ED treatment: what actually works and what to watch for

Having trouble with erections can feel embarrassing, but there are simple, effective options you can try. This page cuts through the noise: what treatments work, common side effects, lifestyle fixes that help, and how to buy medication safely online without getting scammed.

Popular ED treatments

Pills are the first thing most people try. Sildenafil (Viagra), tadalafil (Cialis) and vardenafil are proven to help by increasing blood flow to the penis. They work for many men, but dosing and timing differ—some work within 30–60 minutes, others last much longer. Side effects can include headache, flushing, nasal congestion, and rarely vision changes. Never mix these drugs with nitrates (common in chest pain meds) — that combo can dangerously drop blood pressure.

If pills aren’t an option, other choices exist. Vacuum devices pull blood into the penis and use a ring to hold the erection. Self-injections (alprostadil) can give a reliable result, but they require training. For long-term severe ED, surgical implants are an option. For performance anxiety or relationship issues, sex therapy or counseling often makes a big difference and can be used alongside medical treatments.

Simple lifestyle changes that help

Before spending money on gadgets, try small lifestyle changes: lose excess weight, get regular exercise, quit smoking, cut back on alcohol, and sleep better. These moves improve blood flow and hormones and can boost how well treatments work. If you have diabetes, high blood pressure, or high cholesterol, controlling those conditions often improves erections too.

Also check medications you already take. Some antidepressants, blood pressure drugs, and other prescriptions can cause erectile problems. Talk to your doctor about switching drugs if needed instead of stopping medication on your own.

Safe ways to buy ED medication online

Shopping online can save money but be careful. Always pick pharmacies that:

• require a prescription from a licensed clinician;
• list a physical address and a licensed pharmacist contact;
• use secure checkout (look for https and clear payment options);
• have verifiable reviews and third-party seals like PharmacyChecker or national pharmacy boards where applicable.

Avoid sites that sell prescription pills without any prescription, or that offer unbelievably low prices. Those products may be counterfeit, contaminated, or contain the wrong dose. If you’re unsure, ask your doctor to recommend a trustworthy online pharmacy or use a recognized verification tool.

If an erection lasts more than 4 hours, get emergency care. For any new symptoms or worries about interactions, talk to a clinician before trying a new treatment. Small steps—one conversation, one lifestyle change—often lead to the biggest improvements.