shockwave therapy for ED
 

Any bro tried before can share some review? Happen to know a clinic is having promo(cheaper) rate for this treatment and i am thinking of trying it to treat my ED.

Re: shockwave therapy for ED
 

Before you start on any treatment you first have to establish the cause. If the issue is psychological then shockwaves are not going to make any difference.

The theory behind shockwave therapy is that it helps to increase blood flow by reducing any restrictions in the tiny blood vessels that are paramount in achieving an erection.

the thing is doctor suggested shockwave therapy since he couldnt find anything wrong with me.
he said there are patients like me who he proposed this treatment to and miraclously got cured of ED.

Re: shockwave therapy for ED
 

In that case you have nothing to lose so why not give it a go to see what happens.

It either works or it doesn't. If it does it will bring new found confidence and heightened pleasure.

You can read the nitty gritty of the studies done at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3607492/ The study did show that it did not work for everyone. In life nothing is 100%

The purpose of our first study was to evaluate the feasibility, efficacy, and safety of LI-ESWT in 20 men, aged 56.1 ± 10.7 years, with mild to moderate ED due to cardiovascular disease and without any neurogenic etiology [Vardi et al. 2010]. These patients had ED for almost 3 years (average), and all were able to function sexually with the use of PDE5i (i.e. PDE5i responders). Our treatment protocol was based on the described methodology used in cardiac LI-ESWT [Kikuchi et al. 2010], with modifications according to the depth of the target tissue (corpora) and to anatomical differences. We applied 300 SWs (energy intensity of 0.09 mJ/mm2) to each of five different sites: three along the penile shaft and two at the crural level. The protocol consisted of two treatment sessions per week for 3 weeks, a 3-week no-treatment interval, and a second 3-week treatment period of two treatment sessions per week.

One month after LI-ESWT, the erectile function in 15 men improved. An increase by more than five points in the International Index of Erectile Function - Erectile Function (IIEF-EF) domain score was noted in 14 men, and by more than 10 points in 7 men. Five men did not respond to LI-ESWT. Overall, the average increase in the IIEF-EF domain scores was 7.4 points (13.5–20.9, p = 0.001). Furthermore, erectile function and penile blood flow were measured using nocturnal penile tumescence (NPT) and venous occlusion plethysmography of the penis, respectively. LI-ESWT improved all NPT parameters, especially in the 15 men who responded to LI-ESWT, where significant increases in the duration of the erections and penile rigidity were recorded. Penile blood flow also improved significantly and a strong correlation was found between the increase in the IIEF-EF domain scores and the improvement in penile blood flow at the 1-month follow-up examination. At the 6-month follow-up visit, 10 men reported that they still had spontaneous erections that were sufficient for penetration and did not require PDE5i support.

Re: shockwave therapy for ED
 

TS don't mind me asking what is the price you are paying for the sessions?

Re: shockwave therapy for ED
 

u can find the answer here
https://www.todayonline.com/singapor...le-dysfunction

Re: shockwave therapy for ED
 

88 dollar for first 3 session followed by 400plus for the next 3

Re: shockwave therapy for ED
 

means what? 1st 3 sessions $88/session, next 3 sessions $400 ? Let us have your feedback after treatment :D

Re: shockwave therapy for ED
 

I am keen to try out this. Please Pm me the clinic and location. Thank Uou.

Re: shockwave therapy for ED
 

read post 6

Public hospitals now offering shockwave therapy for erectile dysfunction

SINGAPORE — In a bid to revive his flagging sex life, Mr James Lim (not his real name), who suffers from erectile dysfunction (ED), has attempted numerous treatments ranging from penile injections to oral medications for over 20 years.

While certain treatments provided temporary relief, others like hormonal injections left the 74-year-old retiree and his partner, who is 20 years younger, unsatisfied with their fluctuating and inconsistent results.

"(Having ED) left a negative impact on our relationship, and I know she isn't satisfied. Even if we don't discuss it, we both know there's an issue," said Mr Lim.

