The real "killers" of erection

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The real "killers" of erection
The real "killers" of erection
Anonim

“For a long time, the term “impotence” did not exist in medicine. We are already talking about "erectile dysfunction". It is the inability to achieve and/or maintain an erection sufficient to satisfy sexual activity. And also disruption of orgasm and weakening of sex drive.

It has become clear that up to 80% of erectile dysfunction cases are related to one or another physical (not mental) illness. These are diabetes, atherosclerosis, hypertension, says Russian cardiologist Prof. Vitaly Zafiraki, MD

About Medicines

Once upon a time, antihypertensives did have a bad reputation for causing erectile dysfunction, though not all of them. Fifty years ago, erectile dysfunction drugs were actually widely used to treat hypertension. For example, propranolol (anaprilin), digoxin, clofeline - large doses (up to 100 mg per day).

Now all that is in the past. Modern drugs are thoroughly studied in clinical studies on large groups of patients, incl. and compared to placebo. Life goes on in its tracks. People get sick, sometimes even die. Including. and those who took a placebo.

So, some real negative effect of the treatment can be talked about when the frequency of the particular unwanted phenomenon (erectile dysfunction) on a non-random basis exceeds its frequency in the placebo group. The non-random nature of quantitative differences is assessed using mathematical methods.

“Such classes of preparations for the treatment of hypertension, such as the so-called calcium antagonists (amlodipine, lercanidipine), AF inhibitors, as well as sartans - they have the same effect on erectile dysfunction as placebo. Ie, none.

However, large doses of thiazide diuretics, non-selective beta-adrenoblockers, cause erectile dysfunction more often than placebo. But both classes of preparations are nowadays hardly used in cardiology. Nowadays, small doses of this hypothiazide and highly selective beta-adrenoblockers (nebivolol, bisoprolol) are used.

Interestingly, drugs for the treatment of atherosclerosis and high cholesterol, i.e., statins, in patients with ischemic heart disease in the long term even increase erectile function (comparable to half a dose of Viagra, for example). This is because it is statins that improve the condition of the vascular wall. It is this, along with psychological factors, that determines the quality of the erection, the doctor believes.

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