Some men with erectile dysfunction, or ED, find they can return to an active sex life by treating an underlying condition, such as high blood pressure, or with counseling and lifestyle changes. But others find they may need medication to get and keep an erection.
The FDA has approved several prescription drugs you take orally to treat ED.
All of these work by relaxing your muscles and boosting blood flow to your penis, making erections easier to get and maintain. They are:
Caution: Do not use these ED medications if you take nitrates, such as nitroglycerin or a similar medicine, for chest pain. The combination can cause dangerously low blood pressure. you can find all these medications at our branches; men’s clinic Pretoria, men’s clinic Johannesburg, men’s clinic Sandton, men’s clinic Durban, men’s clinic Durban, men’s clinic east London, men’s clinic tembisa, Soweto.
These medications all work similarly to each other. However, there are subtle differences in how long they stay effective and how quickly they begin to work. try them today and secure your marriage or relationship from an erection problem.
Levitra takes about 30 minutes to start working and the effects last a little longer than Viagra, about 5 hours.
Let’s take a look at the latest ED treatments and some innovative therapies that may be available in the coming years.
Researchers are studying several new types of treatment for ED, including:
Stem cell therapy for ED involves the injection of your stem cells into your penis. Both animal studies and phase I studies in humans have had promising results. Research in humans suggests that it could eventually be a safe, effective treatment for ED.
However, many questions about long-term effectiveness and safety remain. Much more research needs to take place before it can be called anything more than an investigational therapy.
Promising as stem cell therapy may be, it isn’t approved for the treatment of ED. Be aware that claims to the contrary might be scams.
Platelets are cell fragments in your blood that can help heal wounds and grow new blood vessels. There have been several preclinical and clinical trials of platelet-rich plasma (PRP) treatment for ED, with few adverse reactions.
In a 2020 review, researchers wrote that PRP therapy has the potential for treating male sexual dysfunction. They warn, however, that studies have been limited by size, short follow-up periods, and lack of control groups.
Although this treatment is currently available, it’s considered experimental and should be approached with caution.
Just as coronary stents can help treat heart disease, there’s some reason to hope that vascular stents might be able to help treat ED. A few small trials have had good results, but larger trials are needed to determine the long-term safety and effectiveness of stents for ED.
Though there have been a few successful penis transplants, the first total penis and scrotum transplant was performed at Johns Hopkins in 2018. The patient, a severely injured soldier, was expected to regain near-normal urinary and sexual functions.
With each transplant, doctors are learning more about long-term safety and efficacy.
In recent years, penile shockwave therapy, or low-intensity extracorporeal shockwave therapy, has garnered much attention. Researchers have been looking at it as a possible treatment for ED caused by vascular disease.
Shockwave therapy involves passing low-intensity sound waves through erectile tissue. The goal is to improve blood function and encourage new blood vessels to grow.
While research has been called encouraging, shockwave therapy isn’t an approved therapy for ED. More clinical trials and longer follow-ups are needed to assess safety and effectiveness.
While research into new ED treatments is ongoing, there are lots of approved treatments that are currently used to effectively treat ED.
When ED is caused by a condition such as diabetes, one of the most important things you can do is work with your doctor to manage your overall health. Lifestyle modifications can also make a significant difference. These include:
Phosphodiesterase type 5 inhibitors (PDE5) are the first-line therapy for ED. These include:
Newer, second-generation medications currently available include:
In the United Kingdom, you can get sildenafil over the counter following a consultation with a pharmacist. In the United States, ED drugs are available only by prescription.
These medications are effective and fairly well tolerated. They don’t automatically cause an erection. You’ll still need some form of sexual stimulation.
Side effects can include:
ED medications may not be a safe choice if you:
For many men, self-injected drug therapy is as effective as oral medications. It’s a bit more invasive, but it may have fewer side effects. These may include:
Injection therapy drugs include:
Alprostadil urethral suppositories are inserted into the urethra with a special applicator. Side effects can include pain and minor bleeding. Alprostadil can also be applied as a topical cream, but it isn’t available everywhere.
In some cases, your doctor may prescribe a penis pump, which involves placing a hollow tube over the penis, then using a hand- or battery-operated pump. This creates a vacuum to get the blood flowing to the penis. A tension ring around the base of the penis helps hold the erection after you remove the device.
If other methods aren’t effective or not a good fit, there are a few surgical options:
ED is sometimes due to psychological issues, such as:
On the other hand, ED itself can lead to or exacerbate these problems. Therapy and medication may sometimes be necessary.
Some men with ED can benefit from over-the-counter sex aids, such as:
The devices are:
However, they may not be helpful in all cases. Research on the use of external penile prostheses is lacking. Satisfaction depends a lot on personal and partner preferences.
ED can be caused by underlying conditions that should be diagnosed and treated. You can start with your primary care doctor, but keep in mind that they may refer you to a urologist. These specialists are trained to treat the urinary tract and the male reproductive system.
It’s important to communicate openly. Tell your doctor if you have other health issues or take medications. Explain how long you’ve had symptoms of ED and how it’s affecting your quality of life.
There’s a lot of information about ED online and no shortage of claims for quick fixes. Talk to your doctor before trying anything on your own. Those claims might be scams that won’t help your ED and may have the potential to harm your health.
Still, feel free to discuss any treatment options you’re curious about with your doctor. They can help you figure out what’s safe and effective, and what’s not.
There have been many advances in treatment for ED over the past several decades. Researchers continue to improve current therapies and seek out better and safer alternatives. Ask your doctor about the latest treatments, what’s in the pipeline, and ongoing clinical trials.