Now accepting Video or Phone Consultations. Schedule a virtual visit.

Nonsurgical Treatment Options for Erectile Dysfunction

Erectile dysfunction (ED) is the persistent inability to get and maintain an erection that is sufficient to have satisfactory sexual intercourse. ED not only affects you and your quality of life, but it also affects your partner.

At Advanced Urological Care in New York, N.Y., Dr. J. Francois Eid is an expert in treating and eliminating erectile dysfunction using both nonsurgical treatment options and surgical treatment. Successful ED treatment has been shown to improve couples' intimacy, sexual satisfaction, men's self-esteem, and overall quality of life. In some men, it can also relieve symptoms of depression.

Risk factors for erectile dysfunction

The most common risk factors that lead to the development of erectile dysfunction are:

Mental and personal problems also play a significant role in developing ED. Those include partnership problems, depression, and stress.

Certain lifestyle changes can effectively eliminate ED. If you improve your eating habits, increase your physical activity, quit smoking, or reduce your alcohol consumption, you may solve the problem.

However, if the problem persists you may consider alternative treatment options.  

ED Medication

Below are four prescription medications approved for treating this issue. 

Viagra® (Sildenafil)

Viagra became available in 1998. It was the first so-called PDE-5 inhibitor on the market. VIagra takes effect 30-60 minutes after ingestion. Viagra is administered in 25 mg, 50 mg, and 100 mg doses, and doctors recommend beginning with the 50 mg dose. The clinical effectiveness can last up to 12 hours. It can be rendered less effective if you eat a meal rich in fat before taking it.

Cialis® (Tadalafil)

Cialis launched in 2003. The drug takes effect 30 minutes after ingestion and can last up to 36 hours. Cialis is administered in 10 mg and 20 mg doses. Doctors recommend taking 10 mg at the start of therapy. Cialis can be taken without eating. 

Levitra® (Vardenafil)

Levitra also became available in 2003. Levitra’s onset begins 30 minutes after taking it and is effective for 8-12 hours. It is administered in 5 mg, 10 mg, and 20 mg doses. The recommended starting dose is 10 mg, and, as with Viagra, high-fat meals weaken the effects of Levitra. 

Stendra® (Avanafil)

Stendra is an alternative oral therapy that the FDA approved in 2012. Taken 15 minutes prior to sexual activity, Stendra comes in 100 mg or 200 mg doses. It only works when you are sexually stimulated and can be taken with or without food. Stendra has a low rate of side effects and can even be taken after moderate consumption of alcohol.

Penile injection therapy

Penile injection therapy is another nonsurgical treatment option for ED. There are two medications, Caverject® or Edex® (Alprostadil), that are injected directly into the side of your penis to produce a safe and predictable erection. The erection will last 30 minutes to one hour or up to orgasm. Dr. Eid works closely with you to help you become comfortable with the injection technique so that you can safely do it at home.

Urethral medications

The urethral medication alprostadil is absorbed through the urethral tube in the penis, which is where the urine and semen flow. This medication is then distributed to the surrounding tissue, encouraging blood flow just before intercourse. This option is most effective in radical prostatectomy ED patients.

Vacuum Pumps

Another nonsurgical treatment option for ED is a vacuum pump, which is a plastic cylinder that you put over your penis. The pumping action creates a vacuum which then causes blood to flow into the penis resulting in an erection. Every vacuum pump comes with instructions for use or an instructional video.

Experimental treatments

Many men’s health clinics offer experimental treatments to restore normal erections:

Unfortunately, no data is currently available documenting recovery or or even improvement of erections after these treatments. Until high quality data is available these treatments are still considered experimental and patients are not charged for them. 

Schedule your consultation to learn more

Call Dr. Eid today at 212-535-6690, or schedule a virtual visit to talk more about these treatments and the best option for you. 

Author
Elizabeth O'Connell

You Might Also Enjoy...

Circumcision Revisited: An Historical Perspective

In the 19th Century, Dr. Lewis Sayre performed a circumcision on a boy who had severe contracture of the legs. He believed he found the cure for neuromuscular disorders and made circumcisions widespread. The justifications today are not much different.

Recognizing Symptoms of Peyronie's Disease

Peyronie’s disease is made evident by pain and curvature in the erect penis. If you have an unusual bend, pain during sex, or problems getting or staying erect, you might have this condition. Read on to find out if you have any other worrisome signs.

Penile implant procedure: Specialist vs General Urologist?

What’s the difference between a penile implant specialist and a general urologist? You might think not much, but you’d be surprised. If you’re thinking about a penile implant procedure, you should only consider the best of the best in implantology.

Am I a Candidate for a Male Sling?

Do you know where every toilet in town is? Do you have to carry pads or wear diapers? Are you limiting liquids? Do you have a frequent urge to urinate, but nothing comes out? If you answer yes to any of these, a male sling might be ideal for you.

The Best Part of Having a Penile Implant

A penile implant enables the stiffening of the penis and, thus, sexual intercourse. A penile prosthesis is a valid therapy for erectile dysfunction (ED). Read all about the benefits of penile implants and if it might be a good option for you.

3 Interesting Facts About Surgical Penile Implants

If you’re among the millions of men in the United States who struggle with erectile dysfunction, there are long-lasting solutions that go far beyond the little blue pill. Explore how penile implants are helping men regain their sex lives.