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Discreet Treatment for Erectile Dysfunction
Erectile dysfunction (ED), also known as impotence, is a type of sexual dysfunction characterized by the inability to develop or maintain an erection of the penis during sexual activity. ED can have psychological consequences as it can be tied to relationship difficulties and self-image.
Treating erectile dysfunction requires a personalized approach. The cause of your ED will help guide your treatment.
Causes of erectile dysfunction
Erectile dysfunction can be caused by physical problems, psychological factors, or a combination of both. Physical causes include:
- cardiovascular disease
- high cholesterol
- high blood pressure
- metabolic syndrome — a condition involving increased blood pressure, high insulin levels, body fat around the waist and high cholesterol
- parkinson’s disease
- multiple sclerosis
- hormone problems, such as low testosterone
- sleep disorders
- drugs used to treat depression, anxiety, or other psychiatric disorders
- certain drugs used to treat high blood pressure, heart disease and prostate problems
- chronic alcohol or drug abuse
- injury to the nerves that control erection (penile nerves)
- surgery, such as radical prostatectomy for prostate cancer
Psychological causes include:
- performance anxiety
- relationship problems
Treatment of erectile dysfunction
The first step in treating erectile dysfunction is to identify the underlying cause. If the cause is psychological, counseling and psychotherapy may be effective.
If the cause is physical, there are several treatment options available, such as:
- oral medication, such as sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra), and avanafil (Stendra)
- injection therapy, such as alprostadil (Caverject Impulse, Edex) or a combination of alprostadil and papaverine (Papaverine Hydrochloride, Edex/Muse)
- suppositories, such as alprostadil (MUSE)
- vacuum devices, which use a pump to create negative pressure and cause an erection
- penile implants, which are usually surgically inserted
Your doctor will discuss the risks and benefits of each treatment option.