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Erectile Dysfunction Medicine Online

Erectile dysfunction is becoming a common health issue in men these days. Although different studies over the years concluded that the potential to develop ED increases with age, people belonging to the young age group may also experience some form of it. A 10-year-old report from the Journal of Sexual Medicine cited that 26% of people under 40 years old are likely to develop erectile dysfunction.

What is Erectile Dysfunction (ED)

Erectile dysfunction is a health condition preventing natural erection for men. This is a specific health issue where the man is not able to perform satisfactory sexual intercourse. It not only impacts the physical conditions but also the overall quality of life.

Occasional erectile dysfunction is much more common and there is nothing to be scared about. Any change in mental or physical health can affect sexual potency. However, frequent ED is more serious and requires proper treatment.

There are certain reasons behind the development of ED. There can be physical as well as physiological issues that slowly cause the dysfunction. So, it is important to know them before anticipating how serious the problem is and what type of medication is required. Although the situation is much more common in men, the treatment process is not the same. It includes multiple parameters including other medical conditions.

Causes and Risk Factors of ED

Physical conditions

Heart Conditions:

Coronary heart diseases are one of the main reasons behind erectile dysfunction. Heart diseases take place when plaque builds up in the arteries followed by a decrease in the blood flow. As a result, the blood vessel cannot function properly. This is also known as atherosclerosis.

Parkison’s Disease:

Since this disease impacts the central nervous system, it creates blood circulation issues in the penis and pelvic area. As a result, it is harder to keep up an erection for a long time.

Peyronies Disease:

This disease is responsible for developing scar tissues in the penis. These tissues would interfere with how the penis stores blood during an erection.

Hormone Imbalance:

High cortisol levels can reduce testosterone production in the body, the hormone responsible for male sexual characteristics. It can also narrow down arteries and penial blood flow.

High blood pressure:

This can reduce the blood flow in the penile area and causes erectile dysfunction. Also, some medicines used to cure high BP can promote ED. Hypertension is another reason as well. 

Faulty Organs:

Liver Cirrhosis or kidney stone can cause erectile dysfunction. The former can generate scar tissues while kidney stones narrow blood vessels.


Mainly type 2 diabetes can be a reason behind developing erectile dysfunction. High blood sugar level gradually affects the blood vessels and nerves.

Damage during surgery:

Any injury in the penile or pelvic area during surgery can be the reason behind erectile dysfunction in a later stage.


Both hypothyroidism and hyperthyroidism can develop ED in men. Hypothyroidism lower the free testosterone level in the blood along with other sex hormones like globulin.

Age: With increasing age, testosterone levels might fall, and men require more time between erections. Gradually, it is one of the prime reasons behind ED.

Multiple Sclerosis:

If MS damages nerves in the part of the brain and spinal cord, there can be problems with achieving a firm erection. For instance, autonomic nerve damage can lead to damage in sex organs related to ED.

Physiological and Mental conditions

Sleeping disorder:

Sleeping disorders or insomnia can lower testosterone levels and oxygen levels in the body, causing erection problems.

Depression and anxiety:

Poor mental health conditions are unable to keep sexual arousal. As erection requires physiological components, depression and anxiety become critical hurdles.

Relationship problems:

Relationship conflicts are likely to develop erectile dysfunction to some extent due to psychological boredom. Unsatisfied sex life and inability to get a partner pregnant often accelerate such personal problems.

Performance anxiety:

This is another psychological issue that worsens the intimate situation, leading to ED. Low esteem and embarrassment can make the situation even poor.

Lifestyle factors

Excessive alcohol consumption:

Unregulated alcohol consumption interferes with the signals between the brain and body. As a result, blood circulation and volume get reduced as opposed to the ideal state for erection.

Tobacco use:

Tobacco consumption can worsen the arterial blood flow in the penis, leading to erectile dysfunction. Studies show that heavy smokers have twice the chance of developing ED than non-smokers.

Risk factors

Here are some of the additional factors that can boost the possibility to get erectile dysfunction.


Being overweight can create multiple issues that support ED. For instance, it can damage the blood vessels, lower testosterone levels, etc.


There are some medicines that interfere with ED as a side effect. For example, Diuretics, muscle relaxants, Antihypertensives, Antidepressants, etc.

Critical surgery:

Some critical operations can leave a side effect like erectile dysfunction. However, these dysfunctions are temporary most of the time.


Serious injuries can develop ED with time.

Symptoms of ED

Knowing the symptoms would help to cross-verify with the causes mentioned in the last section, in order to understand when to see a doctor. The symptoms of ED include

  • Facing trouble getting an erection or delayed ejaculation
  • Facing trouble to keep the erection firm for a long time
  • Premature ejaculation
  • Anorgasmia is the inability to achieve an orgasm after enough stimulation

If these symptoms last for more than three months and you already have heart issues, diabetes, or other medical problems that can interfere with these symptoms, you need to see a doctor. Note that, with the right professional guidance, erectile dysfunction can be cured.

Medicines to Treat Erectile Dysfunction

There are different medicines to treat erectile dysfunction with different working principles. Most of them are oral medicines. These are PDE-5 inhibitors that prevent the Phosphodiesterase type 5 enzyme and improve blood circulation in the penis.

Sildenafil (Viagra)

Sildenafil Citrate is the oldest FDA-approved PDE-5 inhibitor that is known by the brand name, Viagra. This should be taken an hour before sexual activity and it lasts up to 4 hours generally, Sometimes, the effect lasts up to 12 hours. The dosage lies between 25 to 100 mg per day.

Avanafil (Stendra)

This is the most recent FDA-approved drug to treat erectile dysfunction in men. A dosage of 50 to 200mg per day is required and that lasts till 5 hours. Avanafil should be taken 30 to 45 minutes before intercourse. 

Tadalafil (Cialis)

Cialis (Tadalafil) has the longest effect as a PDE-5 inhibitor among all of the four types. It starts working within 20 minutes of consumption and the effect lasts up to 24 to 36 hours. A dosage of 2.5 to 20mg is enough per day. It got FDA approval in 2003.

Vardenafil (Levitra, Staxyn)

Another FDA-approved PDE-5 inhibitor in the same year is Vardenafil. This is available in both Levitra and Staxyn drugs. This has the shortest reaction time of 10 minutes within consumption. A daily dosage of 5 to 20mg is required and it stays up to 5 to 7 hours typically.

Common Side Effects of the Medicines

  • Headaches
  • Flushing
  • Indigestion
  • Vision problems
  • Cold-like symptoms

Other Treatment Options

Other than medicines, there are some approaches to treat erectile dysfunction in men. One of them is talk therapy or counseling. As there are some psychological factors responsible to develop ED, this therapy can be helpful. Depression, anxiety, and relationship problems can be cured with this therapy and there’s no need for medication.

On the other hand, drugs curing ED can interact with other medicines and damage health even more. In such cases, a vacuum pump is applied. It can create a vacuum followed by drawing blood into the penis to regulate erection.

Kegel exercises, yoga, and aerobic exercises can also help to increase blood flow, strengthen pelvic muscles, etc. Certain herbs and supplements like Shatavari, DHEA, Ginseng, L-arginine, L-carnitine, and Yohimbe are able to treat ED with varying degrees of success.

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