Erectile dysfunction (ED) affects many men at some point in their lives. While occasionally normal, persistent ED can indicate underlying health issues. Here are evidence-based solutions: ## Medical Treatments 1. **Oral Medications** - PDE5 inhibitors (Viagra, Cialis, Levitra) - Work by increasing blood flow - Take 30-60 minutes before activity - Effectiveness: 70-85% success rate 2. **Injections & Suppositories** - Alprostadil (Caverject, Edex) - Administered directly into penis - Works within 5-20 minutes - Effectiveness: 80% success rate 3. **Vacuum Devices** - Mechanical pump creates erection - Constriction ring maintains it - Non-invasive option - Effectiveness: 60-70% satisfaction 4. **Surgical Options** - Penile implants (inflatable or malleable) - Vascular surgery (for specific cases) - Last resort when others fail ## Lifestyle Modifications 1. **Cardiovascular Health** - ED often signals heart disease risk - Exercise improves blood flow - Quit smoking (doubles ED risk) 2. **Dietary Changes** - Mediterranean diet benefits - Reduce processed foods - Control blood sugar levels 3. **Weight Management** - Obesity increases ED risk - Losing 10% weight can help - Target BMI under 30 4. **Stress Reduction** - Performance anxiety worsens ED - Try mindfulness techniques - Consider therapy if needed ## Alternative Approaches 1. **Acupuncture** - Some evidence for effectiveness - May help psychogenic ED - Requires multiple sessions 2. **L-Arginine Supplements** - Amino acid precursor to NO - Mild effect for some men - Dosage: 2-5g daily 3. **Pelvic Floor Exercises** - Kegels strengthen muscles - May help mild ED cases - 3 sets of 10 daily ## When to See a Doctor Consult a urologist if: - ED persists >3 months - You have diabetes/heart disease - Accompanied by other symptoms - Under age 40 with sudden onset ## Prevention Tips 1. Maintain healthy blood pressure 2. Limit alcohol consumption 3. Get regular exercise 4. Manage stress effectively 5. Address sleep apnea if present Remember that ED is treatable at any age. Open communication with your partner and healthcare provider leads to the best outcomes.