Erectile Dysfunction
Erectile Dysfunctionbyedquestions

My doctor ordered a nocturnal tumescence test: What is it?

Designed to indicate whether your physical equipment is in good working order, a nocturnal tumescence test tells the doctor whether you’ve had an erection during sleep. Normal, healthy men have three to five nocturnal erections nightly, most of which occur during REM (rapid eye movement) sleep.

If the test indicates you are having nighttime erections, it signals to your doctor that any erectile problems you may be having are likely to be psychological in origin rather than physiological.

The test can be done at home or in a special sleep laboratory, according to WebMD.

In the most simple form of this test, a snap gauge consisting of plastic film is fitted around your penis. The gauge is designed to break when subjected to certain pressures, specifically the pressure caused by an erection.

In a lab setting, your penis can be fitted with an electronic monitoring device that records the number and strength of erections that occur during the night.

Erectile Dysfunction
Erectile Dysfunctionbyedquestions

Kegel exercises for erectile dysfunction: Do they work?

Kegel exercises, also known as pelvic floor exercises, are designed to strengthen the muscles that control your bladder, according to WebMD. Although their primary goal is to control urinary leakage, these exercises have a couple of added benefits for men: They can improve the strength of your erection and help you to experience more intense orgasms.

You first must locate the muscles that these exercises target. You may be able to do this during urination. Midway through urination, try to slow down or stop altogether your urine flow without holding your breath or tensing the muscles in your buttocks, legs, or abdomen. When you are able to stop or slow urine flow, you’ve zeroed in on the right set of muscles. Then:

“Contract these muscles for a slow count of five.

“Release these muscles to a slow count of five.

“Repeat 10 times.

“Do a set of 10 Kegels daily, three times a day.”

Viagra
Viagrabyedquestions

Is Viagra covered by insurance?

Health insurance plans that include prescription drug coverage may or may not cover Viagra and other impotence drugs. Checking out the insurer’s prescription drug formulary will allow you to see which brand-name drugs are included under the plan’s coverage. Typically, the formulary has three tiers, although individual plans may have other names for them. Tier I drugs are generics and have the lowest copays of all, while Tier II drugs are the insurer’s preferred brand-name drugs and have somewhat higher copays than Tier I drugs. Tier III drugs are non-preferred brand-name medications that are available only with a hefty copayment.

Because health plans available under Obamacare are also sold by individual insurers, you’ll need to check out each insurer’s drug formulary to determine what drugs are covered and at what level of copay. Medicare does not cover drugs for the treatment of sexual or erectile dysfunction.

Premature Ejaculation
Premature Ejaculationbyedquestions

Is there surgery for premature ejaculation?

Premature ejaculation is the most widespread form of sexual dysfunction, affecting roughly 20 percent of all men between the ages of 18 and 59, according to the Urology Care Foundation. The primary modes of treatment for PE are low-dose antidepressants and anesthetic creams that are topically applied to the head of the penis 20 to 30 minutes before sexual activity.

Although there is no widely used surgical procedure for treating PE, two Iranian researchers reported on an experimental form of surgery that was helpful to circumcised men who still had remnants of their foreskin present. Under local anesthesia, 47 men had these foreskin remnants surgically removed. Asked to report on post surgical changes in their sex lives, 95.7 percent of the men said they had better control over ejaculation. Time to ejaculation from the beginning of intercourse went from an average of 64.25 seconds before surgery to 731.49 seconds after the procedure, according to the study, which was published in the May-August 2011 issue of “Urology Annals.”

Staxyn
Staxynbyedquestions

Is there a generic Staxyn?

The patent for Staxyn, approved by the FDA in mid-2010, doesn’t expire until December 2028, according to Drugs.com. That means you’ll be waiting a long time before a generic version of this orosoluble ED drug reaches the market. Sadly, that does nothing to deter the unscrupulous operators of some online pharmacies from claiming they can ship a generic version of the drug to you right now. Whatever they send to those foolish enough to order this so-called generic, you can be sure that it will not be a therapeutically equivalent version of Staxyn. Worse yet, it may well contain toxic substances that can be hazardous to your health.

Even when Staxyn’s patent expires and a generic version of the drug becomes legally marketable, play it safe and order drugs only from reliable online suppliers that source the medications they sell from U.S.-licensed pharmacies.

