Which drug for erectile dysfunction?
What ED treatment option do you recommend? Can erectile dysfunction cause other conditions that affect my sexual health?
| Treatment Type | Common Medications or Devices | Notes |
|---|---|---|
| Topical | Alprostadil cream or gel | Applied directly to the penis |
| Injections | Alprostadil (Caverject), Papaverine, Phentolamine | Injected into corpora cavernosa |
| Suppositories | Alprostadil suppositories | Inserted into the urethra |
Can you recommend a support group for people who have erectile dysfunction? Am I a candidate for a penile implant procedure? Erectile dysfunction can pills for womens libido cause you to feel many different emotions. You may feel embarrassed, frustrated, guilty, ashamed, angry or “less than.” This can lead to more serious long-term emotions, like anxiety and depression. But you don’t have to live with these feelings. ED is common, and it doesn’t reflect your worth as a person. Erectile dysfunction is a sensitive topic for many people. The following tips can help you support your partner if they have erectile dysfunction: Tell your partner you care about their feelings and well-being.
How do couples cope with ED?
What exactly happened when you first had erectile dysfunction symptoms? Do or did you experience erections at night or during the morning? What sexual positions do you regularly engage in? The provider may also ask to talk with your sexual partner. Your partner may be able to offer additional insight on potential causes.
4. Penile injections
The provider may order tests to confirm their diagnosis and determine the cause of your ED. It depends on what your healthcare provider suspects is causing erectile dysfunction. Tests that measure if the nerves in your penis respond to vibrations (penile biothesiometry). Drugs that temporarily make your penis erect (vasoactive injection). Before testing, your provider will explain what’s involved with a test and answer any questions you have.
3. Urethral suppository
If you don’t feel comfortable, you can decide not to do the test at any time. The first step in treating erectile dysfunction is identifying the underlying cause. A healthcare provider will help determine the best treatment for you. Vigorous cardiovascular exercise for at least 45 minutes three times per week may help reverse some cases of mild ED. Cardiovascular exercises may include brisk walking, jogging, swimming, bicycling and jumping rope. Find appropriate times to talk to your partner that won’t make them feel vulnerable. Remind your partner that they’re not alone. ED is common, and treatment is available. Therapists and support groups can help your partner process their feelings.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Viagra Super Active | 100mg | 180 + 20 Pills | 280.97€ 267.59€ | |
| Levitra Professional | 20mg | 10 Pills | 62.37€ 59.40€ | |
| Kamagra Polo | 100 mg | 272 + 12 Pills | 622.94€ 593.28€ | |
| Cialis Professional | 40mg | 270 + 6 Pills | 898.37€ 855.59€ | |
| Super Kamagra | 160 mg | 32 + 4 Pills | 218.25€ 207.86€ | |
| Viagra Generic | 25mg | 270 + 8 Pills | 184.26€ 175.49€ | |
| Kamagra | 100mg | 20 Pills | 86.09€ 81.99€ | |
| Kamagra 100 mg | 100 mg | 32 Pills | 121.24€ 115.47€ | |
| Kamagra Gold | 100 mg | 12 Pills | 55.64€ 52.99€ | |
| Cialis Generic | 10mg | 360 + 10 Pills | 388.49€ 369.99€ | |
| Viagra Generic | 200mg | 180 + 10 Pills | 277.56€ 264.34€ | |
| Levitra Original | 20mg | 12 Pills | 81.99€ 78.09€ | |
| Kamagra Gold | 50 mg | 120 + 6 Pills | 281.13€ 267.74€ | |
| Viagra Generic | 25mg | 20 Pills | 37.74€ 35.94€ | |
| Kamagra Oral Jelly | 100mg | 21 Sachets | 95.92€ 91.35€ |
Focus on the benefits of regular exercise, healthy foods and cutting back on substances that may cause ED. Your partner will feel supported if you have accurate, up-to-date information on erectile dysfunction and its treatment options. Offer to go with your partner to their appointments. You can help your partner ask questions, take notes and relay information to a healthcare provider that can help them in making a diagnosis. Respect their privacy if they prefer to see a provider alone. Sexual intercourse isn’t the only way to increase intimacy between partners. You can show your partner you care through physical contact such as holding hands or back rubs, spending time with them, kissing, writing notes, being patient and being a good listener. Erectile dysfunction (ED) fildena tablet is common, especially as you get older.
