These medications act as direct penile vascular tissue relaxants, bypassing the need for nerves and relaxing penile blood vessels allowing inflow of blood.
What is erectile dysfunction?
Semi-rigid prostheses involve the surgical implantation of a silicon-covered flexible metal rod that provides rigidity for intercourse. Inflatable penile prostheses involve the surgical implantation of two soft silicone or plastic tubes into the penis, a small reservoir in the abdomen and a small pump in the scrotum. A patient produces an erection with this prosthesis by squeezing the pump in the scrotum to move sterile liquid from the reservoir in the abdomen into the tubes. A valve moves fluid back to the reservoir to stop the erection. Self-contained inflatable prostheses consist of a pair of inflatable tubes inserted into the penis with a pump attached to the end of the implant and a reservoir located in the shaft of the penis.
Penis pump
Low Intensity Shockwave Therapy Low‑intensity shockwave therapy (LiSWT) for erectile dysfunction is a noninvasive treatment that uses targeted acoustic waves to stimulate blood vessel growth and improve penile blood flow. Research suggests it may benefit men with mild to moderate ED, particularly those who have responded well to oral medications. The therapy is typically delivered in brief outpatient sessions and is generally well‑tolerated with minimal side effects. Cost was previously a barrier to access, but more insurances are beginning to cover this as a non-invasive option before consideration of injections or surgery. It is also being evaluated in cases of peyronie's and to help recover function after prostate cancer surgery. The needle used is small and is inserted with minimal discomfort. An erection occurs in 5-15 minutes and may last for an hour.In pellet therapy, rice-sized pellets are inserted into the urethra relax the muscles and blood vessels in your penis to allow blood to flow in to create an erection. Surgery/Penile Implant: When other treatments have not worked, the surgical placement of a penile implant or penile prosthesis can allow men to be sexually intimate. Sensation and orgasm do not change with the placement of a penile implant.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Viagra Generic | 25mg | 180 + 6 Pills | 154.93€ 147.55€ | |
| Kamagra Gold | 50 mg | 12 Pills | 47.30€ 45.05€ | |
| Kamagra Gold | 50 mg | 120 + 6 Pills | 281.13€ 267.74€ | |
| Cialis Soft Tabs | 20mg | 10 Pills | 39.03€ 37.17€ | |
| Priligy Generic Dapoxetine | 60mg | 20 + 4 Pills | 77.31€ 73.63€ | |
| Levitra Generic | 40mg | 120 + 8 Pills | 302.37€ 287.97€ | |
| Cialis Generic | 5mg | 180 + 10 Pills | 159.65€ 152.05€ | |
| Levitra Generic | 40mg | 20 Pills | 67.56€ 64.34€ | |
| Kamagra Oral Jelly | 100 mg | 90 + 8 Sachets | 303.56€ 289.10€ | |
| Super Kamagra | 160 mg | 92 + 6 Pills | 478.75€ 455.95€ | |
| Viagra Generic | 100mg | 20 Pills | 45.58€ 43.41€ | |
| Cialis Professional | 20mg | 10 Pills | 48.29€ 45.99€ | |
| Levitra Original | 20mg | 8 Pills | 65.05€ 61.95€ | |
| Levitra Generic | 60mg | 180 + 10 Pills | 501.43€ 477.55€ | |
| Kamagra Gold | 100 mg | 32 Pills | 121.24€ 115.47€ | |
| Cialis Original | 20mg | 4 Pills | 41.99€ 39.99€ | |
| Viagra Oral Jelly | 100mg | 110 + 9 Sachets | 284.63€ 271.08€ |
ShockWave Therapy: We are pleased to introduce Low-intensity extracorporeal ShockWave therapy for the treatment of erectile dysfunction. The ideal patient to receive this type of therapy has mild to moderate erectile dysfunction; however, it has also been shown to be effective in patients with severe ED who respond poorly to traditional medication. ShockWave therapy requires six treatments in the clinic.
How To Treat Erectile Dysfunction?
They may have low self esteem or feel inadequate as a sexual partner. Partners of patients suffering from erectile dysfunction may also feel the emotional strain of the diagnosis. Blood Tests - These tests may involve checking hormone levels, cholesterol, blood sugar, liver and kidney function and thyroid function. Urinalysis - This procedure is used to analyze protein, sugar and hormone levels that can indicate diabetes, kidney problems and testosterone deficiency. Treatment of erectile dysfunction begins with non-surgical procedures.
