ED is a delicate subject to discuss for most men, with many constantly looking for a permanent cure and asking themselves if one is even possible.
As in so many medical conditions, lifestyle modification is always first-line treatment. Are you drinking too much, smoking, or taking recreational drugs? These are known to interfere in men’s sex lives. When you go for treatment, your doctor will first recommend that you consider your usage of them.
Your doctor will also run checks for medical conditions you may have that could be causing your problem. If you have an underlying condition, the possibility of curing your erectile dysfunction depends on what that condition is. Anxiety or depression you try to cure. Diabetes or nerve damage you try to manage.
Current treatment options
After investigation of lifestyle and possible medical conditions, there are some treatments you and your doctor can consider.
Studies have shown that for stress-related erectile dysfunction, sex therapy resolves the problem 50%–70% of the time. It is most effective when the partner is involved in the therapy.
PDE5 inhibitor drugs
The mainstay in medical treatment is medication that enhances blood flow in your erectile tissue. Sildenafil is a standard one. You take it as needed, before sex. Tadalafil is a longer acting, daily preparation. There are other medications available like these, and many more now in development. Conveniently, you can buy sildenafil and tadalafil right here, on Numan. If you’re interested, just start a consultation to see if one of these might be right for you, here.
Vacuum constriction devices
There are vacuum chambers, clear plastic devices that slip over your penis and mechanically create an erection. They’re safe, though they are a bit cumbersome.
It is possible to get penile injections (the ‘applicator’ needle is very small), of a drug called alprostadil. Your doctor or clinical nurse normally shows you how it works, and after that, you do it yourself. Response is usually within 15 minutes, and does not require any stimulation by you or your partner.
This same injected drug can be inserted, in tiny pellet form, into your urethra. The response is about like what you get with the injection.
This injectable or suppository drug is also available as a topical cream, that you put on the end of your penis. Its effect is roughly the same as that of the injectable and suppository forms.
Some men do not respond, or cease responding, to PDE5 inhibitors and drugs like alprostadil. As an alternative, there is such a thing as implantable prostheses. They’re mostly inflatable these days, and patient satisfaction with them is very high. They do work, and they tend not to cause any problems.
Stem cell transplant
On the horizon there is gene therapy for erectile tissue that isn’t functioning properly. Studies in laboratory animals so far are quite encouraging.
Low-intensity shock waves
Another emerging treatment possibility is ‘lithotripsy’, a non-invasive technique already in use for treating kidney stones. It’s not clear how this works, but studies so far suggest that it can help.
The bottom line
There's a lot out there. The causes of your erectile dysfunction may be complex, or they may be simple. Your treatment may be straightforward, or it might need to be pretty involved. Whatever your situation, always remember that there’s a lot out there that helps a lot of men just like you.