ED Treatments

ED treatments are not simple; the approach depends on the type of erectile dysfunction and the causes that initiated this condition. ED treatments begin with keeping your heart and blood vessels healthy. Your doctor can identify “risk factors” that can be changed or improved.

You may be asked to change certain eating habits, quit smoking, become more active, or stop using drugs or alcohol. You may be offered an alternative to the medications you are taking. (Never stop or change prescription medications without talking to your doctor first.)

As a part of ED treatments, your doctor may also suggest treating emotional problems. These can be due to relationship conflicts, life stressors, depression, or anxiety related to past problems with erectile dysfunction (performance anxiety).

The following options are available for direct ED treatments:

Non-invasive treatments are often tried first. Most of the best-known treatments for erectile dysfunction work well and are safe. However, it is helpful to ask your doctor about the side effects that could result from each option:

• Oral medications or pills known as phosphodiesterase type 5 inhibitors are most often prescribed in the United States for erectile dysfunction (Viagra, Cialis, Levitra, Stendra)
• Testosterone therapy (when low testosterone is detected in blood tests)
• Penile injections for ED
• Intraurethral drugs (IU, Alprostadil)
• Vacuum erection devices
• Penile implants
• Surgical approach to sidestep penile artery damage for some younger men with a record of severe pelvic damage. Penile vascular surgical procedure is not advised for senior men with hardened blood vessels.

Psychological counseling – is not the most effective but the most popular on the list of ED treatments.

If your erectile dysfunction is caused by stress, anxiety, or depression – or the condition creates stress and relationship strain – your doctor might suggest you or your partner visit a psychologist or counselor. Don’t be surprised; this is one of the typical ED treatments.

Oral medications for ED (PDE5 inhibitors)

PDE5 inhibitors that increase penile blood flow are the only oral medications certified in the United States by the FDA for ED treatments.

• Viagra ® (sildenafil citrate)
• Levitra® (vardenafil hydrochloride)
• Cialis® (tadalafil)
• Stendra® (avanafil)

For best results, men with erectile dysfunction take these pills about an hour or two before having sex. Drugs require normal nerve function of the penis. PDE5 inhibitors improve normal erectile responses by helping the blood flow into the penis. Use these medications as directed. About 7 out of 10 men are doing well and have better erections. Response rates are lower for diabetic and cancer patients.

If you are taking nitrates for your heart, you MUST NOT take any PDE5 inhibitors. Always talk to your doctor before using a PDE5 inhibitor to learn how it might affect your health.

Most often, the side effects of PDE-5 inhibitors are mild and often short-lived. The most common side effects are:

• headache
• stuffy nose
• redness of the face
• Muscle pain
• stomach upset

In rare cases, Viagra may cause a blue-green coloration of vision that persists for a short time. In rare cases, Cialis® may cause or worsen back pain or aching muscles in the back. In most cases, the side effects are related to the effects of PDE-5 inhibitors on other tissues in the body, which means they increase blood flow to your penis while simultaneously affecting other vascular tissues. These are not “allergic reactions.”

Testosterone therapy – one of the hormonal ED treatments

In the rare cases where a low sex drive and low blood levels of testosterone are responsible for ED, testosterone therapy can correct normal erections or help when combined with erectile dysfunction medications (PDE type 5 inhibitors).

Vacuum mounting device – belongs to the category of mechanical ED treatments.

A vacuum erection device is a plastic tube that slides over the penis, sealing it with the body’s skin. A pump at the other side of the plastic cylinder creates a low-pressure emptiness all over the erectile tissue, which results in an erection. A flexible, stretchy band is then positioned at the bottom of the penis. This catches blood in the penis for up to 30 minutes keeping the penis hard. With proper training, 75 out of 100 men can achieve a functional erection using a vacuum erection device.

 

Penis pumps. A penis pump (vacuum erection device) is a hollow tube with a hand or battery-powered pump. The tube is placed over your penis, and then a pump is used to suck the air out of the tube. This creates a vacuum that draws blood into your penis.

After you get an erection, you slide the tension ring around the base of your penis to hold the blood in and keep it plump. Then you remove the vacuum device.

The erection usually lasts long enough for the couple to have sex. After intercourse, you remove the tension ring. A possible side effect is a bruise on the penis, and the blindfold will restrict ejaculation. You may feel cold at the touch of your penis.

If a penis pump is a good treatment choice, your doctor may recommend or prescribe a specific model. Thanks to this, you can be sure it suits your needs and is made by a reputable manufacturer.

Intracavernous (ICI) and urethral (IU) therapies for ED treatments.

If ED treatments with oral medications don’t work, the Alprostadil drug is approved for use in men with erectile dysfunction. This drug comes in two forms, based on how it is to be used: Intracavernous injection (called “ICI”) or through the urethra (called “IU therapy”).

 

Self-injection therapy – is one of the ED treatment options.

Alprostadil is injected into the lateral side of the penis with a small and thin needle. Having the first shot in the doctor’s office before doing it yourself is of great value. Self-injection lessons should be taught in the doctor’s office by an experienced professional. The success rate of this type of ED treatment for getting an erection solid enough to have sexual intercourse reaches 85% with this treatment. Many men who do not respond to oral PDE5 inhibitors can be “saved” with ICI.

