Male Pattern Baldness and Propecia / Proscar and Male Pattern Baldness

Male Pattern Baldness and Propecia.
by Dr. Andrew Rynne 

Proscar and Male Pattern Baldness.

I want to shout this from the rooftops. However, I will shout it into cyberspace instead. I want the ear of every young man on this planet who may be experiencing testosterone driven male pattern balding. Please listen to me. Do NOT under any circumstances even for one minute consider taking the testosterone-suppressing drug Proscar or Propecia or Finasteride to give it its chemical name. The consequences of using this drug for male pattern balding can be life shattering.

Here’s what the manufacturers Merck say on their Patient’s Product Information leaflet about Propecia:

“ In clinical studies for Propecia, a small number of men experienced certain sexual side effects, such as less desire for sex, difficulty in achieving an erection, decrease in the amount semen produced. Each of these side effects occurred in less than 2% of men and went away in men who stopped taking Propecia because of them.”

What jumps out at you here is that figure 2%. However, even if you accept this figure as true, and personally I do not accept it, but even if you do, to the uninitiated it might seem like a low figure. But for 2% of men on Proscar to experience serious side effects like erectile dysfunction, loss of libido and reduced volume of semen this is actually a very high and significant figure.

Remember you are dealing here with a naturally occurring normal male phenomenon called ‘Male Pattern Baldness’. This is not an illness or a disease. This is a healthy normal occurrence. If in an attempt to “cure” it, you are getting a 2% rate of serious side effects, then that quite frankly is unacceptable.

But here is the real lie that Merck is giving you in its Patient’s Leaflet. Do you see that bit there about “went away in men who stopped taking Propecia – ” That is simply not true and Merck know full well that it is not true. They know it is not true because I and hundreds of other doctors and thousands of patients have told them that these side effects do not always go away when you stop taking Propecia. We continue to be ignored of course. Merck in a multi-billion multinational company. In some cases men who have taken Proscar, even for a few months, have unwittingly condemned themselves to a lifetime of Sexual Anhedonia, the most horrible and cruel or all sexual dysfunctions.

I have spoken to several young men in my clinic in Kildare who continue to suffer from sexual anaesthesia and for whom all sexual pleasure and feelings have been obliterated for all time. I have felt their suffering and shared their devastation. If you would like to learn more about this subject then visit them on www.propeciahelp.com Please spread the word around. Taking Propecia for balding can have utterly disastrous consequences. If you have suffered in any way as a consequence of having used Propecia or Proscar them please use the comment box below to share your story with us. We would love to hear from you.

About Dr. Andrew Rynne
With over thirty years experience in treating men and women with sexual dysfunction and Testosterone Deficiency Syndrome Dr Andrew Rynne is a highly skilled professional in this field. Dr. Rynne can provide you with a Personal Consultation that will diagnose the root of your problem and provide you with a course of action and treatment that will help you work towards a personalised solution.

This entry was posted in Sexual Dysfunction and tagged balding, finasteride, hair loss, male pattern baldness, propecia, proscar, sexual anhedonia. Bookmark the permalink.

Doctor Andrew Rynne

http://www.doctorrynne.com

Why Buying Erectile Dysfunction Medication Online Is A Bad Idea.

Why Buying Erectile Dysfunction Medication Online Is A Bad Idea.

Online Pharmacies are not legal in most civilised countries. There are some very good reasons why this is so and it is not just a case of "control" or of big brother keeping an eye on you. Here are just a few reasons why online pharmacies in general can be bad for your health. I will return specifically to Viagra later.
* Most prescription medications need the input of a healthcare profession if they are not to be abused. Often, simple lifestyle changes can render the use of medications obsolete. However, lifestyle change requires human effort. It is so much easier to buy online than it is for example to loose weight, take more exercise or stop smoking.
* Prescription medications need to be taken in the proper dose and in a prescribed manner. Otherwise, they are open to abuse and can be damaging or addictive. Sleeping tablets are a good example of harmful medication when not controlled. Online Pharmacies offer no such control.
* Online pharmacies are uncontrolled and uncontrollable. Therefore no assurances can be given that product is in fact what it says it is on the package. Generic or worse still, totally fake tablets or capsules can be dispensed. You simply have no way of knowing what is or is not what you hope it is.
* But even more worrying than this is the possibility of lethal contamination. There are on record cases of where active ingredient or excipients have, wittingly or unwittingly, found their way into spurious pharmaceutical products with fatal consequences.
These serious reservations apply to all medications purchased from Online Pharmacies. However, in the case of Viagra and other erectile dysfunction treatments, there are additional pitfall and dangers that are particularly worrying. I can only touch on a few of these here but this should give you an idea:
* Viagra is now the biggest selling online pharmaceutical in the world.
* Not all, or even most, erectile dysfunction requires Viagra to fix it.
* Viagra is now widely used as a 'recreational drug' in the mistaken belief that it improves erections where no dysfunction exists. If it were not for internet selling this situation would not have evolved.
* Taken in this way Viagra can actually CAUSE erectile dysfunction by allowing for a 'performance anxiety' situation to develop. Performance anxiety is the commonest cause of erectile dysfunction that there is.
* Much erectile dysfunction is not in fact fixt by using Viagra or Cialis. However, the self-medicating may not realise this and be inappropriately driven to depths of despair when these drugs fail to work. I see this all the time in my practise.
 
Normally I am all in favour of patient's autonomy and of people taking charge of their own illnesses. I am not in principle opposed to sensible self-medicating and self-care. People cannot go running to their doctor or drugstore with every little sniffle and sneeze. Indeed, I once argued for the free availability of the "morning after" pill as a means of reducing abortion demand. But Online Pharmacies? I think not and I hope that after reading this you might agree with me.
 
Dr Andrew Rynne.
www.doctorrynne.com

Sexual Health Treatment - Is online the way to go ?

Is Online Counselling the Next Wave?
 
