Treatment FAQ

what is the best treatment for impotence

by Mr. Arne Glover Published 3 years ago Updated 2 years ago
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Medication

Impotence is when a man has difficulty getting or keeping an erection. Impotence is also known as erectile dysfunction, or E.D. Recent studies show that impotence is a much more common problem than once believed. Many younger men may experience difficulty with erections, and as many as two-thirds of men will develop impotence at some point in ...

Procedures

Jul 29, 2021 · A health care professional may prescribe you an oral medicine, or medicine you take by mouth, such as one of the following, to help you get and maintain an erection: sildenafil (Viagra) vardenafil (Levitra, Staxyn) tadalafil (Cialis) avanafil (Stendra)

Therapy

May 12, 2014 · One ED drug, Cialis, is FDA-approved for use daily in a dose of 2.5 or 5 milligrams. This helps to produce erections on demand and may also help relieve urinary problems, like difficulty starting urination, that result from an enlarged prostate. Cost of erectile dysfunction pills

Self-care

Feb 07, 2022 · Natural supplements and treatments L-arginine and pycnogenol. L-arginine is an amino acid and something we naturally have within our bodies. Under normal... Red ginseng. Panax ginseng (red ginseng) is sometimes called “herbal Viagra”. There have been more than a handful of... DHEA, a potential ...

Nutrition

Nov 23, 2021 · Sildenafil is a great choice for men who need an ED treatment that will last a few hours. Tadalafil (Cialis) Tadalafil has two dosage options, daily or as needed. For as-needed dosing, men can take tadalafil 30 to 60 minutes before sexual activity. The other option is to take one tablet as directed daily.

How to cure erectile dysfunction naturally and permanently?

Jul 29, 2021 · 9 Natural Treatments for Erectile Dysfunction Diet. Eating a balanced diet may help maintain sexual function and decrease your risk of ED. Research from 2017... Exercise. Research indicates that physical activity may help protect against and improve ED. It …

How to treat impotence naturally?

40 rows · Their efficacy may not have been scientifically tested to the same degree as the drugs listed in the table above. However there may be historical, cultural or anecdotal evidence linking their use to the treatment of Erectile Dysfunction. Damiana; Horny Goat Weed; Yohimbine

Is erectile dysfunction permanently curable?

Penile Implant. Vacuum Erection Device (VED) Shockwave Therapy for ED. 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).

What are the top 5 symptoms of erectile dysfunction?

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What is the fastest and effective treatment for impotence?

Alprostadil is an FDA-approved erectile dysfunction drug that can be injected directly into the penis to trigger an automatic erection. "Penile injection is the most effective type of ED treatment for men who can't take oral treatment," says Nelson Bennett, MD, a urologist at the Lahey Clinic in Burlington, Mass.

Does impotence can be cured?

In summary. So erectile dysfunction can be cured, but it depends on the cause. Some causes of ED are easier to “cure” than others. But, with the right diagnosis, support, and treatment, it's possible for ED to go away without the need for ED medications like Viagra (sildenafil) or Cialis (Tadalafil).Jul 8, 2020

What can cure impotence permanently?

Oral drugs or pills known as phosphodiesterase type-5 inhibitors are most often prescribed in the U.S. for ED (Viagra, Cialis, Levitra, Stendra) Testosterone Therapy (when low testosterone is detected in blood testing) Penile Injections (ICI, intracavernosal Alprostadil)

How Quickly Do They Work?

How soon the drugs start working ranges from 15 to 60 minutes. Neither Viagra nor Levitra will work at all if you take them after a meal, which blo...

How Do The Side Effects differ?

The most common side effects of ED drugs, in order of most to least common are headache, flushing, upset stomach, nasal congestion, urinary tract i...

The Heart Health Connection

ED is often an early warning sign of underlying cardiovascular disease, such as clogged arteries (atherosclerosis). "It can predate a diagnosis of...

How many men develop impotence?

Many younger men may experience difficulty with erections, and as many as two-thirds of men will develop impotence at some point in their life. Recent studies are also changing our understanding about why men develop impotence.

What is it called when a man has difficulty getting or keeping an erection?

Impotence is when a man has difficulty getting or keeping an erection. Impotence is also known as erectile dysfunction, or E.D. Recent studies show that impotence is a much more common problem than once believed.

What are the problems with ejaculation?

low sexual drive. difficulty getting or keeping an erection. problems with ejaculation, including early ejaculation, delayed ejaculation, and "dry" orgasm. This treatment guide is intended to help men who are having difficulty getting or maintaining an erection.

How long does it take for a suppository to work?

