Male erectile dysfunction is the persistent inability to attain or maintain an erection sufficient for satisfactory sexual performance. This protocol covers first-line management combining lifestyle intervention with pharmacological and non-pharmacological options.
Management begins with lifestyle modifications — aerobic physical activity, weight reduction, and cardiovascular risk factor control — which are initiated before or alongside pharmacotherapy. When pharmacotherapy is appropriate, first-line oral treatment involves a specific class of vasoactive agents; several agents within this class are available, each with its own onset and duration profile. For patients who prefer or require a non-oral approach, alternative first-line options also exist. The complete regimen — including specific agent selection, dosing parameters, and clinical sequencing — is in the full protocol.
Achievement of erection with rigidity sufficient for satisfactory intercourse.