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Overview

Endobloc T Kit

Endobloc T Kit

Manufacturer: Cipla Ltd
Medicine composition: Ambrisentan, Tadalafil
Prescription vs.OTC: Prescription by Doctor required

Endobloc T Kit is a medication used to treat pulmonary hypertension in patients of WHO class II or WHO class III. It is an endothelin receptor antagonist that blocks certain substances present in the lungs, which in turn helps decrease the blood pressure inside the lungs.

You should refrain from using Endobloc T Kit if have any liver problems or lung problems, are allergic to any medicine, are pregnant, plan on becoming pregnant, or breastfeeding. You should also consult your doctor before taking Endobloc T Kit if you have history of heart failure, anemia, fluid retention problem, alcohol dependency or taking any medicines or supplements.

There are very few reported side effects of Endobloc T Kit. These include stuffy nose, irritation in nose or throat and flushing. You should see a doctor as soon as possible if any of these persist for prolonged duration.

Endobloc T Kit is available only as tablets to be taken orally. You can have them with or without food but you should consult your doctor regarding the appropiate dosage.

In addition to its intended effect, Endobloc T Kit may cause some unwanted effects too. In such cases, you must seek medical attention immediately. This is not an exhaustive list of side effects. Please inform your doctor if you experience any adverse reaction to the medication.
Headache
Nasopharyngitis
Flushing (sense of warmth in the face
ears
neck and trunk)
Dyspepsia
Muscle pain
Pain in extremity.
Is It safe with alcohol?
Tadalafil can lower blood pressure, and combining it with alcohol may further increase this effect.
Are there any pregnancy warnings?
Endobloc t kit is highly unsafe to use during pregnancy.
Human and animal studies have shown significant adverse effects on the foetus. Please consult your doctor.
Are there any breast-feeding warnings?
Endobloc t kit is probably unsafe to use during breastfeeding. Please consult your doctor.
Is it safe to drive while on this medicine?
Caution is advised when driving or operating machinery.
It may cause dizziness. Exercise caution if you have to drive or operate a machinery.
Does this affect kidney function?
No dose adjustment is needed for patients with the mild to moderate renal disease. Not advisable in patients with the severe renal disease.
Does this affect liver function?
No dose adjustment is needed for patients with the mild to moderate liver disease. Dose adjustment is required in patients with severe liver disease.
Below is the list of medicines, which have the same composition, strength and form as Endobloc T Kit, and hence can be used as its substitute.
Whenever you take more than one medicine, or mix it with certain foods or beverages, you're at risk of a drug interaction.

Popular Questions & Answers

I'm suffering from pre ejaculation problem. Please help me. I also tried Durex extended pleasure condoms. But no result.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
I'm suffering from pre ejaculation problem. Please help me. I also tried Durex extended pleasure condoms. But no result.
Anaesthetic creams and sprays that contain a numbing agent, such as lidocaine or procaine, are sometimes used to treat premature ejaculation. These products are applied to the penis a short time before sex to reduce sensation and thus help delay ejaculation. A lidocaine spray for premature ejaculation is available Although topical anaesthetic agents are effective and well-tolerated, they have potential side effects. For example, some men report temporary loss of sensitivity and decreased sexual pleasure. In some cases, female partners also have reported these effects. In rare cases, lidocaine or procaine can cause an allergic reaction. Oral medications Many medications may delay orgasm. Although none of these drugs is specifically worthwhile as people believe, approved medications may be prescribed for either on-demand or daily use, and may be prescribed alone or in combination with other treatments to treat premature ejaculation, some are used for this purpose, including antidepressants, analgesics and phosphodiesterase-5 inhibitors, like Sildenafil or Tadalafil You can consult me on this site if you want prescription for these tablets with your full health details The pause-squeeze technique You and your partner can use of a method called the pause-squeeze technique. This method works as follows: 1.Begin sexual activity as usual, including stimulation of the penis, until you feel almost ready to ejaculate. 2.Have your partner squeeze the end of your penis, at the point where the head (glans) joins the shaft, and maintain the squeeze for several seconds, until the urge to ejaculate passes. 3.After the squeeze is released, wait for about 30 seconds, then go back to foreplay. You may notice that squeezing the penis causes it to become less erect, but when sexual stimulation is resumed, it soon regains full erection. 4.If you again feel you're about to ejaculate, have your partner repeat the squeeze process. By repeating this as many times as necessary, you can reach the point of entering your partner without ejaculating. After a few practice sessions, the feeling of knowing how to delay ejaculation may become a habit that no longer requires the pause-squeeze technique.

