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Treatment for erectile dysfunction in Spain usually begins with a medical evaluation. When appropriate, options include PDE5 inhibitors, vacuum devices, or psychological therapy.
Erectile dysfunction is the difficulty in achieving or maintaining an erection sufficient for satisfactory sexual intercourse. And although an isolated episode can occur, when it recurs it should be checked out because it is sometimes a symptom of another health problem.
What could be behind erectile dysfunction?
Erectile dysfunction is often linked to physical causes such as vascular or metabolic problems, but it can also be aggravated by stress, anxiety, or other emotional factors. That's why the most helpful approach is usually to combine general health and sexual health, without reducing it to a single cause.
What does the doctor check before treatment?
Before choosing a treatment, the professional usually asks about medical history, medication, and habits, and may request tests if they suspect a specific cause, with the idea of treating the underlying problem and not just the symptom when possible.
Erectile dysfunction treatment
PDE5 inhibitors, such as sildenafil and tadalafil, are well-known oral treatments that can improve erections with sexual stimulation. In Spain, both are prescription-only and should be used following professional guidance.
What options are there if the pads don't fit?
When pills are not suitable or do not work, there are alternatives that a urologist can assess depending on the case, and in practice they range from vacuum devices to injections in the penis or implants, as well as psychological support if there is a relevant emotional component.
The following summarizes common options to locate each alternative on the general treatment map and understand what each one usually contributes, without going into individual usage guidelines that must be decided in consultation.
| Option | What it usually offers |
|---|---|
| Vacuum device | Mechanically assisted erection |
| Intracavernous injections | Option when oral communication fails |
| Penile prosthesis | Surgical solution in selected cases |
| Psychological therapy | Support if there is anxiety or stress |
In addition, some clinics offer non-pharmacological therapies focused on the pelvic floor and technologies (such as PelviTouch), but the available evidence is still limited and has quality limitations, so its usefulness may be uncertain and it's best to discuss it with a urologist.
When is it appropriate to ask for help?
If erection problems persist, the usual recommendation is to discuss it with a healthcare professional, especially if there is also a decrease in sexual desire or you are concerned about how it affects your well-being, and it is not uncommon for the approach to start in primary care and move to urology if necessary.
This text is for guidance only and does not replace medical advice. Always check the official leaflet and follow the prescription and instructions of your doctor or pharmacist for dosage, intervals and duration.
