The Triple Use Of Cialis In BPH Patients: ED, BPH And Hypertension
The prostate, also called the prostate gland, is a large gland that is more or less like a chestnut and is part of the gland of the genital apparatus. It is located inside the human body in the area under the bladder (the “sachet containing urine”), near the rectum and placed above the perineal area, ie the area between the testicles and the anal orifice. The sexual and reproductive function of the prostate is to produce the seminal fluid, which is one of the “ingredients” of the semen that is intended to nourish and convey sperm.
The evasive connection between Benign Prostatic Hypertrophy and Erectile Dysfunction
When talking about prostate, one often finds it difficult to talk about its problems, especially those related to erection issues. Prostate and erection problems very often travel in the company of each other (though not always). Statistically, it is easier to detect, with aging, prostate problems and then erection. Already after 30 years the first symptoms may appear, and over the years one becomes increasingly likely to experience some sort of prostate problem.
However, it seems that another variable to be taken seriously, in addition to age, is also sedentary and unhealthy food and nutrition. Therefore, it is increasingly likely to experience prostate and erection problems even at a young age. But now we can see how a prostate problem can turn into an erectile problem, or erectile dysfunction, such as the total impossibility of getting penile erection during sexual intercourse, or the difficulty in maintaining and prolonging erection during penetration.
Prostate disorders can cause abnormal release of muscle fibers in the genital area and interruption of electrical and neural stimuli that, from the brain, in a state of mental excitement, should ‘go down’ to the genital area to cause an increase in blood supply to the cavernous bodies of the penis, so as to ‘swell’ blood and bring it to full erection. Prostate ailments and problems may be of a different kind and may range from mild and easily curable problems, if diagnosed and treated promptly, to more serious problems with catastrophic consequences for health and especially for erection.
Diseases and inflammation of the prostate (prostatitis) can cause various types of physical symptoms.
Among these symptoms there may be:
- Burning sensation in the urethral canal (the channel from which urination comes out)
- Burning or tingling in the urethral canal during urination, during ejaculation or immediately after ejaculation
- Sense of swelling or discomfort in the perineal area, the area between the testicles and the anus on which the prostate is located.
- Traces of blood in the urine or sperm
- Sudden appearance of premature ejaculation
- Sudden appearance of delayed ejaculation, i.e. difficulty or time too long to reach orgasm and ejaculation
- Sudden erection difficulties in the absence of psychological causes or other causes of organic type that do not involve the prostate
Through a specialist medical examination, an urologist or an orthodontist, it is possible to determine through various examinations whether there is a real prostate health problem and if this is really the problem to cause the problem or if the latter is caused by other causes of an organic or psychological nature.
Among the possible diagnostic tests, to check for prostate problems, there are: blood test for PSA and testosterone levels, sperm examination, urinalysis, Stamey test with urethral swab and prostate gland massage, ecocolor Doppler and ultrasound, cultures to detect possible bacterial infections such as streptococcus, staphylococcus, enterococcus, gonorrhea, mycoplasma, chlamydia.
In the case of bacterial infections that inflate the prostate, and which can cause erection or ejaculation difficulties, the andrologist often resorts to the administration of specific antibiotics or drugs such as tetracyclines. Sometimes these therapies are successful, sometimes they only get a momentary benefit because time is the same problem again.
The multi-tasker Cialis Canada’s leading experts see as a common denominator for ED and BPH
Millions of middle-aged Americans are afflicted by LUTS (lower urinary tract symptoms), i.e. difficulty in urinating, increased frequency, the need to often urinate in the night, incomplete bleeding of the bladder. With the same incidence, disorders of this type are associated with another pathological condition, namely erectile dysfunction. The origin of the two disorders can, in fact, be attributed to the same pathophysiology: it reduces the muscular function that causes the blood to reach the penis and promotes the elimination of urine. They deteriorate the ‘cords’ of the nervous system that transmit the messages and the streets become more and more twisted. Blood circulation in the lower abdomen worsens. From the combination of these factors, there stems a problem common to the baby boomers: erectile dysfunction and urinary symptoms.
