The little blue pill known as Viagra® (generic name sildenafil) was first developed in 1989 as a treatment for high blood pressure and angina. After discovering the drug’s benefits for increasing erections in the early 1990s, scientists rebranded the drug as a treatment for erectile dysfunction. Once the drug was approved by the FDA in 1998, prescriptions for Viagra exceeded five million over the next six months, and that number continues to climb. In 2012, 8 million prescriptions were written for Viagra alone – that doesn’t account for the other ED drugs on the market.
Unfortunately, ED drugs don’t work for everyone who takes them. If you suffer from erectile dysfunction and your ED drugs aren’t working as well as you’d like them to, don’t immediately abandon them or switch to another drug. Take the time to learn how ED drugs work and what might be causing your issues. From there, you can consult with your doctor and decide whether to give the drugs another shot or move on to an alternative treatment.
The risk factors for erectile dysfunction are vast and varied but, for the most part, the underlying issue comes down one thing: circulation. Like any other organ in the body, the penis requires a supply of oxygenated blood in order to perform basic functions. When it comes to sexual function, circulation is key to achieving and maintaining an erection – the penis fills with blood, and the resulting pressure traps it inside, allowing the penis to expand in size and to become very firm.
Erectile dysfunction is a condition which, among other symptoms, makes it difficult for a man to achieve and maintain an erection - underlying vascular issues play an important role. The primary function of ED drugs is to resolve those vascular issues, restoring blood flow to the penis to facilitate an erection. More specifically, ED drugs belong to a class of drugs known as phosphodiesterase type 5 (PDE5) inhibitors, and they increase the amount of nitric oxide in the body which works with other substances to open the blood vessels, increasing blood flow to the penis.
Though many men experience an improvement in ED symptoms after they start taking prescription medications, many men do not. In fact, one study revealed that nearly 70% of men taking PDE5 inhibitors like Viagra (sildenafil) and Cialis® (tadalafil) continued to experience erectile issues. There is some evidence to suggest that this number is high because many men fail to take ED drugs properly which can inhibit a favorable response. Even so, an article published by Harvard Health Publishing suggests that ED drugs fail to work for 30% of the men who take them.
Not only is there a risk that erectile dysfunction drugs might not work, but they could trigger some unpleasant side effects. Using Viagra as an example, some of the most common side effects are:
If you are taking prescription drugs for erectile dysfunction but you don't see the results you want, there are several options available to you. Before you consider an alternative course of treatment, ask yourself whether you are using the drug correctly. Many men fail to read the instructions or follow their doctor’s advice when it comes to ED drugs.
Here are the top six mistakes men make when taking drugs for erectile dysfunction:
After reviewing the mistakes from the list above, ask yourself honestly whether you are using your ED drugs correctly. If you are and you still aren’t experiencing any relief from your symptoms, it may be time to consider an alternative treatment. Keep reading to learn more.
When erectile function drugs don’t provide the results you want, you may need to consider other options. Some of the most common alternative treatments for ED include the following:
When oral medications don’t work, another option is to inject the drug directly into the penis. Alprostadil (brand names Cavarject and Edex) is the most common injectable ED drug, and it can create an erection within 5 to 20 minutes that lasts up to an hour. This drug is effective in between 70% and 90% of cases, though it comes with a risk for mild side effects such as pain at the injection site.
If you don’t like the idea of sticking yourself with a needle, a urethral pellet or suppository is another option. Known as the medicated urethral system for erection (MUSE), this treatment involves inserting a pellet of Alprostadil into the urethral opening in the tip of the penis. The drugs are absorbed through the urethral wall and can trigger an erection within 10 minutes that lasts up to an hour. This treatment is a little less effective than injections and slightly more likely to cause pain or irritation.
A completely non-medical treatment alternative for erectile dysfunction comes in the form of vacuum restriction devices. These devices consist of a cylinder that is placed over the penis and then you use a pump to create pressure inside the tube, drawing blood into the penis. Once the penis is erect, a rubber ring is placed around the base to prevent the blood from escaping. Though this treatment may produce an erection that can last up to 30 minutes, it is not a natural erection.
In particularly stubborn cases of erectile dysfunction, surgical treatment may be worth considering – the most common option is penile implants. Penile implants are small, hollow tubes that are surgically implanted in the penis. These tubes can be hooked up to a small pump that is implanted in the scrotum and then inflated to produce an erection. Though this treatment may produce an erection, the procedure disrupts normal penile anatomy which may render the future use of oral medications or injectables ineffective.
In addition to considering these alternative treatments, you may also want to think about psychotherapy as a supportive treatment if the cause of your ED is primarily psychological. Research suggests that as many as 10% to 20% of impotence cases have an underlying psychological trigger such as anxiety, depression, or stress. Relationship troubles, fear of failure, and low self-confidence can also contribute to psychological ED. Talking to a therapist can help you resolve any underlying issues that might be affecting your libido and inhibiting healthy sexual function.
While erectile dysfunction drugs and other treatments may help to reduce symptoms or facilitate an erection, they don’t always address the underlying issues that caused the ED in the first place. Some of the most common risk factors for ED include obesity, smoking, diabetes, high cholesterol, stress, alcohol intake, poor diet, and an inactive lifestyle. All of these are things that can theoretically be changed which could improve your erectile dysfunction.
The two biggest things you can do to natural resolve ED is to improve your diet and exercise habits. Generally speaking, a healthy diet is made up of lean proteins, whole grains, fresh fruits, vegetables, and healthy fats. This type of diet is good for your heart which means that it is also good for circulation – circulation is a key factor in your ability to achieve and maintain an erection, so you can see the link. You may also want to reduce your intake of saturated fats and sugars as well as fried food, processed foods, and alcoholic beverages.
In addition to making improvements to your diet, getting more regular exercise can benefit your sexual health. The more you exercise, the stronger your heart becomes and that increases its ability to pump oxygenated blood throughout the body to the parts that need it – including your penis. Aim for 30 minutes of moderate-intensity exercise five days a week for the best results. If you haven’t exercised for a while, you can start slow and build up your stamina over time.
Erectile dysfunction is a condition that affects as many as 52% of men over the course of their lifetime. As common as ED issues are, many men feel the stigma and fail to seek treatment which only makes matters worse. Unfortunately, a fairly high percentage of people who do seek treatment don’t get the results they want.
If you’ve been taking prescription drugs to manage your erectile dysfunction, take the time to think about whether they are really working for you. If they aren’t, talk to your doctor about dosage or switch to another product. When you’ve exhausted your options, consider whether an alternative treatment like those discussed here might be your next best choice.