Common name: Sexual dysfunction
A sexual dysfunction characterized by failure to attain an erection sufficient for sexual intercourse. It is common that every man is incapable of achieving an erection occasionally. It is only considered as erectile dysfunction when the problem is frequent.
Commonly Prescribed Drugs
- Phospodiesterase inhibitors (PDE-5 inhibitors): e.g. Sildenafil, tadalafil, vardenafil. Preferably taken 1 hour before sexual activity. Sildenafil, if possible take on an empty stomach or at least 2 hours before meals. Avoid taking sildenafil or vardenafil with a fatty meal.Use with caution in patients with heart disease. Should not be taken within 4 hours of an a-adrenergic antagonist. Contraindicated in patients taking nitrates.
- Testosterone-Replacement Regimens: Acts by improving libido.
- Alprostadil (Prostaglandin E1): Should not be used together with alprostadil due to risk of priapism.
- Other treatment options
- Vacuum erection devices (VEDs) Patient can use constriction bands or tension rings to lengthen the erection. Contraindicated in patients with sickle cell disease.