Treatment FAQ

what is the most effective treatment for ed

by Magdalen Collins Published 2 years ago Updated 2 years ago
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Oral Drugs (PDE5 inhibitors)
Drugs known as PDE type-5 inhibitors increase penile blood flow. These are the only oral agents approved in the U.S. by the Food and Drug Administration for the treatment of ED. For best results, men with ED take these pills about an hour or two before having sex.

Medication

Research does suggest that some supplements may help treat ED, such as:

  • Dehydroepiandrosterone (DHEA)
  • L-arginine
  • Ginseng
  • Propionyl-L-carnitine
  • Yohimbe

Procedures

  • Limit the frequency of your orgasms
  • Stop masturbating and watching pornography
  • Eat smart – give your body all the nutrients it needs Stop smoking Stop drinking alcohol
  • Exercise regularly and be active as much as you can
  • Stop stressing
  • Sleep well and sleep long
  • Get adequate sun exposure
  • Get in mental balance
  • Do Kegel exercises
  • Take supplements

Therapy

What new ED treatments are available?

  • Drug development. There are currently five oral medications that the Food and Drug Administration (FDA) have approved for the treatment of ED.
  • New creams. In Europe, doctors often prescribe creams for treating ED as a secondary treatment option. ...
  • New injections. ...
  • Device development. ...
  • Stem cell therapy. ...
  • Other treatments. ...
  • When to see a doctor. ...
  • Summary. ...

Self-care

People take the roots of this ginseng, also called Korean red ginseng, for ED as well as:

  • stamina
  • concentration
  • stress
  • overall well-being

Nutrition

What is the best over the counter treatment for Ed?

What is the best natural remedy for Ed?

What is the best medical treatment for Ed?

What is the best herbal treatment for Ed?

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What is the fastest way to cure ED?

For fastest results, it's best to consult a doctor to get appropriate treatment recommendations, which may include:Lifestyle changes. Maintaining a healthy weight. ... Counseling. ... Medications. ... Vacuum constriction devices. ... Surgery. ... Alternative therapy.

What is the best treatment for severe erectile dysfunction?

The first line of treatment for erectile dysfunction is usually non-invasive and can involve lifestyle changes such as losing weight or quitting smoking. Medications called phosphodiesterase type-5 inhibitors that increase penile blood flow may be prescribed: Sildenafil (Viagra) Vardenafil (Levitra)

What cures ED permanently?

Any problem affecting nerves in the body can also interrupt the nerve messages between the penis and the brain, including: injuries to the spinal cord or brain, Parkinson's disease, Alzheimer's disease, multiple sclerosis, or strokes. There are no cures yet for these conditions.

Which ED treatment lasts the longest?

Tadalafil (Cialis) Some advantages of tadalafil include the below. Longest lasting: It is the longest lasting PDE5 drug for ED, typically lasting up to 36 hours, though some reports suggest it can last up to 72 hours.

Can Cialis cure ED permanently?

You are encouraged to report negative side effects of prescription drugs to the FDA . Visit www.fda.gov/medwatch or call 1-800- FDA -1088. Cialis does not: cure ED.

How can I regain erectile strength?

If you're wondering how to get rock-hard erections, consider doing the following:Change Your Diet. ... Work Up a Sweat to Regulate Blood Pressure. ... Drink Less Alcohol. ... Stop Smoking to Improve Blood Flow. ... Sleep Longer. ... Get Supplements. ... Consult a Physician About Taking Medications. ... Get a Cock Ring.More items...•

Can you still get hard with erectile dysfunction?

Nearly every man occasionally has trouble getting an erection, and most partners understand that. Erectile dysfunction is the inability to attain and maintain an erection sufficient for sexual intercourse at least 25% of the time. The penis doesn't get hard enough, or it gets hard but softens too soon.

What pill is better than Viagra?

Cialis is faster-acting than Viagra. You can take Cialis as little as 30 minutes before you plan to have sex; whereas Viagra must be taken at least one hour before sex. You should also take Viagra on an empty stomach.

What ED pills work immediately?

As a newer medication, avanafil is less likely to cause some side effects than older medications used to treat ED. Avanafil is currently the fastest-acting medication for ED, with studies published in the Journal of Urology finding that it starts working in as few as 15 minutes.

Is Cialis stronger than Viagra?

Effectiveness of all PDE5 inhibitors is similar; although reported effectiveness of Viagra, at 84% is slightly higher than that of Cialis at 81%. However, more men prefer Cialis because of its longer duration of effect.

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...

What is shockwave treatment for ED?

Shockwave Treatment For ED: What You Need To Know. Erectile dysfunction is a common condition that can affect men at any age . There are many different forms of treatment available for erectile dysfunction, including medication, but medication is not the only treatment.

What is the best treatment for erectile dysfunction?

