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However, only combine treatments after talking with your health care provider about this. Erections can last too long with drug therapy, which is dangerous. I

was

Many drugs can cause ED, but some cannot be changed because the drug's benefits are too important for you.

If you feel sure that a specific drug has caused the ED problem, ask your health care provider if you can change drugs.

If you must stay on the drug that is causing the problem, there are ED treatments that can help.

You can work with a health care professional to treat an underlying cause of your erectile dysfunction (ED).

However, you also may benefit from talking with your partner about which treatment is best for you as a couple. Your health care professional may suggest that you make lifestyle changes to help reduce or improve ED. You can seek help from a health professional if you have trouble making these changes on your own. Talk with your doctor about going to a counselor if psychological or emotional issues are affecting your ED. A counselor can teach you how to lower your anxiety or stress related to sex.

Your counselor may suggest that you bring your partner to counseling sessions to learn how to support you. As you work on relieving your anxiety or stress, a doctor can focus on treating the physical causes of ED.

Your counselor may suggest that you bring your partner to counseling sessions to learn how to support you.

If a medicine you need for another health condition is causing ED, your doctor may suggest a different dose or different medicine. Never stop taking a

medicine

Read about which medicines make it more likely that you’ll develop ED.

A health care professional may prescribe you an oral medicine, or medicine you take by mouth, such as one of the following, to help you get and maintain an erection: sildenafil (Viagra) vardenafil (Levitra, Staxyn) tadalafil (Cialis) avanafil (Stendra) All of these medicines work by relaxing smooth muscles and increasing blood flow in the penis during sexual stimulation.

You should not take any of these medicines to treat ED if you are taking nitrates to treat a heart condition.

The combination can lead to a sudden drop in blood pressure,

which

levels

Although taking testosterone may help your ED, it is often unhelpful if your ED is caused by circulatory or nerve problems. Taking testosterone also may lead to side effects, including a high red blood cell count and problems urinating. Testosterone treatment also has not been proven to help ED associated with age-related or late-onset hypogonadism. Do not take testosterone therapy that hasn’t been prescribed by your doctor.

Testosterone therapy can affect how your other medicines work and can cause serious side effects.

A health care professional may prescribe you an oral medicine to help you get and maintain an erection.

Many men get stronger erections by injecting a medicine called alprostadil into the penis, causing it to become filled with blood. Oral medicines can improve your response to sexual stimulation, but they do not trigger an automatic erection like injectable medicines do.

Instead of injecting a medicine, some men insert a suppository of alprostadil into the urethra. A suppository is a solid piece of medicine that you insert into your body where it dissolves.

A health care professional will prescribe a prefilled applicator for you to insert the pellet about an inch into your urethra. An erection will begin within 8 to 10 minutes and may last 30 to 60 minutes.

Some men say certain alternative medicines taken by mouth can help them get and maintain an erection. However, not all “

natural

To help ensure coordinated and safe care, discuss your use of alternative medicines, including use of vitamin and mineral supplements, with a health care professional. Also, never order a medicine online without talking with your doctor.

To help ensure coordinated and safe care, discuss your use of alternative medicines, including use of vitamin and mineral supplements, with a health care professional. How will side effects of erectile dysfunction medicines affect me?

ED medicines that you take by mouth, through an injection, or as a pellet in the urethra can have side effects, including a lasting erection known as priapism. Call a health care professional right away if an erection lasts 4 hours or longer.

A small number of men have vision or hearing loss after taking oral ED medicines.

Call your health care professional right away if you develop these problems. A vacuum device causes an erection by pulling blood into the penis.

The device has three parts: a plastic tube, which you put around your penis a pump, which draws air out of the tube, creating a vacuum an elastic ring, which you move from the end of the tube to the base of your penis as you remove the tube. The elastic ring maintains the erection during intercourse by preventing blood from flowing back into your body. The elastic ring can remain in place up to 30 minutes. Remove the ring after that time to bring back normal circulation and to prevent skin irritation. You may find that using a vacuum device requires some practice or adjustment. Using the device may make your penis feel cold or numb and have a purple color. However, the bruises are most often painless and disappear in a few days.

Vacuum devices may weaken ejaculation but, in most cases, the devices do not affect the pleasure of climax, or orgasm. A vacuum device causes an erection by pulling blood into the penis. Talk with your doctor about whether surgery is right for you.

A urologist performs surgery at a surgical center or hospital to. implant a device to make the penis erect rebuild arteries to increase blood flow to the penis. Implanted devices, known as prostheses, can help many men with ED have an erection. inflatable implants, which make your penis longer and wider using a pump in the scrotum malleable implants, which are rods that allow you to manually adjust the position of your penis.

