Erectile dysfunction (ED) is a condition where a man struggles to achieve or maintain an erection sufficient for sexual activity. It can result from various factors, including physical conditions like heart disease, diabetes, or low testosterone, as well as psychological factors such as stress or anxiety. ED is common, especially with aging, and treatments range from lifestyle changes and medications to therapy and medical devices.
Drugs like sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra) are popular first-line treatments. They increase blood flow to the penis, helping to achieve and maintain an erection.
Improving diet, exercising regularly, quitting smoking, and reducing alcohol intake can enhance sexual health and reduce ED.
For ED with psychological roots, therapy can help address stress, anxiety, or relationship issues.
Vacuum devices create a vacuum around the penis, drawing blood into the shaft to induce an erection, which is then maintained with a constriction band. Traction devices have also shown to improve ED symptoms.
If ED is linked to low testosterone, hormone replacement therapy (such as TRT) may help.
Penile implants or vascular surgery can be used when other treatments are ineffective, though surgery is generally considered a last resort.
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