My age 47 year, having problem of ED, can I take tadact 10 mg daily, how long I can take this.

MBBS
General Physician,
My age 47 year, having problem of ED, can I take tadact 10 mg daily, how long I can take this.
Do not worry. Tadalafil is just like viagra you can keep taking it if there is no history of heart disease.

Popular Health Tips

Erectile Dysfunction

Diploma In Traditional Siddha
Sexologist, Bilaspur
Erectile Dysfunction

A man is considered to have erectile dysfunction if he regularly finds it difficult getting or keeping a firm enough erection to be able to have sex, or if it interferes with other sexual activity.

Most men have occasionally experienced some difficulty with their penis becoming hard or staying firm. However, erectile dysfunction (ed) is only considered a concern if satisfactory sexual performance has been impossible on a number of occasions for some time.

Since the discovery that the drug sildenafil, or viagra, affected penile erections, most people have become aware that ed is a treatable medical condition.

Men who have a problem with their sexual performance may be reluctant to talk with their doctor, seeing it can be an embarrassing issue.

However, ed is now well understood, and there are various treatments available.

This mnt knowledge center article offers helpful information for people experiencing this problem, or those close to them.

Fast facts on erectile dysfunction:

Erectile dysfunction (ed) is defined as persistent difficulty achieving and maintaining an erection sufficient to have sex.

Causes are usually medical but can also be psychological.

Organic causes are usually the result of an underlying medical condition affecting the blood vessels or nerves supplying the penis.

Numerous prescription drugs, recreational drugs, alcohol, and smoking, can all cause ed.

Causes

Normal erectile function can be affected by problems with any of the following systems:

  • Blood flow
  • Nerve supply
  • Hormones
  • Physical causes

Erectile dysfunction can cause embarrassment.

It is always worth consulting a physician about persistent erection problems, as it could be caused by a serious medical condition.

Whether the cause is simple or serious, a proper diagnosis can help to address any underlying medical issues and help resolve sexual difficulties.

The following list summarizes many of the most common physical or organic causes of ed:

Heart disease and narrowing of blood vessels

  • Diabetes
  • High blood pressure
  • High cholesterol
  • Obesity and metabolic syndrome
  • Parkinson's disease
  • Multiple sclerosis
  • Hormonal disorders including thyroid conditions and testosteronedeficiency
  • Structural or anatomical disorder of the penis, such as peyronie disease
  • Smoking, alcoholism, and substance abuse, including cocaine use

Treatments for prostate disease

  • Surgical complications
  • Injuries in the pelvic area or spinal cord
  • Radiation therapy to the pelvic region
  • Atherosclerosis is a common cause of blood flow problems. Atherosclerosis causes a narrowing or clogging of arteries in the penis, preventing the necessary blood flow to the penis to produce an erection.
  • Numerous prescription medications can also cause ed, including those below. Anyone taking prescription medications should consult their doctor before stopping or changing their medications:
  • Drugs to control high blood pressure
  • Heart medications such as digoxin

Some diuretics

Drugs that act on the central nervous system, including some sleeping pills and amphetamines

Anxiety treatments

Antidepressants, including monoamine oxidase inhibitors (maois), selective serotonin reuptake inhibitors (ssris), and tricyclic antidepressants

Opioid painkillers

Some cancer drugs, including chemotherapeutic agents

Prostate treatment drugs

Anticholinergics

Hormone drugs

The peptic ulcer medication cimetidine

Physical causes account for 90 percent of ed cases, with psychological causes much less common.

Psychological causes

In rare cases, a man may always have had ed and may never have achieved an erection. This is called primary ed, and the cause is almost always psychological if there is no obvious anatomical deformity or physiological issue. Such psychological factors can include:

  • Guilt
  • Fear of intimacy
  • Depression
  • Severe anxiety

Most cases of ed are'secondary' this means that erectile function has been normal, but becomes problematic. Causes of a new and persistent problem are usually physical.