Maintain a healthy weight
If a patient suffers from erectile dysfunction because of a psychological problem, they often have success through visits with sex therapists. Medication for erectile dysfunction caused by physiological conditions can include oral enzyme inhibitors such as Viagra, Levitra and Cialis, self-injected medication, urethral suppositories or vacuum erection devices. Vascular reconstructive surgery can be performed to improve blood flow to the penis. Penile implantation is a surgical procedure where malleable or inflatable rods are inserted into the penis. There are three forms of penile prostheses: semi-rigid prostheses, inflatable prostheses and self-contained prostheses. While the therapy is not currently FDA-approved, ShockWave technology has been peer-reviewed and shows encouraging results. Some men may experience Erectile Dysfunction following a prostatectomy to treat prostate cancer. Read more about Erectile Dysfunction Rehabilitation after a Radical Prostatectomy.
- Medications for ED are available by prescription and should be used safely.
- A balanced diet rich in fruits, vegetables, and whole grains supports heart health.
- Addressing relationship issues can reduce performance pressure.
- Alternative medicine approaches include herbal remedies, though evidence varies.
- Increased physical activity boosts nitric oxide production, aiding erections.
- Hormonal evaluation helps determine if testosterone therapy is appropriate.
- Caring for mental health reduces psychological barriers to sexual function.
Metabolic Syndrome has also been linked to Erectile Dysfunction. Over-the-counter pills sold on late night TV and in men’s magazines are herbal supplements that are not regulated by the FDA and have not been shown to be effective for erectile dysfunction or penile enlargement.
Surgery & Shockwave Treatment for Erectile Dysfunction
Although common among older men, ED isn’t part of normal aging. Aging increases the chance of developing the above causes of erectile dysfunction, but age in itself should not be considered a cause of ED. Moreover, there is no reason that getting older should prohibit an active sex life. The symptoms of an enlarged prostate may be mild or come and go, and as a result, most men wait several months, even years, before seeing a doctor. In general, waiting to see a physician does not pose a problem.
Prostate surgery
Diagnosing erectile dysfunction involves a discussion of your medical history and symptoms; a physical examination to look for signs of problems with your circulatory, nervous, and endocrine system; and routine lab tests to check for underlying conditions such as heart disease, diabetes, and low testosterone. Erectile dysfunction treatment options in San Antonio are available with our experienced urologists. Medication Adjustments: Adjusting a medicine that is triggering ED may be all you need to do Behavioral Changes: The first step in treating ED is to eliminate possible reversible causes. These changes include controlling hypertension and diabetes. Quitting smoking, exercising, or losing weight can improve ED. Start the conversation by acknowledging that this is a hard subject for you to talk about. You might also mention that you’re concerned about erectile dysfunction being an early indicator of a more severe problem like cardiovascular disease or diabetes. Your urologist will discuss your concerns with the professionalism you’d expect when discussing any other medical condition and will help put you at ease.
| Treatment Type | Description | Typical Use |
|---|---|---|
| Oral Medications | PDE5 inhibitors like sildenafil, tadalafil | First-line treatment for many men |
| Vacuum Erection Devices | Mechanical pumps creating vacuum to draw blood | Non-invasive, for short-term use |
| Injections | Alprostadil or other agents injected into penis | For men unresponsive to pills |
| Psychotherapy | Treats underlying psychological issues | Complementary to physical treatments |
Erection trouble can happen from time to time and isn’t necessarily a cause for concern. However, frequent difficulty achieving or keeping an erection firm enough for sexual intercourse is a condition known as erectile dysfunction (ED).
| Medication | Contraindications | Common Risks |
|---|---|---|
| Sildenafil | Nitrate use, severe cardiac conditions | Hypotension, headache, visual disturbances |
| Tadalafil | Severe liver or kidney disease, recent stroke | Back pain, muscle aches, gastric reflux |
| Vardenafil | Certain antibiotics or antifungals affecting CYP3A4 | Dizziness, flushing |
| Alprostadil (injection) | Bleeding disorders, penile implants in place | Pain, fibrosis at injection site |
If you’re experiencing it frequently, getting evaluated by a urologist is the first step to take.
