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Erectile Dysfunction - Treatment, Procedure And Side Effects

What is the treatment?

When a male faces problems with getting or continuing to keep an erection during sexual intercourse, he may be suffering from erectile dysfunction (ED). ED may result because of an underlying health issue such as heart disease, thus the problem should be discussed with a doctor as soon as possible.

As per the causes and extent of the problem the doctor will recommend a type of treatment which may include oral medication, penis pumps, penile implantation and even surgery. Psychological counseling is recommended to men who are suffering from stress and anxiety. Low self-esteem may also lead to ED. Counseling effectively helps men solve their mental health issues and overcome ED.

Oral medication may include drugs like Viagra, Cialis, Stendra, and Levitra, which enhance the nitric oxide effect in the body, thus improving blood flow in the penis. The dosage of the medicines will vary from individual to individual. These medicines do not aid in immediate erection, as they aren’t aphrodisiacs. Some form of sexual stimulation is necessary to trigger the release of nitric oxide and cause an erection.

Self-injections and Muse therapy, as well as testosterone replacement options, can also be suggested by doctors.

How is the treatment done?

In the case of Muse therapy, a special applicator is used to insert a small alprostadil suppository into the penile urethra. This should be inserted into the penis before intercourse. It takes about 10 minutes for the medicine to do its work and the erection may last from 30 minutes to 60 minutes.

Testosterone replacement treatment is recommended for men who suffer from ED because of low levels of testosterone. The replacement of testosterone is generally done through injection or application of a patch. It may also be taken in gel or gum form.

A penis pump, which is also known as a vacuum erection device is situated just over the penis. The hollow tube is generally battery powered or hand powered. Once the pump is placed it removes the air from inside the device, creating a vacuum that triggers blood flow to the penis resulting in an erection. A tension ring is then placed at the penis base to keep the erection in place. The ring should be removed once intercourse is done.

Penile implantation is done through a surgical procedure in which the implants are located on two sides of a man’s penis. The implants may either be inflatable rods or semi-rigid rods. This form of treatment is very rare and is done only after other types of ED treatment have failed.

Who is eligible for the treatment? (When is the treatment done?)

Erectile dysfunction can affect men at any age. Usually, older men tend to face this problem more than younger men. Men of all age can seek treatment for ED.

The treatment for ED generally depends on the diagnosis and will vary from individual to individual.

Who is not eligible for the treatment?

Depending on the health and certain other factors a doctor will advise a certain form of treatment to cure ED. While a type of treatment like oral medication may work for one patient, another may require a surgery.

Are there any side effects?

Treatment for ED is safe, but there may be few side effects such as:

  • Oral medication can lead to headaches, backache, changes in vision and stomach problems.
  • Self-injections can result in pain around the area where the needle is injected, bleeding and development of fibrous tissue around the injected area.
  • Side effects of muse therapy include slight urethral bleeding, pain and fibrous tissue formation.
  • Surgery as a treatment for ED is very rare and can lead to severe complications like infection.

What are the post-treatment guidelines?

Post-treatment patients generally are asked to make changes to their lifestyle. This includes a balanced diet and regular exercise. They are advised to quit smoking and reduce intake of alcohol.

How long does it take to recover?

Treatment for ED is generally in the form of oral medication which needs to be taken according to prescribed guidelines. Recovery after penile surgery takes about 2 to 4 weeks. One can resume sexual activity in about 6 weeks’ time.

In the case of ED due to stress or anxiety, individuals seek psychotherapy and recovery as and when they distress and learn to relax.

What is the price of the treatment in India?

The cost of treating ED varies upon the kind of treatment one is seeking. It generally ranges from Rs 25,000 to 40,000 and even more in some cases.

Are the results of the treatment permanent?

While effects of surgery and penile implants may be permanent, oral medication needs to be taken as and when a male who suffers from ED wants to indulge in intercourse.

What are the alternatives to the treatment?