Now, he believes he might have finally found a gamechanger for his performance woes. Last year, Mr Lim underwent shockwave therapy, which was first used as a non-invasive treatment for urinary stones. The treatment uses shockwaves, at a much lower intensity than that used to treat urinary stones, to stimulate the development of new blood vessels in erectile tissues.

Mr Lim said he saw results after undergoing a total of six sessions over three weeks at the National University Hospital (NUH).

"Right now, I'm at the 11-month mark, and it has been extremely effective so far. I am now able to perform and am back to being myself. My partner is also very pleased," he said.

ED affects about one in five men, said Dr Joe Lee, consultant and director of Andrology and Male Reproductive Medicine at NUH. The condition is characterised by the inability to get or keep an erection for sexual intercourse.

NUH's male sexual dysfunction clinic sees more than 500 outpatient consultations for ED each year. Mr Lim is one of the over 50 ED patients who have undergone shockwave therapy at the clinic since late-2015.

First made available here as an ED treatment in 2014 at Gleneagles Hospital, low-intensity shockwave therapy is also available at Singapore General Hospital and Khoo Teck Puat Hospital.

POTENTIALLY TREATING THE CAUSE

At NUH, it is now part of the standard treatment options available to men with ED linked to vascular (or blood vessel) causes, which make up more than 70 per cent of ED cases, said Dr Lee who treated Mr Lim. It is used as a second-line treatment when oral medications fail to work.

"In men suffering from ED due to a reduced blood flow to the penis, (shockwave therapy) results in increased blood flow to the penis, allowing them to attain and maintain erections for sexual performance," said Dr Lee.

An erection requires a good amount of blood to flow into the penis and not flow out too quickly to maintain rigidity, explained Dr Tan Yung Khan, a urologist at Mount Elizabeth Novena Hospital.

For instance, vascular ED can occur when trauma to the arteries supplying blood to the penis, or arteriosclerosis (thickening of the artery walls) from diseases such as diabetes and high cholesterol, affect flow of blood to the area, said Dr Tan. ED may precede cardiovascular disease by a few years, he said.

Patients are usually required to undergo six to 12 treatment sessions, each lasting 15 to 20 minutes, said Dr Lee.

During the treatment, which can be done without anaesthetic or pain relief, patients will experience a tapping sensation. They can resume their usual activities like work and sports after the treatment.

One of the potential benefits of shockwave therapy is that it might possibly treat the cause of ED, which has long been viewed as an irreversible condition, and not only its symptoms – something that most current treatments focus on.

For example, drug agents augment erections transiently, but the effects are not long-lasting as they do not alter the underlying pathology of ED in any way, said Dr Lee.

"Shockwave therapy works by stimulating the development of new blood vessels in the erectile tissue, which addresses the underlying pathology of ED. (This could) potentially reverse the state of ED in a more lasting manner," he said.

It could also benefit some heart disease patients who are on a drug called nitrates – they cannot take PDE5i drugs like Viagra and Cialis as there are drug interactions, said Dr Tan.

If the treatment is successful, patients will not require medication, said Dr Tan. "As such, sex can be more spontaneous. If the patient is medication-dependent, then they will have to plan for sex and remember to take their medications at least an hour prior. This could reduce spontaneity."

Cost-wise, shockwave therapy is "comparable" to two to three years' supply of oral medications for a man who has regular sexual intercourse twice a week, said Dr Lee.

NOT A PERMANENT SOLUTION

But the treatment has its limitations and not every ED sufferer is a suitable candidate. According to Dr Lee, current knowledge of the durability of the effects is limited by the treatment's short history.

Most data show that the effect tends to wear off with time, and only 30 per cent can have prolonged benefits beyond two years, said Dr Tan.

"When using (shockwave therapy), I tell patients that it is not often a permanent solution but it could possibly get them off drugs for a period of time," said Dr Tan.

There are currently no established guidelines on the maximum number of treatments patients can have, said Dr Lee.

"Ongoing studies looking at 'booster' shocks for patients who have been treated before seem to suggest it has a role but more time is needed for these findings to be validated," he said.

