Erectile Dysfunction Treatment: Alternatives to Pills

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From the NYTimes:

30 million men in U.S. experience erectile dysfunction (ED), 30% of men in their 50s, more than 50% of those in their 60s.

One Viagra pill, the most common way to treat erection problems, costs about $15. Viagra, Cialis and Levitra do not work for about half of the men with ED.

After 2 years of significant lifestyle changes (and no meds), 58% of the men with ED had normal erectile function.

Self-administered injections of alprostadil for ED cost $35; a "cocktail" of alprostadil, papaverine, phentolamine.

References:
For Common Male Problem, Hope Beyond a Pill. NYTimes.
Erectile Dysfunction Medications Related to Transient Amnesia, FDA Warns

Men who use ED drugs have higher rates of STDs, particularly HIV infection - Ann Intern Med http://goo.gl/UH78

ED, Depression, Heart Disease: Does the Existence of One Component of This Triad Necessitate Inquiring the Other Two? http://goo.gl/EKvKl
Image source: Viagra (sildenafil), Wikipedia, GNU Free Documentation License.

Did you just get a monkey's genitalia transplanted to your privates or are you just happy to see me?

Did you just get a monkey's genitalia transplanted to your privates or are you just happy to see me?

Originally from here.

Historic, and nutty, treatments for male impotence

For centuries, doctors exploring the causes of penile dysfunction prescribed prayer, ointments and sex-partner advice.
March 17, 2008

Nuts, crocodiles and witch trials may seem to have little to do with online pharmacy viagra -- but at one time or another, they've all been employed against erectile dysfunction.

For centuries, doctors struggled to pinpoint the causes of male impotence, blaming such factors as stress, diet, the wrath of deities and unattractive women. Ancient Greek physician Hippocrates attributed impotence to horseback riding; one of his contemporaries placed the blame on childhood trauma; Egyptians to evil spells.

The ancients also left behind an imaginative array of remedies: snacks of almonds, pistachios, dates, currant juice and bird eggs in Persia; a mix of sesame, lentils, rice and sugar cane juice in ancient India -- or goat testicles boiled in milk or butter and boiled alligator testes rubbed on the feet. The Egyptians were more direct, smearing remedies (such as crocodile hearts and wood oil) directly on the penis.

In the Islamic empire, impotence was sometimes blamed on an imbalance in the four fluids, or humors, thought to course through the body. Doctors advised men to avoid sex after meals, in the bathroom and with old or unappealing partners. In medieval Europe, impotent men believed they were under spells cast by witches, but also blamed their wives. Impotence was grounds for divorce.

In the Victorian era, many thought impotence was due to a depletion of sperm. Doctors cautioned against masturbation (a "waste" of sperm) and prescribed quinine, opium, digitalis and bleeding, to no avail.

In the late 1800s, French professor of medicine Charles Edouard Brown-Séquard proposed that injections of animal sperm might restore vitality. He tested the theory by injecting himself with an extract of dog and guinea pig testicles. His colleagues, who agreed the professor looked good for a man of 72, agreed to test the extracts on their patients. Soon the treatment, organotherapy, was all the rage.

Starting in the late 1910s, a few doctors went a step further, deciding to transplant whole testicles. In France, Serge Voronoff transplanted monkey testicles into the nether regions of more than 1,000 old men. In Kansas, John Brinkley ran a hospital that specialized in grafting goat testicles onto patients. At a California prison, Leo Stanley gave older inmates testicles of younger, executed prisoners.

Although many men claimed to feel rejuvenated by their testicular shots and transplants, few recovered their virility, and researchers continued their search. In the 1930s doctors experimented with surgical adjustment of penile muscles. In the 1940s and 1950s, they tried implants, inspired by the penile bones many animals have.

In the 1960s, an effective option finally arrived. A Georgia tire serviceman began work on a vacuum pump to treat his own impotence, which was ultimately approved by the Food and Drug Administration in 1982.

The pump appeared just as several researchers began to identify drug treatments for impotence, albeit few with the showmanship exhibited by British doctor Giles Brindley. At a 1983 urology meeting, Brindley injected himself with a drug, phentolamine -- then took the stage, dropped his pants and shared his erection with his colleagues.

