Can PDE5 cure erectile dysfunction?
PDE5 refers to PDE5 inhibitors. Generally, erectile dysfunction caused by psychological factors, hypertension, diabetes, and other reasons can be improved with PDE5 inhibitors. However, for erectile dysfunction resulting from organic causes, these inhibitors may not provide a cure or might be ineffective. Detailed explanation is as follows:

Phosphodiesterase type 5 inhibitors improve erectile function by inhibiting PDE5 activity, preventing the degradation of cyclic guanosine monophosphate (cGMP), thereby increasing cGMP levels in the corpus cavernosum, inducing relaxation of the smooth muscle in the corpus cavernosum, enhancing blood flow to the corpus cavernosum, and subsequently facilitating penile erection. For erectile dysfunction caused by psychological factors, hypertension, diabetes, and other similar causes, PDE5 inhibitors help achieve and maintain an erection by increasing penile blood flow, thereby improving sexual quality of life.
Although PDE5 inhibitors are effective for erectile dysfunction caused by vascular problems, they may be ineffective for erectile dysfunction from other causes and may even potentially worsen the condition. For example, erectile dysfunction caused by organic factors such as nerve damage, vascular diseases, or surgical complications may only experience temporary symptom relief with PDE5 inhibitors, but a permanent cure is unlikely.
To avoid unnecessary harm to the body, it is recommended that PDE5 inhibitors be used under the guidance of a qualified physician. Lifestyle improvements, such as smoking cessation, alcohol consumption limitation, regular exercise, and a healthy diet, can help enhance treatment effectiveness.