Behavioural Therapies | Counselling and Lifestyle Modifications
Psychotherapy and/or behavioural therapy alone may be helpful even if there is no physical cause of ED or if a man is not ready for medical or surgical treatment. Counselling may be beneficial in combination with other treatments.
Non-Surgical Treatments | Vacuum Erection Devices or Pump
A mechanical ED pump used to pull blood into the penis can cause an erection. The system includes a plastic cylinder, an external penile pump, and a tension band to place at the base of the penis. When the penis is erect, the ring is placed at the base to maintain an erection long enough to have sex (up to 30 minutes).28
Non-Surgical Treatments | Penile Injections
These medications may be combined and injected using a needle directly into the base or side of the penis. The medication may increase blood flow to the penis, creating an erection. The recommended frequency of injection is no more than three times weekly, and should produce an erection in 5-20 minutes.31
ED and Medical Conditions
While ED may be a side effect of prostate cancer treatment, erectile function does not return in all cases. Penile rehabilitation and counseling may help both partners in recovery. Despite wide usage, 30% to 50% of patients who turn to sexual aids after surgery discontinue use within a year.10
Men with diabetes are more likely to move to advanced treatments than those without diabetes.20 A healthy lifestyle can help you control your diabetes and improve ED symptoms. Treatment options are available, however, men with diabetes are less responsive to oral ED medications.16
What’s good for the heart is good for your ED symptoms. If ED occurs, most treatment options are available. However, oral ED medication and heart medications don’t mix well and the medication in suppositories and some injections should not be used if you have blood clotting problems.31
Always talk to your doctor about your ED symptoms and concerns.