Treatment for Erectile Dysfunction

There are various evidence-based and accepted treatments for Erectile Dysfunction. The treatment however is determined on a case-by-case basis. This is because ED has different types of causes, as mentioned above, and while some may require medical support for physical causes, sexual therapy is beneficial for psychological causes. In most cases, however, holistic treatment is considered.

Text: Erectile Dysfunction Treatment - psychological counselling - medicative intervention tablets, hormonal treatment



Here are some of the common treatments prescribed to men with ED.

The two main forms of treatments for ED available are psychological counselling and medicative intervention such as tablets, hormonal treatments, or medical devices. Here are some of the common treatments prescribed to men with ED.

Lifestyle Modifications

Alterations in lifestyle significantly improve health — both mental and physical. They can help in regaining the ability to sustain an erection. Through smoking cessation, exercising, and a healthier diet, men can slowly see improvements in their abilities to perform sexually.

Medical Treatment

Oral tablets

Multiple oral medications are used and are widely available in India for the treatment of ED. These medications are often taken once — several hours before sexual activity — to help a man sustain an erection. These should only be taken after a medical consultation.

As with all medicines, those used to treat ED may cause certain side effects. If you experience any unpleasant side effects from a particular medication, you can speak to your doctor for an alternative.

Vacuum Erection Device (VEDs)

The use of vacuum erection assisting devices or “cock-rings” is a non-invasive method of helping a man sustain an erection.

Hormone Therapy

Men who are deficient in testosterone can benefit from hormone treatment to correct the imbalance.

Injections

Although the thought of injecting medications into your penis is not pleasant, there are self-injecting therapies available for those who wish to have that option.

Surgery

If none of the conventional methods above work, men can opt for surgery to restore penile function. Surgery involves the insertion of an inflatable penile implant.

Psychological therapy

Many patients experiencing ED have psychological causes behind their ED symptoms - such as anxiety disorders (OCD) depression, stress, sexual pain disorders, etc. Psychological therapy first determines the psychological cause before treating the mental health condition appropriately.

Text: Not all ED cases have a medical cause - in other words, it isn’t always a “hardware” issue.

Anxiety disorders

Symptoms such as high heart rate, fatigue, disrupted breathing patterns, and fear which are indicative of anxiety can directly affect sexual performance.

Performance anxiety is another subtext of this condition, where men feel insecure about their ability to please their partner, or are insecure about their body image. 1 in 5 people with anxiety disorders experience erectile dysfunction. Obsessive-compulsive disorder (OCD), a form of anxiety disorder, can also result in sexual dysfunction.

Text: 1 in 5 people with anxiety disorders experience erectile dysfunction.

The treatment for OCD includes:
- Therapy: CBT, Aversion therapy, exposure and response therapy, psychotherapy, and systematic desensitisation.
- Medications: SSRIs, Anxiolytics, and Antidepressants 

Depression

Symptoms of depression can affect sexual desire and function. The treatment for depression includes
- Therapy: CBT, BT, and psychotherapy 
- Medications: SSRIs, Anxiolytics, and Antidepressants 

Stress

Stress can interrupt or disrupt how the brain sends important signals to the penis to allow for additional blood flow which results in an erection. Furthermore, relationship issues, a history of sexual abuse, and/or sexual inexperience can cause psychological distress that can lead to sexual dysfunction in males. Psychological conditions are very common and can be effectively treated with the guidance of a psychologist.

Sex therapy 

Individual or couple sex therapy allows for patients to undergo counseling for their ED.