If the diagnostic tests reveal benign prostatic hypertrophy (BPH), the andrologist or urologist often prescribes alpha-blockers or alpha-lithic drugs (alfuzosin, doxazosin, tamsolosin, terazosin) or drugs of the 5 alpha-reductase (dutasteride, finasteride) and meparricin. But even in this case, they do not always prove to be valid and definitive solutions for improving or curing prostate and resulting erection problems. Indeed, one of the side effects of these drugs is just to disturb and inhibit the psycho-physical mechanism of erection and / or ejaculation. In essence, they can cause real sexual impotence during the recruitment period to treat prostate hypertrophy. But not always the specialists, who prescribe these pharmacological treatments, inform their patients about these side effects and the sexual sphere in general.
In the most extreme cases of prostate cancer, it is often (quite often too easily) used for radical prostatectomy surgery, or blocking of this gland and seminal vesicles. The intervention is very invasive, dangerous and without no complications. In addition, because during surgery there is a high risk of losing the muscle fibers and transmitters of the erectile mechanism, the patient will remain forever completely helpless in bed.
In the presence of prostatitis or other prostate problems, and consequent erection problems, it is also possible to opt for alternative and non-pharmacological remedies, thus less harmful, with no side effects and almost always much more effectively than drugs, since they are taken on a more or less continuous basis.
If the prostate problem has already been solved or is in the final phase of resolution, there are still erection problems, which is normal and very common because it is easy to remain in a state of mistrust in the sexual sphere or inability to excite mentally, After long periods of sexual inactivity or various treatments for the prostate.
A great remedy is based on adopting a method based on both mental and physical exercises and techniques to regain sexual self-reliance, increase sexual desire and excitement and to improve and enhance the whole psycho-physical erection mechanism often weakened by prostate problems and long treatments to bring it back into shape.
Here, we come close to the role of Cialis (tadalafil) in the treatment of both prostate hyperplasia and compromised erectile function. For several years now, tadalafil has been approved for the treatment of BPH, with multiple studies in vivo and in vitro confirming its efficacy. Apart from its proven benefits in BPH patients, Cialis provides a double win in individuals where prostate disease is causing erectile issues.
Six months of combined therapy of tadalafil (PDE-5, 5 mg) and finasteride (class 5AR drugs) make a significant improvement in urinary symptoms compared to finasteride and placebo therapy. The result is visible from the fourth week and all 26 weeks of therapy, without any difference in the level of satisfaction with the dosage or with the side effects. These are the results of a study conducted by Eli Lilly with whom the effectiveness of combination treatment with tadalafil and finasteride was evaluated for the first time in men with urinary symptoms associated with benign prostatic hyperplasia and increased prostate volume. The data was presented at the European Association of Urology Congress (EAU).
Alpha reductase inhibitors (5ARIs) are commonly used to treat benign prostatic hyperplasia (BPH) symptoms in the urinary tract (LUTS) in patients with increased prostate volume but this class of drugs may sometimes cause Side effects on the patient’s sexual sphere. The study presented by Lilly on the occasion of the EAU assessed for the first time the efficacy of 5ARI in combination with tadalafil (class PDE5) to treat urinary symptoms associated with benign prostatic hyperplasia. Patients treated with finasteride and tadalafil 5 mg combined therapy showed a significant improvement compared to placebo-treated finasteride, measured at the international IPSS scale. This study opens multiple possibilities for new treatment scenarios in patients suffering from urinary symptoms due to prostate enlargement. In this class of patients, tadalafil 5 mg therapy could make a significant therapeutic improvement.
This new therapeutic approach would represent a further step in the daily therapy of tadalafil: tadalafil 5 mg, already indicated for men with erectile dysfunction, has recently been approved for the treatment of urinary symptoms (LUTS) associated with prostatic hyperplasia. Tadalafil 5 mg to be taken once daily therefore represents today the first therapy indicated to treat both low urinary tract symptoms and erectile dysfunction. In light of the findings of this study, combination therapy with tadalafil and finasteride is superior effective in only finasteride in treating urinary symptoms associated with prostate enlargement.
The data show that day-to-day tadalafil therapy at a 5-milligram dose treats erectile dysfunction, frequently associated with LUTS, as well as induce a significant improvement in irritability symptoms related to the latter condition. Therapy favors the release of the bladder detrusor, thus avoiding urgency related to urgency and exercise frequency, which are the most difficult to endure for the patient and worsen their quality of life. Tadalafil has been shown to improve these symptoms already from the first 1-2 weeks. The availability of treatment is even more important if we consider that the drugs currently used to treat LUTS may in some cases have a side effect on the sexual sphere.
