Erectile dysfunction (ED) treatment options range from lifestyle changes and counseling to medications, vacuum erection devices, and even surgery. Oral medications, such as sildenafil (Viagra) and tadalafil (Cialis), are often the first line of treatment, but other options include injections, intraurethral medication, and penile implants. 

Treatment Options:

Medications:

Oral PDE5 inhibitors: Sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra), and avanafil (Stendra) are commonly prescribed. 

Testosterone therapy: May be used if low testosterone is a factor. 

Penile injections: Injections of alprostadil or other medications into the penis can help facilitate an erection. 

Intraurethral medication: A pellet containing alprostadil is inserted into the urethra. 

Vacuum erection devices:

These devices use suction to create an erection by drawing blood into the penis. 

Penile implants:

Surgical implantation of a penile prosthesis can help men achieve and maintain an erection.