ED can negatively affect a man’s quality of life, causing psychological problems such as low self-esteem, depression and anxiety. Therefore, it is important to consult a doctor for the diagnosis and treatment of ED.
Modern methods of ED treatment include:
- Medical treatment:
- Phosphodiesterase 5 inhibitors (PDE-5): This is the most common method of treating ED. PDE-5 inhibitors such as sildenafil, tadalafil and vardenafil block an enzyme that destroys cGMP, which leads to relaxation of smooth muscles and increased blood flow in the penis.
- Dopamine receptor agonists: These drugs, such as apomorphine, stimulate dopamine receptors in the brain, which can improve erection.
- Hormone therapy: ED can be caused by low testosterone levels. Hormone therapy can help restore testosterone levels and improve erections.
- Vacuum devices:
- Vacuum devices create negative pressure around the penis, which leads to blood flow and erection. Vacuum devices may be effective for some men, but they have some side effects such as pain and bruising.
- Vacuum devices can be used as a temporary measure or in combination with other treatment methods.
- Surgical intervention:
- Surgical intervention can be used in cases where other treatments are not effective. Surgical intervention may include implantation of penile prostheses or vascular surgery.
- Penile prosthesis implantation is the most effective treatment for ED, but it is also the most invasive method. Penile prostheses can be hydraulic or mechanical.
Dr. Tony de Sousa