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Wednesday, September 3, 2014

BEST TREATMENT WHEN VIAGRA DOES NOT WORK

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All treatment methods of Erectile Dysfunction the bes

 Bond with the best Sexologist Dr.Ashok Koparday

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Last updated 02 September, 2014

When Viagra does not work 

which other treatment methods to choose?

When Viagra doesn't work as a treatment for Erectile Dysfunction what is the next option?
AFTER VIAGRA - WHAT NEXT
VIDEO ALL METHODS OF TREATMENT OF ERECTILE DYSFUNCTION

AFTER VIAGRA - WHAT NEXT

Question
Sir, I had high Blood pressure.  I'm on Olvance-20HD.
Now I'm okay.  From last one and half year I have erection
problem. I have used Penegra and Viagra. Initially for one month 
Edegra was effective. Now I have same problem of ED. No medicine 
is working.
WAhat is your advice sir,
Thanks
vbnkbxxx

MY DOCTOR TELLS

Doctors are often faced with the situation of erectile dysfunction in a patient 
who has stopped responding to PDE-5 inhibitors or who has never responded to treatment
with Viagra and similar medicines.

1. Sildenafil - Viagra,  Penegra,  Edegra, Caverta
2. Tadalafil - Cialis, Forzest, Tadalis
3. Vardenafil - Levitra
Other newer cousins of Sildenafil like
4. Udenafil
5. Avanafil - Stendra

These above medicines,  which are taken by
mouth are convenient.  PDE-5 inhibitors have very high patient
compliance due to ease of
taking medicine.
The options are discussed ideally by Sexologist during psycho-sexual therapeutic counseling. So, let's take Counseling as one method. The methods of treatment are
1
ICIVAD Intrcavernous injection of vasoactive drugs.
Caverject is a branded injection system that gives quick and excellent results.
2
M.U.S.E.
Medicated Urethral System for Erection
Pellets of apomorphine are inserted inside urethra.
Transurethral use of vasoactive medicine has its advantages and disadvantages when
used in the treatment of erectile dysfunction.
3
VACUUM DEVICE
Vacuum device is a small handy appliance that covers the penis.
Vacuum device creates FDA - medically approved - suction ,
which pulls blood into the corporal bodies creating erection.
Vacuum device creates vacuum externally and does nit require any medications.
A rubber band ppushed at the base of penis maintains this erection
until desired. Patients are warned not to let the ererection stay for more than 4 hours at a stretch.
4
PENILE IMPLANTS
This is a surgical procedure where rods of implants are placed within the penis.
A mechanical pump hidden
in the scrotum can bring about erection when desired.
5
COUNSELING
Psycho-Sexual Therapeutic Counseling Iis crucial to diagnose and differentiate between  situation related erectile dysfunction from the erectile dysfunction resulting from tissue damage. Counselor helps a person choose the most appropriate treatment
when Viagra and other PDE--5 inhibitors don't work.
6
Viagra - when Viagra and similar medicines don't work the
 above five treatment modalities can be useful.
7
Alternative Treatment Methods
Diet Natural Herbs Ayurvedic Medicines Exercises Gadgets Yoga and Tantra
none of the above have been proven to efeffectively work as
treatment or as supplement to other treatment methods.

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BEST SEXOLOGIST MUMBAI

Dr Ashok Koparday

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