Category Archives: Erectile Dysfunction
Comparing Tadalafil (Generic Cialis) and Sildenafil (Generic Viagra)
When patients come to us looking for relief from their erectile dysfunction, they are faced with a preliminary decision of which medication, tadalafil or sildenafil, is better. Back in the day, when these medications were still on patent AND named Cialis and Viagra, respectively, they were very costly. These were the days of fighting with and often losing to insurance companies. Now that generics are available, so many more people can take advantage of these great, highly effective drugs. We often suggest that patients taking ED medications for the first time try both separately to see which works best for them with the fewest side effects. Ultimately, with prices as low as they are, there’s little financial risk in seeing which is best for our patient’s unique circumstances.
Dr. Engel Joined “Great Day Washington” – Discusses Erectile Dysfunction (ED)
Dr. Engel joined “Great Day Washington” on WUSA 9 to discuss erectile dysfunction (ED) and treatment options including inflatable penile prostheses. Dr. Engel told viewers about the distinction between ED caused by prostate cancer surgery and radiation, for which medication is relatively ineffective; and ED caused by other problems and/or aging. For patients recovering from prostate surgery or radiation, an inflatable penile prosthesis is often an excellent option, allowing them to have natural, relatively spontaneous erections using a device that is completely hidden within the anatomy.
There’s Nothing I Can Do to Prevent ED / Myths of ED
Many men come to our office deeply concerned about ED or erectile dysfunction – something we also call impotence. After all, a man’s erectile function is often psychologically linked to their virility and is physically critical to their sexual enjoyment. This is especially true if the man is dating and meeting new people. Unfortunately, too many men believe that erectile dysfunction is simply a natural part of aging and there’s not much they can do to prevent it or slow its progression. That is simply not true. We are told that there are a host of non-modifiable factors that will lead to ED and while some of them may hold water, many can be addressed without the need for medication or further treatment. At very least, a man’s sexual function may improve with lifestyle changes.
