Understanding Erectile Dysfunction -- Diagnosis and Treatment
What Are the Treatments for Erectile Dysfunction?
If you are troubled by occasional erectile dysfunction, remember that arousal takes longer as you get older and that satisfaction should not be equated with performance. If dysfunction is severe and persistent, you should seek medical help. The number of treatment options has increased in recent years.
Many doctors will recommend changes in lifestyle as a first step in treatment. Suggestions may include the following:
The doctor says you have erectile dysfunction (ED). It sounds terrible, but it's not the end of your sex life. In fact, your sex life probably is about to get much better.
You may have a referral to a urologist, a doctor who specializes in treating this condition, for more tests. You may already have a trial prescription for Viagra or similar drugs. Whatever you're doing next, the most important thing to remember is that you aren't in this alone.
Your partner is also affected by the problem and...
Self-injected medications can produce an erection. The drug is injected before sex into the side of the penis; these drugs may also improve long-term potency and penile blood flow.
Prostaglandin suppositories can be inserted into the urethra to produce erections.
Medically administered testosterone shots or patches may help men with low testosterone levels, but no specific level of the hormone guarantees potency.
Devices to Aid Erection
Another option for the treatment of erectile dysfunction is a vacuum inflation device. This instrument draws blood into the penis by creating negative pressure around it; a rubber ring is then slipped over the base of the penis to maintain the erection. The ring should be removed after 30 minutes to restore circulation and prevent damage to the penile tissues.
Surgery to Aid Erections
For certain blood-vessel problems, vascular surgery to open arteries leading to the penis may be of benefit. The effectiveness of such surgery can be quite variable and for the most part is not a main treatment option. It may be attempted for men with a traumatic injury to arteries that supply blood to the penis.
When none of these therapies work, some men choose a penile implant. The simplest is a semirigid type that produces a permanent erection. More sophisticated and expensive implants are inflated by a pump mechanism placed beneath the skin of the scrotum. These can be very effective, with very high patient and partner satisfaction. There is, however, a risk of infection or that the device will fail over time.
Treating Psychological Causes
If the cause of erectile dysfunction is judged to be psychological, it is crucial to review your relationship with your partner and examine other possible sources of stress or tension in your life. A trained therapist can aid in these matters and may help unearth problems such as unreasonable guilt, performance anxiety, or inhibiting attitudes toward sex that are preventing a healthy sex life.