Treatment FAQ

which ed treatment is best

by Prof. Lavina Carroll Published 2 years ago Updated 2 years ago
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no. The best treatment for ED is the one that is best for you. Sildenafil (Viagra) and tadalafil (Cialis) are the most commonly prescribed medications for ED, and are equally safe and effective. In most cases, lifestyle and cost will help you decide between them.Jul 8, 2020

Medication

Research does suggest that some supplements may help treat ED, such as:

  • Dehydroepiandrosterone (DHEA)
  • L-arginine
  • Ginseng
  • Propionyl-L-carnitine
  • Yohimbe

Procedures

  • Limit the frequency of your orgasms
  • Stop masturbating and watching pornography
  • Eat smart – give your body all the nutrients it needs Stop smoking Stop drinking alcohol
  • Exercise regularly and be active as much as you can
  • Stop stressing
  • Sleep well and sleep long
  • Get adequate sun exposure
  • Get in mental balance
  • Do Kegel exercises
  • Take supplements

Therapy

  • Start walking. According to one Harvard study, just 30 minutes of walking a day was linked with a 41% drop in risk for ED. ...
  • Eat right. ...
  • Pay attention to your vascular health. ...
  • Size matters, so get slim and stay slim. ...
  • Move a muscle, but we're not talking about your biceps. ...

Self-care

Types of Treatment for Erectile Dysfunction

  • Cialis®, Levitra®, and Viagra®. Viagra® is the most commonly associated medication used to treat erectile dysfunction. ...
  • Penile Injections. Alprostadil is a drug that is injected directly into the penis in order to create an erection. ...
  • Muse. ...
  • Vacuum Pump. ...
  • Surgical Implants. ...
  • Sex Therapy. ...
  • Male Hormone Therapy. ...
  • GAINSWave® Therapy. ...

Nutrition

What is the best over the counter treatment for Ed?

What is the best natural remedy for Ed?

What is the best natural thing to take for Ed?

What is the most effective treatment for Ed?

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What is the most effective treatment for ED?

Oral medications are a successful erectile dysfunction treatment for many men. They include: Sildenafil (Viagra) Tadalafil (Adcirca, Cialis)

What is the safest treatment for ED?

So, What's the Safest Drug for Erectile Dysfunction? All four of the ED medications approved by the FDA -- sildenafil (the active ingredient in Viagra), tadalafil (Cialis), vardenafil (Levitra) and avanafil (Stendra) -- are safe for most men to use.

What is the newest treatment for ED?

One of the latest treatments for ED is penile shockwave therapy or low-intensity extracorporeal shockwave therapy. Research from 2019 suggests this treatment might be effective for ED caused by vascular disease. However, this treatment is still largely experimental and not widely used aside from clinical trials.

Is there an ED drug better than Viagra?

Structurally vardenafil (Levitra) is similar to sildenafil, while tadalafil (Cialis) is very different. Vardenafil (Levitra) is almost 10 times more biochemically potent than sildenafil, therefore a lower dose is needed to facilitate the penile erection, potentially resulting in less side effects.

Which ED pill works fastest?

Stendra is a newer drug that does not yet have a generic. It is the fastest-acting treatment for ED. The 100 mg and 200 mg strengths start working in as little as 15 minutes.

Can Cialis cure ED permanently?

You are encouraged to report negative side effects of prescription drugs to the FDA . Visit www.fda.gov/medwatch or call 1-800- FDA -1088. Cialis does not: cure ED.

Is stendra better than Cialis?

Stendra (avanafil) is an effective, first-choice treatment for erectile dysfunction, but it can be expensive. Helps you get aroused and achieve an erection/orgasm. Cialis (tadalafil) is very effective and is the only medication in its class that treats both erectile dysfunction and enlarged prostate symptoms.

What happens if Cialis doesn't work for ED?