So you have a problem and you need to discuss it with a professional? Your marriage is on the rocks, you have become phobic, you are getting panic attacks, you are worried about one of your children's sexuality, you have just lost a loved one, or you have suddenly developed erectile dysfunction. What exactly your problem is does not really matter. The point here is, you need to discuss it with a professional that you trust and you need to find some resolution. There is a degree of urgency to all of this.
So what do you do next? Well, traditionally you would 'shop around'. You would ask a trusted friend if they could recommend someone or you'd ask your GP for a referral, or you would simply go through the Golden Pages and see if you could find the service you are looking for. Then you would ring up and make an appointment and wait for the day to come along.
Eventually you take a half day off work, assuming your boss allows it, and off you go and sit in a waiting room for half a hour before going in to discuss your intimate problems with a perfect stranger. It is not easy now is it?
But wait a minute! Is there not now another way - what about the Internet? The idea that the Internet could be used as a conduit for Counsellor/Client sessions still meets with considerable resistance from the professionals. As if they feel threatened by the very idea, they immediately start raising all sorts of objections. How does the Client know whom they are dealing with? Internet Consultation does not allow for the therapist to pick up on the subtleties of body language or the nuances in speech. And what about confidentiality they will ask?
While some of these objections may have validity, others are somewhat spurious and are common for all forms of counselling be they over the phone, head to head on through the internet. One way or the other, it is my firm belief that, whether you like it or not, the Internet is going to play a major role in delivering quality-counselling services in the coming years.
Take Erectile Dysfunction as a model for online consultation if you will. Here I can immediately see that there are some distinct advantages to this way of doing business over the more conservative traditional head-to-head model. Chief among these I would list:
(a) Men do not like talking live to another about their erectile dysfunction. So, if they can't get help through the internet they may never get it elsewhere.
(b) Completing a detailed medical questionnaire online allows the client, maybe for the very first time in their life, to focus in on their problem. This of itself can be therapeutic.
(c) Research has shown that people are more likely to be truthful and accurate when alone and away from head to head encounters.
(d) In receiving a diagnosis and advice online, the client has a better chance of absorbing all the details of the consultation than he would if it were being delivered to him verbally.
No doubt, this topic will remain a controversial one for some time yet. I agree that the Internet can often be a den or rouges and thieves. Nevertheless, equally it can be an extremely useful and powerful tool. It is up to all of us to make it an honest and safe place to do business. One area that has hardly been touched yet is in the realms of psychotherapy. Watch this space.


Please visit http://www.doctorrynne.com/ for more information

Treatment for Vaginismus

Vaginismus or vaginal muscle spasm on penetration makes sex impossible. You may have noticed that I have not used the term "fidget" to describe any female sexual dysfunction. I have not because I consider such a term to be a judgemental pejorative belonging to an earlier era of sexual repression. It may have been applied however to, among other things, muscular spasm to the vaginal entrance preventing intercourse. Today this is called 'vaginismus' and it can put a real strain on your daily life, as well as your sex life. Indeed it can spiral into a major problem you feel you'll never find a cure for. It can make a woman feel utterly inadequate and miserable. Her sex partner also will often incorrectly blame himself and this can make matters even worse.
If that happens to you, it is very easy to feel that no one fully understands what you are going through, or is prepared to take your vaginismus seriously. Searching for a quick fix for your problem, it is likely you will consider the many pills, exercises and vaginal dilators available both online, and in some cases, as a prescription via your GP.
Vaginismus is defined as the involuntary contractions or spasm of the muscles surrounding the vaginal opening causing pain and preventing penetration. In its more severe forms, the tensing may also extend to muscles of the inner thigh and abdomen.
Vaginismus may be either primary or secondary. Primary vaginismus is where the woman has had the problem from the very first attempt at intercourse. In this case there is often a background of strict religious orthodoxy where sex is depicted as 'dirty' or sinful or simply as painful and as something that has to be endured to please men.
Secondary vaginismus on the other hand is the situation where the woman once enjoyed sex to the full but, because of some traumatic experience like a rape or very difficult childbirth, developed vaginismus as a result of that assault.
Treatment consists of (a) relaxing the muscles of the pelvic floor and vaginal opening through specific relaxation exercised and (b) gentle and graded dilatation of the vagina using finger(s) and specially graded vaginal dilators known as boogies. Remember that practically all vaginismus is curable but it does take time and some effort. There is no quick fix.
Attending a skilled sex councilor is often the best way forwards.

Dr Andrew Rynne.
http://www.doctorrynne.com
 
Dr Andrew Rynne is a medical practitioner and writer. He has thirty years experience in treating Sexual Dysfunction in men and women

Doctor Andrew Rynne: Female Anorgasmia - Understanding and Treatment

Doctor Andrew Rynne: Female Anorgasmia - Understanding and Treatment: "Female Anorgasmia - Can not Orgasm through intercourse. It is estimated that as many as one in four women suffer from this sexual difficul..."

Female Anorgasmia - Understanding and Treatment

Female Anorgasmia - Can not Orgasm through intercourse.

It is estimated that as many as one in four women suffer from this sexual difficulty. Not being able to orgasm during intercourse can put a real strain on your daily life, as well as your sex life. Before too long your inability can spiral into a major problem that you feel you'll never find a cure for. It can make a woman feel utterly inadequate and miserable. Her sex partner also will often incorrectly blame himself and this can make matters even worse.

Like so many sexual dysfunctions, Anorgasmia often elicits very little understanding and even less sympathy. So what if you can't have an orgasm during intercourse? Therefore it must it is very easy to feel that no one fully understands what you are going through, or is prepared to take your problem seriously. Searching for a quick fix it is likely that you will have considered the many pills, exercises and devices available both online, and in some cases, as a prescription via your GP.

Anorgasmia is defined as the sustained inability to reach orgasm through sexual intercourse while not having any trouble when alone through masturbation. It is a complex multifaceted problem involving all aspects of a relationship both physical and emotional. In may be caused by something as simple as depression or stress or a lack of physical fitness. Or it can be caused by something more complex like premature ejaculation in the man, distrust, anger or inadequate sexual stimulation.

Lack of communication and faking orgasms are other major issues often found in conjunction with Anorgasmia. Women may find it easier to lie and to pretend to have had an orgasm rather than run the risk of hurting his fragile ego or of having him, perhaps unfairly, blame himself. A history of sexual abuse or exploitation or one of a repressive upbringing are other areas that need enquiring into.

Finding that solution, tailor-made to address your specific needs, can be a challenge. Too many people think that by just throwing tablets at it, female Anorgasmia can be cured. If you are already taking SSRI antidepressants then these need to be discontinued before any progress can be made.

Dr Andrew Rynne.

http://www.doctorrynne.com

Dr Andrew Rynne is a medical practitioner and writer. He has thirty years experience in treating Sexual Dysfunction in men and women.

Men with breasts. The enigma that is Gynecomastia

Men with breasts. The enigma that is Gynecomastia.

Definition: Gynecomastia may be simply defined as excessive breast tissue within the male breast. Note, the definition does not say “fatty tissue” within the male breast. Gynecomastia has nothing to do with being over weigh or fat. It is excessive breast tissue within the male breast itself. It can occur in thin men or fat men with equal distribution in men of all shapes and sizes and race.

