In rare cases, doctor appoints single method of erectile dysfunction treatment, focused on eliminating pathological factor. Much more often, especially with neglected form of impotence (when patient did not immediately seek advice) and for men of mature age, integrated approach is effective. It is characterized by combination of therapeutic techniques and is aimed not only at rapid sexual function restoration – “damage correction,” which initially led to disease, but also to combat self-doubt that develops in most patients.
Psychotherapy for Erectile Dysfunction Treatment
In situation when erection is absent not always, but only during intercourse, doctors talk about psychogenic nature of impotence. Thus excitement can be reached at masturbation or during sleep. Often, to help patient, it is not necessary to prescribe pharmaceuticals or medical procedures, it is enough to visit qualified psychotherapist (sometimes together with partner). The expert will help you understand your emotions and advise effective techniques aimed at restoring sensuality, overcoming clamps and creating romantic atmosphere in bedroom.
ED Drug Treatment
Inhabitants traditionally perceive drugs to fight against impotence as miracle pills, after which sexual function is instantly restored – only for a few hours. Similarly, for example, means based on sildenafil or tadalafil perform effectively. Other drugs are aimed at eliminating erectile dysfunction root cause.
This can be, for example:
- hormonal drugs prescribed by doctor;
- vitamins and dietary supplements that help normalize gonads operation;
- drugs that improve impulses performance along nerve fibers.
By the way, medicines fighting against erectile dysfunction do not always take form of pills: some patients are prescribed treatment in form of:
- rectal suppositories;
- solutions for administration directly to the external opening of urethra.
The success of such therapy is determined by individual characteristics of each patient, so you should be prepared for possible side effects, and also observe certain rules (for example, introduction of certain medications requires mandatory use of condom).
Vacuum Erectile Dysfunction Treatment
Another common method of treating erectile dysfunction is use of negative pressure, created with the help of special mechanical devices, which must be used immediately before sexual intercourse. The vacuum pump makes blood flow into penis, after which erection is held with special ring worn on penis base. This approach allows maintaining a “working” penis condition for up to 30 minutes, which is quite acceptable for some patients as symptomatic therapy for erectile dysfunction. But vacuum method can not provide complete cure for disease.
Massage for ED Treatment
Massage of perineum and pelvic organs is important method that is used in complex erectile dysfunction treatment. Improvement of blood circulation in this area contributes to activation of metabolic processes, vasodilatation and effectiveness of drug therapy used. Important is also psychological component: sessions of hardware massage increase sensitivity of sexual organs, relieve stress.
Therapeutic exercise in case of erectile dysfunction is another auxiliary technique that is aimed at strengthening muscles involved in sexual intercourse and improving blood circulation in intimate zone. Its importance can not be overestimated: often disease develops in men who carry out sedentary lifestyle, who even before appearance of a problem with erection was difficult to actively participate in sexual intercourse. Another task of exercise therapy is to eliminate effects of pelvic organs chronic constriction, which is consequence of wearing tight trunks or tight trousers. Daily exercise according to technique proposed by specialist in erectile dysfunction treatment will help not only improve quality of sex, but will also prevent vascular disorders in men who have experienced psychogenic impotence or impotence caused by hormonal disorders.
Surgical Impotence Treatment
If conservative treatment is found to be ineffective, and there is no chance of restoring natural penile function, doctor will recommend operation on vessels or penile prosthesis. Modern approaches to surgery allow man to return joy of sexual life in 95% of cases, and patient no longer needs to refer to “emergency pills” or vacuum pump. The main disadvantage of surgical method is high cost of operation, as well as possible individual contraindications to surgery, which it is undesirable to carry to elderly people.
Shock – Wave Therapy
Shock-wave therapy is innovative approach to impotence treatment, which has already proved its effectiveness in musculoskeletal system and cardiovascular system diseases treatment. Its action is based on stimulating effect of acoustic waves that trigger growth of new blood vessels, which in turn normalizes mechanism of erection even in patients with severe microcirculation disorders. Doctors note that result is noted after two weeks of short-term procedures and remains for at least a year after start of treatment. Shock-wave therapy has no side effects, it allows you to reduce, and in some cases, completely refuse to take medications. The method is able to help most men with impotence.