A suppository is a solid piece of medicine that you insert into your body where it dissolves. A health care professional will prescribe a prefilled applicator for you to insert the pellet about an inch into your urethra. An erection will begin within 8 to 10 minutes and may last 30 to 60 minutes.

How does nitrates work?

All of these medicines work by relaxing smooth muscles and increasing blood flow in the penis during sexual stimulation. You should not take any of these medicines to treat ED if you are taking nitrates to treat a heart condition. Nitrates widen and relax your blood vessels.

How long does ED last?

Call a health care professional right away if an erection lasts 4 hours or longer .

What medicine do you take to get an erection?

A health care professional may prescribe you an oral medicine, or medicine you take by mouth, such as one of the following, to help you get and maintain an erection: sildenafil. NIH external link. (Viagra) vardenafil. NIH external link.

How to get stronger erections?

Many men get stronger erections by injecting a medicine called alprostadil#N#NIH external link#N#into the penis, causing it to become filled with blood. Oral medicines can improve your response to sexual stimulation, but they do not trigger an automatic erection like injectable medicines do.

What to do if you have anxiety in your ED?

Talk with your doctor about going to a counselor if psychological or emotional issues are affecting your ED. A counselor can teach you how to lower your anxiety. NIH external link. or stress related to sex. Your counselor may suggest that you bring your partner to counseling sessions to learn how to support you.

How long does a penis ring stay in place?

The elastic ring can remain in place up to 30 minutes. Remove the ring after that time to bring back normal circulation and to prevent skin irritation. You may find that using a vacuum device requires some practice or adjustment. Using the device may make your penis feel cold or numb and have a purple color.

How long does it take for Viagra to work?

How soon the drugs start working ranges from 15 to 60 minutes. Neither Viagra nor Levitra will work if you take them after a meal, which blocks their absorption. However, neither Cialis nor Stendra interact with food this way. The onset time determines how soon you can engage in intercourse.

How long does it take for ED to break down?

The ED drugs break down at different rates in the body. The durations of action range from four hours to more than a day (for Cialis in the higher doses). Each dose should be sufficient to provide a full cycle of intercourse, from erection to climax.

What is Levitra fast dissolving?

There is also a fast-dissolving form of Levitra, called Staxyn, that you put under your tongue. One ED drug, Cialis, is FDA-approved for use daily in a dose of 2.5 or 5 milligrams.

Can ED be a sign of cardiovascular disease?

ED is often an early warning sign of underlying cardiovascular disease, such as clogged arteries (atherosclerosis). "It can predate a diagnosis of cardiovascular disease by at least a few years," Dr. Liou says. We don't have strong proof yet that starting to live a healthier lifestyle can reverse erectile problems, but it can't hurt.

Do ED drugs cause erections?

ED drugs produce an erection sufficient for intercourse in about 70% of men. But the results vary quite a bit from one individual to another. A man with nerves or arteries damaged by prostate surgery, diabetes, or cardiovascular disease will not respond as strongly to ED drugs.

Can you take nitrates with ED?

A man who has an erection that lasts four hours or more needs to get to a hospital or risk permanent damage. None of the ED drugs is safe to take with cardiac drugs called nitrates because it could cause a dangerous drop in blood pressure.

Is the CDC relaxed?

The CDC has relaxed some prevention measures, particularly for people who are fully vaccinated, and especially outdoors. Meanwhile, scientists continue to explore treatments and to keep an eye on viral variants. Stay Informed. View Coronavirus COVID-19 Resource Center.

What is ED in men?

Erectile dysfunction (ED) is a common sexual dysfunction where the risk increases with age. It’s characterized by the inability to get or maintain an erection long enough to engage in sexual intercourse. ED is different from the occasional inability to engage in sex—it’s progressive and happens regularly. There are many things that can cause erectile dysfunction and thankfully, there are also many options for treatment. If you’re experiencing trouble and suspect you may have ED, don’t be afraid to talk to your doctor. Being open and honest is the best way to make sure that you address the underlying problem and restore your sexual functioning. Here, we’ll discuss 9 variable treatment options for men with erectile dysfunction.

How long does it take for an alprostadil pellet to work?

To achieve the desired result, you’ll need to insert the alprostadil pellet about an inch into your urethra and remove the applicator. After about 8 to 10 minutes, you’ll begin to get an erection that can last between 30 and 60 minutes. Surgical Options. If all else fails, there are options for surgical treatment.

What are the causes of erectile dysfunction?

Two of the main causes of erectile dysfunction are emotional or psychological issues. Anxiety and stress disrupt your body’s natural hormone cycle and create sexual dysfunction. If you’re struggling with controlling your emotional stress, try seeing a counselor.

How to treat erectile dysfunction in men?