Causes of Gynecomastia: Gynecomastia may be caused by the usual hormonal imbalance between estrogens and androgen associated with puberty. In the vast majority of cases this is transient but for no known reason, it can be persistent and account for up to 25% of all adult Gynecomastia.

Certain illicit drugs, most particularly marijuana and the anabolic steroids and medications used by body builders, can also give rise to male breasts which can be bilateral or, less often, unilateral  -- on one side only.

Another cause of male breasts, particularly in older men, are raised estrogens levels brought about by increased aromatization of testosterone. This is particularly so where there is age or alcohol related liver damage.

Klinefelter’s disease is another rare cause of this condition, as is testicular cancer.  However, in the vast majority of cases of Gynecomastia, the defect is idiopathic. ‘Idiopathic’ is doctor speak for not knowing what the cause is. But, rather than admit this, doctors prefer to lapse into a strange language.

Treatment of Gynecomastia.  The treatment for male breasts is nothing short of a major internet industry. But be very careful here. This is one of those shark infested areas of cyberspace seething with charlatans and their cleverly written copy of false promises of hyped up miracle cures. The short answer is that there is no medicine, no hormonal gel, no herb, no exercises, no “system” of massage or any treatment that will make the slightest difference what-so-ever to reducing your “gyno” or reduce it by even a fraction of a millimetre.

The only proven way to permanently get rid of Gynecomastia is through a cosmetic surgery procedure to remove the excess breast tissue and underlying fat. Liposuction can be used to do some of this however it has to be done by a surgeon who has hundreds of these operations behind him or her and who knows exactly how much tissue needs to be excised. Do your research very carefully and don’t be afraid to ask lots of questions. Also ask for the names of some ex-patients who have had the operation at you chosen clinic. This will probably be refused unless they have the permission of some loyal clients, but I have seen lots of helpful blogger’s sites with very useful information on this difficult and sometimes embarrassing problem.     


For more information please visit http://www.doctorrynne.com

Persistent Sexual Arousal Syndrome (PSAS) or Persistent Genital Arousal Disorder (PGAD).

Persistent Sexual Arousal Syndrome (PSAS) or Persistent Genital Arousal Disorder (PGAD).

Persistent Sexual Arousal Syndrome or (more recently) Persistent Genital Arousal Disorder is a condition that effects women usually in their 40’s and post-menopausal years. It may be defined as persistent, intrusive and unwelcomed sexual arousal in women that differs qualitatively from that associated with sexual desire and that is not relieved by masturbation or orgasm. It is invariably described as a “rare” condition although it is readily acknowledged that, for obvious reasons, it may be under reported most particularly in underdeveloped countries.

Persistent Sexual Arousal Syndrome is not, contrary to popular belief, a trivial or humorous condition. People, including other women, may think that a permanent state of sexual arousal would be a desirable or even an enviable thing. But this is to completely misunderstand the intrusive and relentless nature of the arousal and how it differs from that associated with voluntary sexual activity. It may also be to confuse this condition with hyper sexuality or so-called nymphomania. Indeed, so distressing can this syndrome become that sufferers often report suicidal ideation.

When it comes to finding any cause for this distressing condition researchers remain very much in the dark. However, it is interesting to note yet again that, even here, our old friends the antidepressants may be implicated. Both the tricyclic and the SSRI group of drugs have been associated with PSAS. In the case of the former Trazodone in particular has been implicated. In the case of the latter it should be noted that simply discontinuing the drug give no assurance that the PSAS will quickly abate at abate at all. The ill-effects of drugs that interfere with neurotransmitters like serotonin can be life long.

If identifying a cause of PSAS is difficult so too of course is finding a solution to the problem. In our present state of knowledge no definitive treatments have been identified that give consistent results. The situation is changing and research is on going.

A useful place to liaise with fellow suffers might be to register on:  http://www.psas-support.com

This is where a cure, when one is eventually found, will be first posted.   

Doctor Andrew Rynne: http://www.doctorrynne.com      

Excessive Pre-ejaculation Discharge or Too Much Precum.

Excessive Pre-ejaculation Discharge or Too Much Precum.

It is very difficult to come up with good solid scientific information on this subject. In the many articles and journals that I have been perusing, Excessive Pre-ejaculate is invariably described as a “rare” condition. Yet from my perspective, as an Online Sexual Medicine Consultant, there is nothing at all rare about Excessive Pre-ejaculate. In fact, hardly a week goes by that I do not fine myself helping some other young man come to terms with this common problem.

Some small amounts of pre-ejaculation secretion are common to most young men during the early phase of sexual arousal. It is a clear, sticky mucous liquid produced by Cowper’s glands along the urethra. The function of this normal secretion is to create a friendly environment for the passage of sperm and to facilitate intercourse. Amounts can vary from a few minuscule drops to as much as 5ml and more.


The problem though is this: Who defines what is “excessive” pre-ejaculate or pre-ejaculation discharge? At the moment it is the customer who decides this question. Hence we have a situation where one young man may perceive his 3ml of pre-ejaculate as a “problem” while another young man, with the exact same volume of discharge, may perceive it as a joy! Is it any wonder then that this subject makes such a sparse appearance in the medical literature!

From my work as an Internet Medical Consultant I have noticed enormous geographical and cultural variations in the reported incidence of “problems” of too much Pre-ejaculate or Pre-cum to use the vernacular. From this remove, it is difficult to say if the difference is in the reality of “too much Pre-cum” or in the acceptability of what is an equal distribution of a common phenomena. That be as it may, Asia would appear to be in a league of its own when it comes to “excessive Pre-cum.” In this department anyway, young Asian men would appear to have an unassailable lead.

This is not to say that this complaint should not be taken seriously. If it is upsetting the young man in question sufficiently for him to take the trouble to write to me seeking my advise, then of course it needs to be taken seriously. In the absence of a better solution I normally advise as follows:
(1)    Try, if at all possible, to look on this “excessive Pre-cum” as normal, healthy and pleasurable – not as something dirty or shameful.
(2)    Understand that as you get older, within the next very few years in fact, amounts of Pre-ejaculate are likely to decline quite dramatically.
(3)    Absorbent towels are all that are usually required.
(4)    There is a medical treatment if all normal reassurance fails. But there is a strong element of using “a sledgehammer to crack a nut” about this approach to management.

