Erectile dysfunction can occur for a variety of reasons, from cardiovascular disease and age to radical prostatectomy. Cisgender men who fail to respond to other ED treatments may be helped by a penile prosthetic, as well as transgender men who have undergone phalloplasty.
Erectile Dysfunction Treatment: Available Therapies and Ongoing Research Medically reviewed by Kevin Martinez, M.D. — Written by Ann Pietrangelo on March 5, 2020 Potential future treatmentsEstimated Reading Time: 7 mins
A penis pump is one of a few treatment options for the inability to get or maintain an erection sufficient for sex (erectile dysfunction). A penis pump consists of a plastic tube that fits over the penis, a hand or battery-powered pump attached to the tube, and a band that fits around the base of the penis once it is erect (constriction ring).
If erectile dysfunction is an ongoing issue, however, it can cause stress, affect your self-confidence and contribute to relationship problems. Problems getting or keeping an erection can also be a sign of an underlying health condition that needs treatment and a risk factor for heart disease.
Erectile dysfunction, or ED, is the most common sex problem that men report to their doctor. It affects as many as 30 million men. ED is defined as trouble getting or keeping an erection that's firm enough for sex. Though it's not rare for a man to have some problems with erections from time to time ...
Oral medications are a successful erectile dysfunction treatment for many men. They include: Sildenafil (Viagra) Tadalafil (Adcirca, Cialis) Vardenafil (Levitra, Staxyn) Avanafil (Stendra) All four medications enhance the effects of nitric oxide — a natural chemical your body produces that relaxes muscles in the penis.
Shockwave therapy is a medical treatment that has been around for many years. It is often used as a non-invasive treatment option for kidney stones and orthopedic injuries. Recently, urologists have begun using this therapy to treat erectile dysfunction (ED). University of Utah Health offers shockwave therapy as an option for patients suffering ...
9 Natural Treatments for Erectile Dysfunction. Medically reviewed by Matt Coward, MD, FACS — Written by Colleen M. Story — Updated on July 29, 2021. Diet. Exercise. Sleep. Weight loss ...
Nonoral medications for erectile dysfunction include: Self-injections. Several medications are commonly injected directly into the penis to achieve an erection. The most often used medications include alprostadil, papaverine, and phentolamine. With this method, you use a fine needle to inject the medications into the base or side of your penis.
Treatment for Erectile Dysfunction. How can I treat erectile dysfunction? You can work with a health care professional to treat an underlying cause of your erectile dysfunction (ED). Choosing an ED treatment is a personal decision. However, you also may benefit from talking with your partner about which treatment is best for you as a couple.
All of the treatments for ED except for implant surgery are used as needed for sex and then wear off. Table of Contents. Also, never order a medicine online without talking with your doctor. The NIDDK translates and disseminates research findings to increase knowledge and understanding about health and disease among patients, health professionals, and the public. Updated June During the treatment, a small wand-like device uses targeted sound waves to stimulate penile tissue and encourage blood flow, which can also speed up the healing process. Most patients do not need a lot of testing before starting treatment. Knowing about your history of ED will help your health provider learn if your problems are because of your desire for sex, erection function, ejaculation, or orgasm climax. It's of great value to have the first shot in the doctor's office before doing this on your own. The corpus cavernosum chambers are not hollow. Hidden risks of erectile dysfunction "treatments" sold online. Nov 04, Prescribe injectable medicines and suppositories Many men get stronger erections by injecting a medicine called alprostadil into the penis, causing it to become filled with blood. These could stem from relationship conflicts, life's stressors, depression or anxiety from past problems with ED performance anxiety. Overview of male sexual dysfunction. Surgery to repair arteries can reverse ED caused by blockages that stop blood flow to the penis. This treatment involves surgically placing devices into both sides of the penis. Artery reconstruction. Though it's not rare for a man to have some problems with erections from time to time, ED that is progressive or happens routinely with sex is not normal, and it should be treated. Get the Facts about Erectile Dysfunction. Go to counseling Talk with your doctor about going to a counselor if psychological or emotional issues are affecting your ED. Can I combine treatment options? Most men with penile implants and their partners say that they're satisfied with the results, and they return to more spontaneous intimacy. Implants have a high degree of satisfaction among men who have tried and failed more-conservative therapies. Even less strenuous, regular exercise might reduce the risk of erectile dysfunction. Erectile dysfunction can cause stress, self-confidence, and relationship problems. Sign Up. You use a special applicator to insert the suppository into your penile urethra. How is this problem changing the way you enjoy sex? Erectile dysfunction: Nonoral treatments Oral medications aren't the only way to treat erectile dysfunction. The two types of devices are inflatable implants, which make your penis longer and wider using a pump in the scrotum malleable implants, which are rods that allow you to manually adjust the position of your penis You usually can leave the hospital the day of or day after the surgery. You also want to do your research to ensure that the item is designed for your needs such as supporting erectile dysfunction. These products are especially dangerous for anyone who takes nitrates. Alprostadil is injected into the side of penis with a very fine needle. Failure to undo priapism will lead to permanent penile damage and untreatable ED. Implants are typically placed by a urologist. If you have erectile dysfunction, you're not alone — and you have many treatment options. Many advertisements in magazines and on the internet market penis pumps with the claim that they can be used to increase penis size, but there's no evidence that they work for this purpose. It is impossible to prove that there is no psychological part to a man's ED. For example:. Penile implants are most often placed under anesthesia. Inflatable devices allow you to control when and how long you have an erection. ED can be embarrassing to talk about. Erectile dysfunction: AUA guideline. If oral drugs don't work, the drug Alprostadil is approved for use in men with ED. This procedure is performed in an exam room and does not require anesthesia. See also Abnormal sperm morphology: What does it mean? The blood pressure in the chambers makes the penis firm, causing an erection. Previous: Diagnosis. During sexual arousal, nerves release chemicals that increase blood flow into the penis. You use a special applicator to insert the suppository into your penile urethra. Diagram of a Erectile Dysfunction Vacuum Enlarge. Most of the best-known treatments for ED work well and are safe. A pump at the other end of the tube makes a low-pressure vacuum around the erectile tissue, which results in an erection.