ICI Alprostadil can be combined with two other drugs to treat erectile dysfunction. This combination therapy, called “bimix or trimix,” is more substantial than alprostadil alone and has become the standard treatment for erectile dysfunction. The only ingredient, Alprostadil, is FDA-approved for erectile dysfunction. The amount of each medication used can be changed depending on the severity of your ED by an experienced healthcare professional. Your healthcare professional will train you on how to inject, how much to inject, and how to safely increase the medication dosage if needed.

ICI therapy often produces a reliable erection, which goes down after 20-30 minutes or with a climax. Since your penile nerves do not regulate the ICI erection, you shouldn’t be surprised if the erection lasts after an orgasm. The most common consequence of the ICI method is a prolonged erection. Prolonged erections (> 1 hour) can be reversed with a second injection (antidote) in the office. Men who have penile erections that last longer than two to four hours should seek emergency care. Priapism is a prolonged erection that lasts more than four hours. It’s painful. Failure to undo priapism will lead to permanent penile damage and incurable erectile dysfunction.

Intraurethral (IU) therapy Surgical ED treatments

The primary surgical approach to ED treatments is inserting a penile implant (penile prostheses). Since penile vascular surgery is not recommended for aging men who have failed oral PDE5 inhibitors, ICI, or IU therapies, implants are the next step for these patients. Although penile implant placement is a risky surgical procedure, it has the highest success and satisfaction rates among erectile dysfunction treatment options.

Penile implants are devices that are placed entirely inside your body. They make a stiff penis that allows you to have regular sex. It’s excellent for enhancing uninterrupted intimacy and making relationships more spontaneous.

In IE therapy, a tiny active pellet of the drug alprostadil is placed in the urethra (the tube that carries urine out of your body). If you use the drug this way, you don’t have to give yourself a chance. Unfortunately, it may not work as well as ICI. Like ICI therapy, IU alprostadil should be field-tested before home use.

The most common side effect of IE Alprostadil is a burning sensation in the penis. If an erection lasts more than four hours, it needs medical treatment to make it go away.

There are two types of penile implants.

Semi-rigid implant (bendable)

The simplest type of implant consists of two easy-to-blend rods, often made of silicone. These silicone rods give a man’s penis the firmness necessary for sexual penetration. The implant can be folded down for urination or up for sex.

Inflatable implant

With an inflatable implant, fluid-filled cylinders are placed longitudinally in the penis. The tube connects these cylinders to a pump inside the scrotum (between the testicles). When the pump is engaged, the pressure in the cylinders swells the penis and makes it stiff. Inflatable implants create a normal-looking erection and are a natural sensation for your partner. Your medical doctor may recommend the use of lubricants for your lover. With the implant, men can control the firmness and, at times, the size of the erection. Implants allow a couple to be spontaneously intimate. There is generally no change in a man’s feelings or orgasm.

What do surgical ED treatments look like?

Penile implants are most often placed under anesthesia. If a patient has a systemic, skin, or urinary infection, this surgery should be postponed until all infections are treated. If a man takes blood thinners, he may need to speak to a medical expert about stopping the medications for elective surgery and healing.

Most often, a minor surgical incision is made. The cup is either above the penis, where it joins the belly, or below the penis, where it joins the scrotum. No tissue is removed. Blood loss is usually low. A patient will go home the same day or spend a night in the hospital.

Recovery time after penile implants ED treatments:

• Most men will go through the pain and feel relief from a narcotic painkiller for a week or two. After the first week, over-the-counter pain relievers (such as acetaminophen or ibuprofen) can be substituted for narcotic pain relievers. After surgery, discomfort, bruising, and swelling will last a few weeks.
• In the first month, men should limit their physical activity. The surgeon will explain when and how much movement is required during the healing period.
• Men most commonly start having sex eight weeks after surgery with penile implants. If swelling or pain persists, the use of the implant may be delayed. The surgeon or healthcare professional at the surgeon’s office will discuss how the implant is inflated and deflated.

Prosthetic surgery as an ED treatment comes with risks, and patients are counseled before surgery. In the case of postoperative infection, the implant will likely be removed. The devices are reliable, but the device or part must be surgically replaced in case of a mechanical failure. If the penile prosthesis is removed, other non-surgical treatments may no longer work.

Most men with penile implants and their partners say they are happy with the results and return to more spontaneous intimacy.

Clinical Trials and the best ED treatments available.

Several restorative or regenerative treatments are being explored for future ED treatments:

• Extracorporeal Shock Wave Therapy (ESWT) – low-intensity shock waves aimed at fixing the erectile tissue and helping to restore natural erections.
• Intracavernosal injection of stem cells – to help regrow cavernous tissue
• Intracavernous injection of autologous platelet-rich plasma (APRP) – to support the regrowth of cavernous tissue

These are not FDA-approved treatments for ED management but may be offered as part of research (clinical) studies. Interested patients should discuss the associated risks and benefits (informed consent) and costs before beginning clinical trials. Most non-FDA-approved therapies are not covered by state or private insurance.

What is ED

Erectile dysfunction or ED, aka impotence, is the inability to get and maintain an erection sufficient for sex.

Erection troubles from time to time are not indeed a reason for concern. However, while erectile dysfunction is an ongoing problem, it can be stressful, affect your confidence, and contribute to relationship problems. Problems with or maintaining an erection can also indicate an underlying condition requiring treatment and a risk factor for cardiovascular disease.

