Erectile dysfunction: Nonoral treatments
Oral medications are not the only way to deal with erectile dysfunction. Know the full array of remedy options and how they do the job.
By Mayo Clinic Personnel
If you have erectile dysfunction and cannot get particular oral medications or if oral treatments are not effective, you have other remedy options.
Understand why you might decide on a nonoral remedy for erectile dysfunction and how these distinct treatments do the job.
When oral medications might not be safe and sound
Not all gentlemen can safely get erectile dysfunction oral medications, these kinds of as sildenafil (Viagra), vardenafil (Levitra, Staxyn), tadalafil (Cialis) and avanafil (Stendra). Medications for erectile dysfunction might not do the job or might be risky if you:
- Just take nitrate medicine generally approved for upper body suffering (angina)
- Have really minimal blood pressure (hypotension) or uncontrolled large blood pressure (hypertension)
- Have intense liver disorder
- Have kidney disorder that involves dialysis
Some gentlemen might also decide on yet another remedy selection to prevent the side results caused by particular oral medications.
Other styles of medications
Nonoral medications for erectile dysfunction consist of:
Self-injections. Numerous medications are generally injected specifically into the penis to accomplish an erection. The most usually utilized medications consist of alprostadil, papaverine, and phentolamine. With this technique, you use a wonderful needle to inject the medications into the base or side of your penis.
The purpose of injection therapies is to generate an erection that lasts about 20 to 40 minutes. If an erection lasts extended than a single hour, you will require to have the treatment or dose altered to prevent likely very long-term difficulties. For the reason that the needle utilized is really wonderful, suffering from the injection web page is usually insignificant.
Aspect results can consist of bleeding from the injection, extended erection (priapism) and development of fibrous tissue inside the penis or at the injection web page.
Alprostadil urethral suppository. Alprostadil intraurethral (Muse) remedy consists of inserting a tiny alprostadil suppository within your penis in the penile urethra. You use a special applicator to insert the suppository into your penile urethra.
The erection usually starts off inside ten minutes and lasts concerning 30 and 60 minutes. Aspect results can consist of suffering, insignificant bleeding in the urethra and development of fibrous tissue within your penis.
Testosterone substitution. Some gentlemen have erectile dysfunction that might be complicated by minimal degrees of the hormone testosterone. In this circumstance, testosterone substitution remedy might be advisable as the very first move.
Testosterone substitution remedy can be shipped through injection, patch, gel, gum and cheek (buccal cavity), intranasal, subcutaneous pellet, or oral treatment. Speak to your health care provider about your individual choice and the attainable side results.
Penis pumps, surgical treatment and implants
If medications are not effective or proper in your circumstance, your health care provider might propose a distinct remedy. Other treatments consist of:
Penis pumps. A penis pump (vacuum erection machine) is a hollow tube with a hand-powered or battery-powered pump. The tube is put over your penis, and then the pump is utilized to suck out the air within the tube. This creates a vacuum that pulls blood into your penis.
At the time you get an erection, you slip a rigidity ring close to the base of your penis to keep in the blood and preserve it organization. You then take out the vacuum machine.
The erection ordinarily lasts very long ample for a few to have sexual intercourse. You take out the rigidity ring just after intercourse. Bruising of the penis is a attainable side impact, and ejaculation will be limited by the band. Your penis might really feel cold to the contact.
If a penis pump is a superior remedy option for you, your health care provider might propose or prescribe a specific model.
Penile implants. This remedy consists of surgically inserting products into both equally sides of the penis. These implants consist of either inflatable or semirigid rods. Inflatable products allow you to manage when and how very long you have an erection. The semirigid rods preserve your penis organization but bendable.
Penile implants are usually not advisable right until other methods have been experimented with very first. Implants have a large diploma of pleasure amid gentlemen who have experimented with and unsuccessful more-conservative therapies. As with any surgical treatment, you can find a risk of difficulties, these kinds of as an infection.
- Blood vessel surgical treatment. Hardly ever, erectile dysfunction is addressed by bypassing obstructed penile arteries. This is uncommon, however, and is only advisable in a smaller percentage of gentlemen.
Battery-powered penis pump for erectile dysfunction
Battery-powered penis pump for erectile dysfunction
A penis pump is utilized to attract blood into the penis to produce an erection. You then area a rubber ring close to the base of the penis to preserve the erection.
If your erectile dysfunction is caused by worry, panic or despair — or the condition is making worry and marriage rigidity — your health care provider might advise that you, or you and your spouse, stop by a psychologist or counselor.
You should not overlook the underlying result in
Finding correct remedy for the underlying result in of erectile dysfunction might support reduce linked overall health challenges and increase sexual perform. Situations that can result in or worsen erectile dysfunction consist of:
- Coronary heart disorder
- Weight problems
- Psychological problems
- Alcoholism and other forms of compound abuse
- Tobacco use
If you have erectile dysfunction, you might be not by yourself — and you have lots of remedy options. Get the job done with your health care provider to discover which erectile dysfunction remedy might do the job very best for you.
July 02, 2021
- Wein AJ, et al., eds. Analysis and administration of erectile dysfunction. In: Campbell-Walsh Urology. eleventh ed. Philadelphia, Pa.: Elsevier 2016. http://www.clinicalkey.com. Accessed April five, 2016.
- Ferri FF. Erectile dysfunction. In: Ferri’s Clinical Advisor 2019. Philadelphia, Pa.: Elsevier 2019. https://www.clinicalkey.com. Accessed May perhaps 28, 2019.
- Cunningham GR, et al. Overview of male sexual dysfunction. https://www.uptodate.com/contents/research. Accessed May perhaps 28, 2019.
- Khera M, et al. Cure of male sexual dysfunction. https://www.uptodate.com/contents/research. Accessed May perhaps 28, 2019.
- Schwartz BG, et al. Drug interactions with phosphodiesterase-five inhibitors utilized for the remedy of erectile dysfunction or pulmonary hypertension. Circulation. 2010122:88.
- Erectile dysfunction. National Institute of Diabetes and Digestive and Kidney Illnesses. https://www.niddk.nih.gov/overall health-information and facts/urologic-diseases/erectile-dysfunction. Accessed May perhaps 28, 2019.
- Lazarou S. Surgical remedy of erectile dysfunction. https://www.uptodate.com/contents/research. Accessed May perhaps 28, 2019.
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