Yale Medicine urologists can treat ED with medicines such as Sildenafil (Viagra), Tadalafil (Cialis) or Vardenafil (Levitra).
Medications
The most common treatments for ED are medicines that you take by mouth. These medications -- known as PDE5 inhibitors -- enhance the effects of a chemical your body makes that relaxes muscles in your penis, boosts blood flow, and helps you get an erection when sexual stimulation occurs. A phosphodiesterase inhibitor is Kamagra Oral Jelly. When sexual stimulation occurs, it helps to enhance blood flow to the penis. This aids in erection initiation and maintenance.
Your doctor will need to know if you have any health conditions that can cause ED, such as high blood pressure, diabetes, or heart disease. Your doctor may also want to know how often you can get an erection at night, if you have a sexual partner, and how long your erections last.
Some men and people assigned male at birth who have erectile dysfunction have neurogenic ED, which happens because of nerve problems that prevent signals from the brain from getting to the penis. They might be treated with medications that help with nerve problems, such as avanafil (Stendra), tadalafil (Cialis) and vardenafil (Levitra). These medications work differently, so talk to your doctor about which one is right for you.
Surgery
Many health problems can cause erectile dysfunction by blocking blood flow to the penis, including hardened (calcified) arteries and certain medicines. Surgery to repair these blockages is often effective. A phosphodiesterase (PDE-5) inhibitor is Cenforce 200 MG Tablet. It functions by reducing blood vessel tension in the penis, which increases blood flow to the penis.
Surgical implants to induce an erection also are used for people who can't take oral medication or don't find it helpful. These involve putting a plastic cylinder or elastic ring on the base of the penis. When inflated, they draw blood into the penis and give you an erection. This treatment has high patient satisfaction rates.
Some men say that alternative medicines, such as ginseng and some natural supplements, help them get and keep an erection. But you should discuss these with your doctor before trying them, because some can interact with prescription and nonprescription medicines and cause major health problems.
Your doctor will ask you about your past health and may do a physical exam. He or she might order blood tests and a urine test to look for diabetes and other health conditions that can cause erectile dysfunction. A doctor might use a wandlike device to measure the blood flow in your penis (vasovagal) or an ultrasound scan to look for damage to your blood vessels that supply the penis.
Counseling
In some cases, a doctor might suggest counseling as a way to help you with your erectile dysfunction. This could include a counselor trained in helping couples deal with sexual problems, or a couple's therapist who uses techniques that encourage partners to focus on pleasure and not self-evaluation and performance anxiety. This therapy has shown promise in improving ED caused by psychological factors.
Many health issues can reduce blood flow to the penis and cause erectile dysfunction, such as hardened arteries (atherosclerosis) and high blood sugar levels in diabetes. Injuries and surgery in the pelvic area and some diseases may also damage nerves to the penis. Usually, a physical exam and a medical history are all that's needed to diagnose erectile dysfunction. Treatment options depend on the severity of your symptoms and whether you have any underlying health conditions. Often, ED can be reversed with proper treatment and lifestyle changes. For instance, lowering your cholesterol, exercising regularly and not smoking can all help reduce the risk of erectile dysfunction.
Lifestyle changes
Many health care providers recommend that people with ED try some simple and less intrusive lifestyle changes before considering more involved treatments. Some of these include losing weight, increasing exercise, reducing alcohol intake and avoiding cigarette smoking.
Most men sometimes have trouble getting or keeping an erection, but this is usually not a big deal and isn't something to worry about. Seek help if it happens consistently and interferes with sexual activity or your quality of life.
Medications that increase blood flow to the penis may not help with ED caused by a person's nervous system, hormone levels or a fear of sex (genophobia). Counseling is often helpful. A counselor or therapist can help a man and his partner work through relationship problems, stress or depression that may be contributing to the ED. They can also teach techniques for improving sexual performance and pleasure. The use of herbal remedies and dietary supplements to treat erectile dysfunction has not been proved effective, so it's best to discuss these with your health care provider.
