Most physicians suggest that treatments proceed from least
to most invasive to treat erectile dysfunction. For some men, making a few
healthy lifestyle changes may solve the problem. Quitting smoking, losing
excess weight, and increasing physical activity may help some men regain sexual
function.
Psychotherapy:
Experts often treat psychologically based ED
using techniques that decrease the anxiety associated with intercourse. The
patient's partner can help with the techniques, which include gradual
development of intimacy and stimulation. Such techniques also can help relieve
anxiety when ED from physical causes is being treated.
Drug Therapy:
Drugs for treating ED can be taken orally, injected directly into the penis, or
inserted into the urethra at the tip of the penis. In March 1998, the Food and
Drug Administration (FDA) approved Viagra, the first pill to treat ED. Since
that time, vardenafil hydrochloride (Levitra) and tadalafil (Cialis) have also
been approved. Additional oral medicines are being tested for safety and
effectiveness.
Many men achieve stronger erections by injecting drugs into
the penis, causing it to become engorged with blood. Drugs such as papaverine
hydrochloride, phentolamine, and alprostadil (marketed as Caverject) widen
blood vessels. These drugs may create unwanted side effects, however, including
persistent erection (known as priapism) and scarring. Nitroglycerin, a muscle
relaxant, can sometimes enhance erection when rubbed on the penis.
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