# All ED treatments

> Every treatment option, sorted by how strong the supporting evidence is.

- **Source:** ED Treatment Guides (https://www.edtreatmentguides.com/treatments)
- **Treatments covered:** 18

Ordered by how strong the published evidence is, not by what any of them cost us or earn us.

| Treatment | Evidence | Prescription | Onset | Duration | Typical cost |
| --- | --- | --- | --- | --- | --- |
| [Sildenafil](https://www.edtreatmentguides.com/treatments/sildenafil) | Strong evidence | Yes | 30–60 minutes | 4–6 hours | $5–$40 per month (generic) · $70–$100 per tablet (brand Viagra) |
| [Tadalafil](https://www.edtreatmentguides.com/treatments/tadalafil) | Strong evidence | Yes | 30 minutes – 2 hours | Up to 36 hours (on-demand) · continuous (daily dosing) | $10–$50 per month (generic) · $70–$90 per tablet (brand Cialis) |
| [Vardenafil](https://www.edtreatmentguides.com/treatments/vardenafil) | Strong evidence | Yes | 30–60 minutes | 4–8 hours | $20–$80 per month (generic) · brand pricing varies widely |
| [Avanafil](https://www.edtreatmentguides.com/treatments/avanafil) | Strong evidence | Yes | 15–30 minutes | About 6 hours | $30–$100+ per month, depending heavily on pharmacy and coupons |
| [Injections](https://www.edtreatmentguides.com/treatments/penile-injections) | Strong evidence | Yes | 5–20 minutes | 30–60 minutes | $30–$80 per compounded vial (multiple doses) · $50–$100 per single-use alprostadil kit |
| [Implant](https://www.edtreatmentguides.com/treatments/penile-implants) | Strong evidence | Yes | Usable about 4–6 weeks after surgery | Permanent, with mechanical lifespan of 10–20 years | $15,000–$25,000+ before insurance; frequently covered when criteria are met |
| [Testosterone](https://www.edtreatmentguides.com/treatments/testosterone-therapy) | Moderate evidence | Yes | 3–6 weeks for libido; up to 6 months for erectile function | Ongoing while treatment continues | $20–$150 per month depending on formulation, plus monitoring bloodwork |
| [Sex therapy](https://www.edtreatmentguides.com/treatments/sex-therapy) | Moderate evidence | No | Typically several weeks | Benefits can persist after therapy ends | $100–$250 per session; some insurance coverage; low-cost options exist |
| [Lifestyle](https://www.edtreatmentguides.com/treatments/lifestyle-changes) | Moderate evidence | No | 6 weeks to 6 months | Sustained while the changes are maintained | Free to low cost |
| [Pelvic floor](https://www.edtreatmentguides.com/treatments/pelvic-floor-therapy) | Moderate evidence | No | 6 weeks to 3 months | Maintained with continued practice | Free, or $80–$200 per session with a pelvic floor physiotherapist |
| [Vacuum device](https://www.edtreatmentguides.com/treatments/vacuum-erection-device) | Moderate evidence | No | 2–5 minutes | Up to 30 minutes with the constriction ring in place | $100–$500 one-off for a medical-grade device |
| [MUSE pellet](https://www.edtreatmentguides.com/treatments/intraurethral-alprostadil) | Moderate evidence | Yes | 5–10 minutes | 30–60 minutes | $40–$70 per dose |
| [Supplements](https://www.edtreatmentguides.com/treatments/supplements) | Limited evidence | No | Weeks, where any effect exists | Not established | $15–$80 per month |
| [Constriction rings](https://www.edtreatmentguides.com/treatments/constriction-rings) | Limited evidence | No | Immediate, once applied | Maximum 30 minutes per use | $10–$60 one-off |
| [Topical gels](https://www.edtreatmentguides.com/treatments/topical-treatments) | Limited evidence | No | About 10 minutes | Around 1–2 hours | $25–$60 per pack of single-use doses |
| [Vascular surgery](https://www.edtreatmentguides.com/treatments/penile-revascularization) | Limited evidence | Yes | Months, as the graft matures | Potentially long-term in correctly selected patients | $15,000–$40,000+; insurance coverage is inconsistent |
| [Shockwave](https://www.edtreatmentguides.com/treatments/shockwave-therapy) | Investigational | No | Weeks to months, if it works at all | Benefit typically studied over 6–12 months | $3,000–$6,000 for a typical course of 6–12 sessions |
| [PRP / stem cell](https://www.edtreatmentguides.com/treatments/prp-therapy) | Investigational | No | Claimed over weeks to months | Not established | $1,500–$3,000 per injection; packages often sold in multiples |

