Treatment of Erectile Dysfunction

Reviewed for medical accuracy by Sophie Vergnaud, PharmD


As a rule, the patient is prescribed drugs to increase potency, and in acute androgenic deficiency – drugs based on testosterone. Specific medicines are selected by the doctor.

For therapy to succeed, it is not enough to take medication. The patient is recommended to attend physiotherapy procedures, lead a healthy lifestyle, eat properly, move more.

Unfortunately, erectile dysfunction in the elderly is a very common problem. This is primarily due to the lack of testosterone. The level of male sex hormone begins to gradually decrease from the age of 35.

By 50-60 years, the level of androgens in men is low, especially if the patient led an unhealthy lifestyle. In view of this, the potency is disturbed and the libido decreases. Often, against the background of lack of testosterone, bone fragility increases, mental abilities decrease.

The situation is exacerbated by the fact that in old age, many men have a worse cardiovascular system. Erection is a hemodynamic process, so when vascular disorders of its quality falls.

Negatively affect sexual force in adulthood can:

  • Smoking.
  • Alcoholism.
  • Diseases of the cardiovascular system, especially atherosclerosis.
  • Psychogenic disorders, stress, depression.
  • Sexually transmitted diseases.
  • Herniated disc.
  • Injuries to the penis, testicles, perineum, spine, coccyx.
  • Inflammatory diseases of the spinal cord.
  • Diabetes.
  • Obesity.
  • Pathology of the pituitary gland, thyroid gland or adrenal glands.

Physical activity in impotence

Old age is no reason to be sedentary. All physicians are absolutely sure of it. To do sports in old age is not only possible, but also necessary. Motor activity has a positive effect on many life support systems of the body.

Regular exercise will increase the level of exogenous testosterone, improve the functioning of the cardiovascular and nervous systems, stabilize blood flow in the pelvis. In addition, sport has a positive impact on the psychological state of men.

Of course, not all sports will be useful. Beliefs of doctors over the age of 50 years it is useful to start:

  • Nordic walking.
  • Swimming.
  • Yoga.
  • Exercises From the qigong technique.
  • At a run.

If a man has no problems with the joints and organs of the cardiovascular system, you can do push-UPS on the bars, perform dumbbell press lying/sitting, push-UPS from the floor, pull up on the bar.

If for health reasons a man can not play sports, it is necessary to restrict Hiking. Who concluded that a day is enough to pass at least 5-8 thousand steps.

That classes gave the best result, the man is recommended to have a full rest. On the day it is advisable to sleep at least 6-8 hours. Healthy sleep will help strengthen the immune system, improve performance and even stabilize testosterone levels in the blood.

Rejection of bad habits as the key to successful treatment

For the treatment of erectile dysfunction to be successful, it is necessary to abandon bad habits once and for all. The most common bad habits are drinking and Smoking.

Start with Smoking. It is no secret that cigarettes contain heavy metal salts, arsenic, nicotine, resins. Carbon monoxide is also released during Smoking. All these compounds have a very negative impact on the lungs and cardiovascular system.

Heavy smokers often suffer from impotence. This is explained by the harmful effects of nicotine on the vessels, veins and capillaries. Nicotine reduces the elasticity of blood vessels, leads to depletion of venous walls.

If you can not quit the addiction, you can switch to electronic cigarettes. Of course, they are not completely safe. However, the composition of e-cigarette liquids include glycerin and flavors, which seems safer against the background of carbon monoxide, arsenic, resins.

Massage and physiotherapy

Elderly men aged fifty to sixty years often develop prostatitis. Prostate massage is widely used for the treatment of inflammatory processes in the prostate.

The procedure significantly improves blood flow in the pelvis, allows you to stabilize the erection, prevents the formation of tumors in the pancreas, normalizes the outflow of prostatic secretion.

To carry out the procedure at home, you should use a prostate stimulator with a built-in vibrator. You can use it provided that the patient does not have proctological pathologies, benign prostatic hyperplasia, prostate cancer.

Massage is recommended no more than 2-3 times a week. The duration of one procedure is about 3-5 minutes. For a therapeutic course it is enough to pass 10-15 sessions of massage.

To stabilize sexual strength, you can also attend physiotherapy procedures. Especially useful are considered:

  • Shock wave therapy.
  • Acupuncture.
  • Fangotherapy.
  • Electrophoresis.
  • Hirudotherapy.

Diet for erectile dysfunction

Common causes of impotence in men after 50-obesity and unbalanced diet, so an integral part of conservative therapy is diet.

The list of prohibited products includes fried and fatty foods, semi-finished products, fast food, sweet carbonated drinks. It is necessary to minimize the consumption of pickles, canned food, fatty dairy products, fatty meat, fat, meat by-products.

On sexual function have a positive impact:

  • Seafood. Salmon caviar, crabs, shrimp, octopus, squid are considered useful.
  • Fruits and berries. Green apples, citrus fruits, pears, watermelon, raspberries, blueberries, black and red currants are especially useful. If a man is overweight or has diabetes, it is advisable not to eat bananas, figs, grapes, avocados.
  • Fish. Equally useful fatty and low-fat varieties.
  • Vegetables, legumes and greens. Almost all vegetables are useful.
  • Overweight men are advised to refrain from eating potatoes and yams.
  • Dried fruits.
  • Lean meat (Turkey, chicken, veal, beef, rabbit).
  • Low-fat dairy products. You can regularly consume cottage cheese, curd, Greek yogurt, kefir, whey. From whole milk is better to abstain.
  • Porridges.

Drugs to increase potency

To get rid of erectile dysfunction after 60 years, you should take drugs. Popular means in this case will be completely ineffective.

What medications to take, decides the attending physician. If the diagnosis showed that the patient has a low level of testosterone and there are symptoms of feminization, hormone replacement therapy is prescribed, during which hormonal drugs are used.

A man can be prescribed pills, injections, patches, ointments based on testosterone. As a rule, such drugs as Andriol, Androgel, Androderm, Proviron, Testosterone Propionate, Nebido, Omnadren, Sustanon are used for HRT.

HRT is contraindicated in persons suffering from heart/liver/kidney failure, breast cancer, prostate cancer/adenoma. Note that the duration of hormone replacement therapy is chosen individually. In some cases, life-long HRT is prescribed.

If the hormonal background is in order, the following drugs can be used for the treatment of sexual disorders:

  • Inhibitors of PDE-5 – Cialis, Levitra, Ziden, Viagra, Avanafil, etc.
  • Homeopathy Impaza, Likopodium.
  • Supplements – Yarsagumba, Peruvian Maca, Parity, Semental
  • Ointment – Nitroglycerin ointment, Heparin ointment, Maxoderm.
  • Injectable agents (introduced into the penis) - Papaverine, Alprostadil, Caverject.

Before using drugs you need to consult with your doctor, as many sexual stimulants have contraindications and side effects. From the point of view of safety the most acceptable are dietary.

Supplements and homeopathy

From the point of view of efficiency, the choice should be made in favor of PDE-5 inhibitors and injectable agents for intracavernous administration. If the budget is limited, it is better to use ointments.

Summing up, we can conclude that sexual dysfunction can be cured even in old age. The main thing is to contact the doctors in a timely manner, and undergo comprehensive treatment.

Diseases of the prostate gland. In old age often develops benign prostatic hyperplasia. According to statistics, about 35-40% of men over the age of 60 suffer from this disease. Drugs, including drugs for diabetes, tranquilizers, sedatives, antidepressants, beta-1-blockers, gout pills. Unbalanced diet.