Erectile dysfunction treatment — clear options you can try

Erectile dysfunction (ED) is more common than most men admit. The good news: most causes are treatable. This page gives straight answers on proven treatments, simple lifestyle moves that help, and when you need medical care.

Fast, proven medical options

The first step many doctors try are oral pills called PDE5 inhibitors — sildenafil (Viagra), tadalafil (Cialis), vardenafil and others. They boost blood flow to the penis so erections happen when you’re sexually aroused. Tadalafil can last up to 36 hours, which some men prefer. Side effects are usually mild: headache, flushing, or upset stomach. Don’t take these if you use nitrates for chest pain — that can dangerously lower blood pressure. Always get a prescription and talk to your provider about dose and timing.

If pills don’t work or aren’t safe for you, other medical options include injected medications (alprostadil) that work quickly, a urethral suppository, vacuum erection devices that pump blood into the penis, or surgical options like penile implants for long-term cases. These choices work well when guided by a urologist.

Simple lifestyle changes that really help

Lifestyle fixes are low risk and often make a big difference. Stop smoking and cut back on alcohol — both harm blood flow. Get regular exercise to boost circulation and mood; losing even 10% of body weight can improve erections for some men. Control diabetes and high blood pressure, and check your cholesterol. Low testosterone can cause low libido and weak erections — a simple blood test can check levels and lead to treatment if needed.

Psychological factors matter too. Stress, anxiety, depression, and relationship issues often cause or worsen ED. Short-term counseling or sex therapy can help a lot, especially when the root cause is performance anxiety or emotional strain.

Many men ask about supplements or “natural Viagra.” Some herbs and vitamins claim benefits, but evidence is mixed and quality varies. If you try supplements, tell your doctor, because some interact with medications or contain hidden ingredients.

Buying meds online? Only use reputable pharmacies that require a prescription. Avoid sites selling “no-prescription” pills — they may ship fake or unsafe products. Our site has guides on safe online pharmacies and natural alternatives to consider.

When to see a doctor right away: sudden inability to get an erection, painful erections that last more than four hours (priapism), or ED after a pelvic injury. Also see a doctor if ED appears with chest pain, breathlessness, or fainting — these can be signs of heart issues.

ED is solvable for most men. Start with a medical checkup, try safe lifestyle changes, and pick a treatment that fits your life. If one approach doesn’t work, there are other effective options to try with a clinician’s help.