The Cheapest ED Treatments, Ranked

Costs nothing and has randomised trial evidence behind it. Roughly 40% of men in one trial regained normal erectile function after three months. Worth one session with a physiotherapist to confirm technique, but the training itself is free forever.

Exercise and weight loss improved erectile function in randomised trials, and unlike everything else on this list they improve the underlying vascular disease as well. The slowest option here and the only one that makes the others less necessary.

Generic sildenafil at a retail pharmacy with a free discount card is the cheapest effective drug treatment in existence. Ring three pharmacies — the spread within one town is routinely severalfold, and that ten minutes is the highest-return effort in this whole subject.

A one-off purchase that costs less than a single month of most things here. Only useful if your erection starts firm and then fades — it holds blood in, it cannot draw it in.

Slightly dearer per tablet than sildenafil but frequently cheaper per month, because one dose covers up to 36 hours. A 90-day prescription for the daily 5 mg strength usually gives the lowest per-tablet price available anywhere.

A compounded trimix vial commonly holds ten to twenty doses, which makes the per-dose cost competitive with tablets — and it works for 70–90% of men, including those for whom tablets did nothing. The barrier is the needle, not the price.

A single purchase with almost no running cost. Over three or four years it works out cheaper than nearly anything else here, and it has no drug interactions at all.

The same FDA-approved generic as the retail entry above, with a consultation and delivery attached. That convenience is a legitimate purchase — it is simply not the cheap one, and the marketing rarely makes the gap obvious.

Ranked last. Chemically identical to the generic at the top of this list, at up to a hundred times the price. There is no clinical reason to expect a different result.