Treatment Options When Cialis Does Not Work Well. If Cialis no longer works, a number of other effective treatment options are available. Penile injection therapy for erectile dysfunction with Trimix injections or prostaglandin injections offers a reliable and effective option for the treatment of ED in many men.

Which is stronger Cialis or Viagra?

Effectiveness of all PDE5 inhibitors is similar; although reported effectiveness of Viagra, at 84% is slightly higher than that of Cialis at 81%. However, more men prefer Cialis because of its longer duration of effect.

Is Cialis better than sildenafil?

The 'as required' Tadalafil (generic Cialis) has an advantage over Sildenafil in that it lasts a lot longer – up to 36 hours (compared with 4-5 hours for Sildenafil). Some men prefer this as it allows for more spontaneity.

Which Is Better Levitra or Cialis?

Levitra and Cialis are both effective for treating ED. According to studies, Cialis has been shown to have better effectiveness and produce more satisfaction compared to Levitra. Because Cialis comes in a daily pill that can also treat BPH, it is often a preferred option.

How long does it take for ED to break down?

The ED drugs break down at different rates in the body. The durations of action range from four hours to more than a day (for Cialis in the higher doses). Each dose should be sufficient to provide a full cycle of intercourse, from erection to climax.

Is the CDC relaxed?

The CDC has relaxed some prevention measures, particularly for people who are fully vaccinated, and especially outdoors. Meanwhile, scientists continue to explore treatments and to keep an eye on viral variants. Stay Informed. View Coronavirus COVID-19 Resource Center.

Do ED drugs cause erections?

ED drugs produce an erection sufficient for intercourse in about 70% of men. But the results vary quite a bit from one individual to another. A man with nerves or arteries damaged by prostate surgery, diabetes, or cardiovascular disease will not respond as strongly to ED drugs.

Can you take nitrates with ED?

A man who has an erection that lasts four hours or more needs to get to a hospital or risk permanent damage. None of the ED drugs is safe to take with cardiac drugs called nitrates because it could cause a dangerous drop in blood pressure.

Can ED be a sign of cardiovascular disease?

ED is often an early warning sign of underlying cardiovascular disease, such as clogged arteries (atherosclerosis). "It can predate a diagnosis of cardiovascular disease by at least a few years," Dr. Liou says. We don't have strong proof yet that starting to live a healthier lifestyle can reverse erectile problems, but it can't hurt.

Erectile Dysfunction Pills

Erectile dysfunction, like all medical conditions, has a variety of causes, risk factors, treatment options, and complications.

Erectile Dysfunction Injections

Oral ED medications work for approximately 70% of men who use them. For those who switch to injectable ED medications, 95% get and sustain an erection suitable for sexual activity.

Alternative Treatment Options

Besides oral and injectable medications to treat ED, there are lifestyle, surgical and nonsurgical options. These options may be especially appealing to men who have medical conditions that increase the risk of using medications to treat ED.

Final Thoughts

Involve your partner as you consider treatment options for ED. Talking to your partner can help to ease anxiety and avoid misunderstandings. Your partner, for example, may interpret ED as a lack of interest in sex or a failure on their part.

DISCLAIMER

While we strive to always provide accurate, current, and safe advice in all of our articles and guides, it’s important to stress that they are no substitute for medical advice from a doctor or healthcare provider. You should always consult a practicing professional who can diagnose your specific case.

What is the best medication for erectile dysfunction?

They include: Sildenafil (Viagra) Tadalafil (Adcirca, Cialis) Vardenafil (Levitra, Staxyn) Avanafil (Stendra) All four medications enhance the effects of nitric oxide — a natural chemical your body produces that relaxes muscles in the penis.

How to get rid of erectile dysfunction?

Exercise can help with underlying conditions that play a part in erectile dysfunction in a number of ways, including reducing stress , helping you lose weight and increasing blood flow. Get treatment for alcohol or drug problems.

What is the name of the medication that is used for penile injections?

In some cases, medications generally used for other conditions are used for penile injections on their own or in combination. Examples include alprostadil and phentolamine. Often these combination medications are known as bimix (if two medications are included) or trimix (if three are included).