If you are concerned about erectile dysfunction, even if you are confused, talk to your doctor. Sometimes, treatment of the underlying disease is sufficient to eliminate erectile dysfunction. In other cases, pharmaceutical drugs or other immediate therapies may be needed.

While almost all adult men suffer from ED occasionally, up to 30 million Americans suffer from ED regularly. Almost all men who seek treatment for ED find some relief. The Massachusetts Male Aging Study surveyed 1,709 men aged 40–70 between 1987 and 1989, finding an overall prevalence of erectile dysfunction of 52 percent. It was estimated that in 1995 over 152 million men worldwide suffered from ED. It is predicted that by 2025 the prevalence of ED will be approximately 322 million people worldwide.

In the past, erectile dysfunction was thought to be caused by psychological problems. In most men, erectile dysfunction is caused by physical problems, usually related to the blood supply to the penis. Many advances have occurred in both the diagnosis and treatment of erectile dysfunction.

What are the different types (and causes) of ED?

Organic Erectile Dysfunction

Organic ED involves abnormalities in the penile arteries and veins and is the most common cause of ED, especially in older men. The arterial problem is usually caused by arteriosclerosis, or hardening of the arteries, although trauma to the arteries can be the cause. Controllable risk factors for atherosclerosis — being overweight, lack of exercise, high cholesterol, high blood pressure, and smoking — can cause erectile failure many times before it progresses to affect the heart.

Many experts believe that atrophy, a partial or complete loss of tissue, and fibrosis, the growth of excess tissue, of smooth muscle tissue in the shaft of the penis (cavernous smooth muscle), trigger problems maintaining a firm erection.

Inadequate ability to sustain an erection is frequently an early symptom of erectile dysfunction. Although the condition is called venous leakage, the real problem is not the veins but the malfunctioning of the smooth muscles that surround the veins. The result is the difficulty maintaining a solid erection (loss of erection too quickly), which is now considered an early manifestation of atherosclerosis and vascular disease.

Diabetes.

Erectile dysfunction is common in people with diabetes. An estimated 10.9 million adult men in the United States have diabetes, and 35 to 50 percent are impotent. This process involves premature and extremely severe hardening of the arteries. Peripheral neuropathy, involving the nerves that control erection, is often seen in people with diabetes.

Depression.

Depression is another cause of erectile dysfunction and is closely related to erectile dysfunction. As there is a triad of depression, erectile dysfunction, and cardiovascular disease, men with depression should be thoroughly evaluated for medical conditions and psychological factors. Some antidepressants can cause erectile dysfunction.

Neurological causes.

There are many neurological (nerve problems) causes of erectile dysfunction. Diabetes mellitus, chronic alcoholism, multiple sclerosis, heavy metal poisoning, spinal cord and nerve injuries, and nerve damage from pelvic surgery can cause erectile dysfunction.

Drug-induced erectile dysfunction.

A great variety of prescription medications, such as blood pressure medications, anti-anxiety, and antidepressant medications, glaucoma eye drops, and cancer chemotherapy, are some of the many medications associated with erectile dysfunction.

Hormone-Induced ED.

Hormonal abnormalities such as elevated prolactin (a hormone produced by the anterior pituitary gland), steroid abuse by bodybuilders, too much or too little thyroid hormone, and hormones given for prostate cancer can cause ED. Insufficient testosterone can promote erectile dysfunction but is infrequently the only component accountable for ED.

Premature Ejaculation (PE)

Premature ejaculation is a male sexual dysfunction characterized by the following:

• Ejaculation always or almost always occurs before or within about one minute of vaginal penetration.
• Inability to delay ejaculation on all or nearly all vaginal penetrations; and negative personal consequences, such as distress, annoyance, frustration, and avoidance of sexual intimacy.

Premature ejaculation is split up into enduring and gained categories:

Permanent premature ejaculation.

With permanent premature ejaculation, the patient experienced premature ejaculation from the very beginning of coitus.

Acquired premature ejaculation.

In the case of acquired premature ejaculation, the person has previously had productive copulatory interactions and has only now developed premature ejaculation.

Stage panic.

Performance anxiety is a form of psychogenic erectile dysfunction, usually caused by stress.

What causes erectile dysfunction?

Male sensual arousal is a complicated activity that includes the brain, hormones, emotions, nerves, muscles, and blood circulation vessels. Impotence can happen if a problem with any of them occurs. Similarly, stress and psychological well-being troubles can trigger or aggravate erectile dysfunction.

At times a combination of physical and psychological troubles leads to erectile dysfunction. For instance, a minor bodily disorder that slows your sensual reaction can make you worried about keeping an erection. As a result, anxiety can trigger or exacerbate erectile dysfunction.