A number of alternative treatment for ED are also available. These include:

  • Nutritional supplements
  • Herbal medication
  • Acupuncture
  • Group therapy
Safety: High Effectiveness: High Timeliness: Low Relative Risk: Low Side Effects: Low Recovery Time: Medium Price Range: Rs. 25000 - Rs. 40000

Popular Health Tips

Erectile Dysfunction and Diabetes

Dr. Nitin Sahu 86% (57 ratings)
MD - General Medicine, MBBS Bachelor of Medicine and Bachelor of Surgery
Endocrinologist, Indore
Erectile Dysfunction and Diabetes
Erectile dysfunction is a common problem for men who have diabetes but it's not inevitable. Consider prevention strategies, treatment options and more. Erectile dysfunction the inability to get or maintain an erection firm enough for sex is common in men who have diabetes, especially those with type 2 diabetes. It can stem from damage to nerves and blood vessels caused by poor long-term blood sugar control. Erectile dysfunction can also be linked to other conditions common in men with diabetes, such as high blood pressure and heart disease. Erectile dysfunction might occur earlier in men with diabetes than in men without the disease. Difficulty maintaining an erection might even precede the diabetes diagnosis. Having erectile dysfunction can be a real challenge. It can leave you and your partner feeling frustrated and discouraged. Take steps to cope with erectile dysfunction and get your sex life back on track. Talk to an expert Many men are reluctant to discuss erectile dysfunction with their doctors. But don't let embarrassment keep you from getting help. One small conversation can make a big difference. Here's what to do: Tell your doctor what's going on. Your doctor will consider underlying causes of your erectile dysfunction and can give you information about medication and other erectile dysfunction treatments. Find out your options. Ask if there's anything you can do to better manage your diabetes. Improving your blood sugar levels can help prevent nerve and blood vessel damage that can lead to erectile dysfunction. You'll also feel better overall and improve your quality of life. Ask your doctor if you're taking the right steps to manage your diabetes. Ask about other health problems. It's common for men with diabetes to have other chronic conditions that can cause or worsen erectile dysfunction. Work with your doctor to make sure you're addressing any other health problems. Check your medications. Ask your doctor if you're taking any medications that might be worsening your erectile problems, such as drugs used to treat depression or high blood pressure. Making a change to your medications might help. Seek counseling. Anxiety and stress can make erectile dysfunction worse. Erectile dysfunction can also have a negative impact on your relationship with your intimate partner. A psychologist, counselor or other mental health specialist can help you and your partner find ways to cope.
2 people found this helpful

Weak Erection? How to Boost Penis Health?

Dr. Vinod Raina 93% (4621 ratings)
MD - General Medicine
Sexologist, Delhi
Weak Erection? How to Boost Penis Health?
Weak Erection? How to Boost Penis Health? Many men believe erectile dysfunction means they can't get it up at all, but for some men, the reality is a little more complex. Some men suffer from a weak erection - meaning they can get it up, but it doesn't get hard enough for them to engage in sexual intercourse with a partner. Though most men have suffered from the occasional weak erection (especially during a period of time when they weren't paying enough attention to penis care, erections that are consistently weak are cause for concern. What might cause weak erections? In order to alleviate the problem of weak erections, a man must understand how an erection works in the first place. When a man becomes excited, the brain sends signals to the body to relax certain blood vessels, especially those around the penis. The result is a rapid influx of blood into the spongy areas on either side of the penis, known as the corpora cavernosa. As the blood flows in, the penis becomes hard. The blood does not easily flow back out, thus allowing a man to keep his erection for as long as he needs to. Given how erections work, it's safe to say that any issues with circulation can cause serious problems with getting hard. If a man has problems with blood not pumping hard enough, it can lead to a lesser amount of blood filling those spongy areas, or none at all - this leads to a weak erection. The other issue might occur when lack of proper blood flow over a long period of time leads to nerve issues with the penis, which then doesn't allow the signals for hardness to get through appropriately. The result, as a man might imagine, is an erection that is barely there or not there at all. How to fix the problem of weak erections? When a man first notices weak erections, he should get to the doctor as soon as possible. This is to rule out any underlying issues that might contribute to the problem. Without solving any underlying issues, nothing else a man tries will actually work. Once a guy has a clean bill of health, it's time to look at circulation issues that might be causing the problem. In most cases, circulation issues stem from lifestyle habits, so changing some of those habits can be a huge help. These include: 1) Eat healthier. Foods loaded with lean protein, antioxidants and plenty of healthy nutrients are best. Look for fruits, veggies and lean meats. Drink plenty of water as well. 2) Exercise more. The more the blood gets pumping, the healthier the blood vessels will be. A guy must make sure he's getting his heart rate up during exercise, thus getting the best benefit, at least three or four times a week. 3) Lose weight. The first two tips will help the weight come off naturally, but if a guy has already lost a bit and seems to be in a rut, it's time to take extra steps. Working with a trainer can help a guy get in even better shape. 4) Stop bad habits. Smoking is horrible for heart health, and in turn, it's terrible for penis health. Stop smoking and lots of good things happen, including in the realm of penis health and weak erections. 5) Wear the right clothing. It's important to protect the penis, whether playing sports or sitting at the desk in the office. Wear comfortable, loose-fitting underwear and trousers; when playing sports, use a well-fitting cup to make sure no trauma comes to the penis. Finally, reach for a top-notch penis health cr me (health professionals recommend Man 1 Man Oil, which is clinically proven mild and safe for skin) to help ensure proper oxygenation of the penis. This can be achieved through the use of L-arginine, an amino acid known for easing the flow of blood through the vessels, as well as vitamin C, which can help improve the health of the vessels themselves. Other nutrients in the best cr me can also help, such as vitamin B, D and A, as well as Shea butter and vitamin E.
2 people found this helpful

