When treatment with tablets is financially unsustainable, you can use as an injectable substances. Currently the most commonly used ingredient is alprostadil. Alprostil produces an erection regardless of sexual stimulation. An erection usually lasts 30 minutes to 2 hours.
When an erection lasts more than 6 hours then it is necessary to visit a doctor immediately (regardless of whether it is a spontaneous erection, erection with oral PDE5 inhibitor, or the erection of alprostadilom). An injection of vasoactive substances in the body should be administered into corpora cavernosa.
First, seek an injection by a doctor. Second, ask a medical doctor about injections which can be administered by the patient himself.
If the doctor estimates that the medicine sildenafil can be injected safely and properly by the patient, a prescription is issued and the patient can inject the drug at home before intercourse. If a man is not capable of self-injection, the injection can also be administered by a partner.
We recommend no more than one administration of the injection per day, despite side effects are rare. Potential complications are normally at the puncture site (hematoma, infection). Rarely, there is an occurrence of an erection lasting more than 6 hours which requires an immediate visit to the doctor.Vacuum pumps for ED
A second-line treatment of ED is the use of vacuum pumps. The pump creates a vacuum which causes the penis to fill with venous blood and swell. When the penis is erect enough, a penis ring can be used that prevents the outflow of blood from the penis. The penis does not harden in its entirety with the ring on so a more flexible erection is experienced which requires some additional skills to penetrate the vagina. We suggest that the erection does not last more than 30 minutes, or that the ring is removed after 30 minutes.
Surgical Intervention for ED
The third line of treatment for ED is surgical intervention. When the problem of ED is due to a premature outflow of blood from the penis (veno-occlusive ED), the penile veins are gartered.
Intervention has limited effectiveness. When the cause of ED is due to a disturbed blood flow to the penis, surgery can be performed on the arteries cheak out where to buy viagra online. The procedure is especially meaningful to younger men who have relatively preserved blood vessels (no atherosclerotic damage) in which the ED is due to vascular damage from small pelvis injury.
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