How effective are erectile dysfunction pills?

Bastion Health visual representing the effectiveness of ED pills

Erectile dysfunction (ED) pills have helped millions of men regain sexual function, but how effective are they really? Research shows that ED medications produce an erection suitable for intercourse in about 70% of men. However, individual results vary depending on health factors like nerve or artery damage from prostate surgery, diabetes, or cardiovascular disease. As Dr. Louis Liou, chief of urology at Harvard-affiliated Cambridge Health Alliance, explains, “There are some men in whom none of these drugs work.”

How Quickly Do ED Pills Work?

The onset time of ED drugs ranges from 15 to 60 minutes, but this depends on the medication and how it’s taken. For instance:

  • Viagra (sildenafil) and Levitra (vardenafil) must be taken on an empty stomach, as food—especially a heavy meal—can delay or block absorption.

  • Cialis (tadalafil) and Stendra (avanafil) are less affected by food and offer more flexibility.

Stendra and daily-use Cialis act closer to “on-demand” ED pills, allowing for more spontaneity. Others require a bit more planning before sexual activity.

Using ED Pills Correctly: The Key to Success

A common misconception is that ED pills are an automatic “on/off” switch for erections. Dr. Liou stresses the importance of sexual stimulation during the drug’s active window. “You can’t just take a pill, do the dishes, and expect to be ready for sex,” he says. “Foreplay and being mentally present with your partner are essential for the medication to work.”

If you find ED medication isn’t effective, it may be due to improper use or an underlying health condition. Always follow your doctor’s instructions and discuss any concerns or questions you have about your treatment plan.

Take Action: Talk to Your Doctor

If you’re struggling with ED or if your medication isn’t working as expected, don’t hesitate to seek professional advice. Your doctor can help determine the best treatment for you, whether that means adjusting dosage, switching medications, or exploring other therapies. With expert virtual care and personalized treatment plans, Bastion Health can help you find an approach that truly works—all covered through your employer-sponsored benefits.

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