Smoking Can Cause Erectile Dysfunction

Dr. Paras Shah 90% (137 ratings)
Sexologist, Ahmedabad
Smoking Can Cause Erectile Dysfunction
One more reason to quitting smoking. There are 4000 chemicals in cigarette smoking. Some of them damages the penile arteries which are responsible for making you hard. If they go floppy, so do you. Still want to inhale? Like the stock market and foreign car engines, erections are mysterious things that seem to have a mind of their own. When they don't happen, it can be disappointing, at the very least. Regardless of the reasons, it's important to look for answers. The smart way to tackle is to speak to a qualified sexologist and get consultation on key causing factors to timely resolve the issues.
6 people found this helpful

Buerger's Disease Can Imperil Penis Health

Dr. Vinod Raina 93% (4621 ratings)
MD - General Medicine
Sexologist, Delhi
Buerger's Disease Can Imperil Penis Health
Buerger's Disease Can Imperil Penis Health Maintaining good penis health is crucial if a man is to get the maximum enjoyment and pleasure from his penis. That's one reason why taking good care of the penis, examining it regularly, using a quality penis health cr me on a regular basis and being on the lookout for signs of problems is important. But as most men also realize, sometimes penis health can be affected by conditions which originate in or seem to have little to do with the penis itself. One such condition is Buerger's disease, a recurrent inflammatory condition. About Buerger's disease Also known by the more technical medical term of thromboangiitis obliterans, Buerger's disease involves inflammation and clotting of small and medium veins and arteries. Most of the time, this condition occurs in the extremities - the hands and the feet. However, there are recorded instances of Buerger's disease dwelling in the penis and/or scrotum. When a man has Buerger's, the walls of the affected veins and arteries swell up, effectively narrowing the vein or artery. With the instrument narrowed, there is less room for blood to flow through, so blood flow (and the rate at which blood flows) is diminished. In time, this can lead to a complete blockage of the vessel, which means that anything in the vessel located beyond that clot is not getting any blood. Without blood, the tissue does not receive oxygen, and this in turn eventually causes the tissue to die. In extreme cases, gangrene can set in, which often leads to amputation. So if the blockage occurs in the penis or scrotum, a man runs the risk of a full or partial amputation of his most delicate parts. Men are much more likely to get Buerger's disease, typically between the ages of 20 and 40. In the majority of cases, the victim is a smoker, and usually a heavy smoker. It also is more common among people of South Asian descent (suggesting a genetic factor at work), but it is not limited just to that demographic. Because it is relatively rare, there is still a lot unknown about the disease. However, many scientists suspect it is an autoimmune reaction and that some ingredient in tobacco tends to trigger it. Symptoms Classic signs associated with Buerger's disease include pain in the affected area; when the pain occurs in the hands and feet, it may occur while in motion and disappear when at rest. The affected area also tends to be cold, a result of the lack of blood circulating through the area. Swelling and ulceration is not uncommon. Some case reports in which the penis was affected include erectile dysfunction as an early warning signal. Treatment The most effective treatment is to stop smoking. In many cases this not only stops the progression of the disease but also reverses much of the damage already inflicted. Exercise programs may also be used to help improve blood flow. In some cases, electrotherapy and antibiotic treatments may be required, especially if ulceration is severe. Men who smoke are advised to seek help to quit. Those who have symptoms indicating possible Buerger's disease should consult with their physician for assessment.
1 person found this helpful

