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Erectile Dysfunction (Impotence) - Treatments

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What effective treatments, including medication, have you found for your erectile dysfunction?

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What are the treatments for erectile dysfunction?

The following are treatments for erectile dysfunction:

  1. Working with doctors to select medications that do not impair erectile function

  2. Making life style improvements (for example, quitting smoking and exercising more)

  3. Taking drugs to treat ED such as sildenafil (Viagra), vardenafil (Levitra) or tadalafil (Cialis)


  4. Inserting medications into the urethra (intraurethral suppositories)

  5. Injecting medications into the corpora cavernosae (intracavernosal injections)


  6. Vacuum constrictive devices for the penis

  7. Penile prostheses


  8. Psychotherapy

Adjusting medications

Many common medications for treating hypertension, depression, and high blood lipids can contribute to erectile dysfunction (see above). Treatment of hypertension is an example. There are many different types (classes) of anti-hypertensive medications (medications that lower blood pressure); these include beta-blockers, calcium channel blockers, diuretics (medications that increase urine volume), angiotensin converting enzyme inhibitors (ACE inhibitors), and angiotensin receptor blockers (ARBs). Anti-hypertensives may be used alone or in combination to control blood pressure. Different classes of anti-hypertensives have different effects on erectile function. Inderal (a beta blocker) and hydrochlorothiazide (a diuretic) are known to cause erectile dysfunction, while calcium channel blockers and ACE inhibitors do not seem to affect erectile function. On the other hand, angiotensin receptor blockers (ARBs) such as losartan (Cozaar) and valsartan (Diovan) may actually increase sexual appetite, improve sexual performance, and decrease erectile dysfunction. Therefore, choosing an optimal anti-hypertensive combination is an important part of treating erectile dysfunction.

Lifestyle improvements

Quitting smoking, exercising regularly, losing excess weight, curtailing excessive alcohol consumption, controlling hypertension, and optimizing blood glucose levels in patients with diabetes are not only important for maintaining good health but also may improve or even prevent erectile function. Some studies suggest that men who have made lifestyle improvements experience increased rates of success with oral medications.

Return to Erectile Dysfunction (Impotence)

See what others are saying

Comment from: Willy, 65-74 Male (Patient) Published: September 15

I don't see a lot of discussion on Venous Leakage causing ED. I have VL and it was discovered 13 years after I became impotent. There is no cure when you have it your sex life is done. You cannot maintain an erection. I developed it @ age 44 and am now 65, Viagra, Cialis, et. al ,do not work, injections do not work, the erection is still gone within a few minutes. Drs always say you should not suffer in silence, but you have no choice when this strikes.

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Comment from: success, 35-44 Male (Patient) Published: October 17

When I was younger I could have an erection long enough to ejaculate. But if I lost my erection before I ejaculated (i.e. lots of foreplay) it would take a long while before I could get another erection. As I got older my erections would only last 10 minutes at best, and it was almost impossible to ejaculate. I would have to wait hours before I could have sex again. I have been using Cialis for a year with only an occasional mild headache. Now I can last as long as needed and can stop and start as needed, like if we get interrupted.

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