Erectile Dysfunction Treatments

Erectile dysfunction is also called ED. It is a common condition. It affects people of all ages. 

What are the treatments for erectile dysfunction?


Pills are often used first to treat ED. Some people choose penile implant surgery if pills are not helping. Some people try other options, such as vacuum erection device, penile constriction band, intraurethral medications, penile injections, and/or focused shock wave therapy. There is no right answer when it comes to treatment and we believe in a personalized approach to best meet the quality of life goals of each person.

What are my treatment options for ED?

Treatment options for erectile dysfunction (ED) vary and include:

  • Oral (pill) medication
  • Vacuum Erection Device (VED)
  • Focused shock wave therapy
  • Penile constriction band
  • Intraurethral medication
  • Penile injections
  • Penile implant surgery  

What to expect after treatment?

Men treated for ED may require long-term follow-up for medication and/or in-office procedural therapies. Others may decide to proceed with penile implant surgery and require minimal follow up. 

Treatment Benefits

Treatment recommendations are customized to meet the needs of each person’s symptoms and quality of life goals.



  • Cardiovascular disease
  • Diabetes
  • Neurologic disease
  • Low testosterone
  • Medications 
  • Illness (acute/chronic)
  • Alcohol abuse 
  • Obesity
  • Sleep apnea
  • Aging

Penile injections provide the most effective results when it comes to medications and are often used in men if/when oral medications no longer work.

Damage can occur when the penis is flaccid for a long time. This is due to lack of well-oxygenated blood to erectile tissue. It can cause tissue to lose its flexibility and scar. For this reason, early intervention is important for any person not getting daily erections. Penile rehabilitation will help optimize sexual health and preserve penile length and girth. 


There is no ideal regimen for penile rehabilitation. The average person has 3 to 6 nocturnal erections a night. A vacuum erection device program reproduces these erections that may no longer be happening. The goal is to exercise and stretch the penis daily. This will promote healthy penile tissue.


Penile traction can also help correct or prevent lost penile length due to any reason. The device is used to stretch the penis.


Dr. Pearlman is fellowship-trained in men’s health, including treatment of erectile dysfunction. She believes in providing comprehensive care when it comes to the treatment of male sexual dysfunction. As a result, she will discuss all treatment options with you prior to consideration of ED treatment so that she can help you come up with a treatment plan to best meet your quality of life goals. 

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