For more information about causes and treatment for men who have problems with too much pre-cum or excessive pre sex ejaculation please do visit my website at http://www.doctorrynne.com

Treatment for Retrograde Ejaculation

Retrograde Ejaculation or ejaculating backwards or Dry Ejaculation may be defined as the persistent inability to ejaculate forwards through the penis as is normal and to instead ejaculate backwards and into the urinary bladder.

Normally, just at the point of ejaculating, the muscular valve at the base on the bladder automatically snaps closed preventing the semen from moving backwards into the bladder and propelling it forwards instead. When there is retrograde ejaculation this mechanism fails to function properly allowing the ejaculate to take the line of least resistance and move backwards into the bladder.

Causes of Retrograde Ejaculation: Anything that interferes with the closing of the valve at the bladder neck at the point of ejaculation will cause Retrograde Ejaculation. In the main there may be surgical or medical factors at play in this situation.

Surgery to the prostate gland and its nerve supply such as TURP, prostatectomy or bladder surgery, may cause retrograde ejaculation.

Medical conditions like diabetes, multiple sclerosis or spinal cord injury can interfere with the nerve supply to the bladder neck and cause Retrograde Ejaculation or Dry Climax.

Certain medications used to treat high blood pressure or benign prostate hypertrophy can cause this condition as indeed can certain anti-depressants like those in the MAOI and SSRI group of antidepressants.

Retrograde Ejaculation does not of itself cause too much of a problem. Ejaculation can usually be felt as pleasurable and the semen can later be flushed from the bladder during normal urination with ease. Where retrograde ejaculation can cause considerably difficulty is in the area of fertility and reproduction. Today however, by using trans-rectal electro-stimulation of the prostate grand, healthy sperm can be retrieved for later use in AI and ICSI procedures.   

For more information about how I can help you treat Retrograde Ejaculation please go to my website at: http://www.doctorrynne.com.

 

Improving your Sexual Performance

Well, that's a slightly loaded question because it's only natural for you to think that you would benefit from improved sexual function. And, just as you might reasonably expect to benefit from improved eyesight, improved memory, improved dexterity or improved anything else to do with your body, surely you would benefit also from improved sexual function.
However, you need to be extremely careful here. Sexual function, quite simply, is not like your eyesight or your memory or your dexterity. It is, in many ways, more delicate and sensitive than any of these things and, in fact, sexual function can actually be damaged by inappropriate attempts to improve it.
In addition, whilst you may well benefit from improved sexual function, you would need to have some degree of dysfunction first in order for this to happen.
How will I know if I have a genuine case of Erectile Dysfunction?
If, over a period of time, you are unable to achieve an erection of sufficient quality or hold it long enough to satisfy your needs or those of your partner and you are finding this an ongoing, frustrating and even stressful situation, then you have genuine Erectile Dysfunction.
You will notice also that your partner is not happy either with the situation and that your Erectile Dysfunction is now beginning to threaten your relationship with her. On the other hand, it may even be that the problem has already ended an otherwise happy relationship.
If this happens, you may find yourself avoiding new relationships altogether fearing, or indeed knowing, that your Erectile Dysfunction will make it impossible to sustain that new relationship.
This situation, avoiding getting into new sexual relationships for fear of failure, is sometimes confused with loss of libido.
And, in certain cases men with Erectile Dysfunction sometimes seek libido-boosting treatments, like testosterone replacement therapy, when in fact what they actually need is to have their condition properly diagnosed and managed by a specialist.
New relationship avoidance and confusing this with lack of libido are both hallmark signs of genuine Erectile Dysfunction.
However, the good news is that specialist advice, guidance and treatment is available to help you find a cure, giving you back your love life and your confidence.

Dr Andrew Rynne.
http://www.doctorrynne.com

Dr Andrew Rynne is a medical practitioner and writer. He has thirty years experience in treating Sexual Dysfunction but most particularly Erectile Dysfunction and Premature Ejaculation.

Buying Viagra and Calais and "sex" Drugs Online

Online Pharmacies are not legal in most civilized countries. There are very good reasons why this is so and it is not just a case of "control" or of big brother keeping an eye on you. Here are just a few reasons why online pharmacies in general can be bad for your health. I will return specifically to Viagra later.
o Most prescription medications need the input of a health care profession if they are not to be abused. Often, simple lifestyle changes can render the use of medications obsolete. However, lifestyle change requires human effort. It is so much easier to buy online than it is for example to loose weight, take more exercise, stop smoking or talk to your lover about your erectile dysfunction.
o Prescription medications need to be taken in the proper dose and in a prescribed manner. Otherwise, they are open to abuse and can be damaging or addictive. Sleeping tablets are a good example of harmful medication when not controlled. Online Pharmacies offer no such control.
o Online pharmacies are uncontrolled and uncontrollable. Therefore no assurances can be given that product is in fact what it says it is on the package. Generic or worse still, totally fake tablets or capsules can be dispensed. You simply have no way of knowing what is or is not what you hope it is.
o But even more worrying than this is the possibility of lethal contamination. There are on record cases of where active ingredient or excipients have, wittingly or unwittingly, found their way into spurious pharmaceutical products with fatal consequences.
These serious reservations apply to all medications purchased from Online Pharmacies. However, in the case of Viagra and other erectile dysfunction treatments, there are additional pitfall and dangers that are particularly worrying. I can only touch on a few of these here but this should give you an idea:
o Viagra is now the biggest selling online pharmaceutical in the world.
o Not all, or even most, erectile dysfunction requires Viagra to fix it.
o Viagra is now widely used as a 'recreational drug' in the mistaken belief that it improves erections where no dysfunction exists. If it were not for internet selling this situation would not have evolved.
o Taken in this way Viagra can actually CAUSE erectile dysfunction by allowing for a 'performance anxiety' situation to develop. Performance anxiety is the commonest cause of erectile dysfunction that there is.
o Much erectile dysfunction is not in fact fixt by using Viagra or Cialis. However, the self-medicating may not realize this and be inappropriately driven to depths of despair when these drugs fail to work. I see this all the time in my practice.
Normally I am all in favor of patient's autonomy and of people taking charge of their own illnesses. I am not in principle opposed to sensible self-medicating and self-care. People cannot go running to their doctor or drugstore with every little sniffle and sneeze. Indeed, I once argued for the free availability of the "morning after" pill as a means of reducing abortion demand. But Online Pharmacies? I think not and I hope that after reading this you might agree with me. Erectile dysfunction is a classical case in point.

Dr Andrew Rynne

http://www.doctorrynne.com

Medical Specialist in Sexual Dysfunction. Ebook and online consultation for Erectile Dysfunction. Onlinedoctor consultation facility.

