For men, treatment of erectile dysfunction (ED) must be personalized. It must aim to restore sexual function, improve overall physical health, and improve the quality of life for both man and partner. ED is a complicated condition, and every man presents with his own set of symptoms, associated health conditions, and sociocultural, educational, and religious context. In order to provide appropriate treatment, clinicians must make sure men understand the risks and benefits of treatment options.
Treatment options for ED include a variety of medications and lifestyle changes. Lifestyle changes may include losing weight or quitting smoking. In some cases, patients may need to undergo psychological counseling. Another treatment option involves a vacuum device known as a penis pump. This device includes a pump that draws blood into the penis, while an elastic ring holds the penis erect and prevents ejaculation.
An ED physician from a clinic such as Paramount Men’s Medical Center can recommend a course of treatment based on the symptoms of the condition. The clinical strategy for treating erectile dysfunction should include a shared decision-making process between the patient and his health care provider. It should be understood that the patient is an active participant in the process of treatment, and clinicians should ensure that he or she fully understands the risks and benefits of each method.
Cognitive-behavioral therapy can also be helpful in treating erectile dysfunction. The theory behind cognitive-behavioral therapy is that our feelings are partly determined by our thoughts. The purpose of cognitive-behavioral therapy is to teach patients that their mindset is the cause of their problems. Rather than blaming themselves for erectile dysfunction, people should learn to view the situation with more realistic thoughts.
Erectile dysfunction is a common problem affecting over 12 million men in the U.S. The condition can have many causes, including vascular disease, neurologic disease, and relationship issues. Moreover, it can be a side effect of medications or other treatments, such as diabetes, or even prostate-related therapies.
Organic ED is the most common form of erectile dysfunction among older men. It is caused by abnormalities of the penile arteries and veins. ED can be caused by trauma to the arteries or by arteriosclerosis. High blood pressure, smoking, and obesity are all risk factors for arteriosclerosis.
The most common medications used to treat erectile dysfunction include phosphodiesterase 5 (PDE-5) inhibitors, which increase the blood flow to the penis for a few hours. These medications are available in two types: sildenafil and vardenafil. Sildenafil is most commonly used, but it’s important to know that it can only be effective for up to eight hours. Tadalafil, on the other hand, is longer-lasting and more suitable for men who need longer-term treatment.
Vacuum erection devices are another option for treating erectile dysfunction. These devices use a small vacuum pump to draw blood into the penis. The pump can maintain an erection for thirty minutes or more. The downside of these devices is that they may cause side effects, including headaches and muscle pain. However, many men report being able to have sex afterward.