Erectile dysfunction (ED) is much more than a physical problem. It can bring feelings of frustration, loss of confidence, and even hopelessness that often prevent men from seeking help. The good news is that ED is one of the most treatable men’s health concerns today, and for most men, effective options are available to restore both function and confidence.
Understanding Erectile Dysfunction
ED is the inability to achieve or maintain an erection firm enough for sexual activity. It’s different from low sex drive or infertility—it specifically involves changes in erection quality or duration.
ED affects about half of men over 50, but it can appear earlier in men with diabetes, vascular disease, or a history of smoking or alcohol use. Often, ED develops gradually, starting with subtle changes like fewer morning erections or shorter-lasting erections during intercourse.
How ED Medications Work
Most men who experience ED are offered a trial of oral medications called phosphodiesterase inhibitors, such as Viagra, Levitra, or Cialis. These medications increase blood flow to the penis, helping the body respond more effectively to sexual stimulation.
It’s important to remember that these medications don’t automatically create an erection. When taken correctly and under a physician’s guidance, they are safe, effective, and well tolerated by most men. Some medications last longer for spontaneity, while others act quickly when needed—your doctor will help you determine the best fit for your lifestyle.
Finding the Right Fit
Choosing the right ED medication isn’t one-size-fits-all. During your visit, your provider will review:
- Existing health conditions, such as diabetes, heart disease, or high blood pressure
- Current medications (certain prescriptions, like nitrates, cannot be used with ED drugs)
- Timing and lifestyle preferences—daily use versus as-needed use
- Potential side effects, usually mild and short-lived
- Cost and convenience, including access to generics
This personalized approach ensures your treatment plan works for you, not the other way around.
When Pills Aren’t Enough
For some men, oral medications may not be effective—especially if nerve damage, severe vascular disease, or history of surgery or radiation for prostate cancer. In these cases, other options can provide excellent results, such as:
- Vacuum erection devices (VEDs): A cylinder is placed over the penis, and a vacuum pump draws blood into the shaft. A small band helps maintain the erection. Overall safe and reliable, though it may take a little practice to get comfortable using it.
- Urethral suppositories (MUSE): A small, medicated pellet is inserted into the urethra, where it helps increase blood flow to the erectile tissue. Sexual stimulation enhances the effect.
- Penile injection therapy: A tiny injection of medication into the side of the penis causes blood flow to produce an erection usually within minutes. While it may sound intimidating, most men experience minimal discomfort. The dose is carefully controlled with the goal to create a firm, safe erection lasting 15–30 minutes.
- Penile implants: A surgical option involving a concealed, natural appearing synthetic device placed inside the penis. Patients can manually create an erection whenever desired and control the degree of rigidity and duration of erection. Considered for men who don’t respond to other treatments or have irreversible vascular or nerve damage, this option has the highest satisfaction rates and reliably restores erectile function.
These therapies can restore sexual function when medications alone aren’t enough, and satisfaction rates for many of these treatments are extremely high.
Taking the Next Step at Conrad Pearson Clinic
The hardest step for many men is starting the conversation. ED doesn’t just affect sexual performance—it can affect confidence, energy, and quality of life.
If you’re struggling with ED or wondering which medication might be right for you, schedule an appointment with Dr. Michael Granieri, the only fellowship-trained specialist in the Memphis region. Early evaluation and a personalized treatment plan can help you regain sexual function and confidence.