The Dark Side of Testosterone Replacement Therapy (TRT)

The medical profession remains split on the question of Testosterone Replacement Therapy (TRT) and its value for older men. Those who are opposed to it in principle, as it were, will argue that TRT is dangerous and unnecessary and that low levels of circulating testosterone in older men is natural and should not be interfered with. That at least is what they will say in public. In private, anti TRT doctors will express serious reservations about increasing older men's libido and reduction their erectile dysfunction.
In fact, it is this very misconception --- that TRT is to do solely with older men's sexuality that may be subliminally militating against the broader uptake of this otherwise useful therapy. I say that this is a misconception because in my experience of treating older using TRT, increased libido or sex drive and reduction of erectile dysfunction are far from the predominant effects of testosterone replacement. This does occur of course but it is subtle and not at all pronounced.
Doctors who are opposed in principle to HRT for older men seem to ignore, or be unaware, of other potential benefits to this treatment that have nothing to do with a man's sexuality. Recent studies have shown that nasty, age related conditions like Alzheimer's, dementia, type 2 diabetes, osteoporosis, cardiovascular disease and the Metabolic Syndrome may all be positively effected by testosterone therapy.
For example, a recent article published in the Journal of Andrology (Vol. 30 No 5 Sep/Oct 2009) makes for very interesting reading indeed. This is the work of four highly respected scientists: Abdulmaged Traish, Farid Saad, Robert Feeley and Andre Guay. In a broad met analysis of all the work carried out into testosterone replacement therapy over the last ten years, these investigators concluded: "Androgen Deficiency (low testosterone) might be the underlying cause for a variety of common clinical conditions such as diabetes, ED, the Metabolic Syndrome and cardiovascular disease."

If this subject interests you, I recommend you read this paper it its entirety. It is available here at this article.
If you have any questions at all that you think I might be able to help you with, I am available through me website here at http://www.doctorrynne.com. 

Dr Andrew Rynne is a medical practitioner and writer. He has thirty years experience in treating Sexual Dysfunction but most particularly Erectile Dysfunction and Premature Ejaculation.

Curing Performance Anxiety

Performance Anxiety in the bedroom is a common and powerful blocker of enjoyment and can actually destroy an otherwise good relationship. Here I want to address Performance Anxiety (PA) as it effects men, or in other words PA as a leading cause of Erectile Dysfunction. Women too of course, can be effected where PA gives rise to a condition known as vaginismus. But I will talk about that another day.
PA as a leading cause of erectile dysfunction or impotence can literally happen overnight. All it takes for PA to give rise to a lifetime of erectile dysfunction is just one single mishap. It could have been too much to drink, or maybe just a throwaway comment about your size or preparedness for intercourse, or perhaps it was a new relationship that you were worried about, the smallest thing can give rise to a single "failure" leaving a man wondering about his potency forever thereafter.
Do you see, for an erection to develop there must be no distractions whatsoever. What is required is pleasure, desire, arousal and excitement. With these emotions running high the blood supply to the penis increased and the man has an erection. It's like magic. Questions in the mind like is it hard enough, is it long enough, will I put it in now - any little niggling doubts at all will kill off the magic and erection process stone dead in the water.
And, another thing to remember. It is not your fault that this is happening and it is not her fault that its happening and it is very important that that be made clear and that you discuss it between yourselves. There is no room here for any blame games. Once negative thoughts begin to invade the bedroom it is extremely difficult to banish them. The thing can become a self-fulfilling prophecy and a vicious circle all rolled into one.
So what is the remedy doc? Today we are lucky -- we have two choices. Twelve years ago, we had only one. Which you choose depends on your circumstances. It does not necessarily have to be one or the other either, a little of both can also be very effective. Remedy number one is predominately for couples in a stable relationship and remedy number two is predominately for men not in a steady relationship.
Number one: Stop performing. If you, the man, are not expected to perform then you cannot have performance anxiety. This may take a week or two of practice of course but you the woman do all the pleasuring creating an erection and allowing it to die down until you are eventually confident enough with this. Now kneel over your partner, one knee on each side and place his penis in you vagina. Over the next few weeks move along from there. A sense of humour might also help.
Number two: Ask your doctor for a prescription for tadalafil 20mg. Take one a day for a few days. Then take on only on day you expect to be having intercourse. These should give you PA resistant erections and return your confidence such that you will not need to take them all the time. Please visit my website for more information and help.

Dr Andrew Rynne
http://www.doctorrynne.com

Dr Andrew Rynne is a medical practitioner and writer. He has thirty years experience in treating Sexual Dysfunction but most particularly Erectile Dysfunction and Premature Ejaculation.

Herbal "cures" can cause erectile dysfunction

For over twenty-five years now, I have been professionally involved in trying to help young men overcome their erectile dysfunction. Sometimes I am successful, sometimes not. However, you would imagine that by now I would be very familiar with all the causes of this most distressing condition. Not so, I am afraid. Only a few weeks ago, two separate but very similar incidences of erectile dysfunction have forced me to conclude that now we have a brand new cause of ED that heretofore simply did not exist. It is difficult to come up with a name for this new cause for ED but for the moment I'm going to call it Quacks Flogging Herbal Cures on the Internet Syndrome or QFHCIS for short.
A few weeks ago, both men, attending me on separate occasions, told me their different but related stories. Both stories were chillingly similar so I will give you Sean's story first to typify this new "disease" -- QFHCIS. Later I will revert to my second patient Victor, and tell you his story.
Up to about a month ago Sean enjoyed a perfectly healthy and normal sexual relationship with his then partner of some three years. One evening he was sitting in front of his laptop ideally surfing away and looking for nothing in particular. Then, purely by chance, he came upon this website with the blue banner heading inviting him to: "GET ROCK HARD IN 3 MINUTES" and a subtitle announcing "Finally give her the all-night multiple organisms she has always yearned for!!"
Now, as I say, up to this moment there was nothing at all wrong with Sean. He got perfectly good spontaneous erections and his partner of some three years never commented or otherwise complained about their sex life together. Now however, suddenly Sean is just a little concerned. He does not get a strong erection in three minutes and he certainly cannot keep it up all-night or anything like it. He wonders to himself if in fact he could be doing a bit better. If he orders two bottles of this herbal concoction, he will get a third one free. This "free" offer is for a limited time only. Hmmmm, Sean thinks to himself.
A week later to the day, the discreet brown paper wrapped package arrives in Sean's post-box. That evening he takes one of the herbal capsules and goes to bed. He snuggles up to his partner and starts making love to her. All is going well except he is not "ROCK HARD" in the promised three minutes but perhaps he is getting there. He does not know it yet, but his mind is straying into a bad place. His mind is going up into the audience and he is now, for the very first time in his life, watching himself trying to get an erection. This is the very worst possible place he could be in. He is now looking at himself and asking questions about his own 'performance' down there on the stage. Is it big enough? Is it hard enough? Is it long enough? Will it last? Will I put it in now? On the other hand, will I wait? When are those herbal concoctions going to start working? These thoughts are blocking out the pleasurable ones usually required to produce a spontaneous erection. Sean's penis is now about as erect as an uncooked cocktail sausage.
A few nights later, just to be sure to be sure, Sean this time takes two of the Cure Erectile Dysfunction herbal capsules the "hard in three minutes" fellows. The very same thing happens -- that is in fact, nothing happens. Because Sean now has deeply entrenched erectile dysfunction, caused by performance anxiety, caused in turn by the blatant lies told on this sensationalised website. Nothing on the website beforehand warned him that this could happen. No, the website was far too busy shouting about rock hard erections in three minutes and her shuddering all-night organisms (that she has always longed for of course. I nearly forgot that bit). Tell me this much, you webmasters and search engines overseers, affiliates, manufacturers, and copywriting gurus, tell me just who is responsible for all of this around here? Moreover, who is going to pick up the pieces of Sean's now ruined life and get him sexually functioning normally again?

