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Igor, and how to differentiate between true and psychogenic erectile dysfunction?

- Modern methods of assessing the vascular component of erection include measurement of pressure in the vessels of the penis, reofallografiyu, ultrasound scanning of the vessels, the use of radiological methods (static and dynamic kavernozografiya, angiography), radiological techniques. For the evaluation of neurogenic erectile needed vibration test, to measure the latent period bulbocavernous reflex.

Carrying out the whole arsenal of diagnostic methods in most cases allows you to make true and psychogenic erectile dysfunction. Psychogenic erections adequate reduction is more common in young people without sexual experience, suspicious and impressionable, inclined to commit attention to minor failures in the intimate life. Temporary problems they perceive as a serious, irreversible problem, they are developing a neurosis expectations of failure. These patients complain that during the pre-game full erection, and before the emission arises fear, and it decreases or disappears altogether.

True reduction erection may be neurological, endocrine origin, organic (traumatic) nature, vascular (arterial, venous, arteriovenous). If true erectile dysfunction is reduced or absent both spontaneous and adequate erections, it often becomes spasmodic, to a lesser extent depends on the emotional condition.

- What is the role of psychotherapy in the treatment of disorders of erection?

- Psychological adjustment disorders, sexual function, as is known, is rather long and difficult process for both the patient and for the specialist. The success of therapy depends on the effectiveness of the diagnostic studies conducted before and during the entire course of treatment.

Psychotherapy - an important and effective treatment of psychogenic erectile disorder. Its tasks are often the removal of fear, uncertainty before the upcoming sexual intercourse, as well as removing misconceptions about the causes of sexual disorders. The role of psychotherapy can not be underestimated, although the true form of erectile dysfunction in the form of monotherapy, it is not used. For example, medication combined with psychotherapy yields a higher effect than the mere appointment of psychotherapeutic drugs without potentiation of them. Equally, it refers to a combination of physical therapy techniques, treatment of local negative pressure vnutrikavernoznomu, endouretralnomu introduction of vasoactive drugs. Even after surgical correction of organic disorders of erection can not ignore the possibility of psychotherapy, because it is the need to adapt the couple to the new conditions of sexual intercourse.
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- In your opinion, in recent years increased the capacity of pharmacological treatment of erectile dysfunction?

- Yes, especially in connection with the appearance on the Ukrainian market the drug Viagra. However, it is not irrelevant, and such preparations as stamina, Tentex, Kamevit, Yohimbeks-Harmony. Among them favorably drug Yohimbine-Spiegel. He is the alkaloid in the tree of the same name, grown in Cameroon, which is highlighted in 1896 by Dr. L. Shpigel, who gave him this name. As the b2-adrenergic blockers, yohimbine is able to selectively block presynaptic b-adrenergic receptors located in smooth muscles of the pelvic arteries, and especially in the arteries of the penis. As a result of the relaxation of smooth muscle structures to expand the arteries and arterioles, which leads to a sharp increase in blood flow in the cavities of the penis. According to the literature, the effectiveness of yohimbine in men with psychogenic forms of erectile disorders is 40-50%, while organic forms - 25-35%.

In various forms of erectile dysfunction rather efficient use of vasoactive mixture "Erektogen", developed by the staff of our institute.

Treatments for erectile dysfunction are many, but before the treatment plan, the expert must take into account the desires and objectives pursued by the couple, the decision to seek sexual partners and interpersonal problems in their daily lives.

The method of treatment of erectile dysfunction should be the result of close communication between doctor, patient and his partner. A full explanation and discussion of treatment, adherence to the schedule of monitoring visits to the continuation and evaluation of treatment will maximize the chances of couples to achieve redress. After all, sex between men and women are the cornerstone, the key strength of any family.

Although clinicians and welcome new ways of treatment, before appoint their patients, should think twice what the potential risks and benefits can naznachennnaya therapy.