For most men who have trouble keeping an erection firm enough for sex (erectile dysfunction), these medications work well and cause few side effects.Sildenafil (Viagra), vardenafil (Levitra, Staxyn), tadalafil (Cialis) and avanafil (Stendra) are oral medications that reverse erectile dysfunction by enhancing the effects of nitric oxide, a natural chemical your body produces that relaxes muscles in the penis. All rights reserved. This is typically a clear plastic cylinder with a bulb or plunger and a constriction band.You put your penis in the cylinder and start pumping. Or, a combination of medications might wor… The Treatment of Organic Erectile Dysfunction: A Patient's Guide," 1996; and "AUA Guideline on the Management of Erectile Dysfunction: Diagnosis and Treatment Recommendations," 2005. Medscape Drug Reference from First DataBank: "Alprostadil Urethral" andWebMD does not provide medical advice, diagnosis or treatment.choice for treating erection problems is usually one of the pills called PDE5 inhibitors. Mayo Clinic does not endorse any of the third party products and services advertised.A single copy of these materials may be reprinted for noncommercial personal use only. When compared with the other erectile dysfunction drugs, generic Viagra is found to be the best treatment for the erectile dysfunction. A newer form of the drug that dissolves on the tongue might work faster than the pill that you swallow.Because these drugs are similarly effective, the American College of Physicians recommends that the choice be based on your preferences, including cost, ease of use, how long the drug's effects last and side effects. The device must include a safety control so you can't harm your penis with too much suction.Most men would prefer to avoid surgery, but for some men with erection problems, penis implants are another option for regaining sexual function.There are two kinds of penis implants. To treat erectile dysfunction (ED), you have to lower high blood pressure. The suction creates a vacuum, so blood rushes in to fill the spaces in the spongy tissue of the penis, creating an erection. Continued Alternative Treatments for Erectile Dysfunction. The device itself may malfunction, in which case it would require another surgery to remove or replace it.Getting a penis implant is a big decision. Advertising revenue supports our not-for-profit mission.Check out these best-sellers and special offers on books and newsletters from Mayo Clinic. For example, does spontaneity matter to you, or do you usually plan Viagra starts working in about 15 to 30 minutes and its effects last about two to four hours. Others need help … An erection you get with an implant may be slightly shorter than a natural erection. It's safe to keep the band on for up to 30 minutes.These devices are available without a prescription, but it's important to buy one from a reputable manufacturer. If erection problems persist, or blood pressure goes back up, then your doctor might switch to a drug that's less likely to cause erectile dysfunction. These minor differences affect the way each medication works, such as how quickly it takes effect and wears off, and the potential side effects. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. All of these drugs work in similar ways. Some people are able to do that through lifestyle changes alone. It can dangerously raise blood pressure.Currently, no herb or supplements have been proven to help with erectile dysfunction. If you do buy medications over the internet:Mayo Clinic does not endorse companies or products. The erection lasts only as long as the blood stays in, so you slide the band down around the base of your penis, trapping the blood. When side effects do occur, they can include:Rarely, more-serious side effects can occur, including:Treatments for erectile dysfunction are big business, and online scams abound. First there was Viagra. 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