Treatment of erectile dysfunction

Medically Reviewed by Dr Sravya, MBBS, MS 


Erectile dysfunction, previously termed impotence, is the condition where men fail to achieve or maintain a rigid penile erection needed for
satisfactory sexual intercourse. It is a very common condition in men aged over 40 years.

It has generally been observed that erectile dysfunction is closely related to conditions such as cardiovascular disease, diabetes mellitus,
hyperlipidemia, and hypertension. The majority of patients, particularly younger men with ED have organic disease and a primary psychological
issue related to marital and relationship issues, cultural norms, loss of self- admiration, shame, anxiety, and depression.

treatment of erectile dysfunction

For the treatment of erectile dysfunction, it is important to know that the
causes of erectile dysfunction are often multifactorial. It is very important
to distinguish early whether the condition has an underlying psychological cause or an organic disease.

It is very difficult to find accurate values for the true prevalence or
treatment of erectile dysfunction because many patients are reluctant to get medical attention and many physicians also fail to ask patients about theirsexual health.

Table of Contents

Diagnostic evaluation

Erectile dysfunction is associated with many risk factors. Doctors should have a thorough knowledge of the medical condition of the patient. The physical examination of patients may give results of neurological or cardiovascular disease and intrinsic penile pathology.

Lab tests can be ordered by health care providers, such as blood tests and urine samples, to look for health problems that cause ED. Other ways also can be followed, such as questionnaires, which are often used by health experts. They rate your ability to initiate and keep erections, determine your satisfaction with sex, and help to identify if there are any problems with orgasm.

In some cases with ED, best ed treatment may be needed or re-assess patients after a treatment fails. Hence, some advanced function tests are
performed, such as,

Best erectile dysfunction treatment

The following are the best ed treatment options:

1. Medication

2. Surgical treatment

3. Vacuum devices

4. Lifestyle changes

Why is counselling needed?

Patients may think, why is counselling needed, or does this therapy work? So, counselling can be a very helpful part of treatment for erectile
dysfunction as it will allow the physician to understand the underlying cause of the condition. Counselling can develop coping mechanisms for
dealing with ED and also can improve communication with a partner about it.

During the counselling session, the doctor will give the patient activities to do at home, which may include reading books regarding sexuality and
improving sexual communication.

Though the physical examination and blood test are normal in patients having ED, counselling can help with improving this condition as the reason behind the condition can be financial worries, relationship conflicts, stress, and poor communication with a partner.

A counselor can help you to find out and challenge negative thoughts about your body and your ability to perform sexually, can help to explore different treatment options, and can help you to work through any emotional and psychological issues.

If you are willing to find a counsellor whois specialises in erectile dysfunction, you can ask your doctor for a referral or search online for a therapist in your area.

After treatment effects

After the treatment of erectile dysfunction, most people experience considerable improvement in their symptoms. After treatment, men can
experience the following things.

If medical treatments don’t give the desired and expected effect, then the doctor may suggest the following:

Frequently Asked Questions

Erectile dysfunction is an inability to get or maintain a penile erection long enough to have sexual intercourse and it is a very common condition that affects up to 50% of men more than the age of 50. But if it happens in younger men, they should get a hesitation-free
consultation from the doctor.

Yes. Definitely, you can get combined therapy. However, combination therapy is often more effective than monotherapy; you should get it only under the supervision of your healthcare provider.

There are several things you can do to help prevent ED, such as maintaining a healthy lifestyle, managing stress, doing yoga, meditation, and getting consultation from a doctor.

Yes, there may be side effects such as headache, pain, swelling, flushing, and discomfort. But these are not severe side effects.

All the treatment options are very effective although penile implant is a surgery that also carries risks, they have the highest possibility of success rate and satisfaction among ed treatment options.