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Risk of infection One simple device now making a comeback is the penile pump. It's a vacuum pump that lets a man draw blood into the penis. A constriction ring placed at the base of the penis keeps the penis erect during intercourse. more Transurethral alprostadil provides the same significant improvement in erectile function as injectable alprostadil with a better tolerated method of delivery. In one large study,15 65 percent of patients reported successful and satisfactory intercourse. This form of alprostadil is thought to diffuse into the corpus spongiosum and then into the corpus cavernosum. Once the drug enters the cavernosum, the arteriolar smooth muscle relaxes, resulting in erection. In a large double-blind, placebo-controlled study, the most common reported side effect was penile pain (10.8 percent), which was not judged by patients to prevent its use.15 The peptide Tx2-6 from the venom of the Brazilian wandering spider has recently received media attention as a potential prototype for new drugs targeting nitric oxide signaling. Go with him to see the doctor. If your partner is agreeable, accompany him when he sees his doctor. This is another way to show that you're concerned and willing to work with him to treat his condition. Stick with it. If you exercise regularly, it will soon become part of your lifestyle. GORDON F. GREEN, CDR, MC, USNR Don't rely on alcohol or drugs to reduce stress. How is ED diagnosed? Penile pain (11 to 32 percent) and minor urethral discomfort are the most common reported adverse effects of transurethral administration, with dizziness (2 percent) and symptomatic hypotension (3 percent) being the most serious.16 As with transcavernosal alprostadil, the transurethral form of the drug is contraindicated in patients with an abnormally formed penis, those having conditions that predispose them to priapism, those with a known hypersensitivity to alprostadil and those who have been advised for medical reasons to avoid sexual intercourse. Because it is a smooth muscle relaxant, transurethral alprostadil should not be used during sexual intercourse with a pregnant woman.16 The manufacturer has warned emergency physicians of this dangerous side effect in an effort to avoid the possibility of giving nitroglycerin to a patient with chest pain who presents to the emergency department after taking sildenafil. Paramedics across the country have also been cautioned to ask men with chest pain if sildenafil has been taken before they administer sublingual nitroglycerin. Recreational drugs such as amyl nitrite ("poppers") are thought to have the same hypotensive effect when combined with sildenafil. "In some cases producing counterfeit medicine can be ten times as profitable per kilogram as heroin, yet in the UK someone can face greater legal sanctions if they produce a counterfeit T-shirt. Giovanni Corona & Mario Maggi Herbal doctors have made a wonder drug for soving your impotence or erectile dysfunction problem. It is known as Vigomax Forte. This formulation is mentioned Kamasutra, The love book of passionate loves. Possibly uncomfortable ejaculation Controlled clinical trials in selected populations of men with ED have demonstrated the efficacy of sildenafil in helping men achieve and maintain erections. The efficacy of sildenafil was demonstrated in 21 randomized, double-blind, placebo-controlled studies of up to 6 months' duration involving more than 3000 male subjects aged 20-87 years. Does Insurance Cover ED Treatment? The study is published in the Nov. 11 online edition of Human Reproduction. Do you recommend participation in an ED clinical trial? Why or why not? Mechanical failure leading to re-operation and removal