Erectile dysfunction (ED) is a common problem, affecting approximately one in 10 men. Fortunately, there are treatment options that can help improve erections and sexual performance.
Treatments depend on the cause and severity of your ED. Your doctor will help you find the right solution to suit your needs.
Medications
Medications — A number of prescription drugs have been proven effective in treating impotence, including sildenafil (Viagra), tadalafil (Cialis) and vardenafil (Levitra). These medications improve blood flow to the penis during sexual stimulation. They also improve a man’s ability to initiate and complete intercourse.
A man can take these medicines by mouth, or he can inject them directly into the erection chambers in the penis. The injected medicine relaxes the blood vessels, allowing blood to flow into the penis.
These medicines can be used in conjunction with certain types of therapy or surgery, including erectile dysfunction surgery (EDS). They also help men who are unable to maintain an erection due to problems with blood vessel or nerve disorders.
Treatments for premature ejaculation are also available. Antidepressants, such as selective serotonin reuptake inhibitors (SSRIs), are thought to be the most effective treatment for this problem.
Some SSRIs can also cause ED in men, but they are sometimes able to be adjusted to reduce this side effect. Other antidepressants, such as the tricyclic antidepressant clomipramine, may be effective in prolonging the time between arousal and ejaculation in men.
If your ED is caused by depression or anxiety, you can find some relief using psychotherapy and antidepressant medications. Your doctor can refer you to a certified sexual therapy counselor who can help you manage your emotions and cope with ED.
Phosphodiesterase-5 (PDE-5) inhibitors, like sildenafil and tadalafil, are also helpful in some men with ED. They increase chemicals that cause the penis to become and remain erect.
Sildenafil is the most commonly prescribed ED medication, though other medicines are available in the United States. You should talk to your doctor about which one is right for you. If you don’t have an erection after taking sildenafil, talk to your doctor about increasing your dose of the medicine.
Devices
When it comes to finding the right impotence treatment for you, there are many options. The most common are oral medications (including Cialis, Levitra, and tadalafil) and check out farmacia-espana24h.com.
Medications can increase blood flow to your penis and improve your sexual performance. They also have the potential to reduce your risk of developing a heart attack or stroke later in life.
A vacuum constriction device is a pump-like contraption that uses air to draw blood into the shaft of your penis and create an erection. It’s best to consult with a doctor before using a vacuum device.
Vacuum devices are not for everyone, and you may have to try several to find the one that works best for you. These can be powered by batteries or hand pumps, and come in a variety of sizes to accommodate varying sized anatomy.
The best thing about a vacuum device is that it is safe to use for most men with erectile dysfunction. They have a high success rate and are relatively low cost.
Some men prefer to use a different device. Among the more popular choices are a vibrating penis sock, a silicone or rubber ring placed around the base of your penis, and a penile implant containing either an inflatable or semirigid rod. Each of these devices is a bit more complicated than the others and may require medical supervision to make sure they are functioning properly. The biggest drawbacks to any of these devices are their side effects and the fact that they often take a while to work.
Surgery
When medication, devices, and other treatments fail, surgery is a treatment option that may work for some men. Surgical procedures can improve the quality of life of a man with ED and allow him to resume sexual activity.
Penile implants are surgical devices that imitate the natural erection of a healthy penis. These devices are used to treat erectile dysfunction and Peyronie’s disease.
The most common type of implant is a self-contained, inflatable unitary device. The device is inserted into the body through a small incision and filled with fluid that stretches to an erection. This device has been shown to be highly effective and satisfies most patients.
In addition, it is often less painful than a penis pump or oral medications. Most patients are able to return to normal activities after the surgery.
A doctor will discuss the options with you before recommending surgery for you. You should also tell your doctor about any other health conditions you have. You will likely be given a narcotic pain-relief drug to use for one to two weeks after the procedure. After that, you can use over-the-counter pain medications.
If you have high blood pressure or diabetes, the doctor will need to do more tests before he recommends this surgery. He will also want to talk to you about any medical conditions that might affect your ability to heal properly after the procedure.
Depending on your doctor’s recommendations, you may need to avoid certain foods or beverages for a period of time before the surgery and for a while after. The surgery will be performed under general anesthesia.
There are many different kinds of vascular reconstruction surgeries. Surgeons may choose arterial reconstruction to restore the arteries that carry blood to the penis, or they may opt for venous reconstruction, which reroutes veins that deliver blood to the penis.
The venous reconstruction procedure is often more expensive than the arterial reconstruction, but it can help patients who are unable to achieve or maintain an erection with other treatment methods. It is usually recommended for young males with a condition that interrupts the flow of blood to the penis.
Sex Therapy
Sex therapists are trained to work with clients around all sorts of issues related to sexual health and wellness. Some people see them for a specific problem like sexual addiction, while others just want to learn more about their own sex life and explore different ways of having and giving pleasure.
Some sex therapists also help couples who have sexual differences. Discrepancies in desire can lead to frustration and sometimes even breakups, so seeing a sex therapist with your partner can help you work through any communication problems and understand what may be causing these issues.
Therapy sessions involve talking about your feelings, concerns, and behaviors that are impacting your sexual life. You and your therapist work together to identify the underlying cause of these concerns, which will then be addressed through therapy exercises or techniques.
Many sex therapists offer a variety of different treatment plans to fit the needs of their clients, including psychotherapy, mindfulness training, and cognitive behavioral therapy. These approaches all focus on teaching you how to change the way you respond to sex-related situations.
When working with a sex therapist, you will be expected to share your sexual experiences openly and without judgment. This can be an uncomfortable task, but a good therapist will take the time to get to know you and build a rapport with you.
You can choose to meet with your sex therapist in person, or online via digital telehealth, depending on your preferences and the availability of your provider. Both types of therapy can be effective, but some people prefer face-to-face contact to improve their experience.
If you’re interested in exploring sex therapy, look for a therapist who is AASECT-certified, meaning that they have received specialized training in sex-related issues and fulfill academic and licensure requirements. This will ensure that you’re receiving the best possible care from your sex therapist.
You should also ask about their previous experience treating sex-related concerns. The best sex therapists are those who have worked with men and women with a wide range of sexual difficulties. They can also provide a range of options, from single-session sex-therapy to couples counseling and ongoing support.