Erectile Dysfunction

TABLE OF CONTENTS

Erectile Dysfunction

Treatments

Non-drug

Prescription Drugs

Cialis (Tadalafil) Viagra (Sildenafil)

Over-the-counter Drugs

What Leading Medical Organizations Recommend When Treating Erectile Dysfunction

WHAT TO TRY FIRST

The American College of Physicians recommends PDE-5 inhibitors - drugs like sildenafil (Viagra) - as first-choice treatment.

There are not enough “head-to-head” trials to know which PDE-5 drugs are most effective or safer. Higher doses may work better but have more side effects.

Choose a drug based on ease of use, cost and personal preference.

WHAT ELSE TO TRY

The American Urological Association lists a variety of treatment options for patients who do not respond to PDE-5 drugs. The following options - from the least invasive/lowest side effects to most invasive/most side effects - should be considered in a step-wise fashion:

  1. Suppositories placed into the penis
  2. Injections into the penis
  3. Vacuum devices
  4. Surgery to implant a penile prosthesis

SOURCES

The American College of Physicians. Hormonal testing and pharmacologic treatment of erectile dysfunction. Published July 2009.
The American Urological Association. The Management of Erectile Dysfunction. Published 2005, reviewed 2011.