Erectile dysfunction, or ED, is the most common sex problem that men report to their doctor. It affects as many as 30 million men. Though it's not rare for a man to have some problems with erections from time to time, ED that is progressive or happens routinely with sex is not normal, and it should be treated. Finding the cause s of your ED will help treat the problem and help with your overall well-being. As a rule, what's good for your heart health is good for your sex health. See More See Less. During sexual arousal, nerves release chemicals that increase blood flow into the penis. Blood flows into two erection chambers in the penis, made of spongy muscle tissue the corpus cavernosum. The corpus cavernosum chambers are not hollow. During erection, the spongy tissues relax and trap blood. The blood pressure in the chambers makes the penis firm, causing an erection. When a man has an orgasm, a second set of nerve signals reach the penis and cause the muscular tissues in the penis to contract and blood is released back into a man's circulation and the erection comes down. When you are not sexually aroused, the penis is soft and limp. Men may notice that the size of the penis varies with warmth, cold or worry; this is normal and reflects the balance of blood coming into and leaving the penis. With Erectile Dysfunction ED , it is hard to get or keep an erection that is firm enough for sex. When ED becomes a routine and bothersome problem, your primary care provider or a Urologist can help. ED may be a major warning sign of cardiovascular disease indicating blockages are building in a man's vascular system. Some studies have shown men with ED are at significant risk of getting a heart attack, stroke or circulatory problems in the legs. ED also causes:. If ED is affecting a man's well-being or his relationships, it should be treated. Treatment aims to fix or enhance erectile function, help circulatory health and help the quality of a man's life. Even though ED becomes more common as men age, growing old is not always going to cause ED. Some men stay sexually functional into their 80s. ED can be an early sign of a more serious health problem. Finding and treating the reason for ED is a vital first step. Normal sex needs the mind and body working together. Emotional or relationship problems can cause or worsen ED. Diagnosing ED starts with your health care provider asking questions about your heart and vascular health and your erection problem. Your provider may also give you a physical exam, order lab tests or refer you to a Urologist. Your doctor will ask you questions about your health history and lifestyle. It is of great value to share facts about drugs you take, or if you smoke or how much alcohol you drink. Knowing about your history of ED will help your health provider learn if your problems are because of your desire for sex, erection function, ejaculation, or orgasm climax. Some of these questions may seem private or even embarrassing. However, be assured that your doctor is a professional and your honest answers will help find the cause and best treatment for you. Your health care provider may ask you questions about depression or anxiety. He or she may ask about problems in your relationship with a partner. Some health care providers may also ask if they may talk to your sex partner. A physical exam checks your total health. Examination focusing on your genitals penis and testicles is often done to check for ED. Based on your age and risk factors, the exam may also focus on your heart and blood system: heart, peripheral pulses and blood pressure. Based on your age and family history your doctor may do a rectal exam to check the prostate. These tests are not painful. Most patients do not need a lot of testing before starting treatment. Your health care provider may order blood tests and collect a urine sample to look for health problems that cause ED. Questionnaires are often used by health experts to rate your ability to initiate and keep erections, gauge your satisfaction with sex and help identify any problems with orgasm. For some men with ED, specialized testing may be needed to guide treatment or re-assess you after a treatment fails. The treatment for ED starts with taking care of your heart and vascular health. You may be asked to change certain food habits, stop smoking, increase workouts or stop using drugs or alcohol. You may be offered alternatives to the drugs you take. Never stop or change prescription drugs without first talking to your health care provider. Your health care provider may also suggest treating emotional problems. These could stem from relationship conflicts, life's stressors, depression or anxiety from past problems with ED performance anxiety. The treatments below are available to treat ED directly. Non-invasive treatments are often tried first. Most of the best-known treatments for ED work well and are safe.
