Can I cure my inability to have an erection?

Erectile dysfunction can usually be treated with psychological intervention, oral medications, vacuum devices, penile injection therapy, and surgical implantation of prostheses. Erectile dysfunction may be related to factors such as psychological stress, vascular disease, nerve damage, abnormal hormone levels, and drug side effects.

1. Psychological intervention:

Anxiety, depression, or strained relationships with partners may lead to psychogenic erectile dysfunction. Cognitive behavioral therapy can improve sexual misconceptions, and partner therapy can relieve tension. The effective rate of short-term psychological consultation combined with sex education for mild to moderate psychological disorders can reach more than 60%.

2. Oral drugs:

Phosphodiesterase 5 inhibitors are the drugs of choice. Sildenafil, tadalafil, etc. improve erection by enhancing blood flow to the penis. It needs to be used under the guidance of a doctor. It is contraindicated to take it with nitrate drugs. This type of drug is about 70% effective in treating vascular erectile dysfunction and needs to be taken 30-60 minutes in advance.

3. Vacuum negative pressure device:

Through physical negative pressure, blood flows into the penis, and the contraction ring is used to maintain an erection. It is suitable for patients with drug contraindications or ineffectiveness, and the success rate of correct use can reach 90%. Side effects such as congestion and pain may occur, and it should not be used for more than 30 minutes a day.

4. Penile injection treatment:

Vasoactive drugs such as alprostadil are injected directly into the corpus cavernosum of the penis and can induce an erection within 10 minutes. Professional medical care is required to guide injection techniques. Complications such as persistent erection or fibrosis may occur. Use no more than 3 times a week.

5. Surgical implantation of prosthesis:

For patients with severe disease who have failed other treatments, implantation of expandable or semi-rigid prostheses may be considered. The indications for surgery need to be strictly evaluated, and the postoperative satisfaction rate is about 85%. However, there are risks such as infection and mechanical failure, and it is usually used as the final treatment plan.

It is recommended to maintain a regular schedule and moderate exercise. A Mediterranean diet can help improve vascular function. Quitting smoking and limiting alcohol can reduce the risk of vascular damage and control basic diseases such as hypertension and diabetes. Regular Kegel exercises can strengthen your pelvic floor muscles. If the symptoms persist for more than 3 months, you should seek medical treatment promptly and cooperate with the doctor to conduct hormone testing, ultrasound and other examinations to determine the cause. Most patients can obtain satisfactory results through systemic treatment and avoid purchasing impotence drugs with unknown ingredients on their own.