Your treatment options, without the sales pitch

Prescription ED treatment mostly centers on a class of medications called PDE5 inhibitors, they improve blood flow in response to arousal. Within that class, the practical differences are onset speed, how long effects last, and format.

Standard single-ingredient tablets

Sildenafil (the active ingredient in Viagra®) and tadalafil (Cialis®) are the workhorses. Sildenafil is taken as needed; tadalafil comes in as-needed and daily low-dose versions. Generics have made both far more affordable than a decade ago. For many men, these work well.

Compounded multi-ingredient treatments

Some doctor-supervised telehealth programs offer compounded treatments that combine multiple active ingredients in a single dissolvable (sublingual) dose. Providers may consider these when single-ingredient tablets haven't worked well or when a dissolvable format is preferred. They're prescribed only when a licensed provider determines they're appropriate.

Beyond medication

Lifestyle factors, cardiovascular fitness, sleep, alcohol, smoking, genuinely move the needle, and addressing underlying conditions matters. Devices, therapy for psychological factors, and other clinical options exist for men who don't respond to medication. A provider can walk you through the full landscape.

How to choose

Honestly: you don't choose the medication, a licensed provider does, based on your health. What you can choose is the program: its cost, format options, provider access, and shipping. That's what our quiz matches on.