How Do You Choose the Right Erectile Dysfunction Treatment?

Most guys are less willing to admit that they have ED than they are unwilling to admit that they have committed a crime. Also, the prevalence of erectile dysfunction affects men of all ages, but it increases with age. Thankfully, erectile dysfunction is very manageable, but it can be tricky to find what works for you.

This guide walks through the different erectile dysfunction treatments, how to compare them and questions to ask before you decide.

Start With the Cause, Not the Fix

It's a good idea to know the reason ED is happening. ED occurs when your erection isn't hard enough or lasts long enough, you can't get or keep an erection, or you are ejaculating too early.

Common Physical Causes

Heart and blood vessel disease

Diabetes

High blood pressure or high cholesterol

Low testosterone

Obesity and poor sleep

Side effects from certain medications

Nerve damage from surgery or injury

Common Psychological Causes

Stress and anxiety

Depression

Relationship problems

Performance worry that builds on itself

Most men aren't aware of this: ED could be the first indicator of the heart disease. The vessels that are affected are tiny, and they're affected earlier than the larger vessels. One more reason to speak with your doctor instead of going to an online pill mill.

Main Treatment Options

No two treatments do the same thing. Here's an overview in plain English.

Oral Medications

First line treatments: First line treatments, called PDE5 inhibitors, are medications that enhance the inflow of blood to the penis when a man becomes aroused. (Note: They do not increase sexual desire.) Most men respond well to PDE5 inhibitors, but they can be dangerous in men with certain other health conditions, such as those who take nitrate medications for chest pain. Consult a doctor to see what's safe.

Lifestyle Changes

Don't forget the basics. Exercise regularly, eat sensibly, lose weight, get a good night's sleep, cut back on alcohol and stop smoking and you can enhance your erections. For many men, that might be enough. For others, it may not be.

Therapy and Counseling

If you are experiencing relationship stress or anxiety related to your ED, visit a sex counselor or therapist. Visit a counselor if you experienced ED following a stressful life event.

Hormone Treatment

Can low desire be treated? If tests reveal low testosterone, treatment might be helpful as one of the signs is low desire. However, this is not suitable for all and needs investigations and monitoring.

Vacuum Devices

A vacuum erection device uses a suction tube to fill the penis with blood, and then a ring to contain it. Non-invasive, drug-free and suitable for men who are unable to take pills. For others, it can be a little uncomfortable at first.

Injections and Urethral Suppositories

They deliver the medication right into your penis. They are able to work when pills fail, however they are not sure-fire methods.

Shockwave Therapy

Treatments for ED are available in many clinics, low-intensity shockwave therapy, which can build better blood flow across several treatment sessions. Research is showing promise for some men with mild to moderate vascular ED, but more research is ongoing, so ask your provider for less biased information.

Surgical Options

What should I know about penile implants? Penile implants are usually only used for men who have not responded to other forms of treatment. They offer a very high satisfaction rate but require surgery so should be considered a significant decision.

How to Compare Your Options

Questions to Ask Before Choosing an Erectile Dysfunction Treatment.

Effectiveness

Will it be effective for me and my particular cause? Something that works for a diabetic may not be the most effective treatment for you, if your ED is caused by stress.

Safety

Your health status and medications are also very important. Always tell your doctor exactly what you are taking with you, whether they are over the counter or not.

Convenience

Some men want things spontaneous. Some men are okay with planning forward. Consider what you will actually be able to continue.

Side Effects

Common ones depend on the treatment, ranging from headaches and flushing to bruising or pain. Query about what is likely, what is less common.

Cost

This is an everyday situation that you may have encountered, and it is worth having a direct discussion about it.

Understanding Cost

Cost of treatment: The prices can differ. Brand drugs may be on the high end of the spectrum. Forshock Packages, Surgery, Injection: This is a varied cost.

Can be a lot more expensive and some insurance would cover some treatments and not others.

Request a complete listing of costs for follow-up visits and sample collection, and not just the initial appointment.

And a quick test for comparing clinics: A lot of men's health and wellness centers provide other, unrelated services like skin or grooming treatments. If you encounter a menu displaying a price for, say, laser hair removal, beside the price for ED treatment, that doesn't necessarily mean it's a red flag, but instead, observe who you are receiving healthcare from. Ask if a licensed physician or qualified professional is overseeing you, and don't get fooled by the package of cosmetic treatments.

What to Expect at Your Appointment

A good visit usually includes:

A medical and sexual history

A physical exam

Blood pressure checks and possibly blood tests
A discussion of your goals and concerns

A clear plan with follow-up

It might be awkward at first, but all providers discuss this routinely. The more you're willing to be open, the better your outcomes will be.

Red Flags to Avoid

Clinics promising a guaranteed cure

Compelled to purchase a large purchase without trial
Prescribing without any exam or history
Online vendors selling "miracle" supplements without ingredients#

Some of these unregulated products may even include hidden drugs that have the potential to cause dangerous drug interactions with other drugs.

Frequently Asked Questions

What is the best treatment of ED?

The best choice varies depending on the cause of your Erectile Dysfunction and your health and preferences. The good news is that oral medications work well for many men. It may take you some trial and error to find what works best for you.

Can ED be cured permanently?

Occasionally. If it's due to lifestyle, stress, or a condition that can be addressed, treatment can help. If it's due to cumulative damage to the blood vessels or nerves, you may have to manage the condition on an ongoing basis.

Can I order ED pills online safely?

A little risky. Bought-over-the-counter products are more likely to be fake or contain unlisted ingredients. Stick to licensed providers or pharmacies and steer clear of anything claiming instant results.

When should I see a doctor?

Schedule a visit if your ED persists for more than a few weeks, develops suddenly or is accompanied by chest pain, numbness or other problems. It may be worth having evaluated, even if the problem seems insignificant.

This article is for educational purposes only and isn't having doctor's advice. Talk to your qualified medical professional regarding your individual symptoms and therapy.