The following are some of the diverse forms and potential causes of erectile dysfunction:

The physical causes of erectile dysfunction

• heart disease
• Clogged blood vessels (atherosclerosis)
• High cholesterol
• High blood pressure
• Diabetes
• Obesity
• Metabolic syndrome – a condition involving increased blood pressure, high insulin levels, body fat around the waist, and high cholesterol
• Parkinson’s disease
• Multiple sclerosis
• Certain prescription drugs
• Smoking
• Peyronie’s disease – development of scar tissue inside the penis
• Alcoholism and other forms of drug addiction
• sleep disorders
• Treatments for prostate cancer or enlarged prostate
• Surgical interventions or traumas that affect the pelvic area or spinal cord
• Low testosterone levels

Psychological causes of erectile dysfunction

The brain plays a crucial role in triggering a series of physical events that cause an erection, starting with feelings of sexual arousal. Several things can interfere with sexual feelings and cause or worsen erectile dysfunction. These include:

• Depression, anxiety, or other mental health conditions
• Fatigue
• Relationship problems due to stress, poor communication, or other worries

Risk factors for erectile dysfunction.

Erectile dysfunction (ED) is a condition that affects a person’s ability to achieve or maintain an erection long enough to have a satisfying sexual experience.

Many risk factors increase the likelihood of developing ED, including:

• age over 40
• mental health problems
• obesity
• Parkinson’s disease
• insomnia
• vascular disease
• alcohol, cigarette smoking, and illegal drug use
• Alzheimer’s disease
• High blood pressure (hypertension)
• High cholesterol
• Hormonal imbalances
• Metabolic disorders
• Multiple sclerosis
• Peyronie’s disease
• Priapism
• Treatment of prostate cancer and other prostate-related problems
• Kidney failure
• Sleep apnea
• Type II diabetes

Diagnosis of erectile dysfunction

For many people, a physical exam and answers to questions (medical history) are all it takes for a doctor to diagnose erectile dysfunction and recommend treatment. If you have chronic health conditions or your doctor suspects an underlying condition may be involved, you may need further tests or a consultation with a specialist.

Tests for underlying conditions may include:

Physical exam.

This may include carefully examining your penis and testicles and checking your nerves for tenderness.

Blood tests.

A blood sample may be sent to a lab to check for signs of heart disease, diabetes, low testosterone, and other health conditions.

Ultrasonic.

This test is usually performed by a specialist in a doctor’s office. A rod-like device (transducer) is held over the blood vessels that supply the penis. It creates a video image so your doctor can see if you have circulatory problems.

This test is sometimes done in combination with an injection of medication into the penis to stimulate blood flow and produce an erection.

Psychological exam.

Your doctor may ask questions to look for depression and other possible psychological causes of erectile dysfunction.

Alternative medicine as a form of ED treatment.

Before using any dietary supplement, ask your doctor if it’s safe for you, especially if you have a chronic medical condition. Some alternative products that claim to treat erectile dysfunction can be dangerous.

The Food and Drug Administration (FDA) has warned against several types of “herbal Viagra” because they contain potentially harmful drugs not listed on the label. The dosages could also be unknown or have been contaminated during formulation.

Some drugs can interact with prescription drugs and cause dangerously low blood pressure. These products are hazardous for anyone taking nitrates. Always consult a physician before starting any alternative erectile dysfunction treatments. Always chose a naturopathic clinic led by a medical doctor over the other holistic offices.

Lifestyle changes – the first step for all ED treatments.

For many people, erectile dysfunction is caused or made worse by lifestyle. Your healthcare provider may recommend that you make lifestyle modifications to help reduce the severity or improve ED. Here are some actions that may help:

• Quit smoking. If you are having trouble quitting smoking, ask for help. Try nicotine substitutes like chewing gum or over-the-counter lozenges, or ask your doctor for a prescription drug to help you quit smoking.
• Increase physical activity and maintain a healthy body weight. Include physical activity in your daily routine. Exercise can help with underlying conditions that play a role in erectile dysfunction in some ways, including reducing stress, helping with weight loss, and increasing blood flow.
• Limit or stop alcohol consumption. Get treated for alcohol or drug problems. Drinking too much alcohol or taking certain illicit drugs can worsen erectile dysfunction or cause long-term health problems.
• Stop the use of illegal drugs.
• Lose extra pounds. Being obese can cause or aggravate erectile dysfunction.
• Work on relationship issues. Consider couples counseling if you have difficulty improving communication with your partner or solving problems independently. Your healthcare provider may suggest lifestyle changes to reduce or improve ED.

You can ask your healthcare professional for help if you’re having trouble making these changes yourself.

Best food for erectile dysfunction – the essential part of all ED treatments

Is it possible that foods can help maintain an erection during erectile dysfunction?

According to the latest statistics, about one-third of all men experience erectile dysfunction (ED), making it the most common sexual dysfunction in men. While several medications are on the market to improve erection, several foods can help men achieve and maintain a stronger erection.

Eating can help improve your erection as the processes involved in penis swelling are psychological and physical.

Mainly, when a man gets an erection, his attention, awareness, interest, and body go through the following steps:

• He experiences mental and sensory stimulation that causes the brain to send messages to the nerves in and around the penis.
• Nerve messages cause the muscles of the cavernous bodies to relax.
• The cavernous bodies include the muscles around the shaft and head of the penis.
• It is easier for them to inflow blood when they are relaxed.

Although the relaxation of the penile smooth muscle begins with messages sent from the nerves, nitric oxide plays a key role. Nitric oxide regulates blood flow and the tone of smooth muscles, including those in the penis.

