Let’s cut to the chase: erectile dysfunction (ED) is a common issue, but it’s not the end of the world. Not even on Valentine’s Day. We’ve got the inside scoop from two specialists who know their way around a limp situation better than origami artists — just in time for the romantic holiday.
Dr. David Shusterman, MD, a board-certified urologist based in New York, and Dr. Martin Gross, a urologist specializing in male sexual health at Dartmouth Hitchcock Medical Center, have shared their insights on ED treatments available today. These medical mavens aren’t just blowing hot air — they’re here to help you rise to the occasion.
“Patients sometimes tell me that they ‘hear bad things’ about [ED treatments],” Dr. Gross told The Post. “These medications are among the most broadly prescribed drugs of the last quarter century. They are safe, well-tolerated, and effective.”
From pills that’ll make you stand at attention faster than a soldier during roll call to lifestyle changes that’ll have your blood flowing in all the right directions, we have covered it all. So, whether you’re dealing with a stubborn case of “performance anxiety” or just looking to add some extra oomph to your love life, stick around. We’re about to dive into the world of erectile dysfunction treatments that’ll have you ready to salute in no time.
Best for All-in-One Men’s Health Platform: hims
Pros:
- Offers branded and generic PDE5 inhibitors
- Convenient online consultations
- Discreet packaging
- User-friendly interface
Cons:
- Limited in-person care options
A sleek, modern telemedicine platform offering PDE5 inhibitors like sildenafil and tadalafil for ED treatment. Hims stands out with its user-friendly interface and discreet packaging, making men’s health care less intimidating. Their online consultations with licensed healthcare providers ensure a convenient and confidential experience, with prescriptions delivered right to your door.
Best for Straightforward ED Medication Access: RexMD
Pros:
- Specializes in ED treatments with PDE5 inhibitors
- Free shipping on prescriptions
- Competitive Pricing
Cons:
- Focused solely on ED, limited other services
An online men’s health service laser-focused on ED treatments using PDE5 inhibitors like Viagra and Cialis. RexMD’s straightforward approach and competitive pricing make it an attractive option for men seeking help. Their streamlined process includes online doctor consultations and free shipping on prescriptions, emphasizing accessibility and affordability.
Best for Comprehensive Men’s Wellness Programs: Vault Health
Pros:
- Comprehensive men’s health approach
- Offers at-home lab testing
- Personalized care plans with PDE5 inhibitors
- Addresses overall wellness and vitality
Cons:
- May be more comprehensive than needed for ED-only treatment
A comprehensive telehealth company offering a holistic approach to men’s health, including ED treatments with PDE5 inhibitors. Vault goes beyond just ED, addressing overall wellness and vitality through personalized care plans and at-home lab testing. Their unique selling point is the combination of prescription medications and lifestyle optimization strategies, all delivered discreetly to your door.
Best for Non-Pharmaceutical ED Solution: Eddie by Giddy
Pros:
- Non-pharmaceutical option
- FDA-registered medical device
- No systemic side effects
- Unique alternative for those who can’t take PDE5 inhibitors
Cons:
- Learning curve for proper use
- Requires replacement every few months
An innovative FDA-registered Class II medical device designed as a non-pharmaceutical alternative for ED treatment. Unlike PDE5 inhibitors, Eddie is a wearable, tension-based device that helps maintain erections without medications or invasive procedures. This unique approach offers a solution for men who prefer to avoid pills or are unable to take them due to health concerns, positioning Eddie as a standout option in the ED treatment market.
Best for Personalized ED Treatment Formulations: Strut
Pros:
- Offers both oral PDE5 inhibitors and topical treatments
- Custom-compounded medications
- Virtual doctor consultations
Cons:
- Less well-known brand compared to major competitors
An online platform offering personalized ED treatments, including both oral PDE5 inhibitors and topical creams. Strut sets itself apart with its focus on customization, providing virtual doctor consultations and custom-compounded medications tailored to each patient’s needs. Their diverse treatment options make them a versatile choice for men seeking ED solutions beyond standard pills.
Best for Natural Supplement Approach to ED: Cilexin
Pros:
- Natural supplement option
- No prescription required
- May have fewer side effects
Cons:
- Effectiveness not FDA-approved for ED treatment
A natural male enhancement supplement containing herbal extracts and amino acids, offering an alternative approach to addressing ED. While not a PDE5 inhibitor or prescription medication, Cilexin aims to support overall sexual health and performance through its blend of natural ingredients. It’s important to note that the effectiveness of such supplements can vary, and they are not FDA-approved for treating ED, making Cilexin a choice for those exploring non-pharmaceutical options.
Best for Wide-Ranging Men’s Health Treatments: Roman
Pros:
- Wide range of men’s health services
- Offers both branded and generic PDE5 inhibitors
- Discreet packaging and delivery
- Comprehensive approach to men’s health
Cons:
- Online-only model may not suit everyone
A comprehensive digital health clinic for men, offering PDE5 inhibitors like sildenafil and tadalafil for ED treatment alongside solutions for other men’s health issues. Roman’s all-encompassing approach covers everything from ED to hair loss, making them a one-stop shop for male health concerns. Their seamless process includes online physician consultations, prescription fulfillment, and discreet home delivery of medications, emphasizing convenience and privacy.
