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Erectile Dysfunction Treatment Options

Erectile Dysfunction Treatment in Milford, MA

Erectile Dysfunction (ED) Treatment

There is sometimes a straightforward explanation for ED. A consult with a urologist may reveal that a medication is causing ED symptoms, or perhaps emotional factors such as stress are playing a role. However, for the majority of men experiencing ED, the cause is more complex and requires an evaluation by a Board-certified Urologist who specializes in Men’s Sexual Health.

Dr. Steinberg is an expert in diagnosing, evaluating, and treating Erectile Dysfunction There are many effective treatment options available to improve your sex life.

Lifestyle Changes

In many cases, making lifestyle changes can reduce ED symptoms. Here are some steps men can take that have been shown to improve ED and help restore sexual performance:

Be Active

Moderate exercise 30 minutes daily such as walking

Healthy Eating

Eat Fruits, Vegetables, Grains and Fish, Limit Meat 

Lose Weight

Lower the risk for vascular disease and Diabetes

Talk to your Partner

Conversations with your partner help reduce anxiety


Address any emotional and psychological factors

Oral Medications

After a complete evaluation, Dr. Steinberg may prescribe a customized regimen of oral medications which are often extremely successful treating erectile dysfunction in most men.

Erectile Dysfunction Medications

These medications enhance the effects of nitric oxide — a natural chemical your body produces that relaxes muscles in the penis; this causes an increase in blood flow to the penis and allows men to get an erection in response to sexual stimulation.

Erectile Dysfunction Compounded Medications

Compounded medications to treat ED have been shown to be highly effective. The ingredients in these medications are approved by the FDA but are only available in a special form or mixture from a specialized compounding pharmacy licensed to produce these products.

  • The advantage of compounded medications is the ability to customize the dosage and form of the medication, such as a rapidly dissolving tablet which works immediately upon taking it. These medications are not available at local pharmacies; however, Dr. Steinberg prescribesthese medications to be delivered directly to your home

Penile Injection Therapy

If Oral Medications are not effective, there are medications to treat ED that are injected directly into the side of the penis to achieve an erection. With this therapy, Dr. Steinberg teaches patients to use a fine ne

edle to painlessly inject a tiny amount of medication into the base or side of the penis. Injection therapies typically produce an erection that lasts about 20 to 40 minutes. The medication prescribed for this injection treatment is TRIMIX, a mixture of alprostadil, papaverine, and phentolamine. Dr. Steinberg orders a custom formulation of TRIMIX based upon each patient’s symptoms and medical history. 

Testosterone Replacement Therapy

Testosterone is an important hormone for achieving good erections. Dr. Steinberg believes patients should think of Testosterone as the “fuel” and ED medications as the “spark” for the “engine” of the penis. If Low Testosterone is contributing to ED symptoms, Dr. Steinberg will discuss options for including Testosterone Replacement Therapy treatment to achieve the best possible erections.

Devices to Help Maintain an Erection

Penile Constriction Ring

Penile constriction rings are effective for men who can get an erection but are unable to maintain an erection due to venous leakage. Once an erection is achieved, the constriction ring is placed at the base of the penis to prevent the blood from leaking. A good example is the Actis Adjustable Penile Loop which is an inexpensive and comfortable device available from multiple mail order companies without a prescription.

Vacuum Erection Devices (VED)

A vacuum erection device is a hollow tube with a hand-powered or battery-powered pump that is placed over the penis. This creates a “vacuum” that improves blood flow into the penis. Once an erection is achieved, a penile constriction ring is slipped around the base of the penis to hold in the blood and keep the penis firm when the pump is removed. If prescribed, Dr. Steinberg teaches patients how to effectively use a Vacuum Erection Device.

Penile Implant

As an alternative to medication and other treatment options, Penile Implant surgery is highly effective in treating ED.  The procedure involves surgically placing devices, which consist of inflatable rods into both sides of the penis. Inflatable devices allow the patient to control when and how long you have an erection. Penile implants are usually not recommended until other methods have been tried first. Implants have a high degree of satisfaction among men who have tried and failed more conservative therapies. If appropriate, Dr. Steinberg will refer patients to a colleague in the area who has vast experience performing penile implant surgeries. Learn more about Penile Implants here.

f you are experiencing the symptoms of Erectile Dysfunction, contact Dr. Steinberg at Urology Specialists of Milford at (508) 473-6333 to schedule an evaluation in his Milford office.

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Are you interested in learning more about Erectile Dysfunction?
Read more about ED and Dr. Steinberg’s approach at our ED Center.