULD YOU TALK TO YOUR PARTNER?

Erectile dysfunction is a problem affecting not only the man, but also his partner. It can be a difficult situation and quite a challenge for both parties. As a result of erectile dysfunction a lot of men question their own masculinity. While female and male partners may doubt whether they are attractive enough for their men. So this situation may undoubtedly have a negative impact on the relationship, and not only in the sexual sphere.
How should you talk to your partner who suffers from erectile dysfunction? Certainly, you should show him support and full understanding. You absolutely should not accuse your partner, make him feel guilty or to laugh at him. It is also a very bad strategy to underestimate the problem. Very often, a man does not bring up the subject of erectile problems, and it is the partner who should initiate a conversation about it. It is then a good ideal to ask about potential causes of these disorders, such as stress, exhaustion, worsened mood. You should do it in a gentle way, but at the same time suggest methods of dealing with the problem that are immediately available. You can suggest more hygienic lifestyle, as well as a visit to a physician. At the same time, you should assure that you support him and should not treat potency disorders as a taboo subject, but as a problem that can be solved together.
If both partners care about building a proper relationship, an honest conversation about potency disorders and ways of solving the problem should not be postponed. This can lead to frustration and misunderstandings. After all, appropriate treatment is enough to get you back to enjoying a happy sex life.

HOW DO WE CHOOSE
A TREATMENT METHOD?

Erectile problems can occur in both older and younger men. There are a lot of causes of erectile dysfunctions. Nowadays, they are more and more frequently caused by unhealthy lifestyle. This means insufficient amount of sleep, use of stimulants (alcohol, cigarettes, drugs), exposure to stress, sedentary lifestyle and unbalanced diet. Then a detailed medical interview with the Patient is necessary in order to indicate the potential cause of erectile problems. The medical history is also very helpful if erectile dysfunction result from the use of certain medications. The use of neuroleptics, antidepressants, hormonal or antiepileptic medications can lead to erection problems.

In some men, erectile problems is caused by nervous tension, mental deterioration, depression. In case of such a suspicion, we advise consulting a psychologist or psychiatrist and implementation of appropriate treatment (pharmacotherapy or psychotherapy). Many cases of erectile dysfunction are caused by concomitant conditions. They may include hormonal disorders connected with increase in the level of prolactin, disorders of the level of testosterone or thyroid hormones. Another disease leading to erectile dysfunction may be polyneuropathy, or peripheral nerve dysfunction. Another possible cause is a disease involving damage to blood vessel walls. These are atherosclerosis and diabetes. Atherosclerosis leads to accumulation of atherosclerotic plaque in blood vessel walls, which may restrict or even inhibit blood flow in a blood vessel. In the course of diabetes, on the other hand, blood vessel walls are damaged in two ways. On the one hand, diabetes causes increased risk of atherosclerotic lesions, and on the other hand, protein glycation is intensified. In order to diagnose these causes during a pre-treatment appointment, a physician usually refers the Patient to a number of tests.

TREATMENT EFFECTS

In case of pharmacotherapy, the effects of erectile dysfunction treatment are temporary. Taking a pill before intercourse ensures a satisfying sexual intercourse. The medication works for several hours. This type of medication should not be abused and used continuously, as it does not eliminate the causes of erectile dysfunction and, moreover, such treatment is fraught with the risk of side effects When treating erectile dysfunction with platelet-rich plasma, the effects are more long-lasting and last up to 12 months. Improvement in the quality of sexual intercourse can be noticed already two weeks after the procedure, when the process of collagenogenesis and angiogenesis is initiated. At that time, remodelling of penile tissues takes place. Thanks to increased blood flow through the corpora cavernosa, an erection can be achieved more easily.

WHY IS IT WORTH VISITING PRINCESSE?

EXPERIENCE

Our clinic was established in 2005, thanks to which we have gained vast experience. We have performed over 30,000 procedures. We are also one of the leading training facilities for physicians and cosmetologists in Poland.

QUALITY

At Princesse, we use only the highest quality preparations obtained directly from manufacturers. Avoiding wholesalers, we fully reduce the risk of purchasing inauthentic or substandard products.

SAFETY

We have all medical devices that are needed in case of sudden complications and we employ physicians with experience not only in treating aesthetic medicine complications but also in emergency procedures.

ABOUT PRINCESSE

Princesse is a modern aesthetic medicine clinic and training centre. It was established in 2005. Thanks to extensive experience and over 30,000 procedures performed to date, we have been able to select only the best procedures and equipment.
Princesse employs highly specialised medical and cosmetology staff, who continue to improve their skills by participating in seminars and conferences devoted to the fields they practice, both in Poland and worldwide.
At Princesse, we focus on naturalness and perfection as well as spectacular effects presented by models and celebrities. We believe that aesthetic medicine procedures are meant not to be a disguise, but to emphasise and highlight the strengths that each of us has.

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