The Most Effective Erectile Dysfunction Treatments for Older Adults

The Most Effective Erectile Dysfunction Treatments for Older Adults

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Erectile Dysfunction (ED) advice by doctor
Erectile Dysfunction (ED) advice by the doctor

Erectile Dysfunction (ED) is very common. Although it can affect men of all ages, it often occurs in older adults and those with certain medical conditions, such as diabetes.

A recent study estimates that about 70 percent of men 70 years of age and older report “sometimes” or “not” enough to be sexually active, compared with only 30 percent of older men reporting “able” or “at it” all the time or almost always I can. ”

Although unavoidable for everyone, ED is considered a normal part of aging as its risk factors include conditions common to adults, such as:

  • heart disease
  • diabetes
  • testosterone levels are reduced
  • the use of drugs to treat conditions that include:
  • high blood pressure
  • chronic pain
  • prostate diseases
  • depression
  • long-term drug use, including alcohol and tobacco
  • attitudes, including depression, anxiety, and depression
  • obesity or obesity
  • fatigue and erectile dysfunction

Sometimes treating a low condition can cure or reverse ED. However, most ED treatments are designed to relieve temporary symptoms, so cravings can be achieved satisfactorily for both the person with the ED and their partner.

Advanced ED treatment for 70 years and older

Types of ED treatments are currently available. Researchers continue to develop new drugs and alternative therapies.

For older adults, treating ED may require a two-prong approach:

  1. manage underlying conditions that contribute to ED, such as heart disease and diabetes
  2. correct ED symptoms with oral medication or other methods

Medications

The most commonly used ED drugs in older adults come from a class of drugs called phosphodiesterase-5 (PDE5) inhibitors.

PDE5 inhibitors inhibit enzyme activity in the walls of blood vessels. As a result, blood vessels can relax. In a penis this means that too much blood can clog the arteries, producing inflammation.

The main PDE5 inhibitors available with a prescription are:

  • sildenafil (Viagra)
  • tadalafil (Cialis)
  • vardenafil (Levitra)
  • avanafil (Stendra)

Except for avanafil, all of these drugs are available in both brand name and standard versions. (As of 2020, avanafil is still marketed exclusively as the brand name drug Stendra.)

Many ED medications are in the process of testing and authorization. In the United States, PDE5 inhibitors require a prescription. There are no over-the-counter.

Side effects from these drugs are usually temporary and minor. Serious reactions such as priapism (painful, prolonged suspension) may occur in some cases.

Common side effects include:

  • a headache
  • blowing air
  • congestion
  • stomach and back pain

ResearchTrusted Source shows that PDE5 inhibitors are suitable for most adults.

Each drug works a little differently. For example, vardenafil usually works faster than other drugs, while the effects of tadalafil last longer.

Tadalafil is usually a good choice for older adults who also have an enlarged prostate because it can be limited by the daily dose.

Sildenafil should be taken on an empty stomach and may need dosage adjustment to correct it.

Talk to your doctor to find the ED medication that is right for you and your lifestyle.

Who should not take these drugs

People with certain health conditions, including heart disease, should not take these medications.

People who are taking certain medications to treat another condition should not take PDE5 inhibitors. This includes nitrates and alpha-blockers.

Older men are more likely to have heart disease or to take nitrates with high blood pressure.

Your doctor will consider your entire life and lifestyle when prescribing ED medication.

Injections

For older adults who find that PDE5 inhibitors do not produce the desired results or do not like their side effects, optional pen injections may be the preferred option.

The three most commonly used penile injection drugs include:

  • papaverine
  • phentolamine
  • prostaglandin E1 (PGE1) or alprostadil (Caverject, Edex, MUSE)

To use this, inject the drug into the penis before having sex. Although this method usually causes minimal, short-term pain, studies show that about 90 percent of Alprostadil men who use alprostadil are satisfied with the results.

Who should not use these

Older adults who feel that they or their partner may not be able to give the injection carefully should consider other options, whether due to a lack of skills or other reasons.

Taking blood thinners is another reason to avoid injections.

Inflatable prosthesis

If oral or injectable medication cannot be used or does not produce the desired results, another ED treatment is an inflatable prosthesis inserted surgically into the penis.

In a 2012 study by a reliable source for men aged 71 to 86 years, researchers found that the inflatable penile prosthesis was well tolerated and very effective in treating ED.

Because it is a surgical procedure, it carries a small risk of infection or other complications. It is more important than all the risks and benefits of this treatment with your doctor. Together you can decide that your whole life makes you a process person.

It is also important to note that the implant is permanent. Once you have a penile implant, it permanently changes the penile anatomy.

Lifestyle changes

Although it is not a specific treatment, making certain changes in your daily routine can make a significant difference in erectile function. Some helpful tips include:

Why these treatments?

PDE5 inhibitors are widely used in adults because they are generally safe, effective, and effective.

Because ED medications are taken “as needed,” there is no common concern about the potential loss of potentially life-saving drugs, such as high blood pressure or antihypertensive drugs.

Older adults who experience side effects of PDE5 inhibitors may not be very comfortable may choose to inject themselves.
Those who regularly take self-medication, such as those who inject insulin to treat diabetes, may be more comfortable with penile injections.

Penile implants avoid worrying about side effects altogether.
And since the body’s response to medication may change over time, the inserted prosthesis also means that you should not have to worry about changing medications or doses.

How effective is it?

  • ED treatment varies depending on how long each one works, as well as side effects. No matter what treatment you choose, there are some important facts to keep in mind:
  • ED medications usually take 30 to 60 minutes to work. Medications like sildenafil usually wear out for about 4 hours or more, while the effects of tadalafil can last about 36 hours.
  • Your overall health and other factors will affect these timelines.
  • If you do not get the results you want in one PDE5 inhibitor, the alternative may be better.
  • ED medications do not cause constipation. As you grow older, you may need more encouragement than you did when you were younger.
  • Recovery from inflatable penile prosthesis surgery can take 4 to 6 weeks.
  • This means that no major sexual activity or exercise should occur at that time. Once you are free to have sex, the prosthesis only takes minutes to complete.

Is it safe?

ED medications can be taken safely with many other medications, although they should not be used when taking nitrates or alpha-blockers.

The combination of PDE5 inhibitors and these drugs can cause a Reliable Source to reduce dangerous blood pressure.

People with heart disease or kidney disease should discuss the use of PDE5 inhibitors with their doctor. They may offer a lower dose, which may or may not help you achieve the results you want.

Injections pose a different risk than oral medication as they may strike blood vessels or a syringe with a syringe. Also, scars are possible. It is best to do injections in different places each time to reduce scars.

Transplant surgery is generally safer, and technology is constantly evolving. It is important to find a surgeon who has sufficient experience in the procedure.

When to see a doctor

They do not indicate a problem that requires health care.

But common problems with ED can point to the need for medical care, especially if ED affects relationships, self-esteem, and quality of life. Talk to your doctor or urologist if this is the case for you.

Having that conversation is also important because ED can sometimes be an early sign of diabetes or heart disease. Your doctor may want to order blood tests and other tests to check for these basic conditions.

An important point

ED at any age can be a stressful situation. Among older adults, there may be high expectations, but they are still a concern.

ED medications and other therapies have a history of successfully and safely treating the symptoms of ED in older adults.

Appropriate treatment begins with a direct conversation with your doctor. Don’t be ashamed to have this conversation. Make sure your doctor has the same speech as many other people, year after year.

It is also important to talk openly and honestly with your partner. ED is just a health condition.

Counseling can also be helpful to both you and your partner while you are seeking appropriate medical help for these common concerns.

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