You Will Never Need Viagra Again

How men can perk upwards their virility WITHOUT Viagra

Last week, British researchers revealed impotence drugs such equally Viagra might crusade sudden hearing loss — which is worrying news for the estimated 2.three million men in Britain who suffer from erectile dysfunction.

It is thought that a chain of chemical reactions triggered by Viagra may affect the inner ear.

Though erectile dysfunction is more common in older men — around 65 per cent of the over-60s suffer from it — around xl per cent of men will have suffered from the trouble by the age of 40.

There are an estimated two.3 meg men in Britain who endure from erectile dysfunction - effectually 40 per cent of men will have suffered from information technology by the historic period of xl

There are many physical causes for it, explains Dr Arun Ghosh, a GP specialising in sexual wellness at the Spire Liverpool Hospital.

It can be caused past nerve harm from diabetes, or surgery for prostate cancer.

Another cause is reduced blood flow due to smoking, raised cholesterol levels or high blood pressure. Mutual medications such as anti-depressants and blood pressure tablets can also hamper operation, as can stress and even regular cycling.

Dr Ghosh says the problem is too closely jump up with flagging libido: 'A lot of these men are suffering from testosterone deficiency syndrome, due to reaching their 40s and putting on weight effectually the stomach.

'This causes testosterone levels to drop, resulting in a loss of libido and erectile role. It's worth request for a blood test if you hit forty and start developing these symptoms.'

Too every bit the problem of mechanics, there is a psychological component to erectile dysfunction.

Last calendar week, British researchers revealed impotence drugs such equally Viagra might cause sudden hearing loss

'If you've had a problem fifty-fifty once before, so you're e'er going to be worried it will happen again,' explains Dr Ghosh.

'In fact, ane of the main roles of whatsoever treatment is to give men a psychological boost. It'southward vitally important to utilise handling alongside some kind of sexual counselling or therapy, even if the cause is due to something physical such as diabetes.

'A man's partner will oft say: "Don't worry about information technology" — but even if he's trying not to call back about his functioning, he will recollect about not thinking about it. And earlier you know it, performance feet has kicked in.

'Anxiety and stress stop the pituitary gland secreting the hormones needed for sex. The torso goes into "fight or flight" mode, shutting down all non-essential functions — with sex being one of them.'

With the latest news near Viagra, many volition be tempted to endeavour other options. So what are the best alternatives, whether bought over-the-counter or prescribed by your doctor?

We asked the leading experts for their views on the pills, potions and gadgets that promise to pep upwards a homo's libido or assist with erectile dysfunction. We then rated them...

INJECTIONS

You inject the drug Caverject into the spongy parts of the penis (on either side at the base)

CONTAIN: The drug Caverject or Viridal Duo (alprostadil).

You inject the drug into the spongy parts of the penis (on either side at the base of operations).

This prescription-only treatment works by preventing blood from leaving later information technology flows into the penis, creating an erection.

An erection occurs after well-nigh 15 minutes and then lasts for xxx to 45 minutes.

EXPERT COMMENT: 'Understandably, a lot of men are daunted by this, just it tin be a very effective handling, even in men with extreme nervus damage after diabetes or surgery,' says Dr Ghosh.

'The needle is tiny and your md will show you lot how to use it the kickoff fourth dimension. Afterwards that, you simply self-administer at abode.

'In that location are complications — sometimes the penis can become bent if yous inject also much into one side, or the erection volition not subside.

'Only on the plus side, injections are adept if yous take no libido as you don't demand to be aroused for them to piece of work. All the same, you notwithstanding need to seek psychological help to address that aspect.'

6/10

HERBAL REMEDIES

Male mice given a ginseng excerpt displayed an increased corporeality of sexual behaviour

GOLDEN GINSENG

£7.95 for 200ml, drinkherbaltea.co.uk

CONTAINS: Ginseng root.

May assist erectile dysfunction and depression libido past boosting testosterone levels, according to a study published in the Journal Of Sexual Medicine.

Male mice given a ginseng excerpt displayed an increased amount of sexual behaviour.

A second report of 28 women given either a ginseng capsule or placebo establish the former group had 'significantly elevated arousal levels'.

Practiced Comment: 'I don't believe there is any such thing as a herbal aphrodisiac, then y'all're improve off saving your money,' says David Colquhoun, professor of pharmacology at Academy College London.

'Creature studies are irrelevant for this sort of thing, considering men are not mice (particularly when information technology comes to things like libido, with complicated psychological elements). The other trial was small and has not been replicated.'

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PRELOX TABLETS

£36.76 for sixty, Boots

CONTAINS: L-Arginine and pycnogenol

L-Arginine is an amino acid found in many foods; pycnogenol is a combination of antioxidants from tree bark. The interaction betwixt these ii is said to help maintain healthy blood vessels (L-Arginine specifically has been shown to increment the product of nitric oxide, of import for blood flow). Take two tablets twice a day.

EXPERT COMMENT: L-Arginine is found in all proteins and isn't shown clearly to be a cure for anything whatever, says Professor Colquhoun. Even so, it tin can lower claret force per unit area or negatively affect people with allergies.

A U.Due south. report warned against taking the supplement with drugs such every bit Viagra every bit both can lower blood force per unit area, leading to dangerously low levels.

The aforementioned report constitute there was insufficient bear witness on the effectiveness of pycnogenol, whether used alone or in combination with L-arginine.

