Effective Pills for Treatment of Erection Problems in Men. Viagra, Cialis, Levitra, and Stendra Help Men Get and Keep Erections.

by Alex Shteynshlyuger MD


If you have any questions, to schedule a consultation or if you need a second opinion, please contact us or call 1-(646) 663-5211.


How Effective are Medications for Treatment of Erection Problems?

Viagra was the first medication approved for treatment for erection problems (ED) in men. Oral medications taken in pill form such as Viagra (sildenafil), Cialis, Levitra and Stendra are very effective for treatment of erectile dysfunction.

More than 80% of men find these medications beneficial and do not require any additional treatment.  It is important to have a thorough evaluation to determine if there are any medical conditions that are causing problems with getting and keeping an erection.

Viagra and Cialis Work WellSide Effects of PDE5-Inhibitors: Cialis, Viagra, Stendra and Levitra

All medications have side effects but not every man gets side effects when taking one of these medications.  In addition each of these medications: Viagra, Cialis (tadalafil), Levitra and Stendra (avanafil) have somewhat different side effects.

When a man develops a side effect to one of these medication he may not have the same side effect to another medication.  As a result if one medication is causing side effects, it is possible to change to another medication that may not give the patient the same side effects.

What if Medications for Erections Do Not Work?

A small minority of patients do not respond well to medications such as Viagra (sildenafil) and Cialis (tadalafil).  Sometimes it may be a matter of proper use and adequate trial of medications.  In general these medications need to be tried at least 8-10 times as sometimes they may not work initially.  These medications are not ‘magic pills’, they help blood to get to the penis but you would still need to be aroused.  Your partner can help you get aroused or masturbation can help.

If the medications such as Viagra, Cialis, Levitra and Stendra do not work initially to produce a satisfying erection, it may be possible to increase the dose of medications.  Combination of treatment options may also be tried, for example an oral pill may be used with intraurethral medication (MUSE).

If Viagra or Cialis do not work well, blood work may need to be performed again and blood pressure checked.   If a patient is found to have low testosterone levels, testosterone replacement may be helpful.

Learn more about differences between Viagra vs Cialis vs Stendra vs Levitra.

If medications such as Viagra and Cialis do not work sufficiently well, other treatment options for ED are available which include vacuum pump, penile prosthesis, and penile injections.

What are the Common Side Effects of Medications for Treatment of Erectile Dysfunction?

Common side effects of medications such as Viagra, Cialis and Levitra (vardenafil) are headaches, upset stomach, hot flashes, muscle pain and visual blurriness.  Dangerous side effects such as priapism (erection that lasts >4 hours) and blindness are rare.  There is a small increase in risk of melanoma.

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If you have any questions, to schedule a consultation or if you need a second opinion, please contact us or call 1-(646) 663-5211.

We offer affordable, highest-quality urology care with or without insurance.   Find out our office hours or directions to our office. We offer weekday, weekend and evening office hours.

Dr. Alex Shteynshlyuger  is a board certified urologist, who specializes in all aspects of care for sexual problems in men including ED, premature ejaculation and other sexual concerns.  

If you have any questions, to schedule a consultation or if you need a second opinion, please contact us or call 1-(646) 663-5211.


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