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The goal of treatment is to achieve satisfactory erections with minimal side effects.:

In the treatment of the psychogenic form of erectile dysfunction, psychotherapy plays an important role. It should be aimed at eliminating the causes that led to sexual maladjustment, resolving intrapersonal and interpersonal problems, and forming adequate ideas about intimate relationships.
The techniques of matrimonial therapy, training partners in effective interaction, methods of cognitive-behavioral therapy are used. When treating the organic form, it is of paramount importance to eliminate the disease that led to erectile dysfunction. If impotence has endocrine causes, hormone replacement therapy is prescribed.

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Pharmacological agents are widely used to enhance and prolong erection. The first-line drugs are oral PDE-5 inhibitors. PDE 5 is an enzyme found in the cavernous tissue. Blocking its work leads to relaxation of the smooth muscles of the corpora cavernosa and the emergence of an erection in response to sexual stimulation.

  • Ciara S. Marley, MD

    Ciara S. Marley, MD

    It has been proven that the psychological causes of erectile dysfunction are based on organic diseases.

  • Eli F. Lizza, M.D.

    Eli F. Lizza, M.D.

    It is also possible to inject drugs directly into the corpus cavernosum. In this case, a very thin needle is used, with the help of which the patient can independently inject the vasodilator selected by the doctor.

  • Noel A. Armenakas, M.D.

    A unilateral injection is sufficient for bilateral enlargement of the penis due to cross blood flow. After Cialis 15 minutes, an erection occurs, which lasts up to two hours. The method has disadvantages - inconvenience of use and rare side effects such as priapism and fibrosis of the penis (2%).

Another method of increasing blood flow to the penis is vacuum constrictor therapy. In this case, the use of a vacuum device enhances blood flow into the corpora cavernosa of the penis, and the constrictive ring prevents venous outflow.

  • Massage and self-massage of the pelvic and pubic bone area is effective, since it has a beneficial effect on the vascular tone in the genital area.


  • Regular exercise is also recommended for erectile is characterized by a sedentary lifestyle and chronic stagnation of blood in the pelvic area, exercises are prescribed to stimulate and strengthen the muscles surrounding the penis and scrotum.


  • Squats are considered the most effective exercise for strengthening erection; it is recommended to perform 50-100 squats a day. This helps to normalize blood circulation in the pelvic area.


  • An equally effective method is tension and relaxation of the muscles of the perineum. This exercise is convenient because it can be performed in any position an arbitrary number of times. Walking also gives positive results in the fight against insufficient erection.


  • Weakening or absence of erections can be a manifestation of arterial hypertension, obliterating endarteritis, hyperlipidemia, atherosclerosis.