Your doctor will likely recommend trying the least invasive options first, such as lifestyle changes and counseling. If those don’t work, there are plenty of other things you can try. Since stress can exasperate ED, try to remain calm as you work ...

What is the best medication for erectile dysfunction?

Some of the most popular include sildenafil (Viagra), tadalafil (Adcirca, Cialis), vardenafil (Levitra, Staxyn), and avanafil (Stendra).

What is the difference between malleable and inflatable implants?

Inflatable implants use a pump in the scrotum while malleable implants utilize adjustable rods. If you’re interested in penile implants, talk to your doctor about short and long-term risks. Artery reconstruction is done to repair damaged arteries that are causing erectile dysfunction.

Can you inject alprostadil into the urethra?

Luckily, injectable medications aren’t your last resort. You can achieve the same result by inserting an alprostadil suppository into the urethra prior to engaging in sexual intercourse. The reaction is the same as with injectables, but the suppository will dissolve in the urethra and enter the blood stream.

How long does tadalafil stay in your system?

Tadalafil is taken in this easy fashion because it stays active in your body for 18-36 hours, unlike sildenafil or Stendra. Tadalafil poses basically the same level of risk of mild side effects as sildenafil. In our opinion, tadalafil beats sildenafil, which makes it the best choice for most men.

What is the best ED medication?

When it comes to readily available ED medications, here are your top choices: Sildenafil (brand example: Viagra, available in generic form) Tadalafil (generic available, brand ex: Cialis, Adcirca) Avanafil (Stendra) Believe it or not, all of these medications work by achieving the same effect.

How much Viagra is recommended for men?

Viagra commonly comes in 25mg, 50mg and 100mg doses, with a typical dose of 50mg prescribed at the outset for men under 65 years old. Sildenafil, meanwhile, comes in 20mg strength per pill.

How long does it take for blue chew to take effect?

BlueChew Tadalafil. BlueChew offers tadalafil at an incredible price and in a chewable form that can take effect in as little as 20 minutes. In studies, tadalafil is a top choice among couples -- we believe it will be best for most people.

What is pycnogenol in a study?

Pycnogenol is the name for certain chemicals taken from a French pine tree. In the study, men were given L-arginine for one month; nothing really happened. Then the men were given both L-arginine and pycnogenol for a month. After this second month, 80% of the men reported that their sexual function was fully restored.

Is Hims a good company?

Hims is a great telemedicine company where, after a free consultation with a doctor, you can access an assortment of the ED treatments proven to be effective – sildenafil (and brand-name Viagra), tadalafil (and brand-name Cialis), and Stendra. As a company , Hims impresses us very much and there are circumstances in which we recommend Hims above all others for ED treatments.

Is tadalafil good for women?

In one study, nearly 80% of women preferred their sexual partners to use tadalafil, compared to sildenafil (15% preference). Chances are therefore pretty good that tadalafil will be best for you too. Our Top Choice.

Erectile Dysfunction Pills

Erectile dysfunction, like all medical conditions, has a variety of causes, risk factors, treatment options, and complications.

Erectile Dysfunction Injections

Oral ED medications work for approximately 70% of men who use them. For those who switch to injectable ED medications, 95% get and sustain an erection suitable for sexual activity.

Alternative Treatment Options

Besides oral and injectable medications to treat ED, there are lifestyle, surgical and nonsurgical options. These options may be especially appealing to men who have medical conditions that increase the risk of using medications to treat ED.

Final Thoughts

Involve your partner as you consider treatment options for ED. Talking to your partner can help to ease anxiety and avoid misunderstandings. Your partner, for example, may interpret ED as a lack of interest in sex or a failure on their part.

DISCLAIMER

While we strive to always provide accurate, current, and safe advice in all of our articles and guides, it’s important to stress that they are no substitute for medical advice from a doctor or healthcare provider. You should always consult a practicing professional who can diagnose your specific case.

What is the best medicine for ED?

Depending on the cause of your ED, natural remedies may not be effective. If this is the case, your doctor may prescribe medications for ED, like: 1 sildenafil ( Viagra) 2 tadalafil (Cialis) 3 avanafil (Stendra) 4 vardenafil (Levitra)

Why is it important to check with your doctor before trying any treatments on your own?

Talk to your doctor. If you have symptoms of ED , it’s important to check with your doctor before trying any treatments on your own. This is because ED can be a sign of other health problems. For instance, heart disease or high cholesterol could cause ED symptoms.

How to help ED symptoms?

In many cases, changes to your lifestyle and diet can help ease ED symptoms. Lifestyle changes that could help improve your sexual function include exercising and losing weight. They also include stopping smoking and curbing your alcohol intake.

