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Is Shockwave treatment effective for Erectile dysfunction?

Is Shockwave treatment effective for Erectile dysfunction?

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In current society, erectile dysfunction (ED) is a common issue. It is more common in older people and people who are at risk for cardiovascular disease. The two primary therapy options for these patients are intravenous/intra-urethral alprostadil and oral 5-phosphodiesterase inhibitors (PDE5-I). Despite the positive outcomes of these strategies, non-responders are left without any other reasonable options.

One of the several treatments for erectile dysfunction is shockwave therapy (ED). Though the Food and Drug Administration (FDA) has not approved it, multiple studies that produced positive findings have supported the science behind this pill-free treatment.

People with vasculogenic ED, a blood vessel condition that affects blood flow to the tissue in the penis, seem to respond best to shockwave therapy. We are still uncertain of the therapy’s effectiveness with other ED reasons.

Shockwave Therapy

Recent years have seen the emergence of several cutting-edge solutions to this issue, and experiments using low-intensity extracorporeal shockwave therapy (Li-ESWT). It is applicable in the corpora cavernosa which have produced promising results.

It’s a harmless treatment that has long been utilised in orthopaedics to aid in the recovery of tendons, ligaments, and shattered bones. Additionally, LiESWT has been utilised to enhance wound healing. LiESWT has the ability to accelerate cell development and tissue repair by using focused high-energy sound waves.

Healthy blood flow to the penile tissue is necessary for erections. Shockwave therapy is regarded favourable method of promoting blood flow and rebuilding and fortifying blood vessels in the penis.

The purpose of more conventional ED treatments, such as oral drugs like sildenafil (Viagra) and tadalafil, is to improve blood flow to the penis (Cialis).

How does it work?

A pen-like device is used to deliver shockwave therapy close to certain penile regions. For roughly 15 minutes, a medical practitioner moves the device over various penile regions while it sends out moderate pulses. Anesthesia is not required.

The pulses cause the penis’s tissue to restructure and its blood flow to improve. These two adjustments can produce erections strong enough for sexual activity. There is presently no accepted recommendation for the length of time or frequency of treatment.

But according to a study and meta-analysis of clinical studies published in 2019, the most popular treatment schedule was twice weekly treatments for 3 weeks, followed by 3 weeks without therapies and another 3 weeks of twice weekly treatments. According to the research, shockwave therapy’s effects lasted for about a year.

Shockwave Therapy Candidate

It is not yet known who might benefit from shockwave therapy the most, similar to other off-label medical equipment. Theoretically, everyone dealing with chronic ED could be a candidate, but according to recent study, vasculogenic ED may benefit the most.

Studies on this topic are conflicting, however. While some studies indicated that shockwave therapy was most beneficial in cases of moderate to severe ED when used in alongside other treatments, other studies showed the opposite.

Talking with your doctor about your case is the best approach to find out if you qualify for this ED treatment, especially if you haven’t had luck with other treatments.

What about research?

The same 2019 research and meta-analysis discovered that shockwave therapy significantly improved erectile function. The best outcomes were seen in vasculogenic ED-positive individuals.

In a pilot trial conducted in 2010, it was discovered that after receiving shockwave therapy for six months, all 20 of the males with vasculogenic ED had improved erectile function. Following up with the males indicated no negative outcomes.

The Food and Drug Administration (FDA) has not yet approved shockwave therapy as a treatment for ED, despite this promising evidence. Shockwave therapy for ED may still be prescribed by some doctors, although doing so outside of a study environment is off-label.

New therapies that receive FDA approval are always associated by instructions for use and warnings about potential negative effects for patients.

Side effects

For most men, shockwave therapy is painless. And as was already mentioned, the study that is currently accessible has identified minimal, if any, negative effects.

That does not, however, imply that the surgery is risk-free. As a relatively novel medication, more investigation is required to ascertain its adverse effects, problems, and long-term efficacy.

Shockwave therapy costs

Shockwave therapy is a non-FDA-approved off-label ED treatment, therefore medical insurance is unlikely to pay for it. With an average of $450 each session, the precise fees may differ depending on the service and area.

So, if a doctor advises a twice-weekly schedule for three weeks at a time, the fees may perhaps total around $2,700.

However, you might be able to find ways to lower the cost of your treatment by collaborating with your provider. Discounted bundle prices and monthly payment plans are two alternatives.

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What are the best medicines for ED without side-effects?

What are the best medicines for ED without side-effects?

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What is erectile dysfunction?

Erectile dysfunction is basically a disorder found in men which could be a sign of physical or psychological condition. The symptoms associated with this disorder is found in men’s reproductive organ. It is an inability to keep an erection firmer and longer enough during a sexual activity.

