Erectile Dysfunction: Causes, Treatments, and Alternatives

Q: Erectile Dysfunction: Causes, Treatments, and Alternatives

Hello： 1. <br>Excessive indulgence can certainly have an impact, and as age increases, it can also affect you. <br>If there are psychological factors or stress involved, it can exacerbate your issues. <br>Viagra has a relatively short duration of action, lasting only 4 to 6 hours

Erectile dysfunction issues?

Hello, Doctor:
1.
I am not sure if it is due to excessive masturbation, but I have noticed that my penile rigidity is not as strong as it used to be.
Can excessive masturbation affect rigidity? Sometimes I even have difficulty achieving an erection.
I visited a general clinic, and they suggested it might be due to stress or psychological factors, but I am certain that my libido is intact! However, I am experiencing insufficient engorgement.
The doctor prescribed Viagra for me, but its effect lasts only a short time.
When I need it, the medication has already worn off, so I have to take it again.

2.
Will long-term use of Viagra have any effects on my body? Will the dosage need to be increased over time? Currently, I am taking a quarter of a tablet.

3.
I have heard that Cialis has a longer duration of action.
Does it have the same side effects as Viagra? Is it more expensive? If I go to a more expensive hospital, how much would I need to pay out of pocket?
4.
Additionally, aside from over-the-counter erectile dysfunction medications, what other options can help alleviate erectile dysfunction?
Thank you, Dr.
Lin, for your assistance.

BB, 20~29 year old female. Ask Date: 2012/03/28

Dr. Lin Hexing reply Urology

Hello: 1.
Excessive indulgence can certainly have an impact, and as age increases, it can also affect you.
If there are psychological factors or stress involved, it can exacerbate your issues.
Viagra has a relatively short duration of action, lasting only 4 to 6 hours.
2.
Viagra is a medication that promotes blood circulation; if there are no absolute contraindications for its use, the long-term effects on the body are generally positive.
The dosage taken may increase over time.
3.
Cialis has a longer duration of action; generally, if it is effective, it can work for 24 to 36 hours.
It is somewhat more expensive; in our clinic, a 20mg Cialis tablet costs 495 NTD and can be taken in two doses.
4.
Additionally, there is another medication called Levitra, which is not available at our clinic.

Reply Date: 2012/03/28

More Info

Erectile dysfunction (ED) is a common condition that affects many men, and understanding its causes, treatments, and alternatives is essential for effective management. Let's break down your questions and concerns regarding this issue.

1. Causes of Erectile Dysfunction
Erectile dysfunction can stem from a variety of factors, including psychological, physical, and lifestyle-related issues. You mentioned concerns about excessive masturbation potentially affecting your erectile function. While there is no direct evidence that masturbation causes ED, excessive sexual activity can lead to temporary changes in sexual performance. Psychological factors such as stress, anxiety, and depression can significantly impact erectile function. If you are experiencing performance anxiety or stress related to sexual activity, it could contribute to the difficulties you are facing.

2. Treatment Options
You mentioned that you were prescribed Viagra (sildenafil) and found its effects to be short-lived. Viagra works by increasing blood flow to the penis, helping to achieve and maintain an erection when sexually stimulated. However, its effectiveness can vary based on individual factors, including the timing of the dose and the presence of psychological stressors.
Long-term use of Viagra is generally considered safe for most men, but it is essential to consult with your healthcare provider about any concerns regarding dependency or increasing dosages. Typically, the dosage should be adjusted based on individual response and tolerance, and it is not advisable to self-increase the dose without medical guidance.

3. Alternatives to Viagra
You mentioned hearing about Cialis (tadalafil), which is known for its longer duration of action compared to Viagra. Cialis can last up to 36 hours, making it a popular choice for men who prefer a more spontaneous sexual experience. The side effects of Cialis are similar to those of Viagra, including headaches, flushing, and potential digestive issues. The cost of these medications can vary widely depending on the pharmacy and whether you have insurance coverage. It’s advisable to check with your healthcare provider or pharmacist for specific pricing and insurance options.

4. Other Treatment Options
In addition to oral medications, there are several other treatment options available for erectile dysfunction:
- Lifestyle Changes: Improving diet, exercising regularly, quitting smoking, and reducing alcohol consumption can significantly enhance erectile function.

- Psychological Counseling: If psychological factors are contributing to your ED, therapy or counseling can be beneficial.

- Vacuum Erection Devices: These devices create a vacuum around the penis, drawing blood into it and helping to achieve an erection.

- Hormonal Therapy: If low testosterone levels are identified, hormone replacement therapy may be considered.

- Injections or Suppositories: Medications can be injected directly into the penis or inserted as a suppository to help achieve an erection.

Conclusion
Erectile dysfunction is a multifaceted issue that can often be managed effectively with the right approach. It’s crucial to have open and honest discussions with your healthcare provider about your symptoms, treatment options, and any concerns you may have regarding medications. They can help tailor a treatment plan that suits your individual needs and lifestyle. Remember, you are not alone in this, and many men experience similar challenges. Seeking help is the first step toward regaining confidence and improving your sexual health.

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