Less commonly, psychological factors cause or contribute to ed, with factors ranging from treatable mental health illnesses to everyday emotional states that most people experience at some time.

It is important to note that there can be overlap between medical and psychosocial causes. For instance, if a man is obese, blood flow changes can affect his ability to maintain an erection, which is a physical cause. However, he may also have low self-esteem, which can impact erectile function and is a psychosocial cause.

Does riding a bicycle cause ed?

Questions remain about the effects on men's health of riding a bicycle.

Some research has raised concerns that men who regularly cycle for long hours could have a higher risk of ed, in addition to other men's health issues such as infertilityand prostate cancer.

The most recent study to investigate this found that there was no link between riding a bike and ed, but it did find an association between longer hours of cycling and the risk of prostate cancer.

Prostate disease and ed

Prostate cancer does not cause ed.

However, prostate surgery to remove the cancer and radiation therapy to treat prostate cancer can cause ed.

Treatment of non-cancerous, benign prostate disease can also cause the condition.

Treatment

The good news is that there are many treatments for ed, and most men will find a solution that works for them. Treatments include:

Drug treatments

Men can take a group of drugs called pde-5 (phosphodiesterase-5) inhibitors.

Most of these pills are taken 30 to 60 minutes before sex - the best known being the blue-colored pill sildenafil (viagra). Other options are:

Vardenafil (levitra)

Tadalafil (taken as a once-daily pill called cialis)

Avanafil (stendra)

Pde-5 inhibitors are only available on prescription. A doctor will check for heart conditions and ask about other medications being taken before prescribing.

Side-effects associated with pde-5 inhibitors include:

  • Flushing
  • Visual abnormalities
  • Hearing loss
  • Indigestion
  • Headache

Less commonly used drug options include prostaglandin e1, which is applied locally by either injecting it into the penis or inserting it down the opening of the urethra.

Most men prefer a pill, however, so these locally acting drugs tend to be reserved for men who cannot take oral treatment.

Online pharmacies

It is possible to buy treatment over the internet for ed. However, caution is advised.

The united states (u. S.) food and drug administration (fda) has a consumer safety guide about this, including a recommendation to check that the online pharmacy:

Is located in the u. S. And licensed

Has a licensed pharmacist to answer questions.

Requires a prescription.

Offers direct contact with a person who can discuss any problems.

You can check whether the pharmacy is licensed using this list of verified internet pharmacy practice sites (vipps).

The fda also offers tips for spotting the dangers of an unsafe website, including watching out for the following clues:

There is no way to contact the website by phone.

Prices are dramatically lower than those offered by legal online pharmacies.

Prescription drugs are offered without requiring a prescription - which is illegal.

Personal information is not protected.

The fda adds that these illegal sites may send drugs of unknown quality and origin, even sending the wrong drug or a dangerous product.

Vacuum devices

Vacuum erection devices are a mechanical way of producing an erection for men who do not want or cannot use drug treatments, or find they are not working.

The penis is made rigid by the use of a vacuum pump sealed around it that draws up blood. This is prevented from then leaving the penis by the use of an accompanying band.

The lack of spontaneity with the use of vacuum devices means that many men find other treatments for ed preferable.

Surgical treatments

There are several surgical treatment options:

Penile implants: these are a final option reserved for men who have not had any success with drug treatments and other non-invasive options.

Vascular surgery: another surgical option for some men is vascular surgery, which attempts to correct some blood vessel causes of ed.

Surgery is a last resort and will only be used in the most extreme cases. Recovery time varies, but success rates are high.

Do dietary supplements and alternative treatments work?

The short answer is" no"

No guidelines followed by doctors, nor any established sources of evidence, support the use of dietary supplements, such as herbal pills.

In addition to there being no evidence in favor of non-prescription alternatives for ed, the fda has warned of hidden risks of" treatments" sold online.

Symptoms

Men may not always successfully achieve an erection, and if this rarely happens, it is not considered a medical problem.