Are you taking any drugs for your mental health? Jan 06, The penis contains two cylindrical, spongelike structures corpora cavernosa. In: Harrison's Principles of Internal Medicine. You may experience some side effects, but they are rare and generally mild. What Is Shockwave Therapy? This will help prevent potential problems. It is often used as a non-invasive treatment option for kidney stones and orthopedic injuries. This content does not have an Arabic version. How Erection Problems Are Diagnosed. Do you have any urinary problems? Overview Flaccid and erect penis Open pop-up dialog box Close. Bruising of the penis is a possible side effect, and ejaculation will be restricted by the band. Penile implants are devices that are placed fully inside your body. Vacuum devices for erectile dysfunction. The role of the sexual partner in managing erectile dysfunction. Erectile dysfunction. Never stop taking a medicine without speaking with your doctor first. Schwartz BG, et al. Nov 04, It affects as many as 30 million men. You can quit smoking limit or stop drinking alcohol increase physical activity and maintain a healthy body weight stop illegal drug use You can seek help from a health professional if you have trouble making these changes on your own. The Science of Male Orgasms. AUA guideline on the management of erectile dysfunction: Diagnosis and treatment recommendation. You should be able to use the implant 4 to 6 weeks after the surgery. You might need more direct touch to your penis to get and keep an erection. Questions about your ED symptoms: How long have you had these symptoms? Allscripts EPSi. Can you help me with ED, or do I need to see a specialist? These may include:. Nothing happens in the body without the brain. Related Articles. You do not need a referral from your primary care provider to see our urologists for treatment because shockwave therapy is not covered by insurance. Find out more about why treating your diabetes is important. A single copy of these materials may be reprinted for noncommercial personal use only. The tube is placed over your penis, and then the pump is used to suck out the air inside the tube. Cleveland Clinic. Penis pump About. Because the needle used is very fine, pain from the injection site is usually minor. The tube is placed over your penis, and then the pump is used to suck out the air inside the tube. Sign up now. That way you can be sure it suits your needs and that it's made by a reputable manufacturer. Taking testosterone also may lead to side effects, including a high red blood cell count and problems urinating. By Name By Location. Depending on the cause and severity of your erectile dysfunction and any underlying health conditions, you might have various treatment options.
The penis contains two cylindrical, spongelike structures corpora cavernosa. During sexual arousal, nerve impulses increase blood flow to both of these cylinders. This sudden influx of blood causes an erection by expanding, straightening and stiffening the penis. Erectile dysfunction impotence is the inability to get and keep an erection firm enough for sex. Having erection trouble from time to time isn't necessarily a cause for concern. If erectile dysfunction is an ongoing issue, however, it can cause stress, affect your self-confidence and contribute to relationship problems. Problems getting or keeping an erection can also be a sign of an underlying health condition that needs treatment and a risk factor for heart disease. If you're concerned about erectile dysfunction, talk to your doctor — even if you're embarrassed. Sometimes, treating an underlying condition is enough to reverse erectile dysfunction. In other cases, medications or other direct treatments might be needed. Our caring team of Mayo Clinic experts can help you with your health concerns. Visit Mayo Clinic Men's Health to get started. Male sexual arousal is a complex process that involves the brain, hormones, emotions, nerves, muscles and blood vessels. Erectile dysfunction can result from a problem with any of these. Likewise, stress and mental health concerns can cause or worsen erectile dysfunction. Sometimes a combination of physical and psychological issues causes erectile dysfunction. For instance, a minor physical condition that slows your sexual response might cause anxiety about maintaining an erection. The resulting anxiety can lead to or worsen erectile dysfunction. The brain plays a key role in triggering the series of physical events that cause an erection, starting with feelings of sexual excitement. A number of things can interfere with sexual feelings and cause or worsen erectile dysfunction. These include:. As you get older, erections might take longer to develop and might not be as firm. You might need more direct touch to your penis to get and keep an erection. The best way to prevent erectile dysfunction is to make healthy lifestyle choices and to manage any existing health conditions. For example:. Erectile dysfunction care at Mayo Clinic. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. This content does not have an English version. This content does not have an Arabic version. Overview Flaccid and erect penis Open pop-up dialog box Close. Flaccid and erect penis The penis contains two cylindrical, spongelike structures corpora cavernosa. Request an Appointment at Mayo Clinic. Share on: Facebook Twitter. Show references AskMayoExpert. Erectile dysfunction adult. Mayo Clinic; What is erectile dysfunction? Urology Care Foundation. Accessed Nov. Cunningham GR, et al. Overview of male sexual dysfunction. Erectile dysfunction. Sidawy AN, et al. Elsevier; Accessed Oct. Parkinson's and sex. American Parkinson Disease Association. Rew KT, et al. American Family Physician. Hidden risks of erectile dysfunction "treatments" sold online.