ED Treatment in Riverside, CA
Due to its sensitive nature, ED is a condition that is not talked about. Men suffering from erectile dysfunction are often unaware of the various treatment options available to them and thus do not seek help. Dr. Howard Aubert is a board-certified urologist and provides surgical and nonsurgical treatment for ED at his urology clinic in Riverside, CA.
To schedule a consultation for erectile dysfunction treatment, please call (951) 585-1800 or request an appointment through our secure online form.
What Are the Causes of Erectile Dysfunction?
ED normally stems from two separate categories of physical and mental health issues. Most often, erectile dysfunction is the result of a physical problem. These can include a variety of different situations, but they typically relate to:
- Not having enough blood flow to the penis - Conditions like heart disease, diabetes, and hardened arteries can all restrict the functions of an individual’s circulatory system, which can prevent proper amounts of blood flow to certain areas of the body. It may also be difficult for an individual to keep blood in the penis long enough to sustain an erection.
- Problems with the nerve endings - Damage to the pelvic region can often lead to damage of the nerves. Injury, cancer treatments, or even a disrupted signal from the brain can all cause these nerves to malfunction and diminish a person’s senses.
- Side effects of medication - There is always a risk to taking a medication, but some risks can impact sexual function both temporarily and long-term. Make sure to discuss all possible side effects to a new medication with your healthcare provider.
Other cases of erectile dysfunction may be caused by emotional or psychological issues, such as:
- Relationship problems
- Worry about poor sexual performance
It is certainly possible for both physical and mental factors to contribute toward a single patient’s erectile dysfunction. Many people with ED discover that a physical issue will lead to stress in a relationship or about sexual performance, which can make their erectile dysfunction even more difficult to deal with. This potentially endless circle can be broken by speaking with Dr. Aubert about your erectile dysfunction and what may be causing it to occur.
Treatment Options for Erectile Dysfunction
There are a variety of methods for treating erectile dysfunction (ED). Your doctor can discuss all of these options with you in more detail. All decisions regarding your best option for treating ED should be made between you and your physician, with consideration given to your individual needs and the risks and benefits of each treatment option.
The treatment options include:
- Drug Therapy
- Non-drug Treatment Options
- Penile Implants
Drugs for treating erectile dysfunction can be taken orally, injected directly into the penis, or inserted into the urethra at the tip of the penis. The most commonly known drugs on the market today are Viagra®, Cialis® and Levitra®.
There are several prescription medications that claim to help patients. These pills may help achieve erections in response to sexual stimulation:
- Pills can help you achieve an erection quickly and may have an effect on sexual intimacy.
- Do not provide automatic erections like injection drugs
- Not effective in approximately 30% of cases1
- Must take at least ½ hour to one hour before anticipated sexual activity2
Some patients may experience side effects, including:
- Facial blushing
- Upset stomach
- Mild and temporary visual effects
Some men may be able to gain an erection by self-injecting drugs into their penis, causing it to become engorged with blood. Potential side effects of injection therapy include fibrosis (scarring) and long-lasting painful erections
Advantages of injection therapy:
- It can easily be self-administered
- On-set of erection within 5-20 minutes3
- Injections are shown to have a long-term dropout rate of 37% – 76%.4
Reasons for dropping out of drug therapy include:
- Desire for a permanent treatment alternative
- Inadequate response
- Fear of needles
- Side effects
Non-Drug Treatment Options
Penile Pumps (Vacuum Devices)
Also called vacuum constriction devices, penile pumps are devices that are placed over the penis to draw blood into the shaft. Once the vacuum creates an erection, the retaining band is slid down to the lower end of the penis and the pump is removed. You can leave the band on for up to 30 minutes.
- On-demand use
- Drug Free
- Erection is not warm to the touch
- Learning curve
- Delayed ejaculation
A penile implant is a device that is placed into a man’s body and is designed to help him get an erection. A penile implant is a long-term treatment, that is covered by many insurance plans, which allows an erection as often as you like, for as long as you wish.
- Easy to use
- Totally concealed in the body
- Erections when desired
- Surgical Procedure
- No longer able to get natural erections
Other Treatment Options
Your doctor can provide you with specific details about the pros and cons of each of the following treatments:
- Lifestyle changes like stopping smoking, losing weight and eating healthier
- Oral testosterone
- Intraurethral suppositories (ex. MUSE®)
- Goldstein I, et al. Oral sildenafil in the treatment of erectile dysfunction. N Engl J Med. 1998 May 14;338(20):1397-404
- http://uspl.lilly.com/cialis/cialis.html#ppi downloaded 2/14/17
- http://www.caverject.com/faqs, downloaded 2/13/17
- Rajpurkar A, et al. Comparison of satisfaction rates and erectile function in patients treated with sildenafil, intracavernous prostaglandin E1 and penile implant surgery for erectile dysfunction in urology practice. J Urol. July 2003; 170(1):159-163.
Cialis®, Levitra®, Viagra®, MUSE® are trademarks of their respective companies.
Schedule an Appointment for Erectile Dysfunction Treatment in Riverside, CA
Dr. Howard Aubert specializes in providing comprehensive treatment for patients suffering from erectile dysfunction at his urology clinic in Riverside, CA. Patients travel from Corona, San Bernardino Moreno Valley, and the surrounding areas to recieve his expert care. To learn about your treatment options, please call (951) 585-1800 or request an appointment through our secure online form.