However, ed does not only refer to a complete inability to achieve an erect penis. Symptoms can also include struggling to maintain an erection for long enough to complete intercourse or an inability to ejaculate.

There are often also emotional symptoms, such as embarrassment, shame, anxiety, and a reduced interest in sexual intercourse.

A man is considered to have ed when these symptoms occur regularly.

Exercises

There are exercises a man can carry out to reduce the effects of ed.

The best way to treat erectile dysfunction without medication is by strengthening the pelvic floor muscles with kegel exercises. These are often associated with women looking to strengthen their pelvic area during pregnancy, but they can be effective for men looking to regain full function of the penis.

Firstly, find the pelvic floor muscles. You can achieve this by stopping mid-stream two or three times the next time you urinate. The muscles you can feel working during this process are the pelvic floor muscles, and they will be the focus of kegel exercises.

One kegel exercise consists of tightening and holding these muscles for 5 seconds and then releasing them. Try to do between 10 and 20 repetitions each day. This may not be possible when you first start doing the exercises. However, they should become easier over time.

You should be able to notice an improvement after 6 weeks.

Make sure you are breathing naturally throughout this process and avoid pushing down as if you are forcing urination. Instead, bring the muscles together in a squeezing motion.

Aerobic exercise, such a jog or even a brisk walk, can also help the blood to circulate better and can help improve ed in men who have circulation issues.

Tests

  • The numerous potential causes of ed mean that a doctor will typically ask a lot of questions and arrange for blood tests to be performed. Such tests can check for heart problems, diabetes, and low testosterone, among other things. The doctor will also carry out a physical examination, including of the genitals.
  • Before considering a diagnosis that requires treatment, a doctor will look for symptoms that have persisted for at least 3 months.
  • Once a medical history has been established, a doctor will then undertake further investigation. One simple test, known as the'postage stamp test' can be helpful in determining if the cause is physical rather than psychological.
  • Men usually have 3 to 5 erections a night. This test checks for the presence of erections at night by seeing if postage stamps applied around the penis before sleep have snapped off overnight. Other tests of nocturnal erection include the poten test and snap-gauge test.
  • These methods provide limited information but can help guide a doctor's choice of further tests.
13 people found this helpful

Pulmonary Hypertension - What Type Of Treatment Is Given?

MD , MBBS
Pulmonologist, Delhi
Pulmonary Hypertension - What Type Of Treatment Is Given?

Pulmonary hypertension mainly occurs due to narrowing of the arteries of the lungs as a result of which the flow of blood is restricted. In this kind of condition, blood fails to carry oxygen to your heart and thus your heart gets adversely affected. The blood pressure of your body will get increased to a great extent if this situation remains untreated, thus leading to bdreadful consequenses, specifically situation like heart failure, serious pulmonary diseases, blood clots in lungs and congenial heart defects, etc.

There are certain forms of pulmonary hypertension, which are serious in nature and worsen with time, so much so that they are even fatal at times. It also includes forms which are non curable in nature, however, in order to improve the quality of life, symptoms can be reduced with proper treatment. The treatment for pulmonary hypertension is often complex and it takes some time to find the most appropriate treatment and requires extensive follow-up care. Your doctor might also need to change your treatment if it's no longer effective. However, when pulmonary hypertension is caused by another condition, your doctor will treat the underlying cause whenever possible.

Common Treatments for pulmonary hypertension:

Medications:

