Men experiencing erectile dysfunction often resort to performance pills bought online or over the counter as a first step. Although these medications may save the day initially, their effectiveness decreases over time, leaving patients dependent on medication for life. In andrological evaluations, the differences between ESWT and drug therapy in erectile dysfunction are highlighted to explain why physiological treatments should be preferred.
Temporary Masking vs. Permanent Treatment
The fundamental differences between medications and ESWT are as follows:
- Medication (PDE5 Inhibitors): Must be taken 30-60 minutes before intercourse. It only expands blood vessels temporarily for the duration of that sexual encounter. Once the drug is eliminated from the body, erectile dysfunction persists. Thus, it does not treat the disease; it merely masks symptoms.
- ESWT Treatment: Applied independently of sexual intercourse. By forming new capillaries in penile tissue, it permanently increases blood flow capacity. After treatment completion, patients can achieve natural, spontaneous, and strong erections without taking any medication.
Hormonal and Systemic Side Effect Differences
Performance pills lead to side effects such as headaches, heartburn, and nasal congestion. Their use in heart patients and alongside certain blood pressure medications carries life-threatening risks. Conversely, ESWT has no systemic side effects and can be safely administered even to heart patients and individuals who have undergone bypass surgery.