You usually can leave the hospital the day of or day after the surgery.

You should be able to use

the

Surgery to repair arteries can reverse ED caused by blockages that stop blood flow to the penis. Usually men younger than 30 are the best candidates for this type of surgery.

This content is provided as a service of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), part of the National Institutes of Health.

The price of sildenafil 100mg NIDDK translates and disseminates research findings to increase knowledge and understanding about health and disease among patients, health professionals, and the public. Content produced by the NIDDK is carefully reviewed by NIDDK scientists and other experts.

The NIDDK would like to thank: Tom Lue, M.D., University of California San Francisco. The National Institute of Diabetes and Digestive and Kidney Diseases Health Information Center. With or without medication, it can often be reversed. Most males experience at least one episode of being unable to achieve an erection when desired.

In extreme cases, they may be unable ever to have or sustain an erection. Erectile dysfunction (ED) is very common, affecting an estimated 30 million men in America. Most cases of ED occur in men who were previously able to sustain an erection. The condition is usually reversible, but the chances of completely curing ED depend on the underlying cause.

Read on to learn about natural and medicinal ways to reverse ED. Share on Pinterest The right treatment can reduce or eliminate ED symptoms. In many cases, yes, erectile dysfunction can be reversed.

A study published in the Journal of Sexual Medicine found a remission rate of 29 percent after 5 years.

It is important to note that even when ED cannot be cured, the right treatment can reduce or eliminate symptoms. Doctors have identified two types of ED: Primary ED occurs when a man has never been able to have or sustain an erection.

Secondary ED occurs in people who once had regular erectile function. Secondary ED can be reversed and is

often

Primary ED may require more intensive and medical-based treatments. ED is usually treatable with medication or surgery.

However, a person may be able to treat the underlying cause and reverse symptoms with no medication.

Some

find

These help with achieving or maintaining erections but do not address the underlying cause of ED.

For example, sildenafil (Viagra) increases blood flow to the

penis

This may eliminate ED or reduce the frequency of episodes. Share on Pinterest Psychological treatments may help to reduce anxiety and increase self-confidence. The cause of ED may be psychological, and the condition itself may lead to anxiety. Psychological treatments can reduce anxiety, increase self-confidence, and improve relationships with sexual partners. Also, these changes may increase the odds that other treatments are effective. Some men find that intense anxiety about sex prevents certain treatments from working.

Addressing this anxiety can improve overall results. See a doctor to check for any underlying health issues. ED can be the first sign of diabetes-related nerve damage, cardiovascular disease, or a neurological problem. While the cause of ED may be physical, the condition can still have psychological effects. It may lead to self-consciousness or anxiety, which can make it more difficult to get an erection. A treatment plan may, therefore, include both physical and psychological methods. Adjusting the lifestyle can improve many issues that cause ED, such as diabetes and clogged arteries. Men with underlying health issues should discuss options with their doctors. Lifestyle changes that can help include: using relaxation exercises to manage ED-related stress and control blood pressure exercising to improve blood flow losing weight, when necessary, to lower blood pressure and improve cholesterol and testosterone levels changing the diet, which may especially benefit people with diabetes or cardiovascular disease. The pelvic floor muscles help men to urinate and ejaculate.

Strengthening these muscles may also improve erectile function. A comprehensive 2010 review found that pelvic floor exercises may help men with diabetes to get and maintain erections.

Discuss pelvic floor physical therapy with a doctor to learn which exercises are most effective.

It may be difficult to talk about, but the issue is common.

It is important to acknowledge and discuss ED, particularly when it causes depression or anxiety.

Individual counseling can aid in uncovering the cause of the problem.

A psychologist or psychiatrist can help an individual to manage their anxiety and resolve issues, which can eliminate ED and prevent it from returning.

Couples’ therapy can help sexual partners to talk through their feelings and find healthful, constructive ways to communicate about ED. Some men find that alternative and complementary therapies, such as acupuncture, help with ED. Preliminary research suggests that some herbal supplements may also help.

A 2018 review found that ginseng preparations significantly improved symptoms of ED in the population studied.

Preparations of maritime pine extract, Pinus pinaster , and maca, Lepidium meyenii , also showed promising results, but more research is needed. Methods of alternative medicine are safest when used under the guidance of a doctor and in conjunction with other treatments.

The best-known are drugs, such as tadalafil (Cialis) and Viagra, which increase blood flow to the penis and help to achieve an erection. These can be effective when that cause of ED is physical, and they also work well when the cause is unknown or related to anxiety.

If an underlying condition, such as diabetes, is causing ED, treating it will often reverse ED or prevent it from worsening. Blood pressure medication, for example, may lower blood flow to the penis, making it harder to get an erection.