Treatment for erectile dysfunction depends on its possible cause and the individual’s health.
There is no single treatment that is appropriate for every patient.
Treatment may involve one or a combination of the following approaches.
1. Lifestyle Changes
Lifestyle changes may be recommended, particularly when cardiovascular or metabolic factors could be contributing to ED.
These may include:
- Regular physical activity
- Maintaining a healthy weight
- Stopping smoking
- Reducing excessive alcohol consumption
- Getting sufficient sleep
- Managing stress
- Maintaining a balanced diet
These changes can support both general cardiovascular health and sexual health.
2. Managing Underlying Health Conditions
If an underlying condition is contributing to erectile dysfunction, treating or improving control of that condition may form part of the management plan.
Examples include managing:
- Diabetes
- High blood pressure
- High cholesterol
- Obesity
- Hormonal abnormalities
Your doctor may also review your existing medications because erectile difficulties can sometimes occur as a side effect of certain medicines.
Do not stop or change prescribed medication without discussing it with your doctor.
3. Oral Medication
Oral medications belonging to a class known as phosphodiesterase type 5 (PDE-5) inhibitors may be considered for some patients with erectile dysfunction.
These medicines work by supporting increased blood flow to the penis in response to sexual stimulation.
They do not automatically produce an erection and do not act as aphrodisiacs. Sexual stimulation is still required.
PDE-5 inhibitors are prescription medicines. Whether this type of medication is suitable for you should be determined by a doctor after considering your health, medical history and other medications.
4. Psychological or Relationship Support
Where anxiety, stress, depression, relationship difficulties or performance anxiety contribute to erectile dysfunction, psychological support or counselling may be helpful.
Treatment may sometimes involve addressing both physical and psychological factors.
5. Other Treatment Options
For patients who do not respond to oral medication or for whom medication is unsuitable, other management approaches may be considered.
The appropriate option depends on the cause and severity of the condition and should be discussed with a healthcare professional.