Whether you have organic or psychogenic erectile dysfunction (ED), there are treatments. But which medication is right for you?

To help direct your ED treatment, you’ll answer questions about your heart and vascular health, erection strength, orgasm (climax), and satisfaction with sex. You’ll also be asked about your medications, including over-the-counter drugs and supplements.

1. Cialis

Whether you’re looking for an occasional treatment for spontaneous sex or something to help keep your sex life on track, several ED medications can meet your needs. Doctors commonly prescribe sildenafil (Viagra) and tadalafil (Cialis). Both are equally effective for many men, though some prefer Cialis’ longer duration of action.

The “little blue pill” first hit the market in 1998 and became a household name, but generic versions of Fildena Red, Cialis (tadalafil), and Levitra (vardenafil) have brought down the price, making these drugs more affordable for people with ED. However, the medications shouldn’t be used as a replacement for other types of sexual therapy. Dr. Kavaler likens foreplay to dessert at the end of a meal—a little extra effort and lubrication can go a long way in a satisfying sex experience.

2. Levitra

ED medication is an effective treatment for many men who experience erectile dysfunction. The medications work to restore the blood flow necessary for an erection. However, they are not a cure for ED. You must identify the root cause of your ED and talk to your doctor about a treatment plan.

Besides oral PDE-5 inhibitors like Levitra, sildenafil, and tadalafil, there are also chewable options such as BlueChew. These chewable ED pills contain the same active ingredients as FDA-approved prescription drugs. They start to work within 30 minutes and can last up to 36 hours. Nevertheless, you should avoid taking any ED medication if you have heart disease or take nitrates for chest pain. The combination can cause a dangerous drop in blood pressure.

3. Viagra

The best ED medication is Viagra, which boosts blood flow to the penis to produce an erection. It works well in most men and has few side effects, if any. It is available by prescription only.

Generic versions of branded ED medications have become widely available, which lowers the cost considerably. They contain the same active ingredients as brand-name drugs and are FDA approved. They also come in a wide range of doses, Free ED Trial Pack can be a good fit for some men who might otherwise struggle to take the full 50 or 100 mg pills a doctor prescribes.

Men with a history of heart disease or heart failure, low blood pressure, or high cholesterol should avoid taking oral ED medications and should instead consult a doctor about ED treatment alternatives. These might include dietary changes, psychosexual therapy, hormonal therapy, and surgical treatment.

4. Tadalafil

Unlike some aphrodisiacs that are advertised as “herbal Cialis,” this FDA-approved drug is safe and effective for most people. However, it's best used as part of an overall treatment plan for ED that includes psychosexual therapy and healthy lifestyle habits.

Sildenafil, tadalafil, and vardenafil -- the PDE5 inhibitors that also include Viagra, Levitra, Staxyn, and Stendra -- are proven to work by increasing blood flow to the penis, which helps men achieve and maintain an erection that lasts long enough for satisfying sexual intercourse. But don't just take it from us: Read tadalafil reviews from real people to get their first-hand experience with this medication. These medications are not for everyone, especially if you have severe heart disease or low blood pressure, or are taking nitrate drugs to treat chest pain.

5. Kamagra

Sildenafil citrate is a PDE5 inhibitor, and like other legitimate ED medications, it works wonders for men with erectile dysfunction. By disrupting the enzymes that control blood flow to the penis, sildenafil allows the blood vessels to relax and increase, meaning achieving and maintaining an erection is much easier for men.

Kamagra is a popular ED Super Avana that comes in single-use packs of (yes, really) flavored oral jelly. It's often sold as a cheaper alternative to Viagra, and it can be bought legally online by people who complete a medical questionnaire so that a doctor or qualified pharmacist can ensure that the treatment will be safe and effective for them.

Purchasing unlicensed Kamagra or any other ED medicines from an illegal website without a prescription is a criminal offense that could lead to prosecution. It is also unwise as it's impossible to know exactly what's in the sachets you're buying, which could increase your risk of serious side effects such as priapism.

6. PDE-5 Inhibitors

Compounds that specifically inhibit phosphodiesterase 5 (PDE5) are effective in treating erectile dysfunction. These include sildenafil, tadalafil, and vardenafil. These medications improve blood flow to the penis by inhibiting PDE5. They also work to relax vascular smooth muscle and lower intracellular calcium levels.

PDE5 inhibitors can be used in conjunction with other medications to treat ED. Combination therapy is more effective than monotherapy in some patient groups.

Spinal cord injury (SCI) can cause erectile dysfunction, which can limit sexual motivation and social interaction. PDE5 inhibitors are an effective treatment for SCI-related ED, and combination therapy can further improve outcomes compared to monotherapy in certain patient subgroups. In addition, combination therapy is safe and effective for patients with LUTS, including those with hypogonadism or prostatectomy-induced ED.

7. Alprostadil

Alprostadil (synthetic progesterone analog), is a vasoactive drug that stimulates penile erection in men with ED. It binds to G protein-coupled PGE1 receptors on smooth muscle cells and activates cAMP, which relaxes the trabecular muscles of the corpora cavernosa to increase lacunar space and dilates the cavernosal arteries.

This results in a more pronounced and sustained erection, and it also improves lower urinary tract function in some men with ED. However, alprostadil injections and creams are not typically used as a first-line treatment for ED.