What tests are done to check for low testosterone?

Blood tests. A sample of your blood might be sent to a lab to check for signs of heart disease, diabetes, low testosterone levels and other health conditions. Urine tests (urinalysis).

What tests are needed for underlying conditions?

Tests for underlying conditions might include: Physical exam.

Do erectile dysfunction medications cause excitement?

These medications amplify that signal, allowing normal penile function in some people. Oral erectile dysfunction medications are not aphrodisiacs, will not cause excitement and are not needed in people who get normal erections. The medications vary in dosage, how long they work and side effects.

Is it safe to take supplements for erectile dysfunction?

Before using any supplement, check with your doctor to make sure it's safe for you — especially if you have chronic health conditions . Some alternative products that claim to work for erectile dysfunction can be dangerous.

What is the best medication for ED?

Sildenafil ( Viagra) is a common medication for treating ED. It is a phosphodiesterase type 5 (PDE5) inhibitor. This is a class of drug that prevents an enzyme that helps control blood flow from working properly. These drugs cause the blood vessels to relax and increase blood flow through them.

How to treat ED?

There are also several surgical options for treating ED. A common form of surgery is a penile implant. This involves placing a mechanical device into the penis that inflates to create an erection. Implanting a three-piece pump involves placing two cylinders into the penis.

What are the symptoms of ED?

having overweight or obesity. taking certain medications, such as those for blood pressure or cancer. being physically inactive. If a person is concerned that they may be experiencing ED, they can speak to a doctor or other healthcare provider about choosing the best form of treatment for them.

What is ED in psychology?

For some people, ED is the result of a psychological or emotional problem. For example, anxiety or stress about sexual activities might cause ED. Someone with low-self esteem might also experience ED.

How long before sex can you take Sildenafil?

Clinical trials suggest that sildenafil is an effective way of treating ED in most people. To treat ED, take this drug 30 minutes to 4 hours before sexual activity.

Why do people wear ED rings?

The band restricts blood flow out of the penis to help maintain an erection. ED rings are usually part of a vacuum device. However, they may also work on their own. For example, some people can get an erection but are unable to maintain it. These people may benefit from using an ED ring.

What is the cause of an inability to get an erection?

Erectile dysfunction (ED) is a common condition that causes an inability to get or maintain an erection. There are a number of treatment methods available. An erection is the result of an increase in blood flow to the penis. The brain usually sends signals to the penis during arousal, which causes the erection.

What is the best treatment for ED?

Other alternative therapies thought to help ED include zinc supplements (especially for men who are low in zinc), the herb ashwagandha (also called Indian ginseng), and ginkgo biloba, but more studies are needed to know with certainty.

What is the best medicine for ED?

Depending on the cause of your ED, natural remedies may not be effective. If this is the case, your doctor may prescribe medications for ED, like: 1 sildenafil ( Viagra) 2 tadalafil (Cialis) 3 avanafil (Stendra) 4 vardenafil (Levitra)

Why is it important to check with your doctor before trying any treatments on your own?

Talk to your doctor. If you have symptoms of ED , it’s important to check with your doctor before trying any treatments on your own. This is because ED can be a sign of other health problems. For instance, heart disease or high cholesterol could cause ED symptoms.

How to help ED symptoms?

In many cases, changes to your lifestyle and diet can help ease ED symptoms. Lifestyle changes that could help improve your sexual function include exercising and losing weight. They also include stopping smoking and curbing your alcohol intake.

How many men have ED?

ED affects as many as 30 million men in the United States. Standard ED treatments include prescription medications, vacuum pumps, implants, and surgery, but many men prefer natural options. Research has found that some natural options can improve ED symptoms. Read on to learn about natural options that have research to back them up.

What is ED in sex?

What is erectile dysfunction? Erectile dysfunction (ED) is commonly called impotence. It’s a condition in which a man can’t achieve or maintain an erection during sexual performance. Symptoms may also include reduced sexual desire or libido.

