{"id":28998,"date":"2020-05-21T19:28:49","date_gmt":"2020-05-21T19:28:49","guid":{"rendered":"https:\/\/www.edrugstore.com\/blog\/?p=28998"},"modified":"2020-05-21T19:39:08","modified_gmt":"2020-05-21T19:39:08","slug":"the-more-the-merrier-combination-therapies-for-erectile-dysfunction","status":"publish","type":"post","link":"https:\/\/www.edrugstore.com\/blog\/erectile-dysfunction\/the-more-the-merrier-combination-therapies-for-erectile-dysfunction\/","title":{"rendered":"The More the Merrier: Combination Therapies for Erectile Dysfunction"},"content":{"rendered":"<p>Many people believe that men&#8217;s sexuality is simple. &#8220;Guys have only one thing on their minds&#8221;, we say. Stand-up comedians make jokes about it. But the reality of men\u2019s sexual functioning is much more complicated. And the best solutions might actually be multidimensional.<\/p>\n<p>When it comes to ED, combined therapies can work wonders, especially for men who don\u2019t respond to Viagra or similar medications. But which therapies are worth trying?<\/p>\n<p>Below are medical treatments and lifestyle modification options that may be combined with PDE5 inhibitors:<\/p>\n<ul>\n<li>Alprostadil (penile injection or suppository)<\/li>\n<li>Testosterone therapy<\/li>\n<li>Exercise and diet<\/li>\n<li>Psychological counseling<\/li>\n<\/ul>\n<h3>Combining Viagra and Alprostadil<\/h3>\n<p>PDE5 inhibitors, commonly known as ED pills, have a very high success rate. Further, they are easy to use and are usually low risk for most men. As such, doctors are happy to prescribe them to patients.<\/p>\n<p>Unfortunately, some ED patients don\u2019t respond well to Viagra and similar drugs. For example, this is found among <a href=\"https:\/\/www.webmd.com\/erectile-dysfunction\/news\/19991130\/viagra-useful-impotence-following-prostate-surgery#1\" target=\"_blank\" rel=\"noopener noreferrer\">men who have had a radical prostatectomy<\/a> with no nerves spared.<\/p>\n<p>When the first-line solution doesn\u2019t work, doctors sometimes recommend a combined therapy using alprostadil. This drug takes the form of an injection, urethral suppository, or cream. A 2018 academic review <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/30050072\" target=\"_blank\" rel=\"noopener noreferrer\">revealed\u00a0<\/a>this approach brought best results when treatment with just one drug failed.<\/p>\n<figure style=\"width: 600px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" class=\"fr-fil fr-dib\" style=\"width: 600px;\" src=\"https:\/\/www.mediashower.com\/img\/78A29B90-73D1-11EA-8864-9638B9DC458A\/bigstock-Medical-Syringe-And-Ampoule-Wi-349972975_900x.jpg\" alt=\"Penile injections can be done using a very thin needle\" width=\"600\"  \/><figcaption class=\"wp-caption-text\">Penile injections can be done using a very thin needle<\/figcaption><\/figure>\n<h3>Testosterone Therapy in ED Treatment<\/h3>\n<p>Before the age of Viagra, testosterone replacement was the go-to option for many patients. This \u201chormone of masculinity\u201d not only helps improve erections, \u00a0but it also leads to an enhanced sex drive. So why are doctors opting for ED pills instead of testosterone these days?<\/p>\n<p>PDE5 inhibitors tend to be more reliable and act quicker, while testosterone therapies are more complicated, requiring the right dosage and a longer waiting period for full effect. Studies <a href=\"https:\/\/www.health.harvard.edu\/blog\/a-logical-approach-to-treating-erectile-dysfunction-201211275583\" target=\"_blank\" rel=\"noopener noreferrer\">show\u00a0<\/a>that combining Viagra and testosterone gel doesn\u2019t make much of a difference.<\/p>\n<p>But some physicians take a different approach \u2013 if a man shows up with signs of erectile dysfunction (ED), they start him on testosterone and see if this helps. If this is ineffective or produces unwanted side effects, they switch to ED drugs.<\/p>\n<h3>Lifestyle Changes for Long-Term Improvement<\/h3>\n<p>Today, the medical consensus is that ED diagnosis and treatment should take a man&#8217;s lifestyle into account. Behavioral modifications, like changes to one&#8217;s diet, might be recommended for men who are overweight. That&#8217;s because men with a 42-inch waistline <a href=\"https:\/\/www.health.harvard.edu\/mens-health\/5-natural-ways-to-overcome-erectile-dysfunction\" target=\"_blank\" rel=\"noopener noreferrer\">are at much higher risk\u00a0<\/a>for ED than men with ten inches less around their midsection.