Therefore, all of the foods on this list have one or more of the following benefits:

• Improve blood flow
• They contain nitric oxide
• They contain arginine, a nitric oxide precursor

Some foods can help you stay erect and support medical treatment for erectile dysfunction.

1. Watermelon

Watermelon contains citrulline, another nitric acid precursor. It is food for a good erection because it dilates and relaxes the blood vessels, thus facilitating blood circulation in the penis.

The citrulline content of watermelon makes it similar to other penile health foods, such as cucumber, bitter melons, and squash.

2. Spinach and other leafy greens

Spinach is rich in nitric oxide, and therefore, like other hard foods for erection, it helps the arteries to expand and fill with blood.

One study found that spinach, when served in a soup with onions, low-sodium chicken broth, and black pepper, significantly improved participants’ nitrate levels while adding just 94 extra calories to their diet.

The nitrates in spinach and other green leafy erection foods like kale and arugula serve not only as penile health foods but also for your entire vascular system.

3. Coffee

Another food that helps with penis growth is coffee. It has less than five calories – at least until you add sugar and cream – so it’s one of the lightest foods to help erectile dysfunction.

The study found that men who drank 170 to 375 milligrams (mg) of caffeine each day, or about 2-3 cups, had a lower rate of erectile dysfunction. Caffeine is adequate food for the penis as it relaxes the smooth muscles of the penis, paving the way for it to be filled with blood.

4. Dark Chocolate

Dark chocolate is a top food for a firm erection because it contains a lot of flavanols, which facilitate blood flow through the body. However, since dark chocolate is often high in sugar and fat, overeating can make you fat.

An ounce of dark chocolate has 155 calories and 9 grams of fat, so it may not be the healthiest choice among important erection-promoting foods.

5. Salmon

Salmon is one of the best erection-promoting foods because it’s high in vitamin D. Sun exposure is responsible for about 80% of vitamin D, so if you can’t get out as much as you want, salmon can help you get what you need. Vitamin D has been shown to help prevent endothelial dysfunction, which is when your arteries, blood vessels, and organs are unable to circulate blood properly.

Vitamin D supplementation may be essential in areas that experience many cloudy days or long winters. In England and its British neighbors, residents’ vitamin D levels are 50% higher at the end of summer than at the end of winter. Eating salmon in these climates can give your body what it needs to get and maintain a firm erection.

6. Pistachios

Pistachios are loaded with arginine, which makes them excellent for those looking for dietary aid for penis growth. Arginine promotes the creation of nitric oxide, which, in succession, helps normalize blood flow to the penis and other body sections.

7. Almonds, walnuts, and other nuts

Almonds, walnuts, and a broad spectrum of other varieties of nuts are rich in high-density lipoprotein (HDL), also known as “good cholesterol.” Good cholesterol absorbs bad cholesterol and carries it back to the liver.

When “bad” cholesterol gets trapped in your arteries and blood vessels, it blocks blood flow to your organs, including your penis. Eating walnuts, almonds, and other nuts gives your body what it needs to carry “bad” cholesterol to the liver, which can be broken down and disposed of as waste.

8. Oranges and Blueberries

While oranges and blueberries seem to have little in common with dark chocolate, they share an essential characteristic: they are packed with flavonoids. Flavonoids make oranges and blueberries the best foods for erectile dysfunction. Flavonoids stimulate blood flow, which allows the penis to become engorged after being stimulated.

An Oxford University study found that the effect of flavonoid-rich foods reduced the chances of erectile dysfunction by between 9-11%.

9. Spicy, hot food

Thanks to the capsaicin in hot peppers, a little hot sauce or habanero as a side dish can help induce an erection. French researchers found that men who ate more hot food had higher testosterone levels.

Other studies have also discovered an explicit association between low testosterone symptoms in men and how simple it is to get and preserve an erection.

If you have ED, you may want to eat the above foods. They can make it easier for your body to get blood to your penis when stimulated. Plus, they can benefit the rest of your circulatory system and organs and lead to a healthier lifestyle.

Exercises for erectile dysfunction treatment

Recent studies have found that exercise for erectile dysfunction, mainly moderate to vigorous aerobic activity, can improve erectile dysfunction. Less strenuous and regular exercise could also reduce the risk of erectile dysfunction. Increasing the level of activity could also further reduce the risk. Discuss the plan of exercise-based ED treatments with your doctor.

Kegel exercises for erectile dysfunction

Kegel exercises, or pelvic exercises, are effective in treating erectile dysfunction and should be used as the first line of treatment. The ischiocavernosus and bulbocavernosus muscles of the pelvic region surround the penis and are active during an erection. The following exercises for erectile dysfunction aim to reinforce these muscles.

The floor lying on your back squeezes

• Start by lying on your back with your hands on the floor and your knees comfortably bent and pointing up.
• Pull your penis towards your body and hold for five seconds, then release.
• Now squeeze your anus muscles together as if trying to stop a bowel movement and hold for five seconds, then release.

Perform steps two and three, 8 to 10 times, and make three to five sets.

The floor lying on its side

• Position yourself lying on the floor mat and your side.
• Place a pillow between your knees. Make sure the pillow is big enough to separate your legs.
• Squeeze both legs simultaneously and keep up for five seconds, then release.
• Perform the previous step 8 to 10 times, and do 3 to 5 sets.