How to Identify Safe Supplements
For men with mild ED, quitting smoking can lead to improvement after several months. Oral medications that help increase blood flow to your penis, including sildenafil (Viagra®), vardenafil (Levitra®), tadalafil (Cialis®) or avanafil (Stendra®). Oral medications start to work within an hour. Penile low-intensity focused shockwave therapy (LiSWT). This noninvasive treatment improves blood flow by using sound waves.
5. Penile implant
It can take two months to see improvement. Medications you inject directly into your penis to create an erection, including alprostadil (Caverject®), papaverine (Papacon®), phentolamine (Regitine®) or a combination of multiple medications. Injectable medications start to work within 10 minutes. Penis pumps start to work almost immediately. Testosterone replacement therapy, which is available as a gel, injection, patches and pellets.
More Information
Testosterone replacement therapy super p force 200mg starts to work within four weeks. A penile implant is a procedure in which a surgeon places a device into your penis to make it hard. The device doesn’t affect sensation, peeing or orgasm. ED will not likely go away on its own without changes to your lifestyle or some kind of treatment. The outlook for ED is good and it’s a very treatable condition. It can cause embarrassment, low self-esteem and other more serious psychological conditions. But you shouldn’t feel ashamed or embarrassed to have ED. It may be your body’s way of telling you that something isn’t right. It’s important to have an open conversation with a healthcare provider about your symptoms and how they affect your quality of life. They can diagnose ED, determine its cause and recommend the most appropriate treatment for you. Sign up for our Health Essentials emails for expert guidance on nutrition, fitness, sleep, skin care and more. Learn more about the Health Library and our editorial process. Cleveland Clinic’s health articles are based on evidence-backed information and review by medical professionals to ensure accuracy, reliability and up-to-date clinical standards.
- Risperidone: Antipsychotic for schizophrenia, bipolar disorder.
- Olanzapine: Used for schizophrenia and bipolar disorder.
- Quetiapine: Treats schizophrenia, bipolar disorder, and depression.
- Aripiprazole: Atypical antipsychotic with fewer side effects.
- Clozapine: For treatment-resistant schizophrenia, requires blood monitoring.
- Haloperidol: Typical antipsychotic for acute psychosis.
- Ziprasidone: Used for schizophrenia and bipolar disorder.
- Lurasidone: Treats schizophrenia and bipolar depression.
- Paliperidone: Long-acting antipsychotic for schizophrenia.
- Asenapine: Used to treat schizophrenia and bipolar disorder.
- Molindone: An older antipsychotic for schizophrenia.
What Is Erectile Dysfunction ( Updated 6/2018. Erectile Dysfunction (Impotence) ( Updated 8/26/2020. National Institute of Diabetes and Digestive and Kidney Diseases (U.S.) Definition & Facts for Erectile Dysfunction ( Updated 7/2017. At Cleveland Clinic, we offer specialty care that’s focused on you. Health care professionals treat the underlying cause of erectile dysfunction (ED) when possible.
Never mix ED drugs with nitrates.
They can also cause severe damage to your blood vessels, which may lead to permanent erectile dysfunction. Fear of sexual intercourse or intimacy (genophobia). Conditions that affect your body’s ability to deliver blood to your penis are the most common cause of ED. You may have a greater risk of getting ED if you: Have a body mass index (BMI) over 25. A healthcare provider can diagnose ED and determine its cause.
Battery-powered penis pump for erectile dysfunction
They’ll review your medical history and perform a physical exam. They’ll also ask you questions about your personal and sexual history. These questions may make you feel embarrassed or awkward. But it’s important to be honest with the provider in order to quickly determine the cause. Are you currently taking any medications, including prescription drugs, over-the-counter drugs, herbal supplements, dietary supplements and nonmedical drugs?
What Is Erectile Dysfunction?
