What,about,penile,injections,T health What about penile injections?
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This is a topic thatevery man approaches with a degree of fear. You mean someone is going to sticka needle into my penis? For the record, they are called intracavernous injectionsand your physician will give you an auto-injector that works with a simplepush-button mechanism. You hold the head of your penis and stretch it alongyour thigh while sitting upright. You have to make the injection at the base ofthe penis (or you can ask your partner to do it for you). Although it is anarea that is sensitive to pleasure, it does not register too much pain. Thesensation is no worse that being flicked with an elastic band. After theinjection, you have to apply pressure to the injection site with an alcoholswab for about five minutes (or until the bleeding stops). You should aim for aslightly different point for each injection, rotating the penis a little ifnecessary. This will reduce the risk of bruising or scarring. The erectionusually lasts for about an hour. Hmmm. This needsthought! Why can I not simply pop a Viagra, Cialis or Levitra? Well, no matter howsuccessful they are for most men regardless of age and regardless of theunderlying cause of erectile dysfunction (ED), there are limits to the PDE-5inhibitors. These limits may be physical the underlying cause of the ED issufficiently far advanced that Viagra, Cialis or Levitra simply will not work.Or you may already be taking medications for those underlying causes which, fornow, make it impossible for you to take one of the PDE-5 inhibitors at aneffective dosage. This forces us todiscuss a range of alternative treatments. The first for these purposes, is apenile injection. These injections havebeen available for almost twenty years so we doctors are not experimenting onyou. The technology and the medications are well tested and routinely used. Thefirst and the only one with Food and Drug Administration (FDA) approval for usein the treatment of erectile dysfunction is prostaglandin E1, sold asAlprostadil and Prostin VR. It is a naturally occurring chemical released bythe smooth muscle cells of the penis when you are sexually stimulated. As such,it has the best success records with the fewest side effects and, if you areresident in the United States, the cost is covered by most prescriptionplans. It is also availableas a small pellet sold under the brand name, Muse, which you insert into thetube through which urine passes from the bladder out of your body. Now this isslightly more complicated than it sounds. You have to use a device which opensup the canal sufficiently to allow the tablet to be inserted inside your penis.This may not be a completely comfortable process either in the insertion or whenthe penis closes around the pellet. As you will realise, the tablet slowlydissolves and so the pressure on the penis diminishes fairly rapidly. Some menreport a slight burning sensation as the medication is absorbed into the penis.There can also be a drop in your blood pressure so you should not be taking anyother medication which may have an additive effect. It is also not advisable toconsume alcohol before using Muse. Papaverine is avasodilator used to relax blood vessels and it was adapted for this purposealmost twenty years ago. It rarely causes any pain although it has a slightlyhigher risk of causing priapism (an unnaturally long and painful erection whichshould be treated as an emergency to avoid damage to the penis) because itremains active in the body for a longer period of time than Alprostadil. It mayalso be slightly more likely to cause scarring if you hit the same injectionpoint too often. You should not use this medication if you are drinking toomuch caffeine, alcohol or taking any other recreational drugs. Heavy smokersshould also take care. You also cannot mix this medication with: 1.the barbituratesused for inducing sleep or treating seizures; 2.medicines such astemazepam or diazepam for sleeping or anxiety problems; 3.medicines to controlParkinsons disease; or 4.some narcotic painkillers such as morphine or tramadol. The third drug is alsoa vasodilator: phentolamine sold as Regitine or Rogitine. It is rarely used onits own but usually in combination with one of the other two medicationsmentioned above. Neither of the lattertwo medications have been approved by the FDA for this purpose all this meansis that the manufacturers have not gone through the expensive process ofgetting approval. But off-label use under medical supervision is quite common.So if either you or your partner are prepared to learn how to give theinjections, this is a good system, available to use whenever you want with noreal preparations required. Once given, they produce erections that are closeto the bodys own spontaneous erections and allow you to have an orgasm and anejaculation. The erections last for between thirty minutes and two hours whichis normally long enough for sexual intercourse to be satisfying. This is acost-effective alternative to the more expensive and invasive surgical option.The only drawback is that the use of the injections is usually limited to threeor four times per week to reduce the risk of scarring to your penis.
What,about,penile,injections,T