For now, a new study published in The Journal of Sexual Medicine in March has established a protocol for optimal treatment of vascular ED using low-intensity shockwave therapy for the first time.

"The efficacy (of the treatment) depends on the number of sessions; 12 sessions are better than six and 18 sessions better than 12. Therefore, it depends on the severity of the problem. Men with mild ED may have six sessions while patients with severe ED may need up to 18 sessions," said Professor Dimitrios Hatzichristou, professor and chairman of the department of urology at Aristotle University of Thessaloniki, who is one of the study authors.

"One question that was answered through our studies is that patients can have the treatment sessions either once or twice or even three times per week. Also, patients may receive 12 or 18 sessions in courses of six sessions, with or without a break between the courses," he said.

WHO STANDS TO BENEFIT?

Shockwave therapy is unlikely to replace other forms of treatments as it cannot be applied to all types of ED, said Dr Lee.

"While shockwave therapy is generally very safe and well-tolerated, treatment success lies very much in selecting the right treatment for the right patient," said Dr Lee.

For instance, it is not suitable for ED arising from nerve disorders as it has no impact on the nerves, he said. Other causes of ED include psychological, neurological or low testosterone issues.

Younger patients under 65 and those with better response to erection pills will benefit most from the treatment, said Prof Hatzichristou.

In patients who do not benefit from PDE5i drugs, the success rates of shockwave therapy are low, said Dr Tan.

The treatment tends to be less effective in older patients with more severe ED or a longstanding history of diabetes, who have a higher tendency of developing neuropathy (nerve disorders), Dr Lee said.

But for patients with severe ED who struggle with poor erections despite taking the maximum doses of oral ED medications, shockwave therapy may help improve their response to oral medications. They may achieve better erections after the treatment but are unlikely to be completely weaned off medications, said Dr Lee.

Besides medication and shockwave therapy, other treatment options include the use of penile injections and vacuum erection devices.

In the most severe form of ED, penile prosthesis may be implanted surgically to achieve erection by mechanical means, he said.

Re: shockwave therapy for ED
 

Our own Dr Tan giving his view on it. ;)

The painless, potent ‘shock’ treatment for men who struggle to perform in bed
Read more at https://www.channelnewsasia.com/news...iagra-10644552

Compared to the likes of Viagra, shockwave therapy remains a less mainstream remedy for erectile dysfunction. But some doctors and patients in Singapore are warming to it.

SINGAPORE: "Shockwave therapy for the penis” can be an intimidating proposition, admitted Travis (not his real name), a Singaporean male in his late 30s. Yet five months ago he tried the treatment in a bid to fix his erectile dysfunction (ED) - and it worked.

“People might be put off by the word 'shockwave', but there’s nothing to be afraid of. It was painless, there was no discomfort,” he described. “And it is effective. My performance has improved … it’s much better now.”

Despite the name, shockwave therapy actually uses external, low-intensity acoustics to trigger a process that forms new blood vessels, improving blood flow to the nether regions to help enhance the firmness of an erection.

“Part of the reason for ED could be inflammation of the blood vessels or damaged tissue - and what shockwave therapy does is create better-quality tissue,” said Dr Lim Kok Bin, a urologist who has been offering the treatment at his Raffles Hospital clinic since 2016.

He added that the technology is not new, having long been used to address joint pains as well as break down kidney stones - albeit at energy levels of 100 times more.

Along the spectrum of ED remedies, shockwave therapy sits between oral medication like the instantly recognisable Viagra and invasive procedures such as injections and prosthetic implants.

For Travis, the latter was a big no-no. He has also tried “non-conventional” supplements including traditional Chinese medicine and Viagra, but one proved ineffectual and the other produced side effects like blurred vision and headaches - so he turned to this other approach.

“SCARY-SOUNDING”

Shockwave therapy is a more recent development than the 20-year-old blue pill of Viagra, having been first published in European research papers at the turn of the 2010s and only arriving in Singapore in 2014.