Often, if a man is suffering from a psychological condition or emotional issue, the best and most effective treatment for their erectile dysfunction will be a combination of medications along with sex therapy, couples therapy, ...

How long does a muses erection last?

The urethra is the opening of the penis. The pellet will trigger an erection within just ten minutes. Typically, the erection will last for up to an hour.

What is the best medication for ED?

Viagra® is the most commonly associated medication used to treat erectile dysfunction. It was introduced in 1998, and since that time the number of men who are diagnosed with ED has risen nearly 250%. Levitra® and Cialis® are similar medications. These drugs are called phosphodiesterase-5 inhibitors and work by increasing the blood flow to your erection. These medications often come with side effects, such as headaches and nasal congestion. In addition, if you suffer from any type of heart disease, you cannot use these pills as they can cause the blood pressure to drop to dangerously low levels, according to a study in the BMJ.

What is a GAINSWAVE?

GAINSWave® is a procedure that uses sound waves in order to improve sexual function in men. This form of treatment can be used for men suffering from erectile dysfunction or Peyronie’s disease. During the procedure, the plaque formation found in blood vessels is broken up.

What are the side effects of penile injections?

Some of the side effects associated with a penile injection include a burning sensation around the penis. In addition, some men may suffer from priapism, an erection that goes on for over four hours and requires immediate medical attention.

Does testosterone help with erectile dysfunction?

Your doctor may check your blood for low testosterone, but low testosterone is rarely a cause for erectile dysfunction, which means that male hormone therapy is likely not going to help cure the symptoms of the disorder.

What is the best treatment for ED?

Psychotherapy: Dealing with any underlying emotional or psychological issues may help treat ED.

What is the best medication for ED?

Sildenafil. A range of medications can help treat erectile dysfunction. Sildenafil (Viagra) can be an effective way of treating ED, and it can also treat conditions such as high blood pressure. The pills come in doses of 25 milligrams (mg), 50 mg, or 100 mg.

What is PDE5 inhibitor?

This article will focus on PDE5 inhibitors. These drugs impede the functioning of PDE5, an enzyme in blood vessel walls that helps control blood flow. Following arousal, the body releases enzymes that cause smooth muscle in blood vessels to relax, allowing for more blood to flow through. PDE5 inhibitors block the degradation of these enzymes, ...

How long does it take for a sex med to work?

The drug can take comparatively longer to start working — a person takes it 1 hour before sexual activity.

How long does Viagra last?

The effects have been well-established in many clinical trials. The effects can last for up to 4 hours. Serious side effects are rare — though they can include allergic reactions and heart problems.

Is erectile dysfunction a treatable disease?

Erectile dysfunction is a treatable issue, and a variety of medications can help. Phosphodiesterase type 5 (PDE5) inhibitors can be effective. Trusted Source. ED treatments, and drugs in other classes can work, as well. This article will focus on PDE5 inhibitors.

Does tadalafil help with ED?

Tadalafil. Tadalafil ( Cialis) also works by increasing blood flow to the penis. Doctors also use Cialis to treat high blood pressure in the lungs and enlargement of the prostate. For ED, people take it as an oral tablet.

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.

What is the best website to compare pharmacy prices?

Shop around, because pharmacy prices vary. Various web-based tools can help you compare prices easily. One of them is www.goodrx.com.

Does it make any difference which of the four drugs for erectile dysfunction you take?

Does it make any difference which of the four drugs for erectile dysfunction you take? "Yes, there can be differences," says Dr. Louis Liou, chief of urology at Harvard-affiliated Cambridge Health Alliance in Boston. "For new patients, I have them try different ones to see what works best."

Is ED 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.

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.

What is PDE-5 inhibitor?

PDE-5 (phosphodiesterase-5) is a chemical that the body releases in order to signal that it’s time for the erection to end. PDE-5 inhibitors slow the activity of PDE-5, allowing the NO activity to continue, bringing an erection.

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)

How effective is stress management for ED?

Another small study from 2014 found that an 8-week stress management program alongside ED medication was similarly effective for improving ED , compared with the medication alone.

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.

Why is it important to sleep every night?

It’s important for your overall health to get enough sleep each night. Sleeping regularly may also improve your ED.

What is DHEA in the body?

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.

Why is it important to attend counseling with your partner?

It may also be helpful to attend counseling with your partner to help them understand your condition and discuss ways to support you.

How to treat ED?

The treatment for ED depends on its cause. It may include certain prescription medications, a vacuum device, or even surgery. But lifestyle changes and other natural treatments can also help improve ED.

How long does it take for a suppository to work?

You use a special applicator to insert the suppository into your penile urethra. The erection usually starts within 10 minutes and lasts between 30 and 60 minutes. Side effects can include pain, minor bleeding in the urethra and formation of fibrous tissue inside your penis. Testosterone replacement.

