Can’t take Viagra or it didn’t work for you? That’s common. There are other pills, devices, and simple lifestyle changes that often help. Below I’ll walk you through clear, practical options and what to ask your doctor so you can make a smarter choice.
If you want a pill, Viagra is not the only one. Tadalafil (Cialis) lasts much longer — up to 36 hours — so it’s good if you want more spontaneity. Vardenafil (Levitra) and avanafil (Stendra) can act faster or have milder side effects for some men. All these drugs are PDE5 inhibitors and work similarly, but they differ in onset, duration, and how they affect you.
Important: these meds interact dangerously with nitrates (heart meds) and can drop blood pressure. Don’t take them without a doctor’s OK. If you have heart disease, uncontrolled high blood pressure, or take nitrate medicines, your doctor will suggest alternatives.
Devices and direct treatments can work when pills don’t. A vacuum erection device uses suction to draw blood into the penis, then a ring keeps it in place — it’s effective and non-invasive. Penile injections (alprostadil) and urethral suppositories deliver medicine directly where it’s needed and often work when oral meds fail.
For long-term solutions, check testosterone levels. Low testosterone can cause low libido and ED — replacing hormones can help when levels are low. For severe, persistent ED, a prosthesis (penile implant) is an option your urologist can discuss.
Don’t forget the basics: quitting smoking, cutting back on alcohol, losing weight, and improving sleep can improve erections. Performance anxiety or depression often plays a role, so sex therapy or cognitive behavioral therapy can make a big difference when psychological factors are involved.
Thinking of herbal supplements? Be cautious. Supplements like yohimbine or ginkgo have limited benefit and can cause side effects or interact with other drugs. Always check with a clinician first.
How to pick the right alternative? Think about three things: speed (how fast it works), duration (how long it lasts), and safety with your other health conditions. Cost and convenience matter too. Talk openly with your doctor about your goals — whether you want spontaneous sex, predictable performance, or the most natural feeling option.
If you buy meds online, use licensed pharmacies and check reviews, certifications, and prescription requirements. Telehealth services can simplify getting a prescription safely.
Bottom line: there are multiple, effective alternatives to Viagra. Find one that fits your health profile and lifestyle, and always get medical advice before switching or starting treatments.