Today it is readily available here at private clinics, Raffles Hospital, Singapore General Hospital, National University Hospital and Khoo Teck Puat Hospital. But the treatment remains little-known: Travis believes this is due to ED being a topic “not openly discussed” to begin with, and Dr Lim put it down to a lack of advertising.



A further barrier could be what Dr Tan Kok Kuan, who runs a group of sexual health clinics, acknowledged as the “scary-sounding” name and notion - however ill-conceived - of shockwave therapy.

“The only scary thing about the treatment is that it is rather loud,” said Dr Tan, who is Travis' doctor. “It is completely non-invasive and completely painless.

“It feels very much like an ultrasound scan. Gel is placed on the probe and the probe is placed against the skin at the groin and the penis. If you touch the probe with your finger, you barely feel a tapping sensation,” he added.

“Patients feel nothing at all. In fact, many of my patients fall asleep during the treatment.”

Dr Lim reiterated: “I’m not sticking anything into your body, I’m not cutting you up. Nobody complains about pain - only one patient was a bit sensitive and jumped a bit. Nothing could go wrong.”

It was with those words as a guarantee that this reporter - who does not have ED - agreed to experience a standard 15-minute session involving 1,000 “shocks” on each of five different spots.

Yes, that adds up to 5,000 in total which sounded absolutely terrifying as I lay down on Dr Lim’s examination table, shivering in part from the cold of being exposed from the waist down and in part out of naked fear. But it was too late to turn back, and I clenched my teeth as he fired up the machine and went to work ...

As the doctors described, there was a bit of a din, which caused initial panic and the imagination of being repeatedly smacked down there. But I quickly realised that aside from a little warmth and a slight pattering sensation with each supposed “shock”, there was no pain at all.

It ended as quickly as it started, and with no need to worry about future repercussions, both doctors reassured.

Said Dr Lim: “Only two things will happen: It either helps you or doesn’t. The worst that could happen is it has no effect.”

He has administered shockwave therapy to around 20 patients, with only two not responding “very well” to the treatment due to psychological factors. Dr Tan, meanwhile, said: “I have treated more than 500 cases and I can safely say they have all seen some level of improvement, some more than others.”

FIXING MEN’S PROBLEMS FOREVER?

Dr Tan also quipped: “The joke I have with my patients is the only ‘side effect’ is injuring the wallet.”

Patients generally require six sessions divided over two to three weeks, costing in total between S$2,000 and S$5,000, depending on the clinic.

For Dr Lim, each round of six sessions lasts for a couple of years, while Dr Tan recommends returning for one session a year “to maintain the beneficial effects”.

Dr Lim pointed out that a two-year stretch of taking Viagra - with each pill costing around S$20 - would work out to around S$2,000 as well.

Shockwave therapy has also been touted in certain circles as a potential permanent cure for ED, compared to the temporary relief provided by Viagra. And in March this year a study recommended, for the first time, guidelines for optimal therapy at six to 18 sessions depending on the severity of the ED.

Nonetheless Dr Lim said it was still a work-in-progress with further protocols to be established, such as when to administer the treatment again.

“I would still prefer giving oral medication,” he noted. “If the patient is already doing so and it’s not helping, then I’ll suggest trying shockwave therapy while continuing to take medicine.”

Added Dr Tan: “I am very hesitant to use the word ‘permanent’. That would imply if a patient undergoes this treatment when he is 45 years old, he still will not have ED when he is 80 years old. This obviously cannot be the case.

“Not all patients with ED will benefit from this treatment,” he explained, pointing to additional psychological and other medical factors as possible issues. “This treatment is only for men with mild to moderate ED caused by blood vessel disease.

“Therefore, patient selection is very important. Also, managing the patient's expectations is important.”

For Travis, though, the clear advantage of shockwave therapy lies in its facilitation of spontaneous, naturally occurring erections - unlike with pills, which have to be planned for and taken at set times before sex.

The result has been a happy spouse and a couple now eager to try for kids. “I think I’ll keep doing this for the rest of my life, if I have to,” he said, adding he was already looking forward to his next session with Dr Tan. “Need to recharge!”

