I want to talk today about the treatments for erectile dysfunction.
So what are the treatments in general? I’m going to cover this first before we get to the specifics. In general, there is medical type treatments and non-medical treatments. The medical treatments that most people familiar with are the pills such as Viagra, Cialis, Levitra, SizePro Ultra. There is another kind of medical treatments such as injections and suppositories. And then there are non-medical treatments such as the vacuum device or penile prosthesis.
So a lot of men asks what happens if you don’t do anything? Let’s say you just have erectile dysfunction and just don’t do anything. Well, what happens, unfortunately, is that the penis like a lot of other things and body is a use it or lose it organ. And just like the bodybuilder who stops lifting weights they are going to shrink and atrophy, in the penis is no different. So for example man who had prostate cancer surgery and have had the prostate removed and have profound erectile dysfunction as a result, they find in average is about 2 centimeter loss and the longer they go without erections they tend to lose some more size as well. So we do not recommend doing nothing if you want to preserve erectile size, and this has been proven in animal studies and human studies.
So the pills are the thing that I think most people are familiar with. Viagra was introduced in the market in the late 90’s, and then Cialis and Levitra came out in 2003 and they do work pretty well. So if you look at studies and look at how much they improve the erection, about 80% of men will say that their erections are improved versus about a quarter of men who were just taking a sugar pill or a placebo. Now if you ask the question how many men are able to have a successful intercourse, that’s not as good as 80% because you can’t just have a better erection, you have to have an erection that sustains long enough for intercourse; it is hard enough for intercourse, but it stills pretty reasonable.
Now the medications are not for everyone. There are certain medications that will not allow a man to take one of these pills for erectile dysfunction, such as certain medications that are used for high blood pressure, that can be dangerous. Additionally about 30% of men have side effects from using these pills, whether it is a headache or feeling flush or nasal congestion. But only about 5% of men stop using the pills as a result of that.
There are some keys to using these pills successfully. They are amplifiers; they are not magic pills, so we always tell men if you take these pills and go watch a baseball game you will not have an erection unless you love baseball. Another key element is that they work best if you have an empty stomach, so you take the pills either before dinner or after a snack, but not after a big meal.