There are many men who experience erectile dysfunction occasionally because of stress, fatigue, alcohol, or emotional issues, but 25% of men have recurring episodes of the disorder. People dealing with erectile dysfunction will be:

  • Unable to achieve erection at anytime needed.
  • might achieve erection sometime but not when needed like during sexual activity.
  • might able to achieve erection when needed but not long enough

Introduction

You are not alone if you experience erectile dysfunction (ED). In the US, an estimated 18 million men struggle from ED. Despite being prevalent, ED can have a negative impact on your close relationships, as well as your physical and mental health. Fortunately, it has been demonstrated that most men can successfully treat ED with drugs that have been approved by the Food and Drug Administration (FDA).

Lets discuss some of the most popular FDA-approved drugs in this post, along with each one’s dosage, price, and potential adverse effects. I’ll also go through the duration of each prescription, the safest medications, and the medical issues that the medication may effect.

The majority of men may treat ED safely and effectively using ED medicines. Since prescriptions are required for all medications, speaking with your doctor will help you decide which, if any, is best for you.

How Does ED Medication Work?

The initial line of treatment for erectile dysfunction is frequently oral medicines. These drugs perform well and have few adverse effects for the majority of men who struggle to maintain an erection strong enough for intercourse (erectile dysfunction).

Oral drugs such as sildenafil (Viagra), vardenafil (Levitra, Staxyn), tadalafil (Cialis), and avanafil (Stendra) work to treat erectile dysfunction by boosting the effects of nitric oxide, a substance your body naturally generates that relaxes the penile muscles. As a result of the increased blood flow, you can respond to sexual stimulation by getting an erection.

ED drugs are safe when used by healthy people as prescribed and may help men have more fulfilling sexual experiences.

How oral medications differ

Each oral drug has a somewhat different chemical composition even though they all function in a similar fashion. These insignificant variations have an impact on how each prescription functions, including how quickly it takes action and wears off as well as any potential side effects. These elements, together with any additional medical issues you may have and any drug interactions, will be taken into account by your doctor.

  • Sildenafil (Viagra) – One hour prior to having sex, take this drug on an empty stomach for best results. If you suffer from mild to moderate erectile dysfunction, it remains effective for at least four to five hours.
  • Vardenafil (Levitra, Staxyn) – This medicine can be taken with or without food and is most effective when taken an hour prior to intercourse. It could not absorb as quickly if you eat a meal that is high in fat. If you have mild to severe erectile dysfunction, vadenafil will work for at least four to five hours. A more recent medicine formulation that dissolves on the tongue might function more quickly than a pill that you swallow.
  • Tadalafil (Cialis) – This drug should be consumed one to two hours prior to having intercourse, with or without meals. For up to 36 hours, it works. It can be consumed either in a little daily dose or a bigger quantity if required.
  • Avanafil (Stendra) – Depending on the dosage, this medicine may be taken with or without food 30 minutes prior to sexual activity. It might endure for six hours.

The American College of Physicians advises making the decision depending on your preferences, including the cost, simplicity of use, duration of the drug’s benefits, and adverse effects because both medications are similarly effective. Sildenafil, vardenafil, and tadalafil are all available in generic form.

Are Oral medicines unsafe?

Get your doctor’s approval prior to taking any erectile dysfunction medicine. If any of the following apply to you, erectile dysfunction drugs may not work or may be hazardous.

  • Take nitrate medications, which are frequently prescribed for angina (chest discomfort), include nitroglycerin (Nitro-Dur, Nitrostat, etc.), isosorbide mononitrate (Monoket), and isosorbide dinitrate.
  • possess either uncontrolled high blood pressure or extremely low blood pressure (hypotension) (hypertension)
  • have a serious liver condition
  • a renal condition that necessitates dialysis

Side effects of ED medications

The majority of guys who take oral erectile dysfunction drugs don’t have any issues with side effects. When side effects do materialise, they may comprise:

  • Flushing /Headache /Indigestion
  • A blue tint to the eyesight, sensitivity to light, or impaired vision are some examples of visual alterations.
  • runny or stuffed nose
  • back ache

Rarely, more severe side effects can develop, such as: loss of eyesight or hearing. Following the use of one of these drugs, some men experienced an unexpected loss of hearing or eyesight. It is unclear, however, whether vision or hearing loss was a direct result of using the medicine or was brought on by a pre-existing illness. Seek immediate medical assistance if you’re taking an oral erectile dysfunction prescription and experience a sudden loss of hearing or vision.

Conclusion

Erectile dysfunction medicines are generlally safe and effective when treated with proper precaution and prescription provided by the health rpofessional. However as per comparative studies and research on these ED medicines, the Boston University School of Medicine claims that vardenafil (Levitra), which is 10 times more biochemically active than sildenafil (Viagra), may have the lowest risk of adverse effects because it can induce erections with a smaller dose.

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