## Every treatment page

- [Sildenafil (Viagra): How It Works, Dosing, Cost and Side Effects](https://www.edtreatmentguides.com/treatments/sildenafil) — Sildenafil is the most-prescribed erectile dysfunction medication in the world and the one most people try first. Here is what it does, how to take it properly, what it realistically costs, and when it is not safe.
- [Tadalafil (Cialis): The 36-Hour Option, Daily Dosing and Costs](https://www.edtreatmentguides.com/treatments/tadalafil) — Tadalafil lasts far longer than any other ED tablet and is the only one with a licensed daily dose. That changes how sex fits into a relationship. Here is how to choose between the two regimens.
- [Vardenafil (Levitra, Staxyn): When the Third Option Is the Right One](https://www.edtreatmentguides.com/treatments/vardenafil) — Vardenafil is the least-prescribed of the mainstream ED tablets, which says more about marketing than about the molecule. It is a reasonable switch when sildenafil disappoints or its side effects are intolerable.
- [Avanafil (Stendra): The Fastest-Acting ED Tablet](https://www.edtreatmentguides.com/treatments/avanafil) — Avanafil is the newest PDE5 inhibitor and the fastest to take effect — as little as 15 minutes. Its drawback is price: it is the one mainstream ED tablet with no cheap generic in most US pharmacies.
- [Penile Injections (Alprostadil, Trimix): The Most Reliable Non-Surgical Option](https://www.edtreatmentguides.com/treatments/penile-injections) — Intracavernosal injection therapy works for most men in whom tablets have failed — success rates above 80% are typical. The barrier is not effectiveness. It is the needle.
- [Penile Implants: The Definitive Treatment, and Why It Is Last](https://www.edtreatmentguides.com/treatments/penile-implants) — A penile prosthesis has the highest satisfaction rate of any ED treatment — consistently above 90%. It is also surgical, irreversible, and the end of natural erections. Both facts are true at once.
- [Testosterone Therapy for ED: When It Helps and When It Does Not](https://www.edtreatmentguides.com/treatments/testosterone-therapy) — Testosterone is heavily marketed as the answer to erectile dysfunction. It is the right treatment for a specific, testable group of men — and the wrong one, with real consequences, for everyone else.
- [Sex Therapy and CBT for ED: The Treatment Most Men Skip](https://www.edtreatmentguides.com/treatments/sex-therapy) — Psychological factors are involved in most erectile dysfunction, including cases with a clear physical cause. Talking therapy is the only treatment that addresses them — and it works.
- [Lifestyle Changes for ED: The Only Treatment That Fixes the Cause](https://www.edtreatmentguides.com/treatments/lifestyle-changes) — Exercise, weight loss, stopping smoking and better sleep improve erectile function in controlled trials. They are slow, unglamorous, and the only interventions that address why this happened.
- [Pelvic Floor Exercises for ED: Kegels for Men, Done Properly](https://www.edtreatmentguides.com/treatments/pelvic-floor-therapy) — Pelvic floor muscle training has randomised trial evidence behind it for erectile dysfunction, and it costs nothing. It is also the treatment most men do incorrectly.
- [Vacuum Erection Devices: How Penis Pumps Actually Work](https://www.edtreatmentguides.com/treatments/vacuum-erection-device) — A vacuum erection device produces an erection mechanically, without any drug. It works when tablets do not, it costs little to run, and it is genuinely unromantic. Here is an honest account of both sides.
- [Intraurethral Alprostadil (MUSE): The Needle-Free Alternative](https://www.edtreatmentguides.com/treatments/intraurethral-alprostadil) — MUSE delivers the same drug as a penile injection through the urethra instead of a needle. It avoids the needle — and gives up a good deal of effectiveness in exchange.
- [ED Supplements and 'Male Enhancement': An Evidence Review](https://www.edtreatmentguides.com/treatments/supplements) — A handful of supplements have modest evidence behind them. Most have none. And a disturbing number of products sold for 'male enhancement' contain undeclared prescription drugs.
- [Constriction Rings and Tension Loops: The Cheapest Thing Worth Trying](https://www.edtreatmentguides.com/treatments/constriction-rings) — If your erection starts well and fades within a couple of minutes, the problem may be holding blood in rather than getting it there. A ring costs less than a month of tablets and addresses exactly that.
- [Topical ED Treatments: Gels, Creams and What They Can Realistically Do](https://www.edtreatmentguides.com/treatments/topical-treatments) — Topical treatments are the newest category in erectile dysfunction, and the first to reach US shelves without a prescription. The convenience is real. The effect size is modest.
- [Penile Revascularization and Venous Surgery: A Narrow, Specific Option](https://www.edtreatmentguides.com/treatments/penile-revascularization) — Arterial bypass surgery can restore erections in a very specific group — young men with an isolated arterial injury and no vascular risk factors. For everyone else, guidelines are clear that it does not work.
- [Shockwave Therapy for ED: What the Evidence Actually Shows](https://www.edtreatmentguides.com/treatments/shockwave-therapy) — Low-intensity shockwave therapy is marketed as a cure that treats the cause rather than the symptom. The research is more interesting than the marketing admits — and considerably less conclusive.
- [PRP and Stem Cell Injections for ED: An Evidence Check](https://www.edtreatmentguides.com/treatments/prp-therapy) — Platelet-rich plasma injections and stem cell treatments are sold as regenerative cures for erectile dysfunction. Neither is approved for this use, and the human evidence remains thin.

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_This page is general health information, not medical advice. It cannot account for your own history, medications or risk factors. Talk to a licensed clinician before starting, stopping or changing any treatment._

_Canonical URL: https://www.edtreatmentguides.com/treatments_