Because it can be an embarrassing topic, few people discuss erectile dysfunction (ED). Balls Deep is where Dr. Joe Pazona and Cat Williams discuss and explain everything there is to know about the topic while keeping it funny and educational. This is a must-listen episode if you have ever wondered what goes into ED medications like Viagra and Cialis.
Viagra's Beginning: A Lucky Mistake
Dr. Pazona kicks things off by talking about how sildenafil (branded as Viagra) came into being. Initially developed to treat pulmonary hypertension (a condition involving high blood pressure in the lungs), researchers stumbled upon its ability to enhance erections during clinical trials. People didn’t notice much improvement in their breathing but were ready to receive their prescriptions for other “pleasurable prospects.” Thus, in the 1990s, the world’s first ED pill was made — a medication that changed how everyone viewed this problem.
How Do ED Medications Work?
To put it simply, ED medications consist of a class of drugs known as PDE5 inhibitors. These medications allow erections to be achieved by stopping the circulation of a chemical in the body that permits blood vessels to expand and fill with blood. But, as Dr. Pazona stresses, it only works if you’re “in the mood.” These drugs do not make the penis become erect on its own, these drugs allow the body to respond to other forms of sexual stimulation more easily.
Viagra vs. Cialis: What's the Difference?
Viagra (sildenafil) and Cialis (tadalafil) are the most well-known ED medications, but they work differently:
Viagra: Usually taken when needed about an hour before action. The effectiveness of Viagra is 4-6 hours. It’s great for planning ahead, but be careful not to eat a heavy meal, as it can delay its effects.
Cialis: Commonly called the “weekend pill,” Cialis lasts up to 24 hours and can be taken as low daily doses. This option does give more spontaneous options but will not be enough for patients suffering from severe ED.
Dr. Pazona discloses that most men tolerate Cialis better than other ED medications, but responses and feedback are not the same across the board.
When ED Medications Aren’t Enough
One of the main causes for the ineffectiveness of pills in some men can be attributed to severe vascular damage. In such circumstances, injections may be an option. Dr. Pazona reassures patients that the procedures are painless, quick, and successful for a great number of people. In essence, the treatment involves administering medication directly into the erectile tissue, bypassing the need for systemic absorption.
However, Dr. Pazona strongly advises against seeking treatments from non-specialist “men’s health” clinics. If mismanagement of dosing or technique occurs, a common complication would be priapism — this is where an erection can last more than four hours. Dr. Pazona advises most people to seek the care of a board-certified urologist for their medical needs.
Frequently Asked Questions and False Beliefs
The primary concern regarding ED medications is that they can cause heart attacks or strokes. This is a false assertion that Dr. Pazona addresses more specifically. While these pills are not life-threatening or dangerous for the majority of people, he states that pre-existing heart conditions or going from inactivity to sudden high activity could be fatal. There is no doubt that a health professional should always be consulted prior to initiating any treatment.
Headaches, flushing, and vision changes are potential side effects that can be expected. But those side effects are mild and tend to be transient. The only absolute contraindication? Nitrate use in patients with a history of heart conditions since the two combined can lead to severely low blood pressure.
Treating ED in a More Inclusive Way
As much as pills may provide quick relief, Dr. Pazona advocates for a more comprehensive approach than just medications. Sure, pills can control the symptoms, but they do not treat the underlying issues like blood flow problems, low testosterone, etc. Such conditions may be identified after a thorough assessment by a urologist and incorporated into an appropriate management strategy.
Takeaway Tips from the Podcast
ED medications are generally safe and effective but work best when part of a broader health strategy.
Personalized treatment is key: Consult a urologist to determine the best option for your unique needs.
Don’t ignore the bigger picture: ED can signal underlying health problems like heart disease, so a thorough check-up is essential.
As Dr. Pazona concludes this episode, he reminds the listeners that ED does not have a universal treatment. The appropriate solution entails medical expertise, the preferences of the patients, and a focus on overall health. For patients within the Nashville area, visit Pazona MD for help in further exploring your health.
Conclusion
It’s true that ED may be a taboo topic for many, but it is also one of the most manageable conditions. Now, thanks to the insights from Dr. Pazona and his team, men all over the world can approach the topic with confidence and humor — and maybe even a little hope. Learn more about erectile dysfunction and how Pazona MD can help.
Disclaimer: This podcast is for informational purposes only and does not substitute professional medical advice. Always seek the guidance of your healthcare provider for any medical conditions.