  1. Blood vessel dilators (vasodilators): Vasodilators open narrowed blood vessels. They are one of the most commonly prescribed vasodilators for pulmonary hypertension is epoprostenol (Flolan, Veletri). The drawback to epoprostenol is that the effect lasts only for few minutes. This drug is continuously injected through an intravenous (IV) catheter via a small pump that you wear in a pack on your belt or shoulder.
  2. Ventavis: Another form of the drug, iloprost (Ventavis), can be inhaled six to nine times a day through a nebulizer, a machine that vaporizes your medication. Because it's inhaled, it goes directly to the lungs.
  3. Treprostinil (Tyvaso, Remodulin, Orenitram): It is another form of the drug, which can be given four times a day and can be inhaled or can be taken as an oral medication and can also be administered through injection.
  4. Endothelin receptor antagonists: These medications reverse the effect of endothelin, a substance in the walls of blood vessels that causes them to narrow. These drugs may improve your energy level and symptoms. However, these drugs shouldn't be taken if you're pregnant. Also, these drugs can damage your liver and you may need monthly liver monitoring.
  5. Sildenafil and tadalafil: Sildenafil (Revatio, Viagra) and tadalafil (Cialis, Adcirca) are sometimes used to treat pulmonary hypertension. These drugs work by opening the blood vessels in the lungs to allow blood to flow through more easily.
  6. High-dose calcium channel blockers: These drugs help relax the muscles in the walls of your blood vessels. They include medications, such as amlodipine (Norvasc), diltiazem (Cardizem, Tiazac, others) and nifedipine (Procardia, others). Although calcium channel blockers can be effective, only a small number of people with pulmonary hypertension respond to them.
  7. Soluble guanylate cyclase (SGC) stimulator: Soluble guanylate cyclase (SGC) stimulators (Adempas) interact with nitric oxide and help relax the pulmonary arteries and lower the pressure within the arteries. These medications should not be taken if you're pregnant. They can sometimes cause dizziness or nausea.
  8. Anticoagulants: Your doctor is likely to prescribe the anticoagulant warfarin (Coumadin, Jantoven) to help prevent the formation of blood clots within the small pulmonary arteries. Because anticoagulants prevent normal blood coagulation, they increase your risk of bleeding complications. Take warfarin exactly as prescribed, because warfarin can cause severe side effects if taken incorrectly. If you're taking warfarin, your doctor will ask you to have periodic blood tests to check how well the drug is working. Many other drugs, herbal supplements and foods can interact with warfarin, so be sure your doctor knows all of the medications you're taking.
  9. Digoxin: Digoxin (Lanoxin) can help the heart beat stronger and pump more blood. It can help control the heart rate if you experience arrhythmias.
  10. Diuretics: Commonly known as water pills, these medications help eliminate excess fluid from your body. This reduces the amount of work your heart has to do. They may also be used to limit fluid buildup in your lungs.
  11. Oxygen: Your doctor might suggest that you sometimes breathe pure oxygen, a treatment known as oxygen therapy, to help treat pulmonary hypertension, especially if you live at a high altitude or have sleep apnea. Some people who have pulmonary hypertension eventually require continuous oxygen therapy.

Surgeries:

  1. Atrial Septostomy: If medications don't control your pulmonary hypertension, this open heart surgery might be an option. In an atrial septostomy, a surgeon will create an opening between the upper left and right chambers of your heart (atria) to relieve the pressure on the right side of your heart.
  2. Lung Transplantation: In some cases, a lung or heart lung transplant might be an option, especially for younger people who have idiopathic pulmonary arterial hypertension.

Reducing Complications:

  1. The complications need to be reduced by taking proper health care. Healthy diet needs to be taken regularly along with proper medications. Smoking should be stopped and exercising sessions should be attended daily without any fail
  2. Overweight or obesity needs to be controlled properly for reducing the complications. Specialized caring strategies need to be maintained for avoiding severe kinds of health complications that are quite annoying. If you wish to discuss about any specific problem, you can consult a Pulmonologist.
2485 people found this helpful

Erectile Dysfunction - Symptoms, Treatment & Prevention

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Allahabad
Erectile Dysfunction - Symptoms, Treatment & Prevention

Erectile dysfunction can be quite a depressing and stressful problem. It can jeopardize the sexual life of a person. In recent times, the problem has been on an exponential rise. As per a survey, 1 in every 1000 men suffers from erectile dysfunction. To top it, some men, out of embarrassment, delay the treatment and medications.

In Erectile Dysfunction, a person is unable to maintain an erection necessary for a sexual intercourse. A man's confidence and self-esteem often take a beating in such cases. In some cases, the affected person completely detaches himself from the outside world. The erectile dysfunction in men can be due to lifestyle habits, psychological problems, injury, and diseases, such as;

  1. Stress and anxiety.
  2. Hormonal imbalance.
  3. Medical conditions, which include, diabetes, cardiovascular problems, hypercholesterolemia, and hypertension.
  4. Treatment for prostate cancer can result in erectile dysfunction.
  5. Obesity.
  6. Older men are more likely (not always) to suffer from erectile dysfunction.
  7. Unhealthy lifestyle habits (drinking, smoking, and drug abuse).
  8. Peyronie's disease.
  9. Parkinson's disease.
  10. Injury to the pelvic area.