Canadian doctors recommend Cialis in hypertension individuals
Over the years, every man is aware of going through transformations that gradually diminish his sexual efficiency. The most frequent are those related to the circulatory problems on which, however, has long been discovered the beneficial action of drugs that have made some companies successful, because they have favorably influenced manhood by increasing it or even restoring it. However, their use does not always have an exact perception of the risks that may lie behind the benefits.
Blood circulating problems, for example, can hide serious dangers. Often, in fact, they are not only local in nature and therefore limited to a specific organ, but are the mirror of a wider and more serious general situation. For this reason, since the first episode of impotence, once you have excluded other causes, you should play an alarm bell.
In this case, instead of attempting to solve the problem by looking for what is considered the most suitable aid, it would be good practice to schedule with the a basic physician at least a blood test to rule out any alteration. In addition, to avoid sudden and unpleasant surprises, it would be even more important to first fix a visit from the cardiologist rather than the astrologer, given the perfect resemblance between the arteries of the penis and the coronary arteries in both normal and pathological conditions. And this is all the more so if you collect risk factors not only in the age but especially in certain habits like smoking where the powerful vasoconstrictor effect of nicotine is deleterious to the penile and coronary microcirculation or alcohol, diabetes, hypertension, stress and so on.
Therefore, if a lack of erection can only be an episode as frustrating and disappointing, but at the relatively recent end, the invisible compromise of heart circulation, which often accompanies it, may be the hall of an irreparable infarction.
A visit to cardiologist and evaluation of cardiac function become mandatory under such circumstances. They should also always be associated with an effort test that becomes even more imperative if you are contemplating the use of the miracle pill. Few people know that impotence treatment drugs can also be used as adjuvants in the treatment of premature ejaculation. This means that in some people who use it to increase their performance, there may be a delay or an obstacle to orgasm, which, in spite of the rapid conclusion of the sexual act, increases the pelvic thrush and hence giving it a real physical effort, even of great intensity. It is easy to guess that in this situation a heart that is not perfectly healthy or trained can go to the worst as every so often reads in the newspapers. For this reason, after the cardiologist’s absence, it is indispensable to evaluate with the andrologist what kind of pill is the most suitable for your needs, remembering in any case that it is still a drug whose beneficial effects, but also the possible effects should always be considered together with the physician.
Cialis is considered the best drug in ED patients suffering from the comorbidity of high blood pressure. The reason for this choice is tied not only to the fact that occasionally Cialis is the one most consumed by hypertensive patients and therefore the one on which the information is most readily available, but also that available in reduced dosages and therefore more easily handled.
It should also be noted that certain antihypertensive drugs can cause problems with erection. Arterial hypertension is an important risk factor for the deficient deficit due to the negative effect on the arteries of the penis. In many instances, however, male sexual disorder seems to contribute to the same medical therapy as hypertension. The ‘ace-inhibitors’ (primarily enapren, followed closely by losaprex) generally play an irrelevant role. It even seems to prevent sexual disruption by blocking the formation of substances (AT-II) responsible for the contraction of the cavernous body. Conversely, the ‘calcium antagonists’ (norvasc) antihypertensives, although in very small percentages, can contribute to the deficient deficit as they will, on a peripheral level, decrease the release of nitric oxide (NO). In any case, medical therapy should always be continued and only your own medical practitioner or cardiologist can modify it.
Cialis has the same mechanism of action of Viagra: both of these drugs at the cavernous body inhibit the enzyme 5 phosphodiesterase, allowing the accumulation of particular substances (GMPc) which, under the influence of nitric oxide produced during sexual stimulation, allowing for a person with compromised sexual function to get erection. Clinical trials and direct experience resulting from years of marketing make Cialis a safe drug, just as Viagra. The only absolute contraindication for both of them remains the association with nitroderivatives. However, in very small percentages and not exceeding 10%, heat sensations, stomach burn may also be present with cialis. In many cases these disorders tend to diminish or disappear in subsequent administrations.
As may be safely concluded from the above, Cialis is the ultimate choice for a person whose ED condition is made more complicated by such comorbidities as BPH and hypertension. Under any circumstances, professional consultation is required, preferably from qualified specialists in every field: andrologist, sexologist and cardiologist.