What is DHEA hormone?

Dehydroepiandrosterone (DHEA) is a natural hormone produced by your adrenal glands. It can be converted to both estrogen and testosterone in the body. Scientists make the dietary supplement from wild yam and soy. The influential Massachusetts male aging study.

How many men have ED?

ED affects as many as 30 million men in the United States. Standard ED treatments include prescription medications, vacuum pumps, implants, and surgery, but many men prefer natural options. Research has found that some natural options can improve ED symptoms. Read on to learn about natural options that have research to back them up.

What is the best treatment for ED?

Other alternative therapies thought to help ED include zinc supplements (especially for men who are low in zinc), the herb ashwagandha (also called Indian ginseng), and ginkgo biloba, but more studies are needed to know with certainty.

What amino acid is used to make nitric oxide?

L-arginine is an amino acid naturally present in your body. It helps make nitric oxide. Nitric oxide relaxes blood vessels to facilitate a successful erection and is essential for healthy sexual functioning.

What is the term for a person who can't sustain an erection?

A consistent inability to sustain an erection sufficient for sexual intercourse. Also commonly known as impotence. Medically, the term erectile dysfunction is used to differentiate impotence from other problems that interfere with sexual intercourse.

Is Damiana a scientifically tested drug?

Their efficacy may not have been scientifically tested to the same degree as the drugs listed in the table above. However there may be historical, cultural or anecdotal evidence linking their use to the treatment of Erectile Dysfunction. Damiana. Horny Goat Weed.

What is shockwave therapy?

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).

How to contact a U of U urologist?

If you are suffering from erectile dysfunction and would like to meet with a U of U Health urologist, call 801-213-2700 to schedule an appointment. 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.

What causes erectile dysfunction?

Conditions like vascular disease, surgery, diabetes, and medications are some of the top causes of erectile dysfunction. If you suffer from ED, schedule an evaluation with your doctor and get the help you need

How does a wand help with erections?

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. Low-intensity shockwaves have also been shown to grow new blood vessels and improve blood flow in the penis, which is essential for erections.

Is shockwave therapy safe for erectile dysfunction?

penile curvature that worsens. Clinical studies have generally shown shockwave therapy to be effective and safe, but more research is needed to identify potential risks and the best treatment protocols for someone with erectile dysfunction.

Is shockwave therapy covered by insurance?

Since shockwave therapy is a fairly new ED treatment that is not covered by insurance plans, your urologist may recommend other ED treatment options first. A shockwave therapy regimen typically includes six separate treatments, but treatment protocols could change as more research becomes available. The out-of-pocket cost for each treatment is ...

Does University of Utah offer shockwave therapy?

University of Utah Health offers shockwave therapy as an option for patients suffering from ED. Shockwave therapy is typically recommended for patients who do not respond well to medication or do not want more invasive treatments. Shockwave therapy for ED is still considered an experimental treatment option.

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Diagnosis

Treatment

Clinical Trials

Coping and Support

Your provider will work with you to develop a care plan that may include one or more of these treatment options.
The choice of treatment is based on the underlying cause, and includes medications, therapies such as self-injections and exercises, and surgical implants.
Medication

Oral medications: To enhance the effects of nitric oxide involved in relaxing the penile muscles.

Sildenafil . Tadalafil


Penile self-injections: Injecting medications into the base or sides of the penis.

Papaverine . Alprostadil

Procedures

Penile implant surgery: Inflatable or bendable devices are surgically implanted on both sides of the penis.

Therapy

Hormone therapy:Testosterone replacement is recommended in case of low levels of the hormone.

Vacuum erection:Using a hand or battery operated penis pump for erection, followed by insertion of a tension ring around the penis.

Psychotherapy:To manage stress, depression, or anxiety.

Self-care

Always talk to your provider before starting anything.

  • Quit smoking and alcohol.
  • Lose weight.
  • Talk to your partner regarding your condition.
  • Learn to manage stress.

Nutrition

The following foods have been found to help manage erectile dysfunction

Foods to eat:

  • Watermelon
  • Cooked oysters
  • Coffee
  • Dark chocolates
  • Walnut
  • Grape or pomegranate juice
  • Fish like salmon
  • Green leafy vegetables such as kale
  • Olive oil

Foods to avoid:

  • NA

Specialist to consult

Urologist
Specializes in the urinary tract disease.

Preparing For Your Appointment

  • For many people, a physical exam and answering questions (medical history) are all that's needed for a doctor to diagnose erectile dysfunction and recommend a treatment. If you have chronic health conditions or your doctor suspects that an underlying condition might be involved…
See more on mayoclinic.org

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