Dr Andrew Rynne
http://www.doctorrynne.com

Dr Andrew Rynne is a medical practitioner and writer. He has thirty years experience in treating Sexual Dysfunction but most particularly Erectile Dysfunction and Premature Ejaculation.

Finding a cure for my Erectile Dysfunction

You have a number of choices but they can be broadly divided into two categories of professionals:

(1) Clinical Psychologists
(2) Medical Doctors

(1) Clinical Psychologists. Clinical Psychologists are professional graduates specifically trained to talk, to listen, and to guide people suffering from a wide range of emotional and mental upset. As a rule, they offer an excellent drug-free alternative to Psychiatrics.
If you choose to consult with a Clinical Psychologist about your sexual dysfunction make sure it is one who has a specialist interest in this subject as distinct from a General Clinical Psychologist. Generalist might treat anything from aerophobia to insomnia and, while they may be excellent at their job, they may lack the subtle skills that can make all the difference when it comes to resolving your erectile dysfunction.
Be weary also of posers and charlatans operating in this area. There are hundreds of unqualified people out there offering a quick fix for erectile dysfunction through hypnotherapy or herbal remedy. Always ask about qualifications and for any scientific studies supporting their claims. If either of these seem lacking or are being obfuscated, then steer clear.
If you choose a Clinical Psychologist to help you overcome your ED then ensure that they are fully qualified, that they have many years experience, that they specialise in managing sexual dysfunctions and that they are working from an accredited professional setting such as a University based Department or Family Planning Clinic. Never be afraid to ask questions. It is your right to know exactly who to going to try and help you through this difficult and sensitive problem.
Just one final word about Clinical Psychologists treating sexual dysfunction: Whereas they undoubtedly have a great deal to offer, they are nonetheless confined to treating your erectile dysfunction without the benefit of any prescription medicine. This, in some respects, maybe admirable but some cases of erectile dysfunction simply cannot be resolved without at least some medication. You do need to bear this in mind if choosing a Clinical Psychologist.
(2) Medical Doctors. The same rules apply to Medial Doctors. If you are choosing a medical doctor to help you to resolve your erectile dysfunction then make sure that he or she has many years experience and has a specialist interest in treating sexual dysfunction. Here is a useful tip for you. Ask yourself these questions about the doctor treating your erectile dysfunction:
(a) Is the doctor treating my erectile dysfunction genuinely trying to understand my problem and diagnose the underlying cause? If the answer to this is 'no' then you may be with the wrong doctor.
(b) Is the doctor treating my ED a generalist or a specialist? If the doctor is a generalist treating all diseases then perhaps you are in the wrong place.
(c) Is the doctor dealing with my erectile problem prepared to stay with me until a solution is found, or simply throwing Viagra at the problem and hoping for the best? If the doctor seems willing to give up on you after trying a few tablets then you should definitely take your problem elsewhere.
(d) Is the doctor treating my erectile dysfunction well known as a specialist in managing this problem? If the answer to this is 'no' then maybe you should be looking elsewhere.
SUMMARY
In finding a professional to help you overcome your erectile dysfunction, you may choose either a Clinical Psychologist or a Medial Doctor.
If you decide to consult a Clinical Psychologist then:
(a) Ensure that they specialise in treating sexual dysfunctions and are not just a general Clinical Psychologist.
(b) Ensure that they practise from a credible setting.
(c) Remember that they will not be in a position to prescribe any mediation.
(d) Realise that, while they may be excellent at treating ED related to anxiety, this maybe the totality of their skills.
(e) Understand that a Clinical Psychologist may be very limited as to their diagnostic abilities.
If you decide to consult a Medical Doctor then:
(a) Make sure you are talking to a specialist in treating sexual dysfunction, not just to a General Practitioner dabbling in this area.
(b) Ask yourself is the doctor genuinely trying to diagnose the underlying cause of your problem.
(c) Enquire if the physician can offer the whole range of ED treatments including Testosterone Replacement Therapy and painless penis injection where appropriate.
(d) Ensure that the doctor is prepared to stay working on your problem until a solution is found that you find satisfactory.

Dr Andrew Rynne
http://www.doctorrynne.com

Dr Andrew Rynne is a medical practitioner and writer. He has thirty years experience in treating Sexual Dysfunction but most particularly Erectile Dysfunction and Premature Ejaculation.

Doctor Andrew Rynne: Treating Vaginismus

Doctor Andrew Rynne: Treating Vaginismus: "Vaginismus or vaginal muscle spasm on penetration makes sex impossible. You may have noticed that I have not used the term 'fidget' to ..."