Levitra
Levitrabyedquestions

Is there a generic Levitra?

Beware of online advertising touting “generic Levitra,” because no such drug exists. There’s no guarantee what sort of concoction you’ll receive in the mail if you order this so-called generic, but it’s a risky business. You may well end up with a look-alike pill made up of substances that you wouldn’t ordinarily dream of putting in your body. Counterfeit ED drugs have been known to contain commercial grade paint, drywall material used as a binder, and printer ink.

Bayer HealthCare Pharmaceuticals has a patent on Levitra that doesn’t expire until 2018, which would be the earliest date that production of a generic version of the drug could begin. Until then steer clear of online vendors promising to deliver generic Levitra, because what they’re selling definitely won’t fill the bill.

Staxyn
Staxynbyedquestions

Is Staxyn safe?

The active ingredient in Staxyn is vardenafil hydrochloride, which is also found in Levitra. Staxyn differs from Levitra mainly in the way the drug is taken. A Staxyn tablet placed under the tongue quickly dissolves, while a Levitra tablet must be swallowed with water.

For most men, Staxyn is safe, but it should not be taken by men whose doctors have advised against sexual activity because of health problems. This is especially true of men whose hearts have been weakened by a recent heart attack or those with advanced heart disease.

Like all of the PDE5 inhibitors, Staxyn temporarily lowers your body’s overall blood pressure. For this reason, it should never be taken concurrently with medications that also lower blood pressure. This is particularly true of nitrate-based drugs, such as nitroglycerin used to treat angina. Taken together, these medications can cause a precipitous drop in blood pressure that could be life threatening.

Staxyn
Staxynbyedquestions

Is Staxyn covered by insurance?

The coverage — or lack thereof — of Staxyn and other PDE5 inhibitors varies from one health insurance plan to another, although a number of plans don’t cover any of these impotence drugs. Among those that do, the insured may be limited to a set number of doses per month that can be covered by the plan. To find out for sure, talk to a customer service representative for the insurer that offers your health insurance plan.

Older Americans who are covered by Medicare won’t find Staxyn or other impotence drugs covered under Medicare’s Part D prescription drug plan, which is an optional add-on. According to the Centers for Medicare & Medicaid Services, Part D explicitly excludes coverage of “drugs when used for treatment of sexual or erectile dysfunction, unless such agents are used to treat a condition, other than sexual or erectile dysfunction, for which the agents have been approved by the FDA.”

Premature Ejaculation
Premature Ejaculationbyedquestions

Is premature ejaculation linked to depression?

Just as depression is one of the many psychological causes of erectile dysfunction, it is also one of the causes of premature ejaculation, which occurs when a man reaches orgasm and ejaculates before he wants it to happen. This lack of ability to control the timing of ejaculation not only causes distress to the man who suffers from it but to his sexual partner as well.

A South Korean study, published in the July 2011 issue of The Journal of Sexual Medicine, evaluated 334 men for signs of PE. For purposes of standardization, researchers established a definition of presumed PE as “a short ejaculation time [five minutes or less from beginning of intercourse], an inability to control ejaculation, and the presence of distress resulting from PE.” They found that 25.4 percent of the test subjects self-diagnosed as having PE, but only 10.5 percent actually matched the study’s PE definition. Although a link was found between depression and PE for most men studied, it was particularly apparent among those who self-diagnosed PE but didn’t really have all the symptoms.

Levitra
Levitrabyedquestions

Is Levitra safe?

According to the Harvard Medical School Family Health Guide, impotence drugs, including Levitra, are very safe for most men with no history of cardiovascular disease. While not ruling out the use of these drugs, the FDA urges caution for those who have suffered a stroke, heart attack, or significant heart rhythm disturbance during the previous six months. Others who should exercise caution in using these medications include men with a history of angina or congestive heart failure, men with low blood pressure, and men with uncontrolled hypertension over 170/110.

If you’re taking nitrate-based medications, such as nitroglycerin for angina, you must never take PDE5 inhibitors at the same time. Each of these medications lowers blood pressure significantly, and taking both concurrently can cause a life-threatening drop in blood pressure.

Most of Levitra’s side effects are mild and disappear after you’ve been using the drug for a while. Although relatively rare, the drug sometimes causes a temporary loss of hearing or vision or an erection that lasts more than four hours. See a doctor immediately if you experience one of these more serious side effects.

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