Read more at https://www.channelnewsasia.com/news...iagra-10644552

Re: shockwave therapy for ED
 

Those who want to save money can try zapping their penises with electricity instead.

http://www.peselectro.com/pescontent...parkler-12.jpg

Re: shockwave therapy for ED
 

Technically it seems like the key factor is to improve blood circulation down there to promote vascular growth. Wonder if someone could replicate the expensive machine using a piezoelectric disc driven by frequency generator to create and control the vibrations.

... When cannot stand, complain cannot stand. When can stand, complain cum too fast, when that is solved, complain it's too small, and when even all that is solved, complain sperm count low and impotent :D Plenty of opportunity for medical science!

Re: shockwave therapy for ED
 

I've been taking the supplements with ginseng/tongkat Ali. Slow but I can see better erections, though of course not as hard as when I was younger, but at least it last longer

Re: shockwave therapy for ED
 

You need to fix the source of the problem otherwise all your supplements are doing is slowing down the inevitable.

There is no reason why a 65 year old cannot have the same quality of erections that he had when he was 20 years old provided his cardiovascular system is in tip top condition.

Exercise, reducing cholesterol and keeping diabetes at bay are all keys to sexual health. Take care of your dick and it will take care of you.

Re: shockwave therapy for ED
 

This looks nasty.....

Testosterone level also plays a part, and that deteriorates with age. The deterioration can of course be slowed with exercise, but is inevitable. And once T drops, the cardiovascular may be in tip top condition, but brain got no desire, also game over.

It does seem to be a trend of modern lifestyle that problems like ED are surfacing even for men in their 30s. Not to mention 40s or beyond.

Re: shockwave therapy for ED
 

My personal experience is that a healthy lifestyle has a huge influence on testosterone levels.

I get mine checked annually and there has been no decline since I started the annual blood test 7 years ago.

I don't know what it was when I was 20 but I have to admit I was far more horny then. :D

Re: shockwave therapy for ED
 

The total number of sessions are 6 or its continuous until cured? Have you gone for it already? If yes how was it and was there any improvement?

Re: shockwave therapy for ED
 

a typical treatment is 6. some need more some need less. i haven't gone for it yet as i am still considering.

Re: shockwave therapy for ED
 

so anyone tried the treatment already ? If good can pm me the contact and the charges ?

Re: shockwave therapy for ED
 

I'm going to try it will keep everyone up to date.

https://sbf.net.nz/showthread.php?t=708198

Re: shockwave therapy for ED
 

First session today.

https://twitter.com/sammyboyfor/stat...95975844937728

Re: shockwave therapy for ED
 

Wah piang.. that piak piak sound from equipment sound scary.
U went to the same clinic as the TS said, 88 for 3 session?
interested to try also, my OC not happy with my performance:(

Re: shockwave therapy for ED
 

I'm in NZ I'm not going to fly all the way to Sinkieland just to get my dick zapped. :D

Completed two sessions and it was a breeze. No pain at all and it seems to be working. Another 4 sessions to go before I can reach a definitive conclusion.

Going to give P shot a try as well.

Re: shockwave therapy for ED
 

Ok here are my conclusions after trying both shockwave and P shot.

I don't have ED yet so I may not be representative sample for a cross section of ED sufferers. However what I did notice that over the years erections were no longer the rock hard specimens that I recall when I was in my teens and twenties.

I therefore started researching what needed to be done to restore my dick to its former glory.

First of all I sampled Viagra and Cialis. Both took me back to my teenage years :D Rock hard and throbbing. ;)

Cialis lasted 3 whole days with zero side effects for me.

Viagra lasted about 7 hours and it gave me a stuffy nose and headache.

With the results from Cialis/Viagra as a reference point I embarked upon a course of shockwave therapy - 6 sessions over 6 weeks. The treatment was a breeze. No discomfort and no side effects whatsever. The ultrasound energy felt like tiny pin pricks.

Results of shockwave therapy : I honestly did not notice any significant difference a month out from my last session. Could it kick in later? Possibly because can take a few months for the nerves and blood vessels to grow to the point where real change is noticeable.