Brindley injected 33 drugs in his penis before finding one that worked, which may have rendered him slightly envious of the discoverers of Viagra. British researchers Ian Osterloh and Gill Samuels were developing a drug to improve blood flow to the heart when they realized that the drug, sildenafil citrate, was much more effective at improving blood flow to the penis -- and causing erections.

In Viagra's first month on the market, doctors wrote well over 500,000 prescriptions. Considering men's history of options -- crocodile hearts, prayer, testicular shots and grafts -- perhaps the blue pill's lasting popularity should come as no surprise.

Viagra online no prescription

As many consumesrs obtain rx medications and other no RX medications, World largest drug makers mount cost tags on their tablets. However, in recent years, this suppress on the pharmaceutical market has been disputed by an questionable source - India.

North American drug manufacturers work in superb generic tablets. Generic cure are serious choice to brand choice, presenting comparable drugs, but at a lesser price.

One of the pharma giants currently providing a substantial invasion on UK markets is Cipla. This India-founded corporation has succeeded in final years, cooperating with the world’s largest drug firms to make observable rapprochement with European customer. Cipla has met FDA criterions with its meds, approving the safeness and class of the products for the North American audience.

Though it provides various medication, Cipla has payed the most attention for its generic cheap cialis meds. These meds are generic alternatives to the promoted impotence drug - Viagra, and have been searched for by men of all ages who are suffering from ED. The Cipla's generics have been declared to be as risk-free and effective as the brand meds.

While the safety and efficacy of Cipla’s medicaments are pressing, those points are not the only motivations why Cipla is such a top player in the pharmaceutical market. As compared with brand medicaments such as Viagra, Cipla’s generic twins are available at a fraction of the price. In fact, most of Cipla’s pills can be purchased at 1/20th of the cost. For example, its Viagra-like medicaments each cost approximately $1.8 as compared to $20 in Canada. This big price cutting not only makes these products more commonly available to the public, but they also let name brand pharmacy giants to reduce their costs in order to stay competitive.

Ghana : Achimota hospital records more H1N1 cases

Article from Modern Ghana :

" Authorities at the Achimota purchase cialis in Accra say the number of recorded cases of the H1N1 influenza, also known as the swine flu has increased.

Five cases have been recorded since last week, bringing the total number of cases to twenty-three (23) since Asempa News begun reporting the issue some three weeks ago.

The Disease Control Officer at the Achimota cheap cialis Michael Alexander Garr, who disclosed this to Asempa News, said 13 of the cases were from the St John's Grammar School.

The rest are from areas such as Abeka Lapaz, Alogboshie, Achimota and Tesano.

Mr. Garr said that the patients have been treated and discharged."

PERHATIAN!!!! PEMAKAIAN OBAT KUAT PRIA

PERHATIAN!!!!!!

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Sefatal apa obat kuat atau penambah gairah seksual pria bagi kesehatan?

Menggunakan Doping penambah gairah seksual mungkin menjadi salah satu solusi bagi pria yang merasa kurang percaya diri saat aktivitas bercinta atau bahkan meningkatkan daya saing dengan pasangannya di ranjang.

Beberapa obat memiliki dosis yang tinggi sehingga efek samping yang mematikan bila diminum oleh PENDERITA HIPERTENSI (darah tinggi0, DIABETES MELITUS, JANTUNG,dan  GINJAL. Sehingga, tidak jarang terjadi pemakai obat kuat, meninggal karena ketidaktahuan mereka.

Bagi yang PENDERITA HIPERTENSI (darah tinggi0, DIABETES MELITUS, JANTUNG,dan  GINJAL diharapkan mengkomsusi obat-obat penambah gairah harus sepengetahuan dokter karena dikhawatirkan bisa menimbulkan masalah yang sangat serius. Yang berbahaya, jika pemakai tak menyadari bahwa ia memiliki penyakit tertentu. Bisa saja obat yang dikonsumsinya memiliki efek samping yang fatal terhadap penyakit yang dideritanya.

