Many men need a little ED help from time to time. Ed help comes in three forms;
In this blog we concentrate on the medical ED help. The psychological and lifestyle can be found here.
ED help – Medical approaches
Sildenafil (Viagra), Tadalafil and Vardenafil. These enjoy success rates in the 70% and 80% range at producing erection within a few minutes or hours (Hatzimouratidis et al 2010). Some men even continue to benefit after withdrawal form long term use (van Lankveld et al 2003), unfortunately there are some significant drawbacks, for example;
- Sildenafils (Viagra) can be negated by a fatty meal.
- A lot of men simply don’t know if they are going to have sex in two hours.
- Some men don’t like taking medication for ED (Althof & Wieder 2004).
- Some studies have found that 10-16% of men experience headaches (Hatzimouratidis et al 2010).
- 4-12% get dyspepsia (Hatzimouratidis et al 2010).
Whatever the causes may be it has been observed that there are high withdrawal rates (van Lankveld 2003).
Ed help – Secondary and other medical treatments;
These are used in the more severe cases, often when nerve damage has occurred preventing natural erection.
- Self-administered injection. The patient injects themselves in the corpus cavernosal bodies, which is the long body of erectile tissues which runs along the shaft of the penis (Wylie 2007).
- Vacuum constriction device. These provide ED help by drawing blood into the penis. They have a high rate of satisfaction amongst users, however, 36-50% of men quickly stop using them. This may be due to the large numbers of men who experience pain. (Hatzimouratidis et al 2010)
- Penile prostheses. These are usually inflatable units which are surgically implanted into the penis. They are highly effective, however the surgery appears to be off putting (Hatzimouratidis et al 2010).
For more on ED go to ‘Everything you need to know about ED’