Erectile dysfunction or impotence, what treatments are available?

Currently there are various treatment options. Treatment should be individualized and solutions are best when you know the cause and may act on it.

In patients with psychological erectile dysfunction psychological counseling is essential to discuss erectile dysfunction with him and his partner and help them overcome the problem. It is very important to reassure and reduce tension in the relationship. If there is a depression or a psychological problem defendant may be required psychiatric treatment.

In patients with erectile dysfunction hormone, there is a testosterone deficiency and respond well to testosterone replacement therapy (see section decreased sexual desire). Present in patients with testosterone deficiency can admnistrar this hormone in the form of gel or injection.

In young patients with arterial erectile dysfunction must perform a penile Doppler ultrasound focused to a microsurgical penile revascularization.

In patients with vascular risk factors (hypertension, cholesterol, snuff, diabetes) should be corrected for these factors prevent them from developing serious cardiovascular disease (myocardial infarction, atherosclerosis, etc …).

There are different treatments for patients with erectile dysfunction. You should consider each patient the most appropriate treatment for their impotence, starting initially by simple treatments.

Current treatments for organic erectile dysfunction are:

Hormones (testosterone)
Oral medications (sildenafil, tadalafil and vardenafil)
Injection of a drug in the penis
Penile prosthesis

At the Institute of Urology and Sexual Medicine, after a proper diagnosis, the patient explained all the treatments that exist, how they work and what advantages and problems they have. According to the views and preferences of patients, we propose the most appropriate treatment.

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