Symptoms of erectile dysfunction:
A person with erectile dysfunction may exhibit one or more of the following symptoms:

  1. A person with erectile dysfunction may have difficulties in getting an erection.
  2. There is a problem in holding on to the erection for a longer duration of time.
  3. Erectile dysfunction can also affect a person's sexual desire (low libido).

Diagnosis and Treatment:
As serious as it may appear, there is nothing to press the panic button. The problem is temporary. With timely diagnosis and treatment, erectile dysfunction can be easily managed and treated. Diagnosis of erectile dysfunction include;

  1. Blood and urine tests play a pivotal in identifying the root cause (diabetes, cardiac problems, hormonal imbalance or any other medical conditions) of the erectile dysfunction.
  2. Physical examination.
  3. An Ultrasound.

Treatment:

  1. Medications like Stendra (Avanafil), Viagra (Sildenafil), and Cialis (Tadalafil) can prove to be helpful in treating erectile dysfunction. The medications magnify the influence of nitric oxide (nitric oxide helps in relaxing the penis), thus enabling a person to get an erection on being sexually aroused.
  2. Low levels of the testosterone hormone interfere with and adversely affects erectile dysfunction. In such cases, the doctor may recommend testosterone replacement.
  3. Alprostadil Injection when injected helps in increased blood flow to the penis (by muscular relaxation of the penis), thus helping a person to get an erection.
  4. Penile implants are also helpful in case of erectile dysfunction.
  5. Many men with erectile dysfunction have benefitted immensely from counseling and sex therapy.

A person also needs to

  1. Maintain a healthy lifestyle.
  2. Exercise regularly.
  3. Indulge in limited alcohol consumption and smoking.
  4. Refrain from drug abuse.
  5. Maintain a healthy body weight.
  6. Seek expert help in case of severe depression, stress, and anxiety.
  7. Do not compromise with your sleep.
  8. If need be, discuss the problem with your partner. If you wish to discuss about any specific problem, you can consult a Sexologist.
3002 people found this helpful

Can Viagra Cause Skin Cancer?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Lucknow
Can Viagra Cause Skin Cancer?

Sildenafil (Viagra), whose function is to inhibit a substance called Phosphodiestarase-5 or PDE5 - was initially used only for the treatment of angina pectoris (a cardiovascular problem) and pulmonary hypertension. Incidentally, it was discovered that it could help the issue of erectile dysfunction too, and thus became hugely popular in the late 1990s. The little blue pill, as it was called, ruled more than 50% of the sexual dysfunction market for more than 15 years. However, as its popularity and usage increased, so did the scientific information about this drug, and now there is an increased speculation that it could be contributing to skin cancer, specifically melanoma. This is considered as one of the most dangerous forms of skin cancer and so the safety of Viagra sildenafil came into question.

Research has shown that users of Viagra sildenafil are at a higher risk for developing melanoma. There are reports stating that about 45 million men are at an increased risk of developing melanoma due to associated Viagra sildenafil use. The risk of developing melanoma was found to increase in men using ED drugs by 21%. Though there is no conclusive proof as yet that sildenafil is the cause, research is increasingly pointing out its role in melanoma. For example, PDE5 inhibitors (sildenafil, tadalafil, vardenafil) are known to promote melanin synthesis, which may exacerbate melanoma development.

The analysis of biochemical pathways of this correlation suggests that Viagra sildenafil triggers a special biochemical action involving the growth-stimulating cGMP (cyclic guanosine monophosphate (an intracellular signaling molecule) which in turn promotes the growth of malignant melanoma. In normal cases, the enzyme phosphodiesterase type 5 (PDE5) regulates the cGMP preventing any adverse cellular activity. Sildenafil inhibits the production of this enzyme, and potentiates a specific cGMP-related biochemical mechanism (called cGMP-cGKI pathway) , and thereby contributes to malignant melanoma. This has been proven to happen in mice and is yet to be proven in humans.