Treating Vaginismus

Vaginismus or vaginal muscle spasm on penetration makes sex impossible. You may have noticed that I have not used the term "fidget" to describe any female sexual dysfunction. I have not because I consider such a term to be a judgemental pejorative belonging to an earlier era of sexual repression. It may have been applied however to, among other things, muscular spasm to the vaginal entrance preventing intercourse. Today this is called 'vaginismus' and it can put a real strain on your daily life, as well as your sex life. Indeed it can spiral into a major problem you feel you'll never find a cure for. It can make a woman feel utterly inadequate and miserable. Her sex partner also will often incorrectly blame himself and this can make matters even worse.
If that happens to you, it is very easy to feel that no one fully understands what you are going through, or is prepared to take your vaginismus seriously. Searching for a quick fix for your problem, it is likely you will consider the many pills, exercises and vaginal dilators available both online, and in some cases, as a prescription via your GP.
Vaginismus is defined as the involuntary contractions or spasm of the muscles surrounding the vaginal opening causing pain and preventing penetration. In its more severe forms, the tensing may also extend to muscles of the inner thigh and abdomen.
Vaginismus may be either primary or secondary. Primary vaginismus is where the woman has had the problem from the very first attempt at intercourse. In this case there is often a background of strict religious orthodoxy where sex is depicted as 'dirty' or sinful or simply as painful and as something that has to be endured to please men.
Secondary vaginismus on the other hand is the situation where the woman once enjoyed sex to the full but, because of some traumatic experience like a rape or very difficult childbirth, developed vaginismus as a result of that assault.
Treatment consists of (a) relaxing the muscles of the pelvic floor and vaginal opening through specific relaxation exercised and (b) gentle and graded dilatation of the vagina using finger(s) and specially graded vaginal dilators known as boogies. Remember that practically all vaginismus is curable but it does take time and some effort. There is no quick fix.
Attending a skilled sex councilor is often the best way forwards.

Dr Andrew Rynne. http://www.doctorrynne.com   Dr Andrew Rynne is a medical practitioner and writer. He has thirty years experience in treating Sexual Dysfunction in men and women

Treating Female Sexual Arousal Disorder

Because they are often confused, it is important from the beginning to distinguish between sexual desire or libido and arousal. Desire comes first arousal second. Here we are considering a woman's inability to experience arousal in spite of strong desire or libido. Not being able to enjoy intercourse due to an inability to become aroused can put a real strain on your daily life, as well as your sex life. It can spiral into a major problem you feel you'll never find a cure for. It can make a woman feel utterly inadequate and miserable. Her sex partner also will often incorrectly blame himself and this can make matters even worse.
If that happens to you, it is very easy to feel that no one fully understands what you are going through, or is prepared to take your lack of genital arousal seriously. Searching for a quick fix for your problem on the internet can make matters even worse. It is tempting for you to consider the many pills, potions, lubricants and gels available both online, and in some cases, as a prescription via your GP who may also not understand this problem.
Female Sexual Arousal Disorder  (FSAD) is a major component of female sexual dysfunction. It may be defined as the persistent or recurring inability of a woman to achieve or maintain an adequate lubrication/swelling response during sexual activity. This occurs in spite of strong desire (libido) and sexual stimulation. Lack of desire or libido is a separate problem and it is important not to confuse the two issues.
The causes may be either physiological or psychological. The effects may be either lifelong or acquired, generalised or situational. The consequences are the same however--- pain and discomfort during intercourse, sexual avoidance and sexual tensions in a relationship. Treatments are as many and as variable as are the causes and ramifications of this common sexual dysfunction.

Dr Andrew Rynne.
http://www.doctorrynne.com

Dr Andrew Rynne is a medical practitioner and writer. He has thirty years experience in treating Sexual Dysfunction in men and women.

Doctor Andrew Rynne: Small Penis Myths and "Miracle Cures"

Doctor Andrew Rynne: Small Penis Myths and "Miracle Cures": "The small penis industry seeks shamelessly to exploit vulnerable young men. First, they implant in the young mind the myth that his peni..."

Doctor Andrew Rynne: Penis Enhancement

Doctor Andrew Rynne: Penis Enhancement: "Now forget your pills and potions, forget your herbs and hand exercises, forget your weights and pulleys. For penis size enlargement th..."

Penis Enhancement

Now forget your pills and potions, forget your herbs and hand exercises, forget your weights and pulleys. For penis size enlargement the Koteka is your only man. Its cheep, cheerful and effective and it comes with a no quibble full money back guarantee if you are not absolutely delighted with the results.
There is very little new in men constantly worrying about the size of their neither regions. Penis size fixation is in fact as old as humankind itself is. Judging from their drawings left behind them on cave walls, even Neolithic cave dwellers, doodling five thousand years ago, were big phallus enthusiasts. These graffiti artists liked to depict their men chasing after animals both generously endowed with enormous reproductive tackle.
And so in went down through the ages. The Kamasutra, written sometime around 1400, is a classic for its distortion of penis size. Here we are treated to graphic images of men engaging in feats of copulation and using positions that even Peter Stringfellow never thought of. However, not just that, while so engaged in these sexual gymnastics, they are flaunting stallion sized erections that would make the editor of Playboy Magazine blush today. Little wonder then, if the pursuers of this medieval pornography were not made to feel a tad inadequate down below.
By these means is the myth of the massive penis perpetuated and nourished. Again, still in India, we have to this day the Sadhus or holy men making their noisy way about town with weights attached to their penises. Since they have a propensity for parading themselves around town necked from the waste down, size understandably might be a bit of an issue with them.
When it comes to penis size fixation and what to do about it, it would be hard to beat the natives of Papua New Guinea. These fellows really put it up to the rest of us. To this day they like to cavort about the place wearing their beloved penis guards or Koteka as they are locally known. These cool little numbers, made from hollowed out dried gourds, are worn to cover the entire length of the penis and sometimes scrotum. The trick is to procure a Koteka that is about four sizes too big for its intended task and it must be pointing upwards too of course. Into this, the wearer hides his flaccid penis while at the same time outwardly suggesting very generous endowment of a straight standing nature.
There is an idea now for all you Male Enhancement Industry barons. Forget about your herbs and natural remedies. You know full well that none of these things works. Forget about your exercises, pullies and weights. These things do not work either and if you do not believe me go and ask the Sadhus how effective are they. No, no no. Flog Koteka on the Internet instead. Offer nice big pointy ones now and do not forget to include a no quibble, full money back guaranteed refund if the client is not completely satisfied with the results. Make yourself rich by exploiting the lame and the sick and keep the myth that is penis size fixation alive and well. There you go.

Dr Andrew Rynne.
http://www.doctorrynne.com

Dr Andrew Rynne is a medical practitioner and writer. He has thirty years experience in treating Sexual Dysfunction but most particularly Erectile Dysfunction and Premature Ejaculation.