Squeezes sitting in a chair

• Find a comfortable sitting position in a chair.
• Squeeze your penis with just the muscles as if trying to stop the urine from coming out, hold for five seconds, and release.
• Perform the previous step 8 to 10 times, and do 3 to 5 sets.

One way to check that you are doing your bench press is to stop the urine flow for a few seconds. If you can do this, you are doing it correctly.

As your body becomes more familiar and accustomed to these exercises, consider increasing the time you squeeze and hold different pelvic muscles. Also, you can expand the number of repeats of sets of exercises for erectile dysfunction you do.

When performing these exercises for erectile dysfunction, keep the following tips in mind:

• Do not hold your breath
• Don’t push down; squeeze your pelvic muscles tightly like you’re trying to lift something with those muscles.
• Try to keep your stomach muscles relaxed all the time
• Rest your pelvic floor muscles between each one and squeeze

Most men start to see results after about a month of daily exercise. By the end of that month, you should be able to hold compressions for 10 seconds and do eight to 10 sets.

The exercises for erectile dysfunction shouldn’t cause any pain. If you feel pain, stop exercises for erectile dysfunction immediately and seek medical help.

Aerobic exercises for erectile dysfunction

A healthy lifestyle plays a vital role in preventing and treating erectile dysfunction.

For patients suffering from obesity, hypertension, heart disease, or vascular disease, regular aerobic exercise is one of the best ways to increase blood flow, improve weight loss, and improve sexual performance.

Walking as a form of exercise for erectile dysfunction

Experts believe a few minutes of brisk walking daily can greatly benefit your sexual and physical health.

According to one study, people who took a 30-minute walk every day were 41% less likely to develop erectile dysfunction.

Jogging – another group of exercises for erectile dysfunction.

Intense aerobic training, such as jogging or swimming, is one of the best ways to improve blood flow and reduce the risk of ED.

One study suggests that those who ran 90 minutes a week or performed about 3 hours of vigorous outdoor work a week were less likely to have ED problems.

Acupuncture – is one of the ancient Chinese ED treatments.

Acupuncture and herbs are effective in treating erectile dysfunction. A study conducted at the Yunnan Provincial Hospital of Traditional Chinese Medicine revealed an overall effective rate of 46.56%. The exclusive use of herbal medicine resulted in an overall effectiveness rate of 16.17%, and the exclusive use of acupuncture resulted in an overall effectiveness rate of 13.24%. The researchers conclude: “Acupuncture combined with herbal medicine has a synergistic therapeutic effect on erectile dysfunction.”

Erectile dysfunction (ED) is a sexual disorder characterized by the persistent inability to achieve or maintain an erection sufficient for satisfactory intercourse (> three months). ED has recently become a global health problem and is estimated to affect 322 million men by 2025. In Traditional Chinese Medicine (TCM), ED falls under the realm of Jin Wei (translated as tendon withering) and is associated with aging, excessive masturbation or sex, emotional states (e.g., depression), congenital deficiencies, or improper diet.

The main diagnostic patterns of TCM are liver qi stagnation, blood stasis, and renal essence deficiency. In the research paper, the scientists note, “Emotional disorders can harm the liver and lead to stagnation of liver qi. Based on the principles of TCM, the liver meridian regulates the ligaments, and the genitals are the collecting place of the ancestral tendon. The liver that fails to move freely obstructs the meridians, ruled by the liver and malnutrition of the ancestral tendon, leading to erectile dysfunction. On the other hand, insufficiency of kidney essence can weaken the fire of the gate of life. In other words, the essence of the kidney fails to be transported into the ancestral tendon, which makes the genitals soft and withered. The treatment principle is to smooth the circulation of liver qi, release the meridians to invigorate blood circulation, and tonify kidney essence.

When considering ED treatments for blood circulation or psychological problems, acupuncture can be cheaper than traditional medical ED treatments and is covered by some insurance companies.

Homeopathy – the #1 natural ED treatment.

You will need to consult a homeopath for homeopathic ED treatments.

All ED treatments aim to help the individual achieve an erection and maintain it long enough to allow for intercourse. However, no healing protocol can offer a constant cure for ED or impotence in allopathic medicine. Homeopathic treatment of erectile dysfunction (ED) or impotence It is estimated that 35 million men in the United States of America experience erectile dysfunction (ED) or impotence sooner or later. This explains why there is such a vast market for products to strengthen or restore erections. Many patients have tried herbal products that didn’t work at all. We’ve read alarming reports of men going blind or having heart attacks due to taking prescription allopathic or conventional medications for erectile dysfunction (ED) or impotence. Fortuitously, there is a permanent way out from impotence.

Yes, erectile dysfunction is curable at any age. Homeopathy gives remarkable results in cases of erectile dysfunction (ED) or impotence, which both physical and psychological causes can cause. Homeopathic treatment can eliminate the disorder’s mental and physical components. Homeopathy offers nearly 203 remedies for men suffering from erectile dysfunction (ED) or impotence. Unlike allopathic medicines, homeopathic medicines are non-toxic and non-addictive. Homeopathic physicians often treat patients suffering from anxiety, fear of not having sex, erectile dysfunction (ED), or impotence associated with stress and high blood pressure. Stress at work, midlife crisis, and other problems affect men’s health differently. Men facing the challenge of aging, retirement, and new identities find a particularly suitable homeopathy therapy that affects them mentally, emotionally, and physically. Combined with good nutrition, exercise, and rest, homeopathy provides optimal support for these patients.

