A. Treatment of erectile dysfunction begins with simple advice, and can lead to intensive therapy as necessary. In general, it requires close coordination between patient and doctor. Information on impotence and premature ejaculation can be found elsewhere on this site.
Vacuum devices can be used together with constrictor rings in men who cannot obtain and maintain an erection. The use of these devices is quite simple:
Constriction rings are one of the safest, most effective, and least expensive treatments available. The ring works by blocking the exit or venous runoff of blood from the penis. It should be placed on the shaft of the penis so it's actions don't affect the blood flow to/from the testes. The erection may be maintained successfully for some time, however, the ring should be removed after 30 minutes of wear-time to prevent lack of oxygen to the penile tissues. For men who can obtain an erection of sufficient stiffness, but are unable to maintain it, the constrictor ring may be used alone.
HELPFUL HINT:
In general, vacuum devices and constriction rings have been found in many medical studies to be among the safest and most effective treatments available. However, they have a high failure rate as the apparatus can interfere with intimacy. For this reason, it is advisable for both partners to be aware--and involved--in the process of treatment, as a form of sex-play.
If none of the above suggestions are helpful, intensive therapy may be necessary. This can range form oral medications, medications injected into the penis, external splinting devices, or--as a last resort--surgically implanted devices. Intensive therapy however, will most certainly require the involvement of a physician specialised in this field and who should be someone you feel comfortable discussing these issues with.
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