Erectile dysfunction (ED) – often also called impotence – is a common problem among men, especially as they age. But the good news is: yes, erectile dysfunction can often be treated or at least significantly improved. In this article, we will explore how to treat erectile dysfunction, the possible causes, lifestyle changes, and the different treatment options available.
Content
What Is Erectile Dysfunction?
Erectile dysfunction occurs when a man has persistent difficulty achieving or maintaining an erection firm enough for satisfactory sexual performance. Occasional issues are normal, but if the problem becomes frequent or long-lasting, medical advice should be sought.
ED usually has multiple causes — physical, psychological, and lifestyle factors often interact.
Causes and Risk Factors
Physical Causes
Heart and vascular diseases (high blood pressure, atherosclerosis) reduce blood flow to the penis.
Diabetes damages blood vessels and nerves.
Hormonal imbalances (low testosterone).
Nerve damage from surgery, injuries, or illnesses like multiple sclerosis.
Venous leak, where veins cannot keep blood in the penis.
Psychological & Emotional Factors
Stress, anxiety, depression, performance pressure, or relationship conflicts often play a major role.
Lifestyle and Other Health Issues
Smoking, heavy alcohol or drug use
Obesity and lack of exercise
Poor diet and high cholesterol
Medications with ED as a side effect (e.g., some blood pressure drugs, antidepressants)
Diagnosis: Identifying the Cause
Doctors usually begin with:
Medical history – lifestyle, medication, relationship situation.
Physical examination – blood pressure, heart and genital health.
Blood and urine tests – testosterone, blood sugar, cholesterol.
Imaging or vascular tests – to check blood flow in the penis.
The results often show a mix of causes, and treatment is chosen accordingly.
How to Treat Erectile Dysfunction – “erektionsstörung beheben”
Once the causes are identified, doctors can select from several treatment strategies – often in combination – to help erektionsstörung beheben.
1. Lifestyle Changes
Quit smoking and reduce alcohol
Lose weight and eat a healthy diet
Exercise regularly
Reduce stress, treat depression or anxiety
Manage conditions like diabetes or high blood pressure
2. Oral Medications (PDE-5 Inhibitors)
Sildenafil (Viagra)
Tadalafil (Cialis)
Vardenafil (Levitra)
Avanafil (Stendra)
These drugs improve blood flow but require sexual stimulation to work. They are not safe for everyone (e.g., men taking nitrate medications).
3. Injections & Urethral Therapy
Self-injections (e.g., Alprostadil or Trimix) directly increase blood flow.
Urethral suppository (tiny medication pellet inserted into the urethra).
4. Vacuum Erection Devices (Penis Pumps)
A plastic cylinder with a pump draws blood into the penis; a tension ring maintains the erection.
5. Penile Implants / Surgery
For severe cases when other methods fail. Implants may be inflatable or semi-rigid rods.
6. Psychotherapy & Counseling
Sex therapy or counseling helps when stress, anxiety, or relationship problems are the main contributors.
7. Emerging & Alternative Therapies
Low-intensity shockwave therapy (to stimulate new blood vessel growth).
Combination therapies or new medications.
Choosing the Right Treatment
The right option depends on:
Severity and causes of ED
Overall health and medical history
Risks vs. benefits of each therapy
Patient and partner preferences
Usually, doctors start with conservative approaches (lifestyle and medication) before moving to invasive options.
Practical Tips
Be patient: finding the right treatment may take time.
Follow-up care: regular checkups help fine-tune therapy.
Communicate with your partner: openness reduces pressure.
Avoid fake “miracle cures”: unregulated herbal products can be dangerous.
General health care: control blood sugar, cholesterol, and blood pressure.
Conclusion
Yes – in most cases, it is possible to treat erectile dysfunction. The key is to act early, identify the underlying causes, and work with a doctor on a tailored treatment plan. With a mix of lifestyle improvements, medical therapies, and – if needed – devices or surgery, many men experience significant improvement in sexual health and overall quality of life.
Jorge is a health blog author who has been writing about nutrition, fitness and healthy living for over 10 years. He also loves to run, hike and bike with her wife.
