Men should discuss ED with their doctor. Ask what is causing it, and how best to treat it. Make a list of all medications, including vitamins and herbal remedies.

A doctor may prescribe oral ED medicines. For some people, this improves ED, but it doesn’t work for everyone. Some people find that psychotherapy (talk therapy) helps.

1. Exercise

Men who exercise regularly can improve their erections by strengthening the muscles in the penis and for better you can also Buy vidalista 20 online. Aerobic or cardiovascular exercises such as walking, running, playing basketball, and even swimming work to improve blood flow to the penis.

It is also important to take steps to control health conditions that can affect the ability to obtain and maintain an erection such as diabetes, high blood pressure, and heart disease. In some cases, erectile dysfunction can be the first symptom of vascular disease and may be an early warning sign.

Pelvic floor exercises or Kegels, which are a form of core strength training, can also help with ED. These are exercises that strengthen the muscles in your pelvic area, including those that support the bladder and bowel.

2. Medications

Men can take a variety of medications that can help improve their erections. These medications are prescribed by a doctor or healthcare professional and should only be taken as directed. Many times, erectile dysfunction is a symptom of another condition such as diabetes or high blood pressure. A healthcare provider can help determine the cause by evaluating a man’s medical history and conducting a physical exam.

Phosphodiesterase type 5 inhibitors such as sildenafil (Viagra) and tadalafil (Cialis) can help improve erectile function by relaxing muscles in the penis and increasing blood flow. Vidalista 10mg is most effective when used about one hour before sexual stimulation.

Some people may not respond to oral medications, especially if they have certain medical conditions such as severe cardiovascular disease. In these cases, a healthcare professional can use an injection to deliver medication directly into the urethra.

3. Vacuum Devices

Vacuum devices are a safe, non-invasive alternative to medications for erectile dysfunction. These FDA-cleared pumps create negative pressure to draw blood into the penis and create an erection strong enough for penetration. They have been shown to be effective in several studies.

They consist of a plastic tube that fits over the base of the penis and a pump (either battery-powered or manual) that removes air to create an artificial vacuum. A constriction ring is then slipped around the base of the penis to maintain the erection. This can be kept on for up to 30 minutes, but some patients complain that the ring pinches their scrotum and causes a painful sensation. Some insurance companies cover these devices. They are also available over the counter.

4. Penile Implants

Penile implants are inflatable prostheses that can help with erectile dysfunction. They’re sometimes used as a definitive treatment for people with ED who refuse alternative treatments, such as oral medication. They also are used as a part of gender-affirming surgery.

They’re available in two- and three-piece designs. Three-piece implants have a fluid reservoir in the abdomen and a pump with a release valve in the scrotum. Pressing the pump transfers fluid from the reservoir into the cylinders of the implant to create an erection. Bending the implant returns the fluid to the scrotum and deflates it.

Surgery to install a three-piece implant takes up to an hour. It’s performed under spinal or general anesthesia. A few days after the operation, your doctor will instruct you to use ice packs on your groin and take oral antibiotics to prevent infection.

5. Psychotherapy

Psychotherapy for sexual disorders is often a good option, especially when it’s combined with other treatment methods. The goal is to help patients redefine their perspective so they don’t define themselves solely by the problem and that they develop more positive aspects of their relationships.

Cognitive behavior therapy (CBT) is one of the most effective forms of psychotherapy for ED. This form of treatment involves helping patients overcome distorted thought patterns that lead to negative physical reactions such as low sexual desire and performance anxiety. For the best treatment, you can also take Super vidalista.

Other forms of psychotherapy, such as humanistic and psychoanalytic therapies, also offer benefits. These approaches to psychotherapy put a focus on the therapeutic relationship and an intensive analysis of feelings to produce beneficial changes. These therapies may ask patients to explore family dynamics and messages they received about sex and men’s roles, along with past traumas.