What Put You At Risk of Erectile Dysfunction?

Dr. Sudhir Khanna 87% (12 ratings)
MNAMS - Urology, MCh - Urology, DNB - General Surgery, MS - General Surgery, MBBS
Urologist, Delhi
What Put You At Risk of Erectile Dysfunction?
If a survey is done for the most common male sexual problem, the outcome would be erectile dysfunction. Commonly referred to as ED, it is a major problem for the male but it can be treated in simple ways. By definition, ED is the repeated inability of a male to achieve and/or maintain an erection for a healthy and satisfying sexual relationship. The key word here is repeated as a quicker erection or softer erection is very common in many men, which could be a one-off instance and caused by transient factors like stress or lack of sleep. When this happens repeatedly, then it needs attention. Symtoms: Erectile dysfunction is when: Erection is too soft, not allowing for sufficient penetration and prolonged intercourse Erection duration is very short There is difficulty in arousal Risk factors: ED has been noted to be commonly seen in people, who have following behaviours: Smoking Obesity Advanced age (>60 years) Excessive alcohol abuse Sedentary lifestyle with no exercise History of diabetes Hypertension Atherosclerosis History of groin surgical procedures for prostate, bladder, etc. Causes: ED has both physiological and psychological reasons. Most common psychological reasons are strained relationships, performance anxiety, and other life stressors. Physical causes include reduced hormone levels and other chronic medical conditions like obesity, diabetes, and hypertension. Diagnosis: While ED is easy to diagnose medically, the truth is that not many would be forthcoming for a diagnosis. Given that this issue could be a jolt to the manhood, it is often not brought out in the open for discussion. Once that is done, the following steps can help in diagnosis. Medical history and specifically sexual history Check for genital abnormalities Blood testosterone levels Other vitals including blood pressure, sugar, and cholesterol levels to identify overall health Management: Sexual counseling involving the couple. Once they open up and get comfortable, the problem vanishes. Performance anxiety which is a major cause is taken care of, and ED is no longer an issue. Aligning the couple s expectations also is very essential. Hormone supplements, both locally applied and taken into the system, help to a great extent Lifestyle changes like quitting smoking, moderating alcohol abuse, healthy eating habits, and moving away from sedentary lifestyle helps treat ED Medicines like Viagra are very useful for occasional cases of erectile dysfunction As a last resort, there are advanced options like pumps, vacuum devices, implants, and surgical options, and implants. These are often not required, as in most cases, sexual counseling and hormone therapy help in managing ED.
3 people found this helpful

Popular Questions & Answers

I have gynecomastia, erectile dysfunction, loss in libido, Frequent urination problem. I am 23 year old .which specialist should I meet?

Dr. Rahul Gupta 93% (14671 ratings)
MD-Ayurveda, Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Sexologist, Haldwani
Hello- All the three problems are interconnected and is due to improper levels of Testosterone hormone. You must consult a sexologist.
1 person found this helpful

At first intercourse of my life my pines erect properly but ejaculated after 8 to 10 strocks and after ejaculation it not become ready for second round and next day there is erection problem also because of ist my wife become upset and second day even versed she don't want to carry the relationship also I have heard early part of sexual life man have face these type of problems. But my wife not tolerate on this and demanding divorce after a three day of marriage. I am unable to understand this either she is not interested in me or it is normal, byetheway this is arrange marriage Waiting for your kind response Thanks.

