As men age, they often experience a decrease in sexual function and the ability to achieve or maintain an erection. This can be a frustrating and distressing issue that can significantly impact their quality of life. In the past, Medicare-covered treatments for erectile dysfunction (ED), including vacuum devices and penile implants. However, on July 1, 2015, Medicare stopped covering vacuum devices, leaving many older men without access to these treatments. In this article, we will explore alternative treatment options for ED and discuss their efficacy, safety, and cost.
Alternative Treatment Options for Erectile Dysfunction
- Medications
Phosphodiesterase types 5 (PDE5) inhibitors, such as sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra), are the most commonly prescribed medications for ED. These drugs work by relaxing the muscles in the penis, increasing blood flow, and helping to achieve and maintain an erection. While these drugs have been shown to be effective, they can cause side effects such as headache, flushing, and upset stomach. It is also important to note that PDE5 inhibitors should not be taken by men who are taking nitrates, as this can cause a dangerous drop in blood pressure.
- Penile Injections
Penile injections involve injecting medication directly into the penis to achieve an erection. The most commonly used medication for this purpose is alprostadil (Caverject). While this treatment can be effective, it can also cause side effects such as pain, bleeding, and prolonged erection (priapism).
- Penile Implants
Penile implants involve surgically implanting a device into the penis to achieve an erection. There are two main types of penile implants: inflatable and malleable. Inflatable implants allow the penis to become erect when a pump is activated, while malleable implants keep the penis firm but flexible. While penile implants can be effective, they are more invasive and carry a higher risk of complications than other treatments.
- Lifestyle Changes
In some cases, ED can be improved by making certain lifestyle changes. These can include:
- Quitting smoking
- Losing weight
- Exercising regularly
- Reducing alcohol consumption
- Managing stress
These changes can help to improve overall health and may lead to an improvement in ED symptoms.
- Alternative Therapies
There are also several alternative therapies that have been used to treat ED. These can include acupuncture, herbal supplements, and shockwave therapy. While some of these treatments may be effective, there is limited scientific evidence to support their use.
Conclusion
Erectile dysfunction is a common issue that affects many older men. While Medicare no longer covers vacuum devices for ED treatment, there are several alternative options available. These can include medications, penile injections, penile implants, lifestyle changes, and alternative therapies. It is important to discuss the pros and cons of each treatment option with a healthcare provider to determine the best course of action for each individual. By exploring these alternative treatment options, older men can improve their sexual function and quality of life.
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