<\/p>\n<p>While Viagra will temporarily help you to engage in sexual activity, if you want to reverse your ED, you need to get serious about diet and exercise. Start with something as simple as a walk in the park. One study <a href=\"https:\/\/www.aarp.org\/health\/healthy-living\/info-2019\/good-reasons-to-get-walking.html\" target=\"_blank\" rel=\"noopener noreferrer\">showed\u00a0<\/a>half an hour of walking daily reduced ED risk by 41%.<\/p>\n<p>Don\u2019t know where to get started with healthy eating? Get some inspiration from the <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/8254833\" target=\"_blank\" rel=\"noopener noreferrer\">Massachusetts Male Aging Study<\/a>. Make sure these land on your plate on a regular basis and you\u2019ll have a chance to avoid ED in the long run:<\/p>\n<ul>\n<li>Fruit and vegetables<\/li>\n<li>Whole grains<\/li>\n<li>White meat instead of red<\/li>\n<\/ul>\n<figure style=\"width: 600px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" class=\"fr-fil fr-dib\" style=\"width: 600px;\" src=\"https:\/\/www.mediashower.com\/img\/78A29B90-73D1-11EA-8864-9638B9DC458A\/bigstock-Happy-Senior-Couple-Walking-Wi-285772516_900x.jpg\" alt=\"Daily walks help reduce ED risk\" width=\"600\" \/><figcaption class=\"wp-caption-text\">Daily walks help reduce ED risk<\/figcaption><\/figure>\n<h3>Psychological Counseling as a Treatment Option<\/h3>\n<p>If traditional treatment approaches for erectile dysfunction (ED) don\u2019t work, the problem may be psychological. Approximately 10-20% of ED cases <a href=\"https:\/\/www.webmd.com\/erectile-dysfunction\/guide\/ed-psychological-causes\" target=\"_blank\" rel=\"noopener noreferrer\">are related<\/a> to stress, anxiety, depression and other emotional issues. For some men, performance anxiety is the culprit.<\/p>\n<p>ED also be caused by relationship struggles. Men should not be afraid to seek psychological counseling. Speaking openly in front of a trusted professional can help you open up and understand what\u2019s happening.<\/p>\n<h3>Be Careful with Alternative Therapies<\/h3>\n<p>Many men who suffer from ED are tempted to look for quick remedies. Some turn to alternative therapies for help. While some of them may be a great way to support your overall health, they may not be enough to solve the problem.<\/p>\n<p>When looking for an alternative therapy provider, make sure they are members of professional associations (such as Traditional Chinese Medicine doctors). Never buy herbal remedies from unknown sources as it could prove dangerous to your health. Finally, remember to consult your physician before starting an herbal treatment, as some of the herbs may interact with prescription drugs.<\/p>\n<p>ED is a complicated issue and finding the approach that works for you can be overwhelming. Be patient. Start with basic lifestyle changes and take care of your emotions. <a class=\"ms_click_tracking\" href=\"https:\/\/www.edrugstore.com\/erectile-dysfunction\/?__mscta=2392_81744_11487\">Click here to learn<\/a> about currently available ED drugs and ask your doctor to choose the best one for you.<\/p>\n<p><!-- Media Shower Impressions --><\/p>\n<div class=\"ms_article_id\" style=\"display: none;\" data-ms-article-id=\"81744\"><\/div>\n<p><!-- \/Media Shower Impressions --><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Many people believe that men&#8217;s sexuality is simple. &#8220;Guys have only one thing on their minds&#8221;, we say. Stand-up comedians make jokes about it. But the reality of men\u2019s sexual functioning is much more complicated. And the best solutions might actually be multidimensional. When it comes to ED, combined therapies can work wonders, especially for [&hellip;]<\/p>\n","protected":false},"author":10,"featured_media":28999,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_autoblog_aioseo_focus_keyphrase":"","_autoblog_aioseo_title":"","_autoblog_aioseo_description":"","footnotes":""},"categories":[20],"tags":[],"class_list":["post-28998","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-erectile-dysfunction"],"acf":[],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO Pro 4.9.10 - aioseo.com -->\n\t<meta name=\"description\" content=\"Erectile dysfunction (ED) is a complicated medical issue with both biological and psychological causes. 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