I then went for a P shot 3 weeks ago.

Results of P shot : 3 weeks on it my erections are definitely firmer not quite up to what can be achieved with Cialis but pretty close. HOWEVER..... because I have not done a scientific study this improvement could also be because the shockwave therapy is starting to take effect.

My recommendation : One, the other, or both in tandem have made a significant difference. If you have money to burn give both a go and if works for you it is money well spent.

NOW FOR A REVELATION that does not involve either of the above procedures. It's about something I discovered from researching the subject and asking a Dr friend of mine to help out.

I have found out from on line research that many cases of ED are not physical but psychological. Those who feel anxious when they are performing often end up in a vicious cycle that involves worrying about being unable to perform which becomes a self fulfilling prophecy.

While the root cause of psychological ED is in the mind, it manifests itself in a physical response by causing the release of Adrenaline into the system.

Adrenaline and erections DO NOT MIX! The surge of Adrenalin caused by fear or or worry causes erections to lose their edge which in turn causes more anxiety. Adrenalin is great when you need to run for your life but it kills all sexual functions in a matter of seconds!

This causes the loss of an erection in double quick time. Those of you who have remembered having sex with your girlfriend at home while your parents were out an then suddenly hearing them return ahead of schedule will understand completely where I am coming from! :p The dick goes from 100kph to 0kph in less than 15 seconds!

BUT....... There is a drug that helps prevent this from happening. It's a compound called phentalomine mesylate and is used in medicine primarily to reverse the effects of local anesthesia.

For those who suffer from psychological ED this drug will work wonders. I can guarantee it because I tested it out myself by thinking of stressful situations that normal cause me to lose an erection eg imagine that the room you're in is about to catch fire or mother is just about to open the door while you're rooting away.

Without the phentalomine the dick starts to lose it's hardness immediately. However with this drug the dick stays hard and this is because the drug blocks the effect that Adrenalin has on the blood vessels in your dick.

Important note: If you google "phentalomine mesylate" you'll find that it is used in injectable form to induce an erection. However very few people would want to go through the process of sticking a needle into their dicks in order to have sex. What I am referring to is the oral version of this drug. It can be incorporated into a lozenge and placed under the tongue and it works very quickly. The literature says 30 minutes but I found it effective in less than 10 minutes. It is also marketed on line as Vasomax and is used by body builders as a vasodilator ie it widens the blood vessels.

I'll be posting useful links over the next couple of days as I find them. In the meantime you guys are free to do your own research.

Thanks for reading and wishing everyone a happy and prosperous new year. ;)

Re: shockwave therapy for ED
 

Vasomax Reviews

https://www.consumerhealthdigest.com...s/vasomax.html


Written by Michael Wight - Modified June 28, 2018
What is Vasomax?
Vasomax is also known as oral Phentolamine and is now marketed under the name Vasoviril. It is a supplement that helps in treating erectile dysfunction. It also claims to help with impotence and some ejaculatory failures by increasing blood flow to the genitals which results in harder and longer lasting erections. It is a supplement that can help aging men compensate for sexual deficiencies that come with age. The results are also fast acting; taking effect 15-30 minutes after the supplement is taken so it is usually used before engaging in any sexual activity. This supplement does not need to be taken daily.

Vasomax
Who is the Manufacturer of Vasomax?
Pharmascience Laboratories is the manufacturer of Vasomax. It was founded in 1983 by Morris Goodman and Ted Wise and is well known for the production of generic drugs in Canada. It’s a privately owned company that is among the top 100 companies in Canada.

Vasomax Ingredients – Are they Safe & Effective?
There was no list of ingredients for Vasomax found online.

How Vasomax Works?
Vasomax works by targeting the nerves that are responsible for keeping the blood vessels tight. Unlike other supplements which stimulate the production of nitric oxide for better blood flow, this one is quite different. It works by soothing the nerves, thus creating better circulation in the area. This is also why it works fast, taking effect minutes after one tablet is taken. This helps in sending more blood to the penis during any sexual activity. Men are able to have harder and longer lasting erections because of this.