What are nonoral medications for erectile dysfunction?

Nonoral medications for erectile dysfunction include: Self-injections. Several medications are commonly injected directly into the penis to achieve an erection. The most often used medications include alprostadil, papaverine, and phentolamine. With this method, you use a fine needle to inject the medications into the base or side of your penis.

What causes erectile dysfunction?

Getting proper treatment for the underlying cause of erectile dysfunction might help prevent related health problems and improve sexual function. Conditions that can cause or worsen erectile dysfunction include: 1 Heart disease 2 Diabetes 3 Obesity 4 Psychological issues 5 Alcoholism and other forms of substance abuse 6 Tobacco use

What is the best treatment for a penis pump?

If a penis pump is a good treatment choice for you, your doctor might recommend or prescribe a specific model. Penile implants. This treatment involves surgically placing devices into both sides of the penis. These implants consist of either inflatable or semirigid rods.

Can implanted erectile dysfunction be treated?

Blood vessel surgery. Rarely, erectile dysfunction is treated by bypassing obstructed penile arteries.

Does Alprostadil cause pain?

Because the needle used is very fine, pain from the injection site is usually minor. Side effects can include bleeding from the injection, prolonged erection (priapism) and formation of fibrous tissue within the penis or at the injection site. Alprostadil urethral suppository.

Can testosterone be replaced with injections?

In this case, testosterone replacement therapy might be recommended as the first step. Testosterone replacement therapy can be delivered via injection, patch, gel, gum and cheek (buccal cavity), intranasal, subcutaneous pellet, or oral medication.

What is the most common ED medication?

Medications. The most commonly used ED medications among older adults are from a class of drugs called phosphodiesterase-5 (PDE5) inhibitors. PDE5 inhibitors block the activity of an enzyme in the walls of blood vessels. As a result, blood vessels are able to relax.

What does a doctor take into consideration when prescribing ED?

Your doctor will take into consideration your overall health and lifestyle when prescribing an ED medication.

How long does it take for ED to work?

Regardless of which kind of treatment you choose, there are some important facts to keep in mind: ED medications typically take 30 to 60 minutes to become effective.

What are some lifestyle changes that have been proven to be effective?

Lifestyle changes, such as strategies that boost cardiovascular health and weight management, have also been proven to be effective.

How many prongs are needed for ED?

For older adults, treating ED may require a two- prong approach:

Why is it important to have a conversation with your doctor about ED?

Having that conversation is also important because ED can sometimes be an early symptom of diabetes or cardiovascular disease. Your doctor may want to order blood tests and other screenings to check for these underlying conditions.

Who shouldn't take PDE5 inhibitors?

Who shouldn’t take these meds. People who have certain health conditions, including heart disease , shouldn’t take these medications. People who take certain medications to manage another health condition shouldn’t take PDE5 inhibitors either. This includes nitrates and alpha-blockers.

What is gene therapy?

Gene therapy: This novel therapy would deliver genes that produce products or proteins that may not be functioning properly in the penile tissue of men with ED. Replacement of these proteins may result in improvement in erectile function. Experimental animal models have demonstrated improvement in erectile function with gene therapy. Human studies may also demonstrate success with this therapy. Gene therapy may take a long time for regulatory approval and public acceptance.

How many medications are there for ED?

Currently there are five oral drugs available to treat ED -- Cialis, Levitra, Stendra, Staxyn, and Viagra . A number of pharmaceutical companies are researching new treatments for ED, and many new options may be just around the corner. These include:

What is the best treatment for ED?

A number of pharmaceutical companies are researching new treatments for ED, and many new options may be just around the corner. These include: Uprima: U prima (apomorphine) comes in a tablet form that dissolves under the tongue. Uprima works by stimulating the brain chemical dopamine, which heightens sexual interest and sensations.

Can melanocortin be given intranasally?

Initial studies in humans suggest that the drug (PT-141) can be effective if given intranasally (through the nose) in men with nonmedical (psychological/emotional) rather than physical causes of ED and mild to moderate ED. Larger studies will be necessary to demonstrate the safety and overall effectiveness of these drugs.

Can PT-141 cause ED?

Initial studies in humans suggest that the drug (PT-141) can be effective if given intranasally (through the nose) in men with nonmedical (psychological/emotional) rather than physical causes of ED and mild to moderat e ED.

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Diagnosis

Treatment

Clinical Trials

Alternative Medicine

Medically reviewed by
Dr. Pawan Katti
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.

Coping and Support

  • 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

Preparing For Your Appointment

  • The first thing your doctor will do is to make sure you're getting the right treatment for any health conditions that could be causing or worsening your erectile dysfunction. Depending on the cause and severity of your erectile dysfunction and any underlying health conditions, you might have various treatment options. Your doctor can explain the risks and benefits of each treatment and …
See more on mayoclinic.org

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