Dealing with Erectile Dysfunction
What is erectile dysfunction?
The chronic inability to get or maintain an erection during sexual activity may be characterized as Erectile Dysfunction or ED.
This experience may affect the quality of life and relationships. For some, it may be hard to talk about, but talking to your doctor is still the best option. Expert insight is the first step to treating ED.
At Town & Country Compounding we do the best to work with the patient and the practitioner to offer other options for the patients.
*Northern New Jersey & NYC Area
Risk Factors & Causes
ED is a common problem, affecting 5-20% of men.¹ ED is one of the most common sexual dysfunctions, and may affect up to 52% of men between the ages of 40 and 70.
While it can affect men of any age, older men have higher risk of getting ED. Studies indicate that men at age 75 only have about two thirds of the serum testosterone they had at age 25. About half of men older than 80 years old and 20% of men older than 60 have low serum testosterone concentrations.
Medical conditions such as diabetes and heart disease, as well as mental health problems, can also
Signs and Symptoms
For the majority of men, testosterone decline with age. Signs and symptoms of Low Testosterone or Low T may include:
- Heart Disease
- Depression, anxiety
- Metabolic syndrome
- Slow wound healing
- Reduced Libido
- Erectile dysfunction (ED)
- Prostate problems
- Low sperm counts
- Reduced muscle mass
- Disturbed sleep
- Impaired blood cell formation
- Reduced cognitive function
You may be diagnosed with Low T if you have the symptoms or conditions stated above, but this should be confirmed by lab tests.
Once you’ve confirmed that you have Low T levels, talk to your physician about compounded medication. Your physician and pharmacist must work together to give you the optimal solution fit for your specific needs. Compounded medications has its advantages over other dosage forms.
Testosterone gels and creams for example, are easier to apply than transdermal patches, which require shaving the pubis area. The gel or cream can be applied two to three times a day without shaving.
Alternative Treatments often consist of using a class of drug called phosphodiesterase-5-inhibitors which includes sildenafil, tadalafil, and vardenafil. These drugs are often effective in patients that are difficult to treat.
Although the mechanism of action is the same for the three drugs, they differ in their pharmacokinetics. Several preference studies were conducted between the three PDE5 inhibitors but they were not free from bias. Because of the lack of overwhelming reliable data showing that one PDE5 inhibitor is superior to another, current opinion is that the individual patient should have the opportunity to test all three drugs and then select the one that best suits him and his partner.3
Doses may also come in lozenge form, such as tadalafil lozenge and sildenafil lozenge.
Sildenafil acts as soon as 30 minutes after the first dose, with a duration of 4-6 hrs (or up to a maximum of 12 hrs).
Tadalafil has to be taken 30 minutes prior to intecourse, and has a longer duration with a maximum of 72 hrs.²
If you need any additional information on Erectile Dysfunction, or the possible treatment options – T&C Compounding Experts can help. Please contact us and we’ll get you on the right track to improve your quality of life.
- Guidelines on male sexual dysfunction: erectile dysfunction and premature ejaculation. https://www.ncbi.nlm.nih.gov/pubmed/2018971
- Direct comparison of tadalafil with sildenafil for the treatment of erectile dysfunction: a systematic review and meta-analysis https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5603624/
- Patient preference and satisfaction in erectile dysfunction therapy: a comparison of the three phosphodiesterase-5 inhibitors sildenafil, vardenafil and tadalafil https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2778421/
Town & Country Compounding offers several hormone saliva testing kits and helps analyze results through a scheduled private consultation with the patient. The pharmacy can then get in contact with your physician and help find a treatment plan that fits your needs.
We can ship out to you just email or call the pharmacy.