- Psychological causes in youth
- Performance anxiety in teens
- Lifestyle factors for young men
- Medication side effects (e.g., antidepressants)
- Pornography-induced ED
- Normalizing sexual development
- Counseling for young adults
- Addressing body image issues
- School and career stress
- Healthy relationship building
- Avoiding premature medicalization
They will help you find the best treatments for erectile dysfunction so you can be back in action soon. Sometimes it can be a sign of an underlying health condition that needs treatment. Circulatory problems that interrupt blood flow to the penis, such as: Heart diseaseHigh blood pressureClogged blood vessels from high cholesterol Heart diseaseHigh blood pressureClogged blood vessels from high cholesterol Neurological complications from damage to the penis’s nerves due to: DiabetesStrokeSpinal cord injuriesSurgeries Peyronie’s disease — development of scar tissue inside the penis Medication side effects from drugs prescribed for: Chronic painBlood pressure managementDepression Psychological factors like depression or anxiety over performance Hormonal imbalance or low testosterone (low T) In addition, lifestyle factors can contribute to ED, including: ED can be more prevalent as men age. Declining sexual function, however, doesn’t have to be an inevitable part of aging. It is important to remember that effective treatments are available.
| Therapy | Description | Status |
|---|---|---|
| Low-Intensity Shockwave Therapy | Promotes blood vessel regeneration | Experimental/clinics |
| Stem Cell Therapy | Regenerates damaged tissues in penis | Experimental |
| Platelet-Rich Plasma (PRP) | Uses patient's blood to improve tissue healing | Experimental |
| Gene Therapy | Targets genetic causes of ED | Under research |
Treatments aim at enabling men to achieve and maintain sufficient erections, and the types of treatment vary based on the root cause of ED.
Testosterone Replacement Therapy: For ED Linked to Low T
Jesse N. Mills, MD, discusses the effectiveness of a selection of experimental in-office therapies for erectile dysfunction treatment. Learn more about penile implants as a treatment option for erectile dysfunction Board-certified urologists staff The Men’s Clinic at UCLA and you can be assured you are getting an experienced physician performing your evaluation and procedure in a relaxed and comfortable environment. For more information and to schedule an appointment, please call the UCLA Urology Appointment line at 310-794-7700. Erectile dysfunction is when a man cannot achieve or maintain an erection that is firm enough for sexual intercourse.
SORT: KEY RECOMMENDATIONS FOR PRACTICE
Having ED once in a while is normal, but if you experience ED for more than three months, talk to your doctor. The sex power tablet most common cause of erectile dysfunction is a cardiovascular problem. The blood vessels in the penis are among the smallest in the body and are often the first to exhibit symptoms of high blood pressure (hypertension) or arthersclerosis (hardening of the arteries), or diabetes. Other causes of erectile dysfunction include surgery, such as prostate cancer surgery, that affects the nerves or blood vessels that play a role in getting erections. Side effects from medications such as antidepressants or antihistamines, emotional or mental stress, and lifestyle choices including smoking and alcohol and drug abuse can also cause ED. Simple changes, including better diet, exercise, sleep, and stress management, can significantly improve blood flow to the penis and ED symptoms.
What are the symptoms of erectile dysfunction?
Counseling: This can help if your ED is affected by stress, depression or anxiety Medications: Sildenafil (Viagra®) is an oral medication that revolutionized the treatment of erectile dysfunction. It and newer medications of the same class work by preventing the breakdown of cyclic GMP, a molecule in the penile blood vessels involved in normal erections. It augments and prolongs the normal penile mechanism and is generally very safe. It does, however, interfere with nitrate metabolism; therefore, if a patient takes any form of nitroglycerin, he cannot take Viagra. It requires intact penile and pelvic nerves to work.
Reduce stress
Vacuum Erection Device: Also called a penis pump, this device draws blood into your penis using a plastic tube and pump. A constriction ring/band at the base of your penis helps you keep the erection. The band can be left in place for half an hour. These devices require practice women libido pills but are safe and reliable. Penile Injections and Suppositories: Various medicines can be injected into the penis to cause an erection.