Physician-led · Confidential · Est. 2009
IndexTreatments
We work down that ladder, not up it. Where a treatment's evidence base is thin, we say so here rather than in the small print — because the difference between 'proven' and 'promising' is the difference between medicine and marketing.
How to read this page
Every treatment carries one of three grades. They are applied by our medical director and reviewed annually.
01The ladder
Nothing at all, then a mechanical device, then a non-invasive procedure, then drug therapy, then injections, and only at the end surgery that cannot be undone.
First-line
Sildenafil, tadalafil, vardenafil and avanafil remain the best-studied treatment for erectile dysfunction. Dosed and timed correctly, they work for the majority of men who take them.
Device
A vacuum device draws blood into the penis mechanically and a constriction ring holds it there. No medication, no interactions, and a central role in rehabilitation after prostate surgery.
In-clinic procedure
Low-intensity extracorporeal shockwave therapy delivers focused acoustic pulses to the erectile tissue with the goal of stimulating new blood vessel growth. Promising, but still an area of active research.
Hormonal
Where erectile dysfunction sits alongside biochemically confirmed hypogonadism, correcting testosterone can restore libido, energy and treatment response. Where it does not, testosterone is the wrong tool.
Self-administered
A very fine injection of alprostadil, or a compounded combination such as Bimix or Trimix, produces a reliable erection in most men — including many for whom pills have stopped working entirely.
In-clinic procedure
Platelet-rich plasma prepared from your own blood is injected into the erectile tissue in the hope of stimulating repair. The concept is plausible; the human evidence is thin.
Surgical
A three-piece inflatable prosthesis is implanted entirely within the body and controlled by a concealed pump. Reserved for men who have exhausted other treatments — and consistently the highest-rated among them.
02Related conditions
Both frequently sit alongside erectile dysfunction and interact with it, and both need their own diagnosis and their own plan.
In-clinic procedure
Peyronie's disease is scar tissue within the penis causing curvature, pain, or deformity. It frequently coexists with erectile dysfunction and requires its own treatment plan.
First-line
Premature ejaculation affects a substantial share of men and responds well to a combination of behavioral technique, topical agents and, where appropriate, medication.
—Not sure which
This page exists so you can see what we do and how honestly we rate it — not so you can arrive having already decided. Which treatment fits depends on your arterial inflow, your hormone panel, your medication list and your own priorities, and none of those are visible from a website.
Come in, get assessed, and let the results of that assessment choose. It is a considerably better method than picking the option with the most compelling paragraph.
How assessment worksNext step
Ninety minutes with a physician who does only this. A full diagnostic workup, a written plan, and a clear price before anything begins.
Giveaway
One reader gets 12 months of CoreAge Rx 4PLAY, free. At $114 / month, that is a $1,368 value.
CoreAge Rx is a featured partner and pays for placement. Our independent review of 4PLAY is unchanged by that.