“Impotence medication”: options and how to choose the right one

Disclaimer: This article is for educational purposes only and does not replace professional medical advice. Erectile dysfunction (ED), often called impotence, can have physical and psychological causes. Always consult a qualified healthcare professional before starting, stopping, or changing any treatment.

Who needs it and what goals are common

Impotence medication is typically considered by men who have ongoing difficulty achieving or maintaining an erection sufficient for sexual activity. Common goals include:

• Restoring reliable erectile function
• Improving sexual confidence and relationship satisfaction
• Reducing performance anxiety
• Addressing underlying health contributors (vascular, hormonal, neurological)

ED can affect men of different ages. Younger men often seek solutions for situational or stress-related ED, while older men may focus on managing chronic conditions such as diabetes or cardiovascular disease.

Options

Oral PDE5 inhibitors (tablets)

When used: First-line therapy for most men with mild to moderate ED.

• Pros: Convenient, well-studied, effective for many users.
• Cons: May cause headaches, flushing, nasal congestion.
• Limitations/risks: Not suitable with nitrate medications; variable response.
• When to discuss with a doctor: If you have heart disease or take blood pressure drugs.

Learn more about clinical perspectives in our CLINICAS section.

Topical and local therapies

When used: For men who cannot tolerate oral drugs.

• Pros: Acts locally, fewer systemic effects.
• Cons: Less predictable results.
• Limitations/risks: Skin irritation; partner exposure concerns.
• When to discuss with a doctor: If oral medication causes side effects.

Injectable medications

When used: Moderate to severe ED unresponsive to tablets.

• Pros: High effectiveness regardless of nerve function.
• Cons: Invasive; requires training.
• Limitations/risks: Pain, prolonged erections (priapism).
• When to discuss with a doctor: If other options fail.

Vacuum erection devices (medical devices)

When used: Non-drug alternative or adjunct.

• Pros: Drug-free, reusable.
• Cons: Mechanical feel, preparation time.
• Limitations/risks: Bruising, discomfort.
• When to discuss with a doctor: If medications are contraindicated.

Lifestyle and psychological approaches

When used: As standalone for mild ED or combined with medication.

• Pros: Improves overall health, no drug side effects.
• Cons: Slower results.
• Limitations/risks: Requires long-term commitment.
• When to discuss with a doctor: When stress, anxiety, or habits contribute.

Large comparison table

approach	for whom	effect/expectations	risks	notes
Oral tablets	Most men with ED	Improved erection with stimulation	Headache, flushing	First-line choice
Topical agents	Tablet intolerance	Local vasodilation	Irritation	Moderate effectiveness
Injectables	Severe ED	Strong, reliable erection	Priapism	Requires training
Vacuum devices	Medication contraindications	Mechanical erection	Bruising	Non-pharmacological
Lifestyle/therapy	Mild or psychogenic ED	Gradual improvement	None significant	Supports all treatments

For practical overviews and patient stories, visit our blog section.

Common mistakes and misconceptions when choosing

• Assuming one pill works for everyone
• Ignoring cardiovascular risk assessment
• Buying unregulated products online
• Overlooking psychological factors

Mini-guide to preparing for a consultation

• List current medications and supplements
• Note onset and duration of symptoms
• Record chronic conditions (diabetes, hypertension)
• Prepare questions about side effects and expectations

FAQ

Is impotence medication safe long-term?

For many men, yes, when monitored by a doctor.

Can lifestyle changes replace medication?

In mild cases, they may significantly reduce symptoms.

Do these drugs increase desire?

No, they improve physical response, not libido.

What if tablets don’t work?

Other options like injections or devices are available.

Are online products reliable?

Only use regulated pharmacies; see our FARMÁCIAS resources.

Should I see a specialist?

Yes, especially if ED is persistent or worsening.

Sources

• European Association of Urology (EAU) Guidelines on Sexual and Reproductive Health
• American Urological Association (AUA) Erectile Dysfunction Guideline
• National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
• Mayo Clinic – Erectile Dysfunction Overview