Best for Chewable ED Medication Options: BlueChew
Pros:
- Chewable PDE5 inhibitor tablets for easier consumption
- Offers sildenafil and tadalafil
- Subscription plans available
- A discreet option for those who struggle with pills
Cons:
- Not available in all states
An innovative online service offering chewable PDE5 inhibitors in sildenafil and tadalafil formulations, providing a unique alternative to traditional pills. BlueChew’s custom-made tablets cater to men who have difficulty swallowing pills or prefer a more discreet option. Their subscription-based model and virtual doctor visits make ongoing ED treatment hassle-free and accessible.
Best for Combining Traditional and Alternative ED Treatments: MangoRx
Pros:
- Offers both PDE5 inhibitors and natural supplements
- Telehealth consultations available
- A holistic approach to men’s sexual health
Cons:
- Less established brand compared to major competitors
An online men’s health platform offering a diverse range of ED treatments, including PDE5 inhibitors and natural supplements. MangoRx distinguishes itself by providing both pharmaceutical and natural options, aiming to cater to a wide range of preferences and needs. Their holistic approach to men’s sexual health is supported by telehealth consultations and home delivery of prescriptions, offering flexibility in treatment choices.
Best for General Telehealth (including ED) Consultations: HealthSapiens
Pros:
- Offers various health services beyond ED
- Virtual consultations available
- May be suitable for those seeking broader care
- Potential access to PDE5 inhibitor prescriptions
Cons:
- Not necessarily specialized in ED treatment
A versatile telemedicine company offering a broad spectrum of health services, including consultations for ED and other men’s health issues. While not exclusively focused on ED, HealthSapiens connects patients with licensed physicians for virtual visits and potential treatment recommendations, which may include PDE5 inhibitors. Their comprehensive telehealth services make them a one-stop solution for men seeking online healthcare beyond just ED treatment.
FAQs
What are the most effective first-line treatments for erectile dysfunction?
Both experts agreed that PDE5 inhibitors are the most effective first-line treatments for ED. Dr. Shusterman explained, “There is a group of medications known as PDE5 inhibitors, such as Viagra, Cialis, Vardenafil, which are typically the first line of treatment.” Dr. Gross added, “PDE5 inhibitors are cheap (except Stendra, which is still patented), easy to take, safe, and useful.”
How do the leading ED medications compare in terms of effectiveness and side effects?
Dr. Shusterman noted, “In terms of effectiveness and side effects, Viagra is a little bit more effective but it has more side effects, patients usually complain more of the side effects than with Cialis.” Dr. Gross elaborated on the differences: “The main difference between sildenafil and tadalafil is duration of effect. Facial flushing, nasal congestion, headaches, and heartburn are common to both. Sildenafil is more prone to affect blue color vision, and tadalafil is more likely to cause backaches.”
Are there any new or emerging ED treatments that show promise?
The experts had differing views on this. Dr. Shusterman mentioned, “Our office offers E-Wave and P-Shots. These two advanced treatments will help you improve blood flow and sensitivity, leading to enhanced sexual function and satisfaction.” However, Dr. Gross was more skeptical: “No. The big four ED treatments are pills, vacuum devices, medications that go directly into the penis, or surgery. Other options that have gained attention in the last few years include shockwave therapy, platelet-rich plasma therapy, and stem cell therapy. I have very strong feelings about the ineffectiveness of these therapies.”
What lifestyle changes can help improve erectile function?
Both doctors emphasized the importance of overall health. Dr. Shusterman advised, “Optimize your health. Sleep at least 7 to 8 hours. Manage stress and also exercise. If you have medical conditions such as diabetes, high blood pressure, heart issues, or kidney problems, be sure to keep them under control. Limit alcohol intake.” Dr. Gross added, “Weight loss and exercise can improve erectile function in some men. In many men, exercising and losing weight will only delay the progress of ED.”
What are the potential risks or side effects associated with different ED treatments?
Dr. Shusterman cautioned, “Experiencing headaches, chest palpitations, heart racing, or dizziness are all possible side effects of using trimix injections. Additionally, there is a risk of breaking blood vessels with this type of injection.” Dr. Gross took a broader view: “There are potential risks to everything in the medical field. There are also immense benefits to treating your sexual health concerns.”
Are there any common misconceptions about ED treatments that you often encounter?
Dr. Shusterman addressed one common concern: “One common misconception is that you can become dependent on medication. However, as long as you don’t overdo it and follow your doctor’s instructions, there should be no issues.” Dr. Gross focused on the safety of PDE5 inhibitors: “Patients sometimes tell me that they ‘hear bad things’ about PDE5 inhibitors. These medications are among the most broadly prescribed drugs of the last quarter century. They are safe, well-tolerated, and effective.”
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