What are the Advantages of Vasomax?
An alternative to Viagra
It may help treat erectile dysfunction
Fast acting results
Not required to be taken daily
What are the Disadvantages of Vasomax?
Not available in the US
It is now marketed under a different name
No clear information about the ingredients
Overall limited information about the product
How Safe To Use Vasomax?
According to some sources online, Vasomax is quite safe to use and even better than Viagra. Since it’s an alpha blocker, it helps in increasing blood flow to the genitals without stimulating the production of nitric oxide in the body. Although it works only by smoothing out and contracting the arterials nerves and widening the pathways for better blood circulation, this simple thing can also have adverse side effects because the body is not used to such changes. Taking more than one dose at a time might result in harsh consequences for the user.

How to Take Vasomax?
Vasomax is an oral supplement so it’s basically taken just like every capsule and tablet. One capsule should be taken with a glass of water before engaging in any sexual activity but not more than 2 should be taken every day.

What is the Cost of Vasomax?
Vasomax is now sold under the name Vasoviril and one tablet will cost around $20.

Vasomax Discount and Offers
More discounts were given when buying tablets in bulk.

4 Tablets – US $80
8 Tablets – US $155
12 Tablets – US $225
16 Tablets – US $280
Vasomax Review – Final Verdict
This supplement works by helping the blood flow better into the penis which results in better erections. This, by far is the most common trait of a male enhancement supplement. The claims are good, but it will be a risk to try this supplement. First reason, it’s not available in the US. Second, the side effects were too many.

Although there are a lot of good qualities about this supplement, its quality and safety factor are put into question because there is not enough information online about it. There were no feedbacks from customers, satisfied or otherwise. It’s also quite expensive, coming at an average of $20 per tablet.

The side effects that came with it were also quite brutal, especially since it involved contracting and widening of the pathways of blood which actually can affect the heart rate. It’s a dangerous side effect especially if the body is not used to such changes.

Overall, it’s not a good option to try. There are so many male enhancement supplements in the market that you can try in which the ingredients and other relevant information are communicated clearly. They also might have feedbacks about the product, unlike this one. Vasomax may sound good in paper, but it’s definitely a risky option if you are aiming for a treatment of erectile dysfunction.

With countless male enhancement supplements available on the market today it seems impossible to find “the right one.” Sexual performance declines naturally as men age, which may contribute to feelings of inadequacy or embarrassment. Male enhancement supplements should be based on four key factors: active ingredients, ability to support sexual stamina, enhance arousal, improved* sexual desire and backed by clinical studies.

Below you’ll find some of the most effective male enhancement supplements on the market today, in our opinion.

Re: shockwave therapy for ED
 

Re: shockwave therapy for ED
 

https://link.springer.com/article/10.1007/s003450000178

Vasomax for the treatment of male erectile dysfunction
Authors
Authors and affiliations
Irwin GoldsteinCulley CarsonRay RosenAnita Islam
1.
58
Downloads
27
Citations
Abstract
This paper reviews laboratory and clinical data concerning oral phentolamine mesylate, Vasomax, an α-1, α-2 adrenergic receptor antagonist developed specifically for treatment of erectile dysfunction. A contemporary view of the neurovascular mechanisms in penile erection includes the effects of both smooth muscle relaxation and contraction. Contraction of the cavernosal arteries and trabecular smooth muscle appears to be predominantly under the control of α-adrenergic innervation. Conversely, adrenergic blockade of α-1 and α-2 receptors has been shown to facilitate penile erection in both animal and human models. The pharmacokinetic profile of Vasomax appears well suited for an oral erectogenic agent. Vasomax is rapidly absorbed and eliminated in normal males. Peak plasma concentrations are achieved in 30–60 min, and the half-life approximates 5–7 h. Food decreases the rate, but not the extent of bioavailability. Vasomax has low protein binding and is excreted primarily via urine and feces. There is a strong dose-response relationship in maximum plasma concentration (Cmax) and area under the curve (AUC), and there are no clear age-related differences in absorption or elimination rates. Efficacy of Vasomax has been systematically evaluated in two (ZON300, ZON301) large-scale, placebo-controlled trials, in addition to two long-term open-label studies. In both studies, Vasomax was associated with significant improvements in the erectile function domain scores of the International Index of Erectile Function (IIEF). Further improvements were noted as the duration of treatment and dose level were increased. The percentage of successful penetration attempts was also significantly improved with Vasomax compared to placebo. For patients who continued in open-label treatment with Vasomax, efficacy was generally well maintained. Vasomax was well tolerated by the majority of patients. The most common side effects observed were nasal congestion (10%), headache (3%), dizziness (3%), tachycardia (3%) and nausea (1%). Side effects were generally dose-related and in the mild-to-moderate range in all three studies. Furthermore, side effects seldom resulted in treatment discontinuation. Very few serious adverse events were observed in these trials. In summary, Vasomax appears to be effective in the treatment of male erectile dysfunction and well-tolerated by the majority of patients. The drug has a satisfactory side effect profile, without significant risk of cardiovascular effects. Results of clinical trials with Vasomax support the concept of adrenergic-blockade as a clinically relevant mechanism in the control of penile erection.

