Erectile dysfunction (ED) is a common problem, affecting an estimated 30 million (and possibly up to 50 million) American men. ED typically affects men 50 and older, but it can occur at any age. The condition makes it difficult to get or maintain an erection long enough to have sex. Fortunately, a variety of effective treatments are available.
At Associated Urologists of North Carolina, PA, with offices in Cary, Clayton, Dunn, Raleigh, and Wake Forest, North Carolina, our team of expert urologists regularly counsels men with ED. Keep reading to take a closer look at five of our most recommended therapies.
One of the most common causes of ED is atherosclerosis, or a hardening and narrowing of the arteries that allow blood flow to the penis. Since erections need adequate circulation, any reduction can make it harder to get (or keep) an erection.
One class of medications, called PDE5 inhibitors, increase blood flow to the penis, making erections firmer and easier to maintain. Drugs in this category include Viagra, Cialis, and Stendra. Although considered safe and usually well-tolerated, men with heart disease and those taking nitrates should talk to their doctor before starting treatment.
Sometimes, ED is the result of lifestyle factors, such as poor sleep, lack of exercise, or tobacco use. The good news is that even small changes to your routine can improve blood flow, help balance your hormones, and support your mood and mental health (all of which are crucial for sexual performance).
While recommendations vary, there are several easy ways to get started. We recommend exercising for at least 30 minutes five days a week, cutting out tobacco products, and aiming to get at least 7-8 hours of sleep per night. Small changes like these can significantly improve your sexual health.
Psychological factors, such as stress and relationship issues, are believed to contribute to 10-20% of all ED cases. It can be tempting to push feelings like anxiety and depression to the side, hoping things improve on their own, but that’s rarely the case.
Working with a qualified mental health professional, such as a psychologist or licensed therapist, can help you identify the root cause of the problem. They can also provide strategies to manage stress and improve communication with your significant other, making it easier to talk about ED and strengthen your relationship.
Some men with ED aren’t able to take oral medication due to certain health conditions, medications, or other risk factors. If you fall into this category, a mechanical solution, like a penis pump, could be a viable alternative. These devices use suction to draw blood to the penis and are often used with a constriction ring to help maintain the erection long enough to have intercourse.
Even though penis pumps are effective, some men don’t like the time and effort required to use these devices before sex. If you’d prefer sexual encounters to maintain some level of spontaneity but aren’t able to take oral medication, consider, for example, an Alprostadil injection or a urethral suppository. Both are fast-acting and stimulate an erection within minutes, making it easier to have sex without the extra steps when the moment feels right.
ED can negatively affect your self-esteem and sex life, but you don’t have to suffer alone. Our team regularly helps men experiencing this condition and can develop a personalized treatment plan to improve their sexual health and confidence. To schedule an appointment, call the nearest office in Cary, Clayton, Dunn, Raleigh, or Wake Forest, North Carolina, or use our online booking tool.