However, there are also reports which suggest that this does not happen due to Viagra sildenafil per se, but due to greater exposure to sun, which even otherwise increases the chances of skin cancer in general, and melanoma in particular. The countering theories also say that the population in which skin cancer was detected, comprised mostly of high income individuals who spent a significant amount of time holidaying on beaches and are not connected to the extensive use of Viagra per se. 

Therefore, though there is a correlation that has been established, there is no definite proof that Viagra sildenafil causes skin cancer. It is however, advisable to use ED drugs after medical consultation. If a patient has a genetic predisposition to develop melanoma, it is advisable to seek medical advice before the use of ED drugs. Occasional use should not be harmful. Also, when going out in the sun, limiting exposure to direct sun and UV protection should be managed too. If you wish to discuss any specific problem, you can consult a sexologist.

6642 people found this helpful

Working on a Bent Penis: Treatments for Peyronie's Disease

MD - General Medicine
Sexologist, Delhi
Working on a Bent Penis: Treatments for Peyronie's Disease

A bent penis can be a source of genuine concern for a man. Yes, a little curvature in the penis is common, but when the curvature is severe, it can create both physical and emotional problems. Most men with a severely bent penis are considered to have Peyronie's disease, named after the doctor who first described it medically. Since sexual and penis health can be impacted by Peyronie's, it helps to be aware of what treatments are out there for this condition.

In 2016, the World Journal of Men's Health published "Nonsurgical Interventions for Peyronie's Disease: Update as of 2016," an overview of the existing treatments for a bent penis. Following is a distillation of the information contained in that article.

Background

First, a little about Peyronie's disease. The Mayo Clinic describes this disorder as "the development of fibrous scar tissue inside the penis that causes curved, painful erections." This scar tissue usually develops due to injury to the penis. For example, a man might be struck in the penis by a baseball, might slam his erection into a hard surface or might simply experience repeated rough (if pleasurable) handling during sex. Such activities create trauma in the penis; as it heals (even from small traumas like rough handling), scar tissue forms. If that tissue forms repeatedly in one area, it prevents the skin from stretching properly, causing the penis to bend during an erection.

Treatments

Among the treatment options are:

1. Oral options. A wide range of pills are sometimes used in treating Peyronie's, including vitamin E, tamoxifen, L-carnitine and tadalafil. Such options are typically employed first, as they are the easiest treatment available. Typically, these therapies show results in cases where the scar tissue is less intense. Some of these options are also available for topical application directly on the penis skin.

2. Injections. More persistent cases may respond to the injection of medication directly in the area where the scar tissue build-up is pronounced. As of this writing, only one drug is approved for this method in the U.S. Many men resist this treatment as, understandably, the idea of injecting a needle into the penis does not appeal to them.

3. Traction. Traction therapy essentially works to pull the penis back into shape. A man wears (for several hours each day), a device that attaches to the penis and exerts force to pull it in the opposite direction of the curve. Traction devices tend to work best in conjunction with other therapies rather than on their own.

4. Shock wave therapy. A more recent addition, shock wave therapy uses high amplitude pulses of energy directed at the penis. Typically used on joint and tendon issues, the therapy seems to help with the pain that some experience from Peyronie's but has not yet been shown to make much difference in the curvature.

5. Surgery. There are several surgical approaches to correct the curvature of Peyronie's. Because some cases correct themselves over time, surgery is usually recommended only when the bent penis has been an issue for a year or longer and/or when the physical or emotional distress it causes is significant.

Whatever approach a man may take to treat a bent penis due to Peyronie's disease, he is better positioned if his penis is in good health - and that is more easily obtained when he regularly utilizes a top drawer penis health crème (health professionals recommend Man1 Man Oil, which is clinically proven mild and safe for skin). Some of the best crème contains both vitamin E and L-carnitine, which are sometimes used to help treat Peyronie's. The best crème will also include vitamin D, the "miracle vitamin" that has proven benefits in fighting diseases and supporting healthy cellular function.

3 people found this helpful