Dr. Bhagyesh Patel 94% (5898 ratings)
MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Warm welcome to I have evaluated your query thoroughly. For getting ready for second stroke during intercourse always take time in different persons different times. So far as her dissatisfaction is concerned, counsel with her regarding this that it is transient not permanent problem, this is not the basis for divorce. Most important thing for you right now is that do not panic and try to enjoy normal sex then there will not be issue for satisfying her. I have seen thousands of cases in my career, where there is performance anxiety and people stamp it as erection problem, this and that. Hope this clears your query. Wishing you fine sex life ahead. Welcome for any further assistance at my private URL Regards take care.

HI, Does Ed means impotence & how can I increase my sperm count? Please guide me I am very depressed.

Dr. Laxmidutta Shukla 88% (177 ratings)
MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Thane
Kaunchapak two Tsf twice Manmathras two tab bd Dadhimadhi ghratam two Tsf twice Villaraigosa choorn two Tsf twice.

What is the treatment of erectile dysfunction after stopping antidepressants. Is it temporary or permanent. Can it be cured .is allopathic good or ayurvedic for erectile dysfunction post antidepressants.

Dr. Bhagyesh Patel 94% (5898 ratings)
MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Warm welcome to I have evaluated your query thoroughly. It is reversible and curable. No treatment required until 4 weeks after cessation of anti depressants. Later on if complain, consult in private. Hope this clears your query. Wishing you fine recovery.

Sir I am having problems of sexual disorder from last 4 years due to which I am facing premature ejaculation, erectile dysfunction, low sperm count and nightfall please suggest me best medicine to cure this problem..

Dr. Bhagyesh Patel 94% (5898 ratings)
MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Hello dear Lybrate user, Warm welcome to I have evaluated your query thoroughly. Here are some best working tips for your query. Do not opt for fake advertisements claiming capsules and tablets for penile strength, prolonging sex & making patients fool. Certain molecules which are having results are also not without side effects some of which are very serious as chest pain, heart rate disturbances or else ; so without consultation of urologist, not advisable to consume. Provide enough time in foreplay, after play. Consume plenty of liquids. Balanced nutritious diet intake with enough iron, vitamins,minerals, proteins.Regular walking in fresh air, exercises,relaxation techniques, YOGA help great in creating self confidence. Avoid stress, anxiety.Manage to have regular sound sleep of 8 hours. Cut off use of mobile, internet in bedroom. Discuss with the partner regarding her likes and dislikes with love. Keep your blood sugar, cholesterol levels, body weight under control. Avoid smoking, alcohol if consuming. Consider sex as an art rather than just act of finishing ejaculation. Plan sudden surprises as uninformed leave from job coming home, candle light dinner, surprise gift, outing,variations in sex acts which matters a lot. Consult later your urologist as per the requirement. Hope this clears your query. Wishing you best sex life ahead. Welcome for any further assistance at my private URL Regards take care.
2 people found this helpful

Health Quizzes

Erectile dysfunction - Why does it happen?

Dr. Hitesh Shah 89% (209 ratings)
M.A. (Scholar), BHMS
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How Ayurveda Helps Treat Erectile Dysfunction!

Dr. Namadhar Sharma 83% (16 ratings)
BAMS, MD - Ayurveda
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Erectile Dysfunction - How To Prevent It?

Dr. Himanshu Grover 91% (161 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD Ayurveda
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Bad performance in bed can be treated non-medically. True or false? Take this quiz to know more.
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Effective Treatments For Erectile Dysfunction

Dr. Mahesh Nawal 90% (565 ratings)
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Treating erectile dysfunction can also lead to the treatment of various other ailments. True or False. Take this quiz to know now!!
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Are therapies helpful for erectile dysfunction?

Dr. R Grover 92% (1931 ratings)
Fellowship, Council of Sex Education & Parenthood, BAMS, B-Pharm
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Cycling can cause erectile dysfunction. True or False? Take this quiz to know now!
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