Why Ed Treatment Rationing on the Nhs Should be Relaxed

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As a result of guidelines designed to protect the governments budget, it is currently very difficult to get treatments for Erectile Dysfunction on the NHS. Medicine treatments for ED are restricted to those suffering from certain specific medical conditions:

• Diabetes

• Multiple sclerosis

• Parkinson's Disease

• Poliomyelitis

• Prostate cancer

• Prostatectomy

• Radical pelvic surgery

• Renal failure treated by dialysis or transplant

• Severe pelvic injury

• Single gene neurological disease

• Spinal cord injury

Many groups, including The Impotence Association are calling for the prescribing restrictions on treatments for erectile dysfunction (ED), including Viagra to be relaxed Figures from the association show almost three-quarters of men with impotence experience relationship problems. And two-thirds become depressed. But of those who receive treatment, 93% say it has improved their lives. The Impotence Association says the current prescribing restrictions fail to take into account the impact of impotence on patients and their families. It is calling for all men with impotence, whatever its cause, to be treated on the NHS.
Setting limits to healthcare is never easy. There does have to be some control and priorities need to be set., especially in light of the fact that Viagra has become somewhat of a recreational drug in recent years. However, it seems illogical to draw a line which excludes a high proportion of genuine and highly treatable ED sufferers, most notably people suffering impotence from the side effects of medicines, high blood pressure or temporary psychological related ED. The greatest issue here is one of inequality, cardiovascular disease and mental ill-health are at the top of the government's health agenda yet men who suffer ED as a result of these conditions are not entitled to ED medication.

Doctors also say the government's decision to ration oral ED treatments such as Viagra, Levitra and Ciais is arbitrary, "bizarre" and unfair and does not go anywhere to meeting clinical need for the majority of impotent men. Only about 20-25% of patients suffering with impotence are covered by NHS extremely restrictive guidelines. According to specialists if coronary artery disease, including high blood pressure, was included, this would lift the number to 80%. Moreover, Viagra does not work as well for diabetics as for people with coronary artery disease. Only 55-60% of diabetics responded to Viagra, whereas. Men with coronary heart disease were more likely to respond and the drug was effective for 80% of men with psychological problems.

Others argue that it seems illogical to restrict Viagra, while still allowing more expensive treatments for impotence which are less safe and more expensive, for example, injection therapy and extensive psychotherapy. It is very difficult to draw a line between physical and psychological causes of impotence in many cases. There is not a guaranteed diagnostic test which can show whether impotence is due to physical or psychological. Surely GPs are better equipped to decide if a person's ED is due to psychological problems as they know the person's history and personal circumstances.

Outside of improving the quality of someone's life, the treatment of ED is also important from a general well-being point of view. ED is often a red flag that something's not right in the body's system. Men, feeling deterred from visiting their GP because they do not think they will get treatment could go undiagnosed of more serious conditions such as cardiovascular disease.
and diabetes.

This information has been brought to you by Firstmed.co.uk, the UK's leading online pharmacy specialising in the treatment of impotence. If you wish to discuss any of the above issues in more detail, do not hesitate to contact info@firstmed.co.uk or call +44 (0)870 199 5287
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