Consider your treatment options
A number of erectile dysfunction treatments are available. Ask your doctor if one of these may be a good choice for you:
- Oral medications. Erectile dysfunction medications include sildenafil (Viagra), tadalafil (Cialis, Adcirca), vardenafil (Levitra, Staxyn) or avanafil (Stendra). These pills can help ease blood flow to your penis, making it easier to get and keep an erection. Check with your doctor to see whether one of these medications is a safe choice for you.
- Other medications. If pills aren't a good option for you, your doctor might recommend a tiny suppository you insert into the tip of your penis before sex. Another possibility is medication you inject into the base or side of your penis. Like oral medications, these drugs increase blood flow that helps you get and maintain an erection.
Vacuum-constriction device. This device, also called a penis pump or a vacuum pump, is a hollow tube you put over your penis. It uses a pump to draw blood into your penis to create an erection.
A band placed at the base of the penis maintains the erection after the tube is removed. This hand- or battery-powered device is simple to operate and has a low risk of problems.
If a vacuum-constriction device is a good treatment choice for you, your doctor might recommend or prescribe a specific model. That way, you can be sure it suits your needs and that it's made by a reputable manufacturer.
- Penile implants. In cases where medications or a penis pump won't work, a surgical penis implant might be an option. Semirigid or inflatable penile implants are a safe and effective option for many men with erectile dysfunction.
Make good lifestyle choices
Don't underestimate the difference a few changes can make. Try these approaches to improve erectile dysfunction and your overall health:
Jan. 20, 2018
Stop smoking. Tobacco use, including smoking, narrows your blood vessels, which can lead to or worsen erectile dysfunction. Smoking can also decrease levels of the chemical nitric oxide, which signals your body to allow blood flow to your penis.
If you've tried to quit on your own but couldn't, don't give up — ask for help. There are a number of strategies to help you quit, including medications.
- Lose excess pounds. Being overweight can cause — or worsen — erectile dysfunction.
- Include physical activity in your daily routine. Exercise can help with underlying conditions that play a part in erectile dysfunction in a number of ways, including reducing stress, helping you lose weight and increasing blood flow.
- Limit or cut out alcohol. Excess alcohol can contribute to erectile dysfunction. If you choose to drink alcohol, do so in moderation. For healthy adults, that means up to one drink a day for men older than age 65, and up to two drinks a day for men age 65 and younger.
See more In-depth
- Erectile dysfunction. American Diabetes Association. http://www.diabetes.org/living-with-diabetes/treatment-and-care/men/erectile-dysfunction.html. Accessed Nov. 11, 2017.
- Sexual and urologic problems of diabetes. National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/sexual-urologic-problems. Accessed Nov. 11, 2017.
- Kouidrat Y, et al. High prevalence of erectile dysfunction in diabetes: A systematic review and meta-analysis of 145 studies. Diabetic Medicine. 2017;34:1185.
- Melmed S, et al. Complications of diabetes mellitus. In: Williams Textbook of Endocrinology. 13th ed. Philadelphia, Pa.: Elsevier; 2016. https://www.clinicalkey.com. Accessed Nov. 11, 2017.
- Wein AJ, et al., eds. Physiology of penile erection and pathophysiology of erectile dysfunction. In: Campbell-Walsh Urology. 11th ed. Philadelphia, Pa.:Elsevier; 2016. https://www.clinicalkey.com. Accessed Nov. 11, 2017.
- Erectile dysfunction. National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/urologic-diseases/erectile-dysfunction/all-content. Accessed Nov. 11, 2017.
- AskMayoExpert. Erectile dysfunction. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2017.