Has a healthcare provider ever diagnosed you with depression or anxiety? How often are you able to get erections? How long are you able to maintain an erection? Do you lose your erection because you ejaculate sooner than you would like? When did you first notice symptoms of erectile dysfunction? Sometimes, the exact cause of ED is not known. Health care professionals will then focus on improving sexual function. Choosing an ED treatment is a personal decision. If you have a partner, you may want to talk together about treatments that work for you as a couple. Your health care professional may suggest lifestyle changes to help improve your ED symptoms, including Health care professionals may suggest counseling if mental health or emotional issues are affecting your ED.
| Drug Name | Typical Duration of Effect | Peak Effect Time | Notes |
|---|---|---|---|
| Sildenafil | 4-6 hours | 1 hour | Needs sexual stimulation |
| Tadalafil | Up to 36 hours | 2 hours | Suitable for spontaneous activity |
| Vardenafil | 4-5 hours | 1 hour | Onset can vary depending on food intake |
| Avanafil | About 6 hours | 30 minutes | Fastest onset among PDE5 inhibitors |
Counselors can help you lower anxiety and stress about sex.
Will I Have To Stay On ED Medication For The Rest Of My Life?
Though there aren’t cures for some causes of ED, many treatment options can help you get and maintain an erection hard enough for sexual intercourse. Certain lifestyle changes can help lower your risk of developing erectile dysfunction, including: Being more physically active, especially doing cardiovascular exercises like running, jogging or bicycling. Eating healthy foods with low saturated fats, such as fruits, vegetables and whole grains. Talk to a primary care physician or a urologist if you suspect you have erectile dysfunction. They can help diagnose ED, identify its cause and recommend the best treatment option for you.
How to use ED pills properly
A urologist is a healthcare provider who specializes in diagnosing and treating conditions that affect your reproductive system and urinary system. Go to your nearest emergency room if you’re taking medication for erectile dysfunction and have a painful erection that lasts longer than two to four hours. This may be a sign of priapism, which can cause permanent damage to your penis without treatment. Is it normal to have erectile dysfunction? How do you know I have erectile dysfunction? Your counselor may ask you to bring your partner to sessions for more support. Your health care professional may review any medicines you are taking to see if a medicine you need for another health condition is causing ED. They may suggest taking a different dose of medicine or switching to another medicine.
- Patient education materials: Brochures, websites, and videos explaining ED treatments.
- Support groups: Online forums and in-person groups for men with ED.
- The partner's perspective: How ED affects relationships and how partners can help.
- Cultural factors: Different attitudes and stigmas surrounding ED and its treatment.
- Economic factors: The cost of treatment can be a significant barrier to care.
- Health disparities: Access to ED care varies across socioeconomic and racial groups.
- Primary care role: Often the first point of contact for diagnosis and initial treatment.
- Urology referral: For complex cases, injections, implants, or surgical options.
- Endocrinology referral: For cases primarily related to hormonal imbalances.
- Mental health referral: For cases where psychological factors are predominant.
Do not stop taking any medicines on your own. Talk with your health care professional first. Health care professionals may also prescribe other types of medicines for your ED. Phosphodiesterase type 5 (PDE5) inhibitors are oral medicines that improve blood flow to the penis. These medicines may help you get and keep an erection. If you have ED and low testosterone, health care professionals may prescribe testosterone with PDE5 inhibitors. You may be given testosterone as an oral medicine, a patch, or a gel. Injectable medicines and suppositories can enhance erections. An injectable medicine causes a quick, automatic erection by increasing blood flow to the penis. Some people with ED prefer a suppository, a solid piece of medicine that you insert into the urethra. Your health care professional will teach you how to give yourself an injection or insert a suppository. Some people say certain alternative medicines help their ED symptoms.
- Penile Doppler ultrasound: Uses sound waves to visualize blood flow in the penis.
- Intracavernosal pharmacotesting: Injecting a drug to assess erectile response.
- Neurological testing: To assess nerve function if neurological ED is suspected.
- Hormonal panel: Tests for testosterone, prolactin, LH, FSH, and thyroid hormones.
- Vascular surgery: A rare option to repair specific arterial blockages causing ED.
- Venous ligation surgery: An older, largely abandoned surgery for venous leak.
- Acoustic wave therapy devices: For home use, though efficacy is less established.
- Red light therapy: Some devices claim to improve blood flow using specific wavelengths.
- Platelet-rich plasma (PRP) injections: An experimental treatment for ED.
- Low-intensity focused ultrasound: Another experimental modality for tissue regeneration.
For safety reasons, talk with your health care professional before using dietary supplements, such as vitamin or mineral supplements, or any complementary or alternative medicines or medical practices. Vacuum erectile devices (VEDs) pull blood into the penis for an erection. a plastic tube to put around your penis an elastic ring that helps you to keep an erection You may need to practice with or adjust your VED.