Keywords
Erectile Dysfunction Erectile Function Vasomax Penile Erection Adrenergic Receptor Antagonist

Re: shockwave therapy for ED
 

https://www.researchgate.net/publica... e_dysfunction

Vasomax for the treatment of male erectile dysfunction
Article in World Journal of Urology 19(1):51-6 · March 2001 with 85 Reads
DOI: 10.1007/s003450000178 · Source: PubMed
Cite this publication
Ivan Goldstein
47.01
Culley C Carson
45.82University of North Carolina at Chapel Hill
Ray Rosen
Anita Islam
Abstract
This paper reviews laboratory and clinical data concerning oral phentolamine mesylate, Vasomax, an alpha-1, alpha-2 adrenergic receptor antagonist developed specifically for treatment of erectile dysfunction. A contemporary view of the neurovascular mechanisms in penile erection includes the effects of both smooth muscle relaxation and contraction. Contraction of the cavernosal arteries and trabecular smooth muscle appears to be predominantly under the control of alpha-adrenergic innervation. Conversely, adrenergic blockade of alpha-1 and alpha-2 receptors has been shown to facilitate penile erection in both animal and human models. The pharmacokinetic profile of Vasomax appears well suited for an oral erectogenic agent. Vasomax is rapidly absorbed and eliminated in normal males. Peak plasma concentrations are achieved in 30-60 min, and the half-life approximates 5-7 h. Food decreases the rate, but not the extent of bioavailability. Vasomax has low protein binding and is excreted primarily via urine and feces. There is a strong dose-response relationship in maximum plasma concentration (Cmax) and area under the curve (AUC), and there are no clear age-related differences in absorption or elimination rates. Efficacy of Vasomax has been systematically evaluated in two (ZON300, ZON301) large-scale, placebo-controlled trials, in addition to two long-term open-label studies. In both studies, Vasomax was associated with significant improvements in the erectile function domain scores of the International Index of Erectile Function (IIEF). Further improvements were noted as the duration of treatment and dose level were increased. The percentage of successful penetration attempts was also significantly improved with Vasomax compared to placebo. For patients who continued in open-label treatment with Vasomax, efficacy was generally well maintained. Vasomax was well tolerated by the majority of patients. The most common side effects observed were nasal congestion (10%), headache (3%), dizziness (3%), tachycardia (3%) and nausea (1%). Side effects were generally dose-related and in the mild-to-moderate range in all three studies. Furthermore, side effects seldom resulted in treatment discontinuation. Very few serious adverse events were observed in these trials. In summary, Vasomax appears to be effective in the treatment of male erectile dysfunction and well-tolerated by the majority of patients. The drug has a satisfactory side effect profile, without significant risk of cardiovascular effects. Results of clinical trials with Vasomax support the concept of adrenergic-blockade as a clinically relevant mechanism in the control of penile erection.