Erectile dysfunction interferes with sexual satisfaction, so patients with ED should seek out treatments to help them feel more confident in the bedroom. NYU Langone doctors recommend a range of proven treatment options, from natural home remedies like ginseng to prescription drugs.
Fildena 100 is a PDE5 inhibitor that relaxes the blood vessels in your penis to allow a full erection during sexual stimulation. It contains Sildenafil Citrate, which is also found in Viagra.
1. Testosterone Replacement Therapy
In most cases, a physical exam and medical history are all that is needed to diagnose erectile dysfunction. However, if you have chronic health conditions or low testosterone levels are suspected (Low T), a few laboratory tests might be recommended. These might include a blood count, a lipid profile, a measurement of creatinine and liver enzymes, and a test to measure the amount of testosterone in your body.
Your doctor might also recommend a penile sex examination to check for nerve or circulation problems that could be causing ED. In addition, a psychological evaluation might be necessary to determine the cause of your erectile problems.
A rich blood flow to the penis is essential for a firm erection. Some ED drugs like Viagra, Avanafil, Tadalafil, and Vardenafil help with this by enhancing blood flow to the penis. These drugs can only help if you are sexually aroused and have an erection that is firm enough for sex.
A new treatment aims to restore an erection by stimulating the tissue that causes it. This procedure, called shockwave therapy, uses therapeutic ultrasound waves to encourage angiogenesis — the growth of new blood vessels in the area. After a few treatments, four out of five men who receive this therapy can have an erection without medication. However, this method should only be used after other more conservative methods of treatment are attempted and unsuccessful.
2. Alprostadil Injections
Fildena medication (also known as PDE5 inhibitors) helps men with erectile dysfunction by blocking the enzyme that destroys erections. It can also help improve blood flow to the penis, which makes it easier to achieve and keep a firm erection. This drug is available in tablet form and as an injection. If you use this treatment, it’s important to follow your APP’s instructions on dosage and to call them if your erection isn’t hard enough for sexual activity.
Your doctor may order a physical exam of your penis and testicles, which might include checking the nerves for sensation. He or she might ask about any other health conditions you have and your family history of ED. Blood tests (including cholesterol and blood sugar levels) might be order to look for underlying health issues like heart disease or diabetes. An ultrasound test, which uses a wand-like device to scan your penis and can show areas of poor blood flow, might be do as well.
Medications to treat erectile dysfunction are usually take by mouth or injection. Your doctor might suggest trying a medication such as Fildena, which has the generic name of Sildenafil Citrate. You should not take this medication if you have a history of painful or long-lasting erections, are allergic to this medication or any other ingredients in it, or are taking medications such as nitrates or alpha-blockers.
3. Penile Implants
For men who don’t get the erections they need with oral medications, the only solution may be a penile implant. Unlike pills, which only work when sexual stimulation occurs, penile implants can give you an on-demand erection that lasts for as long as you want it to.
The most common type of penile implant is an inflatable device, which uses a fluid-filled reservoir (usually saline) to expand and contract two silicone cylinders in your penis. These cylinders mimic the flow of blood and allow you to control an erection on demand.
There are also malleable implants, which consist of flexible rods placed in your penis. These rods never change in size or stiffness and feel very similar to a normal erection. However, these implants do not stay in place when you are not using them, and they can become uncomfortable if you don’t move them back into position immediately after sex.
During the surgical procedure, your urologist will use numbing medicine to keep you numb. And make an incision on the genital area. They will then stretch the spongy tissue in your corpora cavernosa. Which are the hollow chambers in your penis that fill with blood during an erection. They will then connect the cylinders in your penis to tubes. That lead to a pump placed under your abdomen or in your scrotum, and a reservoir of saline located in your scrotum. The pump, which is connect to a valve in your scrotum. Moves the saline between the reservoir and the cylinders, making an erection.
4. Fildena
Fildena, which contains sildenafil citrate, is an FDA-approved erectile dysfunction medication. That works by relaxing blood vessels in the penis. Making it easier to achieve and maintain a hard, straight erection during sexual stimulation. It typically takes 30 to 1 hour to take effect and can last up to 6 hours. Like all medications, it can cause side effects such as headache, flushing. Indigestion, nasal congestion, changes in vision, and sudden hearing loss. It should be use under a physician’s supervision.
Men with underlying health problems such as diabetes, high cholesterol. O heart disease may be at higher risk of side effects from this medication. In addition, it should not be take with nitrates or alpha-blockers, which can decrease blood flow to the penis.
For those who do not want or cannot take oral medication. A penile implant can be use to restore a natural, firm erection during sexual activity. A urologist inserts the device through the opening of the penis. And then attaches a tension ring to hold an erection that typically lasts for about 30 minutes.
Hormone therapy to increase testosterone, which may boost desire in some men with low levels, is also available. However, Bennett points out that it will not improve the blood flow that leads to an erection. And is only recommend for a very small number of men with very specific needs.
