Doctors would like to have a combined treatment approaches – lifestyle changes like to stop smoking, to lose the exceeding pounds, and to increase the level of physical activity; this might be enough to get back a man’s erection. It is also necessary to reduce the prescribed or no-prescribed drugs that play a certain part in erectile dysfunction. Sexual psychotherapy is very useful to most men. Viagra is one of the most helpful medications. In times that this does not work, vacuum cylinders and pumps or surgically implanted devices can be used. Surgery including veins or arteries may be possible in some rare cases. The testosterone administration must also be taken into consideration because this might include therapy for hormone replacement in several forms.
Surgery
There are traditional and non traditional ways to treat erectile dysfunction through a method called penile implant or also known as a sexual restorative surgery. Traditional methods insert a device through an incision in the scrotum. A non traditional which is a minimally invasive procedure insert a device and a reservoir into the lower abdomen, just right above penis.
A procedure will be considered as a minimally invasive when it only takes 15-20 minutes, involves only a 3-4 cm incision and can be done in an outpatient basis. As a result, recovery is very fast and surgery risk is also reduced. The patient will have all confidence that the result of the minimally invasive procedure is effective and safe.
Psychotherapy
The best medication for erectile dysfunction that is caused by psychological effects is by using psychotherapy techniques that will lessen anxiety about relationships, intimacy or sex. It is very important that the man’s partner will assist him with such treatment techniques that include gradual increase with the level of intimacy and sexual stimulation. These methods are very applicable once anxiety caused by physically based erectile dysfunction is being cured.
Drug Therapy
Some of the approved treatments for erectile dysfunction are Viagra (sildenafil), Cialis (tadalafil) and Levitra (vardanafil hydrochloride). These drugs belong to a group called phosphodiesterase (PDE) inhibitors – these work by enhancing effects of the nitric oxide (the chemicals that makes the smooth muscles to relax during erectile mechanism of the penis), or either to prevent its breakdown, by this means it permits to continue the effect to increase the blood flow.
50 mg is the starting and ideal dosage of Viagra to be taken, although 25 mg or 100 mg might be required. 10 mg for Levitra and Cialis but the doctor might make some adjustment up to 20 mg or 5 mg as needed.
Not even one of these phosphodiesterase inhibitors to be taken more than once per day and the nitrate-based drugs like nitroglycerin intended for heart difficulties can be affected by them. To combine phosphodiesterase inhibitor with alpha-blocker might caused a drop in blood pressure.
Testosterone can positively lessen erectile dysfunction in most men with lowered percentile of their individual testosterone. Men claimed that several oral drugs like yohimbine hydrochloride, more esoteric dopamine and serotonin agonists are effective but still there is lack of scientific evidence.
Vacuum Devices
Mechanical vacuum pumps are another approach to cure erectile dysfunction. These induce erection by producing partial vacuum and the effect of these aids to suck blood going to the penis, and then it engorges and expands. These are not considered as penis enlargement pumps. These are medical devices having elastic band and by the time they are fastened around the base of the penis, these will make sure that erection is being maintained when the cylinder is removed. These will allow the man and his partner to have sexual intercourse.