ED treatment is tailored to the cause. Initial conservative measures include lifestyle modifications such as weight loss, smoking cessation and reducing alcohol intake.
If these are insufficient, oral medications may be prescribed, with potential side effects like headaches, dizziness, flushing, indigestion, visual disturbances and back pain. Patients on certain heart medications (e.g. nitrates) should discuss potential drug interactions with their doctor before starting any new medication.
For low testosterone-related ED, testosterone injections are an option. Other treatments include extra-corporeal shockwave therapy (ESWT), vacuum-assisted devices, penile injections or penile implant surgery.
Psychological treatment plays a crucial role in managing ED. If psychological factors are identified, counselling with a qualified psychologist may be recommended.