If you’re in your 40s and experiencing symptoms such as “I can get an erection, but it’s not firm enough,” “I can’t maintain an erection,” or “I have difficulty achieving an erection,” you may be wondering if these are just signs of aging—or possibly erectile dysfunction (ED).

This article explains in detail whether ED can be fundamentally treated.

We also introduce specific treatment options and supplements that may help improve symptoms. If you’re hoping to regain your vitality and confidence, this guide is for you.

 

Can ED Be Fundamentally Treated?

Whether ED can be fundamentally cured depends on the underlying cause.

Type of ED	Main Causes	Possibility of Fundamental Cure
Psychogenic ED	Psychological factors such as childhood trauma, relationship issues, or stress	Potentially curable
Organic ED	Physical causes such as decreased testosterone with age or illness	Possible but less likely (improvement achievable)
Drug-Induced ED	Side effects from medications such as antihypertensives or antidepressants	Potentially curable
Mixed-Type ED	Multiple contributing factors	Possible but varies by case

 

Even when the chance of a complete cure is low, treatment can still significantly improve symptoms.

Specific Treatment Methods for ED

ED treatment generally falls into two categories: receiving medical care at a clinic or improving symptoms with medications and supplements.

Clinic-Based Treatments

When visiting a clinic, the following treatments are commonly provided:

• Shock Wave Therapy:
  Uses medical devices such as ED-MAX, Moanova, or Renova to stimulate penile tissue.
• Intracavernous Injection Therapy:
  Involves direct injection of stem cell culture supernatant (exosomes) into the corpus cavernosum of the penis.

However, these treatments usually require multiple sessions. For those with busy schedules, continuing the treatment may be difficult.

In addition, depending on the individual, it may take some time before noticeable effects are experienced.

Improving ED with Medications and Supplements

For those seeking faster results or who find medical treatment alone insufficient, combining medications or supplements can enhance effectiveness.

Examples of Prescription ED Medications:

• Viagra
• Levitra
• Cialis

Examples of Common Supplement Ingredients:

• L-Arginine
• L-Citrulline
• Maca
• Vitamins

Recently, a supplement called DHEA (Dehydroepiandrosterone) has gained attention overseas for its potential to support fundamental ED improvement.

While DHEA alone cannot completely cure ED, it helps boost testosterone levels, making it a valuable supplement to complement ED medications or other treatments. It is now drawing increasing attention in Japan as well.

For Men in Their 40s: DHEA Supplements Are Recommended for Fundamental ED Treatment

At Men’s Pride Clinic MITA TOKYO, we not only prescribe standard ED medications but also provide DHEA therapy.

DHEA helps replenish hormones that naturally decline with age, supporting testosterone production and contributing to fundamental improvement of ED.

Since DHEA is not available over the counter and requires a doctor’s prescription, we recommend using Men’s Pride Clinic MITA TOKYO’s online consultation service for convenient access to treatment.

 

Conclusion

When symptoms of erectile dysfunction (ED) appear, many men lose confidence and worry, thinking, “Maybe I’ve lost my masculinity.”

While ED can often be improved through medical treatment, some men hesitate to seek help due to embarrassment about in-person consultations or difficulty continuing clinic visits due to their busy schedules.

If you’ve been hesitant to seek treatment for these reasons, we encourage you to try Men’s Pride Clinic MITA TOKYO’s online consultation first.

In addition to standard ED medications, the clinic also offers DHEA prescriptions to support natural testosterone levels.

Men’s Pride Clinic MITA TOKYO listens carefully to each patient’s concerns and helps men regain their vitality and confidence.