Erectile Dysfunction Treatment: Will It Last After Medication? - Urology

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Erectile Dysfunction Treatment


Hello, last month I experienced a decrease in the firmness of my erections and they would soften more quickly (for about a week).
I visited a urology clinic where the doctor prescribed Cialis 5mg and medication to enhance circulation and dilate the blood vessels related to erections.
I have been taking the medication for a month now, and my erectile function is currently normal.
My testosterone levels are also normal, and the doctor mentioned that I should continue the treatment for three months.
I would like to know if my current ability to achieve erections is due to the medication.
Will I experience erectile dysfunction again after the three-month treatment ends if I stop taking the medication? The cost of the medication is quite high, and I am concerned about the effectiveness of this treatment.

Aqi, 20~29 year old female. Ask Date: 2015/09/23

Dr. Fu Shizhang reply Urology


Medications can certainly help with your erectile function.
Whether you can maintain erections after discontinuing the medication depends on the underlying cause of the erectile dysfunction.

Reply Date: 2015/09/23

More Info


Erectile dysfunction (ED) is a common condition that affects many men at various stages of life. It can be caused by a range of factors, including psychological issues, hormonal imbalances, and physical conditions such as cardiovascular disease or diabetes. The treatment you are currently undergoing, which includes the use of medications like Cialis (tadalafil) and possibly other vasodilators, is a well-established approach to managing ED.

To address your concerns, it is important to understand how these medications work. Cialis, for example, enhances blood flow to the penis by inhibiting an enzyme called phosphodiesterase type 5 (PDE5). This allows for improved erectile function when sexual stimulation occurs. The fact that you are experiencing normal erectile function after starting this medication suggests that the treatment is effective for you. However, it is crucial to note that the medication does not cure the underlying causes of ED; it simply alleviates the symptoms while you are taking it.

Regarding your concern about whether your erectile function will return to its previous state after you stop taking the medication, it is a common worry among patients. The answer can vary depending on the individual. For some men, once they discontinue the medication, they may find that their erectile function remains normal, especially if the underlying causes of their ED were temporary or reversible. For others, the return to the previous state of dysfunction may occur, particularly if the ED was due to chronic conditions or psychological factors.

It is also worth noting that the duration of treatment can play a role in how your body responds. If you have been experiencing ED due to a temporary issue, such as stress or anxiety, it is possible that with time and the right support, your erectile function may improve independently of medication. However, if the ED is linked to more persistent health issues, ongoing treatment may be necessary.

In terms of the financial aspect of your treatment, it is understandable to be concerned about the cost of medications. If you find that the medications are effective but are a financial burden, it may be worthwhile to discuss this with your healthcare provider. They may be able to suggest alternative treatments, lifestyle changes, or even generic versions of the medication that could be more affordable.

Additionally, lifestyle modifications can also play a significant role in managing ED. Regular exercise, a healthy diet, maintaining a healthy weight, and avoiding smoking and excessive alcohol consumption can all contribute to improved erectile function. Psychological support, such as counseling or therapy, can also be beneficial, especially if anxiety or depression is a contributing factor.

In conclusion, while the medications you are taking are likely responsible for your improved erectile function, it is essential to have an open dialogue with your healthcare provider about your concerns regarding long-term treatment and potential alternatives. They can help you navigate your treatment options and make informed decisions that align with your health goals and financial situation. Remember, addressing the underlying causes of ED, whether they are physical or psychological, is crucial for long-term management and improvement.

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