Can you treat ED naturally?

If other health issues aren’t found to be the cause of your ED, your doctor will likely prescribe some common treatments. However, you may also choose natural options — just be sure to discuss them with your doctor first. Whichever route you take, keep in mind that ED is a common condition that’s very treatable.

What is the best medication for erectile dysfunction?

The most common medications are sildenafil (Viagra®), tadalafil (Cialis®), and vardenafil (Levitra®). They all work in similar ways by inhibiting the natural enzyme PDE5 (phosphodiesterase-5) and enhancing the effects of nitric oxide, a natural chemical the body produces that relaxes the muscles in the penis. This relaxation increases blood flow and allows for erections to be achieved and maintained in response to sexual stimulation.

What is erectile dysfunction?

The definition of erectile dysfunction is having regular difficulty in getting or maintaining an erection sufficient satisfying sexual intercourse. The key word there is “regular” because it's normal for men to occasionally have problems getting erect, especially during periods of extreme stress or anxiety.

How much tadalafil should I take daily?

It can be lowered to 5 milligrams or upped to 20 milligrams depending on your response. For daily use, the dosage typically begins at 2.5 or 5 milligrams.

What is the chemical that causes a person to have an erection?

For an erection to happen, a compound called nitric oxide sends a message to the tissues of the penis (known as corpus cavernosum), which causes them to relax and to fill with blood. The erection ends when another messenger called phosphodiesterase 5, or PDE5, is released.

Is it bad to take Viagra with ED?

The most common drug use by men in the U.S. – and the most likely to be prescribed – is sildenafil (Viagra®) as it’s been on the market for over 20 years and its side effects are well-understood. But among these top ED medications, there really is no wrong or bad option, as they all work similarly.

Can erectile dysfunction be caused by smoking?

Erectile dysfunction can also be the result of being overweight , smoking, drinking too much alcohol, certain types of medications, stress, relationship difficulties or hormonal imbalances. In that sense, erectile dysfunction can be a warning sign for greater issues.

What Is Erectile Dysfunction?

Erectile dysfunction is the clinical name for when a guy has difficulty achieving or sustaining an erection that's firm enough for sex.

7 Over The Counter Medications for ED

Depending on the cause of erectile dysfunction, the most effective treatment can vary. Typically, the best way to treat erectile dysfunction is to address the underlying cause.

Other Ways To Treat Erectile Dysfunction

Over the counter medications and supplements for erectile dysfunction may be effective in some cases, but the chances of fixing your ED outright are slim.

The Takeaway

There are plenty of ED options available over the counter that might help to treat erectile dysfunction, backed mostly by small research studies or anecdotal evidence; however, most are unproven in rigorous clinical trials and none have been approved by the U.S. FDA.

How Long Does Sildenafil Last: Effects in Your System and More

Sildenafil is the active ingredient in Viagra and is available as a generic medication. It's effects last around 4 hours.

You Can Order Cialis Online, But Know This First

While there's an increasing number of places advertising Cialis online, many carry risk. Here are a few things to know about getting Cialis online.

Tadalafil: Uses, Dosage, Solutions, and More

Most people are familiar with Viagra, but Cialis (tadalafil) has seen a steady rise in popularity over the years for good reason.

How does injectable ED work?

Injectable ED treatments work by relaxing the smooth muscle of the blood vessel walls, causing them to dilate and fill the penis with blood. ED injections, in most cases, should not be used in combination with oral ED medications, which work in the same way. Experts state injectable therapies trigger a spontaneous erection without ...

Where do you inject ED?

To inject, a person inserts the needle directly into their penis on the left or right side of the shaft, avoiding the base and head of the penis.

How long does it take for a Viagra erection to develop?

Injectables also overcome drug absorption issues that may occur with certain oral medications. Erections typically take 10–15 minutes to develop, lasting for roughly 30–60 minutes.

