
The best treatment for erectile dysfunction depends on finding the underlying physical or psychological cause with a doctor's help. [1]
Oral Medications
Phosphodiesterase type-5 (PDE5) inhibitors are the most common first-choice pills.
Common options include sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra), and avanafil (Stendra).
These drugs increase blood flow to the penis during sexual stimulation.
Side effects can include headaches, flushing, and a stuffy nose. Do not mix them with heart medications called nitrates. [1, 2, 3, 4, 5]
Medical Devices and Procedures
Vacuum erection devices (VEDs) use a plastic tube and pump to pull blood into the penis, held in place by a rubber ring at the base.
Injections or suppositories like alprostadil can be used if pills do not work or are unsafe.
Penile implants (surgery to place bendable or inflatable rods) offer a permanent solution when other treatments fail. [1, 2, 3]
Lifestyle Changes
Cardiovascular exercise like brisk walking or swimming improves blood flow and can reverse mild cases.
Quitting smoking and losing excess weight repair blood vessel health.
Talk therapy helps if stress, anxiety, or relationship issues cause the problem. [1, 2, 3, 4]
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