Erectile Dysfunction (ED) treatment depends on the underlying cause, severity, and patient preferences. The most common and effective first-line treatment is oral medication, specifically PDE5 inhibitors such as sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra), and avanafil (Stendra). These drugs improve blood flow to the penis and are usually taken before sexual activity. If oral medications are ineffective or contraindicated, other options include penile injections (e.g., alprostadil), urethral suppositories, and vacuum erection devices (VEDs) that create an erection through suction. Penile implants (surgical devices) are considered when other treatments fail or are not suitable. Addressing psychological causes through counseling or sex therapy is beneficial, especially if stress, anxiety, or depression contributes to ED. Lifestyle modifications such as quitting smoking, reducing alcohol intake, losing weight, and exercising regularly can also improve symptoms. A tailored, multi-faceted approach often produces the best long-term results for men with ED.
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