Erectile Dysfunction

Erectile dysfunction (ED) is the inability to achieve or maintain an erection sufficient for sexual intercourse. Unfortunately, as men age ED is almost inevitable, and typically will worsen with time.

Recent studies now show almost 40% of men over the age of 40 will experience ED, and 1 in 5 Americans may experience early onset ED even in their 20s and 30s. ED can affect self-esteem, increase stress, and negatively affect sexual relationships.

Many men do not seek treatment due to embarrassment, but it is our aim to provide expert care in a confidential and supportive environment. Please call our office to schedule a consultation if ED is of specific concern to you.

The inability to achieve an erection is a quite common condition called erectile dysfunction or ED and can affect men from all walks of life. Understandably, and unfortunately, ED is a topic that can be uncomfortable for many men to talk about, let alone seek treatment for. At HTX Urology our specialists collaborate closely with patients to gain nuanced insights into their condition, an essential step in developing an effective treatment protocol. Whether you are facing ED due to medical conditions, psychological factors, or age-related issues, HTX Urology offers a range of effective treatments tailored to meet your unique needs and improve your quality of life.

Causes of ED

Treatment Options

Medications

PDE-5 inhibitors, like Viagra or Cialis, are typically first-line treatment for men with ED. Although effective for many, others do not respond to oral medications, or some men cannot tolerate their respective side effects.

Side effects typically include headache, flushing, runny nose, back pain, and rarely prolonged painful erection or vision changes.

Typically, medication is taken 1-2 hours prior to planned intercourse. Certain meds may need to be taken on an empty stomach. Effects usually last anywhere between 8 to 36 hours. Before starting any medication, ask your physician if you heart is healthy enough for sex.

Testosterone Replacement Therapy (TRT)

A wellness panel is typically checked on initial consultation for erectile dysfunction. This panel usually will check your hormonal axis including your free and total testosterone levels.

Low testosterone, in the appropriate patient, can be replaced to help improve erectile quality, sexual performance, and sexual desire or libido. TRT can also carry other benefits, including improved energy level, and increased muscle mass and stamina.

TRT can be achieved using creams, weekly intramuscular injections, or subcutaneous long-lasting pellets. As always, talk with your urologist as there are also known risks to TRT that merit further discussion.

Wave Therapy for ED

Wave Therapy for erectile dysfunction is a new, cutting-edge treatment modality allowing for strong, spontaneous, long-lasting erections without the need for pills, injections, or invasive surgery. This is a relatively painless procedure that can be done in the office in under 10-minutes. Typically, 6 total treatments are needed to achieve the desired outcome. Results can last for months to years, maximizing a man’s (and partner’s) overall sexual satisfaction. It is also cost-effective long term as alternative treatments require continuous use of somewhat costly medication.

Wave Therapy has many other names. It can be called Low-intensity Shockwave Therapy (LIST), Low-intensity Extracorporeal Shockwave Therapy (Li-ESWT), Shockwave Therapy (SWT), or Extracorporeal Pulse Activation Therapy (EPAT). All names deliver the same effective ED treatment – don’t let the jargon confuse you.

Vacuum Erection Device (VED)

VED is a non-invasive, medical-grade device that uses suction pressure to induce blood flow to the penis. Next, a small band is placed at the base of the penis to maintain an erection for up to 30 minutes.

It is quite effective but does require training for proper use. Insurance companies will rarely cover the cost of the device, but long-term it is more cost-effective than oral medications as it is only a one-time expense. VED is a proven therapy that is of higher quality than “penile pumps” found at novelty shops.

Inflatable Penile Prosthesis (IPP)

Typically, patients opt for surgery with an inflatable penile prosthesis after failing several of the above-mentioned options. This involves major surgery with a 6-week recovery time.

It is important to note that once a patient opts for placement of an IPP, natural erections are no longer a possibility. Please discuss with our urologists if this option seems right for you, as many men note vastly improved sexual satisfaction after failing multiple other treatment options.

When to Seek Treatment for Erectile Dysfunction

Erectile dysfunction can affect practically anyone who is suffering from any of the causes listed in the previous section. The condition can also begin as early as in their 20s. As such, patients who have diabetes, sleep disorders, or obesity would be advised to be aware of the symptoms.

These include being unable to stay erect for long periods of time or get an erection at all. Low sex drive could also be a sign that the patient is suffering from ED. If you’re noticing these health conditions paired with these symptoms, it’s time to seek treatment right away.

Preventing Erectile Dysfunction with Lifestyle Modifications

Lifestyle modifications play a crucial role in preventing erectile dysfunction (ED) and promoting overall sexual health. Adopting a healthy diet rich in fruits, vegetables, whole grains, and lean proteins can improve cardiovascular health, reducing the risk of ED. Regular physical activity, aiming for at least 30 minutes of moderate exercise most days of the week, helps maintain a healthy weight and improves circulation, both essential for erectile function. Minimizing consumption of alcohol, quitting smoking, and avoiding recreational drug use can significantly reduce the risk of developing ED.

Managing stress through meditation, yoga, or other relaxation techniques can also help, as stress and anxiety are common psychological causes of ED. Finally, ensuring adequate sleep each night is vital, as poor sleep patterns can affect hormone levels and sexual function. Together, these lifestyle changes not only reduce the risk of erectile dysfunction but also contribute to a healthier, more vibrant life.

Contact Us to Arrange a Consultation

To learn more about symptom management and treatment options for erectile dysfunction we invite you to arrange a consultation. Contact HTX urology today, we have offices conveniently located to serve Greater Houston Heights, Memorial City, Galleria, Webster, and Clear Lake, TX.