1) Oral Medications (PDE5 Inhibitors) - These are usually the first-line treatment for most men with ED. They enhance blood flow to the penis and are taken before sexual activity. Sildenafil (Viagra), Tadalafil (Cialis), Vardenafil (Levitra), Avanafil, Works by boosting nitric oxide effects to improve erection quality, Options with varied durations (“on-demand” or daily use), Typically well-tolerated; a doctor will tailor choice and dose to you.
2) Low-Intensity Shockwave Therapy (Li-ESWT) - A non-invasive clinic-based therapy that uses gentle shockwaves to stimulate new blood vessel growth and improve circulation in penile tissue. Helps treat the underlying vascular cause of ED, Typically delivered over multiple sessions (e.g., 6–12), Can improve natural erectile function and long-term results, Used in specialist clinics and some public hospitals in Singapore.
3) Mechanical and Local Therapies - These include options that physically assist erection or bypass limited blood flow. Vacuum Erection Devices (Penis Pumps): Create a vacuum to draw blood into the penis and maintain it with a constriction ring. Penile Injections: Medications like alprostadil or combination mixtures injected directly into the penis to trigger an erection. Trans-urethral Suppositories: A small medicated pellet placed into the urethra to induce an erection.
4) Surgical Solutions - Used for severe or treatment-resistant ED when other therapies have failed. Penile Implants (Prosthesis): Semi-rigid or inflatable devices implanted surgically to achieve an erection. Vascular Surgery: Reconstructs or repairs penile blood flow in select cases (e.g., younger men with specific arterial blockages).
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