Perlu kita ketahui bahwa Badan Pengawas Obat dan Makanan (BPOM) Republik Indonesia pada November 2008 lalu telah mengeluarkan Surat Peringatan tentang : Obat Tradisional dan Suplemen Makanan Berkhasiat Penambah Stamina Pria Mengandung Bahan Kimia Obat, lengkap dengan daftar merek dagang yang menurut penelitian berbahaya untuk dikonsumsi, terlebih jika tanpa resep dokter.

Dalam surat peringatannya (Public Warning) Nomor : KH.00.01.43.5847, Tanggal : 14 November 2008, BPOM berdasarkan hasil uji laboratorium memerintahkan untuk menarik peredaran 22 item produk Obat Tradisional dan Suplemen Makanan Berkhasiat Menambah Stamina Pria yang Dicampur dengan Bahan Kimia Obat Keras yaitu cheap cialis Sitrat dan Tadalafil.

A. cialis SITRAT; dapat menyebabkan sakit kepala, pusing, dispepsia, mual, nyeri perut, gangguan penglihatan, rinitis (radang hidung), infark miokard, nyeri dada, palpitasi (denyut jantung cepat) dan kematian.

B. TADALAFIL; dapat menyebabkan nyeri otot, pusing, sakit kepala, mual, diare, nyeri abdomen, dispepsia, nyeri punggung, muka memerah, hidung tersumbat, fotosensitivitas, kehilangan potensi sex permanen. Tadalafil bersifat melebarkan pembuluh darah yang menyebabkan penurunan tekanan darah, pasokan oksigen dan darah ke dalam otot jantung menurun, nyeri dada yang tidak stabil, irama jantung tidak normal, stroke.

Mengerikan bukan? Maka dari itu hindari mengonsumsi obat kuat secara sembarangan. Dan untuk mengonsumsinya, lebih baik konsultasi terlebih dahulu dengan dokter ahli masalah gangguan seksual.

22 OBAT PENAMBAH GAIRAH SEX yang dilarang oleh pemerintah :

1. Bluemoon - PT Pasifi Health Care Indonesia, Jakarta (Padalafil)

2. Caligula Kapsul - PJ Air madu Magelang (Sildenafil Sitrat)

3. Cobra X Kapsul - PJ Radio Sentosa Cilacap (Sildenafil Sitrat)

4. Hwang Di Shen Dan - PT Multi Usaha Sentosa (Sildenafil Sitrat)

5. Kuat Tahan Lama Serbuk - PD Jamu Moro Sehat, Banjarnegara (Sildenafil Sitrat)

6. Lak Gao 69 - PJ Jaya Sakti Mandiri, Semarang (Sildenafil Sitrat)

7. Lavaria - PT Rama Farma, Jakarta (Sildenafil Sitrat)

8. Maca Gold - PT Paramitra Media Perkasa, Jakarta (Sildenafil Sitrat)

9. Manovel - PT Sari Sehat Capung Indah Abadi, Magelang (Padalafil)

10. Okura - PT Hermalindo Sukses Makmur, Tangerang (Sildenafil Sitrat)

11. Otot Madu - PT Rama Farma, Jakarta (Sildenafil Sitrat)

12. Rama Tamin - PT Rama Farma, Jakarta (Sildenafil Sitrat)

13. Sanomale - PT Pyridam Farma Cianjur (Padalafil)

14. Sarimadu Kapsul - PJ Sarimadu Murni (Sildenafil Sitrat)

15. Stanson - PT Sukses Rajawali, Jakarta (Sildenafil Sitrat dan Padalafil)

16. Sunny Zang Wang Xiong Ying Dan Pil - PT Cahaya Bioteknologi Farmasi Jakarta (Sildenafil Sitrat)

17. Sunny Zang Wang Xiong Ying Dan Pil - PT Cahaya Bioteknologi Farmasi Jakarta (Sildenafil Sitrat)

18. Teraza - PT Rama Farma, Jakarta (Sildenafil Sitrat)

19. Top One Kapsul - PJ Paladipa, Solo (Sildenafil Sitrat)

20. Tripoten - PT Dexa Medica, Palembang - (Padalafil)

21. Urat Perkasa Kapsul - PJ SM Jaya, Cilacap (Sildenafil Sitrat)

22. Zu-mlex - CV Mega Maju Mekar, Jakarta - (Padalafil)