Where the cause of erectile dysfunction (ED) or impotence is with other ailments of the system and due to the effects of drugs, homeopathy also offers the best option. Homeopathy is strongly recommended for erectile dysfunction (ED) or impotence. However, homeopathy is a 200+-year-old medical science fully regulated by the United States Food and Drug Administration (FDA). All homeopathic medicines recognized by the respected Homeopathic Pharmacopoeia of the United States (HPUS) have been tested and proven effective in controlled clinical trials. Erectile dysfunction (ED) or impotence can indicate other health imbalances that must be addressed and should not be put off.

Two hundred-three homeopathic medicines greatly relieve erectile dysfunction (ED) or impotence. However, the correct choice and the resulting relief are a matter of experience and proper judgment from the homeopathic practitioner. The treatment is decided after careful patient care. Therefore, homeopathic remedies for erectile dysfunction (ED) or impotence are designed, unlike allopathy, where all patients receive the same surgery or medications, although the brand name may differ. With homeopathy, erectile dysfunction (ED) or impotence is a problem that can be treated and overcome, allowing you and your partner to enjoy a full and satisfying loving relationship. I wish you the joy of love and intimacy.

Centered on your particular case and the roots behind your erectile dysfunction, the homeopath would mention the following remedies:

1. Caladium

This homeopathic remedy can help a man who is aroused but has no genitals. It can be recommended for ED treatments.

When the genitals are flaccid, nocturnal emissions occur without an erection, even if the dreams are related to sex. A person in need of this remedy often experiences cravings for tobacco.

2. Lycopodium is a homeopathic remedy that can be prescribed for erectile dysfunction.

Lycopodium for ED or impotence is a homeopathic medicine that can be given to people whose stress hormones act to constrict the blood vessels in the penis. This causes erectile dysfunction.

Symptoms, in this case, are self-doubt, digestive problems such as gas and bloating, and an energy slump. It is commonly available as lycopodium 200 or lycopodium 1m for the treatment of impotence. Always consult your doctor before starting a course of the same medication.

3. Argentum Nitricum – a homeopathic treatment for men who cannot achieve an erection

Argentum Nitricum can help men with erectile dysfunction. This homeopathic remedy is especially for those men whose erections decline during sex.

Symptoms specific to Argentum Nitricum include anxiety and tension with cravings for sweets and salty foods.

4. Nuphar Luteum – a homeopathic medicine with many advantages

The Nuphar Luteum acts as a testosterone booster, restoring energy and reducing fatigue. It helps in strengthening the male reproductive organs, thus increasing sexual performance. The Nuphar Luteum helps in cases where the sex drive is low and helps relax the genital area.

5. Agnus Castus

Agnus Castus is obtained from the chaste tree. Medicine is made from the ripe berries of trees. This homeopathic remedy is most commonly utilized to cure impotence in older men.

When a man is entirely unable to get erections, in some cases, the sexual organs become cold. The patient’s penis continues to be lifeless during intercourse.

Agnus Castus as a remedy is usually prescribed when the patient lacks sexual desire and the ability to perform in bed.

6. Selenium: For weak and slow erections

Selenium is the best prescription when the erection is too weak and slow and not the complete inability to have an erection. The erection is also insufficient and doesn’t last long. Most men who require selenium have a sexual urge and desire to have intercourse but lack the physical strength to pursue it. Irritability and excessive weakness after intercourse also favor the use of selenium. Most men who need the drug selenium also suffer from involuntary ejaculation during sleep. Some may also complain of dribbling of semen during bowel movements or feces.

7. Avena Sativa: To increase sexual power

Avena Sativa can be used as a tonic to increase sexual power in men. This drug helps eliminate extreme fatigue and defective erections. Avena Sativa is used in tincture form. Patients suffering from erectile dysfunction after excessive sexual activity or masturbation need this medicine.

8. Tribulus Terrestris: For urinary problems associated with erectile dysfunction

The main indication for using Tribulus Terrestris is the presence of urinary problems and erectile dysfunction. The genitals are weak, and there is pain when urinating. Tribulus Terrestris can be of real help in curing erectile dysfunction with urinary tract problems.

Hypnosis – is one of the most effective ED treatments.

While many highly effective ED treatments are affordable, these primarily address the symptoms rather than the root cause of ED.

With over 30 million men in the United States estimated to suffer from erectile dysfunction routinely, many men are interested in remedies.

One of the conceptual solutions to ED treatments comes in the form of hypnotherapy. While it may sound bizarre, hypnosis is commonly used to treat various mental and physical issues — including sexual ones.

It stands to reason that hypnosis could also be a solution for erectile dysfunction.

When treating psychological problems, the best options are generally pharmacological interventions or therapies to address the root causes of a problem. Hypnosis is the most abstract form of psychotherapy.

People often misunderstand hypnosis, thanks to absurd depictions in movies and cartoons. Hypnosis is a mental state similar to a trance, during which a person experiences focused attention, increased concentration, increased suggestibility, and vivid fantasies. Although people in a hypnotic state may be drowsy or zoned out, they are actually in a hyperactive state of situational awareness.