Small Penis Myths and "Miracle Cures"

The small penis industry seeks shamelessly to exploit vulnerable young men. First, they implant in the young mind the myth that his penis might be "too small." They then set about trying to sell him a "cure" that they know full well is not going to make his penis any bigger! This is very dangerous and may well be a contributing factor to our ever-rising suicide rates in young men. Perhaps not but one way or another, the whole area of so-called 'Male Enhancement' certainly has the potential to do untold damage. It is an internet driven form of torture.
With the exception of some, exceedingly rare, congenital defect there is in fact no such thing as a physiologically normal penis that is too small. In addition, even if there were, there is no clinically proven cure for this synthetic malady. The whole thing is blatantly fraudulent from start to finish and many people are making big money from it. In doing so they seem to be blindly indifferent to any hurt or damage that, they may be causing. How they can sleep easily in their beds at night defeats me.
Others are left to pick up the pieces of the charlatan's greed. Small penis merchants can leave a trail of destruction and shattered lives in their wake. Posing as experts, they invent a so-called medical condition. Then they invent a worthless "cure" for a non-existent defect. Their victims may be left a shivering suicidal mess with feelings of inadequacy compounded by disillusionment and betrayal. Who is going to help these men now? The Cure your Small Penis Peddlers? No, I do not think so.
A week hardly goes by but that I would not be dealing with the fallout of this corrupt business. I attempt to help men suffering from erectile dysfunction for which there are many causes. It is important to diagnose the cause of erectile dysfunction before the therapist attempts to suggest a cure. Diagnosis is in fact the key to success. Over the last year or so, I have noticed a brand new cause of performance anxiety giving rise to ED. This serious performance anxiety is arising from a preoccupation with penis size, which in turn is being engendered and propagated by unscrupulous and shameful internet traders.
Let us give these internet traders the benefit of the doubt. Let us assume that they are unaware that there is no such thing as a physiologically normal penis that is "too small." Then let us assume also that they are unaware that no exercises, herbs or medicine can make a man's penis any bigger and that the products they are flogging are utterly useless. At a push, I might be able to accept these propositions although to do so must assume the most appalling stupidity on behalf of the Small Penis Merchants.
Be that as it may however. What I cannot accept is how these internet traders could be oblivious to the hurt and damage that they are causing. Surly, even to the most insensitive mind, it must be blindingly obvious that to suggest to a young man that his penis is too small and then to offer him a "cure" for this none existent defect, a cure that incidentally does not work, is to make mischief of the grossest kind. So gross in fact that it could feature as a cause of suicide? Perhaps.

Dr Andrew Rynne.

http://www.doctorrynne.com
Dr Andrew Rynne is a medical practitioner and writer. He has thirty years experience in treating Sexual Dysfunction but most particularly Erectile Dysfunction and Premature Ejaculation.

Treatment for Erectile Dysfunction

Treatment for Erectile Dysfunction

There is a simple rule of thumb that we in the "Curing Erectile Dysfunction" business use and it is this: Between the ages of 20 and 45 years 70% of erectile dysfunction or Impotence will have a psychogenic cause; while between the ages 60 years and upwards 70% of ED will be have a physiological cause. Or if you want to simplify this even further you could say that most Erectile Dysfunction in younger men is caused by anxiety about their performance while most ED in older men is caused by physical factors like hardening or their arteries (arteriosclerosis) or lowering of their testosterone levels - the so-called Testosterone Deficiency Syndrome.
In any case, suffice here to make this point: There is a huge difference between the type of ED that young men get and the type of Impotence that the older man gets. Therefore, logically, the same treatment will not work for both groups and that is why self-medication with online medication for Erectile Dysfunction is often a waste of money and never a good idea.
If I were asked to describe the typical older man, coming to my clinic or visiting my website seeking help with solving his ED problem, it would go like this:
(a) He would be aged between 65 and 75 years old.
(b) He often would be in a second or new relationship.
(c) He would be taking prescription medication for medical conditions not necessarily related to his ED.
(d) He would have tried Viagra or some other ED medication and been disappointed with the results.
(e) He may have a history of prostate problems or prostate surgery like TURP.
(f) He may well also have coronary artery disease and/or type 2 diabetes.
Obviously, such an individual needs specialist management if he is ever to enjoy a meaningful sexual relationship again. Space here does not allow me go into any great detail beyond making two observations: Simply throwing Viagra or Cialis or Levitra at a man like that described above is bad medicine and is destine to have disappointing results.
And secondly, there is now a growing body of clinical evidence that low testosterone levels can play a major contributory role in causing Erectile Dysfunction in older men. Therefore, when appropriate, Testosterone Replacement Therapy or TRT can play a significant part in restoring satisfactory sexual function. Often, when conventional ED medications fail to bring about resolution, the addition of TRT can make all the difference.

Dr Andrew Rynne http://www.doctorrynne.com Medical Specialist in treating Erectile Dysfunction. Website contains an ebook and unique online medical consultation facility. Get your free mini-consultation now!

Erectile Dysfunction

Nothing works for my Erectile Dysfunction; am I now stuck with this condition for life?

Quite simply, the answer to this is an unequivocal no. In today's world, with a wide range of treatment methods available, no one should ever feel that there is no solution for their own particular type of Erectile Dysfunction. In younger men, it can sometimes be that their performance anxiety is so entrenched that even large doses of Viagra, Cialis or Levitra will not provide a cure.
However, for these men there are sex strategies that they can adopt that, with a bit of practice, can yield very satisfactory results. Where this is not possible, there are other, lesser-known medications that will bring about a satisfactory erection no matter how anxious they may be.
The situation can be very similar in older men. For example, in post-prostatectomy cases, Viagra and similar drugs will seldom work. However, these men also can benefit from alternative medications in the form of gels or via painless injections.
This also applies to men with spinal cord damage, advanced Multiple Sclerosis, Parkinson's disease, stroke or coronary artery disease.
The main message here is that despite your natural and, completely understandable concerns, there is always a solution and all that is required is the right specialist with a dedication and a willingness to help you find the right one for you.
This is critical however. You must fully understand your own erectile dysfunction and what is causing it and this is where a specialist professional comes in. You need to have the exact cause of your unique ED pinpointed and only a doctor with a specialist interest and training in this subject can do that for you. Understanding your own erection problems is part of the cure and diagnosing the cause is central to proper treatment.

Dr Andrew Rynne. http://www.doctorrynne.com Dr Andrew Rynne is a medical practitioner and writer. He has thirty years experience in treating Sexual Dysfunction but most particularly Erectile Dysfunction and Premature Ejaculation.