Can ED injections be used for diabetes?

Erectile dysfunction (ED) injections are usually an effective alternative treatment for people who cannot use other ED medications. They can also help those with severe ED due to underlying health conditions, such as diabetes or high blood pressure. This article focuses on the different types of injectable ED therapies, how they work, ...

Does Medicare cover ED injections?

Note that insurance companies often do not cover the cost of ED injections. Medicare programs also typically do not cover the injections since they are not considered medically necessary.

Is it safe to inject ED?

ED injections are a generally safe method to achieve an erection. A person or their partner needs to administer the injections on either side of the shaft while avoiding the top and bottom. People should work with their doctor to find the medication and dosage that works best for them.

What to do if you have ED?

Your doctor may want to order blood tests and other screenings to check for these underlying conditions.

What is the most common ED medication?

Medications. The most commonly used ED medications among older adults are from a class of drugs called phosphodiesterase-5 (PDE5) inhibitors. PDE5 inhibitors block the activity of an enzyme in the walls of blood vessels. As a result, blood vessels are able to relax.

What is the best medication for PDE5?

The three most widely used medications for penile injection therapy include: papaverine.

How long does it take for ED to work?

Regardless of which kind of treatment you choose, there are some important facts to keep in mind: ED medications typically take 30 to 60 minutes to become effective.

Who shouldn't take PDE5 inhibitors?

Who shouldn’t take these meds. People who have certain health conditions, including heart disease , shouldn’t take these medications. People who take certain medications to manage another health condition shouldn’t take PDE5 inhibitors either. This includes nitrates and alpha-blockers.

Is vardenafil better than tadalafil?

For example, vardenafil usually works faster than the other medications, while tadalafil’s effects last longer. Tadalafil is often a good choice for older adults who also have an enlarged prostate because it can be prescribed for daily dosing.

Is ED a part of aging?

Though it isn’t inevitable for everyone, ED is considered a normal part of aging as its risk factors include conditions common among older adults, such as: cardiovascular disease. diabetes. reduced levels of testosterone. use of medications that treat conditions including:

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Diagnosis

Treatment

Clinical Trials

Lifestyle and Home Remedies

Medically reviewed by
Dr. Pawan Katti
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
The choice of treatment is based on the underlying cause, and includes medications, therapies such as self-injections and exercises, and surgical implants.
Medication

Oral medications: To enhance the effects of nitric oxide involved in relaxing the penile muscles.

Sildenafil . Tadalafil


Penile self-injections: Injecting medications into the base or sides of the penis.

Papaverine . Alprostadil

Procedures

Penile implant surgery: Inflatable or bendable devices are surgically implanted on both sides of the penis.

Therapy

Hormone therapy:Testosterone replacement is recommended in case of low levels of the hormone.

Vacuum erection:Using a hand or battery operated penis pump for erection, followed by insertion of a tension ring around the penis.

Psychotherapy:To manage stress, depression, or anxiety.

Self-care

Always talk to your provider before starting anything.

  • Quit smoking and alcohol.
  • Lose weight.
  • Talk to your partner regarding your condition.
  • Learn to manage stress.

Nutrition

The following foods have been found to help manage erectile dysfunction

Foods to eat:

  • Watermelon
  • Cooked oysters
  • Coffee
  • Dark chocolates
  • Walnut
  • Grape or pomegranate juice
  • Fish like salmon
  • Green leafy vegetables such as kale
  • Olive oil

Foods to avoid:

  • NA

Specialist to consult

Urologist
Specializes in the urinary tract disease.

Alternative Medicine

Coping and Support

  • The first thing your doctor will do is to make sure you're getting the right treatment for any health conditions that could be causing or worsening your erectile dysfunction. Depending on the cause and severity of your erectile dysfunction and any underlying health conditions, you might have various treatment options. Your doctor can explain the risks and benefits of each treatment and …
See more on mayoclinic.org

Preparing For Your Appointment

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
See more on mayoclinic.org

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