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PRESCRIPTION DRUGS

Cialis works by relaxing the blood vessels, allowing blood flow for an erection

Viagra is one of a group of drugs known as PDE5 inhibitors. If you lot want to avoid Viagra, other options include tadalafil (brand name Cialis) and vardenafil (Levitra).

They work by relaxing the blood vessels, allowing blood menstruum for an erection.

Expert Annotate: These drugs are adept in that they address both the concrete and psychological crusade of erectile dysfunction, says Dr Ghosh.

'Taking ane will give yous more confidence and, providing you're in the mood and there's foreplay, it'll assist physically, besides (the drugs demand these to work).

'I tend to prescribe Cialis the about because, unlike Viagra, it's not afflicted by fatty food or alcohol. Viagra is an older drug and has a different coating that doesn't suspension down so well in the stomach, especially where'due south food in there every bit well.

'The effects of Cialis last for up to 24 hours, so there's not so much pressure to perform in a given fourth dimension frame, whereas with Viagra you merely accept an hour-long window.

'It's been found that giving diabetics or other men with poor blood flow to the genitals a low dose (2.5mg) of Cialis daily tin can really assistance better claret menstruum to the expanse mostly, and so the next fourth dimension they accept the full dose (10mg) their erections are stronger.

'I likewise believe Levitra is better than Viagra — again, because it lasts for 24 hours.

'All the same these drugs are unsuitable for men with angina or very loftier blood pressure. Side-effects include heartburn, nausea and headaches.'

viii/10

TESTOSTERONE PATCHES AND GELS

Testim is usually applied to a large area of skin, such as the chest or thigh

CONTAINS: 1 per cent testosterone.

Low libido and erectile dysfunction can be treated with testosterone therapy, available in various forms such as tablets, patches and gels — but only on prescription.

The most commonly prescribed products include Testim and Testogel gels. These are usually practical to a large area of peel, such as the chest or thigh.

EXPERT Comment: 'The andropause — or male menopause — is a recognised crusade of low libido and erectile dysfunction,' says Suks Minhas, consultant urologist at University College Hospital London.

'There take been concerns that giving a testosterone supplement such equally a gel may increment the adventure of prostate cancer, only the latest research suggests this may not be the case. These gels can exist very effective.'

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DEVICES

VACUUM PUMPS

These are bachelor on prescription or over-the-counter in pharmacies.

A plastic cylinder goes over the penis and a battery pump or hand pump is used to create a vacuum. This draws blood into the penis; the claret is kept in place with a ring to finish information technology flowing out.

Vacuum pumps are oft used in conjunction with prescription drugs (PDE5 inhibitors) after surgery for prostate cancer, but a pump can exist used on its own if the drugs take no effect or at that place is no nerve function left.

EXPERT COMMENT: 'This is a good option for people who can't take drugs such equally Cialis, are allergic to the medicine in tablets or injections, or who simply want a drug-gratis culling,' says Dr Ghosh.

'Be conscientious not to use it for more than than 30 minutes, though, or yous could damage the tissues and blood vessels, or cause a blood clot to form. Between thirty and fourscore per cent of men discover information technology effective.'

4/10

Safety Band

This is placed at the base of the penis to stop blood flowing out once erection has been accomplished. Available from pharmacies.

EXPERT COMMENT: 'These exercise work and can be helpful for men with premature ejaculation, or for older men who find their erections aren't as potent equally they used to be, says Dr Ghosh.

'They can also be very successful for those with mild erectile dysfunction, who notice they tin become an erection simply can't sustain it. They are cheap and hands available. I've fifty-fifty seen some in Tesco.

'Be conscientious not to habiliment the device for more than 30 minutes, though, or you may cause tissue damage.'

five/10

PELLETS

The drug alprostadil stops the blood flowing out of the penis so that it gradually gets bigger

CONTAINS: The drug alprostadil.

The same drug used in the injections is also bachelor in pellet form. Inserted past the man or his partner into the urethra using a disposable applicator, the pellet melts and is captivated into the torso.

It stops the blood flowing out of the penis so that it gradually gets bigger. An erection should follow inside five to fifteen minutes, and last between 30 and hour.

Expert Annotate: 'Some people prefer the idea of these to an injection,' says Dr Ghosh. 'Merely on the whole, they don't provide such strong erections equally the injections and tend non to last as long, because injections target the exact spot. You also demand to be careful inserting them equally they can cause blockages in the urethra, interrupting urine flow.

'Side-effects include dizziness, headache and localised pain in the penis or surrounding area.'

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SURGICAL TREATMENT

Two cylinders are placed either side in the tissue and these are connected to a pump in the scrotum

These are typically a concluding resort. The one most often used involves an inflatable device.

Ii cylinders are placed either side in the tissue and these are connected to a pump in the scrotum. Squeezing the pump fills the cylinders with fluid kept in a reservoir in the abdomen.

EXPERT Annotate: 'This tends to be used by men with serious spinal injuries or those with very bad diabetes (where all the blood vessels accept gone), who nonetheless want to maintain a sex life,' says Dr Ghosh.

'Information technology can exist very successful and relieve sexual relations when all else has failed. At that place are some risks attached to the functioning, though, including infection and impairment to the penis.'

8/10

Information: Sexual Communication Clan: 020 7486 7262 (helpline) or sexualadviceassociation.co.uk

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Source: https://www.dailymail.co.uk/health/article-1390195/Viagra-How-men-perk-virility-WITHOUT-pills.html

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