Depending on the cause, hypnosis can effectively treat various sexual problems, including erectile dysfunction.

In addition to erectile dysfunction, some of the more common issues that hypnosis is used to treat include:

• A decrease in libido or libido
• Anorgasmia is when someone has difficulty achieving orgasm during sex
• Dyspareunia is an overwhelming amount of pain felt during sex
• Premature ejaculation

Hypnosis can help in many ways, and although definitive research is still lacking, anecdotal evidence suggests it can be helpful for suitable candidates.

In the case of guided hypnosis or hypnotherapy, we will focus less on the erection process and more on the potential psychological problems that prevent it. Stress, anxiety, and depression are often associated with erectile dysfunction. Being able to reduce these feelings may help to improve your erectile function.

Under the influence of hypnosis, the brain has difficulty distinguishing reality from its imagination, which enables it to break down these emotional barriers. By acting subconsciously, hypnosis can encourage positive change through suggestion. Entering this suggestive state helps to reduce feelings of stress and anxiety while improving the sense of self-confidence and self-esteem. Hypnosis can also help treat the physical causes of erectile dysfunction.

For example, hypnosis is one of the most popular methods for quitting smoking, a significant risk factor for erectile dysfunction. Another widespread use for hypnosis is to help someone eat healthier or less to lose weight, which can reduce the risk and severity of erectile dysfunction.

In addition to hypnosis, sex therapy is also often recommended, especially for people who think their sexual problems may be impacting their relationships.

Although self-hypnosis is possible, it is probably best to attempt hypnosis with the help of a qualified professional with experience treating sexual dysfunction.

How does hypnosis for ED work?

Here are some of the more common ways hypnosis is used for erectile dysfunction:

1. Let go of mental “blocks.”

Since the brain plays a significant role in the physiological reactions that create an erection, it is essential to take care of it.

Sexual arousal, the usual cause of an erection, can be blocked. Psychological disorders such as depression, anxiety, and stress are common blockers.

Unfortunately, this becomes a vicious cycle as ED can cause more anxiety and stress in the long run.

Hypnosis can be a powerful therapy in these cases: learning relaxation strategies to help you focus and get closer to sex with a sense of fun again.

2. Restoring inner confidence

Loss of self-confidence and low self-esteem can also be significant causes of psychological ED.

If you are too shy or feel inadequate during sexual activity, hypnotherapy is here to help.

You can trace the root of your feelings to previous issues and shed light on them so they don’t seem so heavy. Some of the most common problems can be bad relationships, jealousy, resentment towards your partner, or other previous embarrassing sexual encounters.

During therapy, you can regain your sexual confidence and feel safe and comfortable again.

3. Review your habits

Remember how vital blood flow is? While good habits like exercise can help you increase it, bad habits like smoking can impact you.

Since quitting smoking is difficult, hypnosis has proven to be an effective way to quit smoking.

Reprogramming your brain and getting rid of this activity can help increase blood flow to your penis and produce more vigorous erections.

What’s more, leading a healthier lifestyle (like lifting weights and getting good sleep) can do wonders for boosting libido and sex drive.

If you have problems such as eating habits, a sedentary lifestyle, and alcohol abuse, try hypnotherapy. This is a great strategy to redefine your daily habits to lead a better lifestyle.

4. Live in the present

It sounds a little spiritual. But are you enjoying the present moment as you spend your day?

Most men focus on the need to succeed during sex and lose sight of the main thing: being intimate and enjoying the act together. Hypnosis can help you feel less self-conscious by noticing the pleasurable sensory experiences associated with sex and connecting to the present moment.

Frequently Asked Questions regarding ED treatments.

How can I make sure my ED is physical and not emotional?

It’s hard to know. Healthcare providers now recognize that most men have an underlying physical cause of ED. In most patients, there are both physical and emotional factors that lead to ED. It’s impossible to prove that a man’s ED has no psychological component.

If I worry about getting an erection, can I worsen my bad condition?

Nothing happens in the body without the brain. If you’re concerned about your ability to get an erection, getting one can be difficult. This stage fright can be overcome with education and other ED treatments.

Can I combine different forms of ED treatments?

This is often done. However, only combine treatments after discussing this with your doctor. Sometimes, erections can last too long as a result of drug therapy. This is a dangerous side effect. Ask your doctor for the proper instructions.

I was fine until I started taking this new drug; what should I do?

Never stop or change prescription medications without talking to your doctor first.

Many medications can cause erectile dysfunction, but some cannot be changed because the drug’s benefits are too significant to you. If you’re sure, a particular drug caused your ED problem, ask your doctor if you can change your medications. If you must stay on the medication that is causing the problem, there are erectile dysfunction treatments that can help.

Holistic ED Treatments in Philadelphia

For a decade, Philadelphia Holistic Clinic was awarded as the #1 naturopathic center in the city of brotherly love. At the clinic, we provide ED treatments combining different alternative techniques including but not limited to acupuncture,  homeopathy  Ayurveda,  Reiki, and hypnosis. All treatments at the clinic are performed by or under the strict supervision of the medical doctor Victor Tsan, who has 45+ years of academic and clinical experience. To schedule an appointment for the evaluation and treatment, contact us at (267) 284-3085 or online using our secure scheduling application by scanning the QR code below.