For many men, erectile dysfunction is a source of embarrassment and frustration. It’s a difficult topic to discuss, yet it affects more than 18 million men in the U.S. alone. So, it’s important to understand the causes, discuss treatment options, and learn what to do when medications like Viagra and Cialis don’t work.
What Causes Erectile Dysfunction?
Erectile dysfunction is the inability to get and maintain an erection firm enough for sexual intercourse. While the biological causes are complex, in most cases, erectile dysfunction is caused by physiological factors or psychological issues. Physiological factors include smoking, high blood pressure, diabetes, obesity, high cholesterol, heart disease, and neurological disorders. Psychological issues such as anxiety, stress, depression, relationship issues, and a lack of communication can also cause erectile dysfunction.
When Do Medications Like Viagra and Cialis Not Work?
Viagra and Cialis are both common drugs used to treat erectile dysfunction in men. Viagra (sildenafil citrate) was introduced in 1998, and Cialis (tadalafil) was introduced in 2003. These medications work by increasing blood flow to the penis, which helps men get and maintain an erection. However, Viagra and Cialis won’t work for everyone. Some men may not be able to take these drugs due to certain medical conditions, and some men may not respond to the drugs. If you are taking these medications and they aren’t working, it’s important to speak to your doctor to find out why.
What Are the Alternatives to Viagra and Cialis?
If Viagra and Cialis don’t work for you, there are other treatments available. These treatments range from lifestyle changes to medications and other therapies. Some of the most common treatment options include:
- Lifestyle Modifications: Making lifestyle changes is one of the first steps to managing erectile dysfunction. Lifestyle modifications such as quitting smoking, exercising regularly, and eating a healthy diet can help improve your overall health and may help you get and maintain an erection.
- Testosterone Therapy: Testosterone replacement therapy is an option for some men with low testosterone. Testosterone is the male sex hormone and low levels are associated with erectile dysfunction. Testosterone therapy can help increase libido, improve erectile function, and boost sexual performance.
- Medication: There are several other medications available to treat erectile dysfunction, such as alprostadil injections, vacuum constriction devices, and intracavernous injections. These medications work to increase blood flow to the penis.
- Counseling: Psychological counseling can help men address the underlying psychological issues that may be contributing to their erectile dysfunction. Talking to a counselor or therapist can help men work through their fears and anxieties and improve their relationship with their partner.
- Surgery: In severe cases, surgery may be an option. Surgery may be used to repair blood vessels or nerves that are damaged or blocked, or to implant a device that can help men with erections.
When to See a Doctor
If you’re having difficulty getting or maintaining an erection, it’s important to see a doctor. Your doctor can help diagnose the cause of your erectile dysfunction and recommend the best treatment plan for you. He or she can also refer you to a specialist if needed. The sooner you talk to your doctor, the sooner you can get back to enjoying a fulfilling sex life.
Erectile dysfunction is a difficult topic to discuss, yet it affects more than 18 million men in the U.S. alone. If Viagra and Cialis don’t seem to be working for you, there are other treatment options available. Speak to your doctor to find out which treatment is best for you. With the right combination of lifestyle modifications, medications, counseling, and/or surgery, you can get back to enjoying a fulfilling sex life.