Updated: Mar 11
Dear Dr. K
Without treatment, will I lose the gains I've made...
...and what effects will the Coronavirus quarantine have on my treatment thus far for erectile dysfunction?
Many patients are asking this question. The other big question is: What specifically should I do to make sure I don't lose any of the progress I’ve made? In a recent post, we talked about how the electric vacuum pump will help, but let's break it down further! We'll start by tackling the foremost concerns.
What will happen without treatments?
Will you “backslide” or lose the gains that you have made?
So, here's the good news about how AWT and blood vessels work...
The physical changes in the blood vessels and other tissue of the penis that have occurred from the acoustic wave treatments will be maintained and will continue for several weeks after your treatment. The regeneration of the tissue and new blood vessel growth brought about by the treatments is a continual process. It starts with the treatment and usually continues for 8 to 10 weeks afterward.
What can you do to help this process?
First of all, keep using your pump. At least every other day, but you may use it daily as long as you are not experiencing any discomfort, persistent swelling, bruising or any thing else out of the ordinary. In addition to following the directions we’ve outlined on how to properly use the pump.
Try these tips that can also help get the most from pumping.
Consider trimming pubic hair to help create a better seal between the pump and the penis.
Wrap the penis in wash towel that has been run under hot water. This will help open up the blood vessels, allowing better bloodflow while the pump is in use. Avoid using very hot water it can cause scalding this sensitive skin.
If you have a tube of L-arginine cream, apply some of this prior to using the pump. You can contact the office if you would like to try this cream.
(Our recommended sources of L-arginine cream are currently unavailable. These local pharmacies are either closed due to the corona virus or are restricting themselves to essential medications. Amazon has several varieties of L-arginine cream available, but we cannot vouch for their efficacy. The delivery time is showing to be several days to weeks. When we receive notification that our recommended suppliers have resumed operation, we will update you.)
L-arginine, L-citrulline, and Testosterone
If you have not tried L-arginine tablets, you might consider using this to help maintain the tone of your blood vessels. L-arginine and its close cousin, L-citrulline, are precursors of nitric oxide, the chemical that causes dilation of blood vessels and helps maintain bloodflow in small to medium-sized vessels.
These are naturally occurring amino acids and are reasonably safe to take as long as you do not exceed the usual dosage, usually 1000-2000 mg. Start slowly with them to see how they affect you. Some people may experience lightheadedness when standing up too quickly. These products are over the counter and readily available at most health and nutrition stores or online. *Be sure to check the list of ingredients to see if the product contains only the amino acid and no additional ingredients.
Topical testosterone cream may be of benefit in helping elevate your hormone level in the blood. Ask your physician if you are a candidate for this. Testosterone is a prescription medication. Your blood level of testosterone will need to be determined beforehand.
Your family physician should be able to order this for you and then recommend the dosage of testosterone appropriate for you. We will not be able to provide this service for our patients until the quarantine is lifted. We will publish a notification as soon as this occurs.
More Ways to Keep Maintain Momentum
Stay physically active
Maintain a good diet
Keep hydrated, and drink alcohol in moderation
(Self-stimulation can help increase the bloodflow in your penis. You can do this while in the shower or in the privacy of your bedroom. Using warm lubricant may make this more beneficial.)
Hopefully the quarantine will end within the next few weeks and we will be able to resume normal clinic operations. As soon as we receive notice of being able to reopen, we will work to get everyone rescheduled as soon as possible.
If you have any specific questions or concerns, you can send a text message to 469-803-0306 or email email@example.com and we will do our best to provide an answer as soon as possible. In the meantime, on behalf of the entire RMC team, well wishes to you and your families.
Dr. Ronald Kline