Managing Erectile Dysfunction – Understanding and Treating It

Erectile dysfunction (ED) can be a sign of an underlying health condition. Taking a comprehensive history can help your doctor determine what might be contributing to it.

Your doctor will want to know about any prescription, over-the-counter and herbal medicines you’re taking. You may also want to talk about how depression or stress can contribute to ED.

Treatment Options

Erectile Dysfunction (ED) is a common condition. Affecting over 30 million men of all ages in the US and 150 million worldwide. It is a complex human experience that involves the brain, nerves, and blood vessels. ED can affect the quality of a man’s life and his relationship with his partner.

Treatment is individualize and often begins with discussions with the patient’s partner. Having honest conversations about sexual function may feel private and embarrassing, but it’s important to find the cause. Healthcare providers ask patients questions and sometimes perform a physical exam or order lab tests.

The first line of treatment is an oral medication call PDE-5 inhibitors which increase penile blood flow and for better ED treatment you can take Fildena 100 online. These include sildenafil (Viagra), Tadalafil (Cialis), and Vardenafil (Levitra). Penile injections with prostaglandin E1 also increase blood flow. Other therapies include a vacuum erection device, intracavernosal injections of alprostadil, and penile implants with prostaglandin E1. Clinical trials (research studies) also offer a variety of ED treatments.


The first step is for your doctor to do a physical exam that focuses on the penis and scrotum. It is important for the health care provider to know what the patient is able to achieve with sexual stimulation and to understand whether the problem is caused by injury to the cavernous nerves (as can happen after surgery or radiation therapy) or from a generalize decrease in blood flow to the area.

Oral medications such as Viagra, Cialis, and Levitra facilitate erections. By increasing the amount of blood flowing to the penis during sexual activity. These drugs must be take regularly for them to work. Patients should discuss their expectations for sex with their partners before beginning treatment with these medications.

Men can also try penile injections to induce erections. And instead of that, you can also achieve erection by taking Fildena 25. These are typically a combination of medications that increase blood flow, such as prostaglandin E1 and phentolamine, which are combine in a single injection. This type of treatment may not be comfortable for many men, but it can be made more bearable by using a spring-load device that inserts the needle quickly, minimizing psychological hesitancy.


When a man is not sexually arouse, his penis will remain soft and limp. The ability to achieve and sustain a firm erection during sexual activity is determine by the interaction of multiple factors, including blood flow to the penis, the balance of the number and size of blood vessels, and hormones (such as testosterone).

Occasional ED is not uncommon, but if it occurs frequently and limits a man’s enjoyment of his life with a partner. Then he should talk to his primary care provider or a Urologist about it. It may be a sign of an underlying health condition that needs to be treat.

Your doctor will do a physical exam. And ask questions about your health history to determine what might be causing your ED. For example, an ultrasound can be use to examine the blood vessels in your penis and a test can be done to measure nocturnal penile tumescence. Medications are the most common treatment for erectile dysfunction, but there are also other treatments available.


A number of surgical treatments are available. They include surgery to bypass the damaged penile artery (usually only in younger people). And drugs that increase blood flow to the penis (PDE type-5 inhibitors) and for that you can also absorb Fildena 120. These are typically use with oral medication. Penile implants are also available.

It is important to find and treat the cause of ED because repeated failure to achieve an erection can lead to psychological problems. Such as shame (‘performance anxiety’), and sexual avoidance that affects relationship quality and overall health. For this reason, it is important to discuss erectile dysfunction with your doctor at any age.

The Panel recommends that clinicians support men to make a decision. About the best treatment for them by using a framework that does not presuppose progressing through ED treatments in order of invasiveness or reversibility. This approach is consistent with patient autonomy, informed choice, and shared decision-making. The Panel was establish by the Practice Guidelines Committee of the American Urological Association Education and Research, Inc.