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Erectile dysfunction (ED) is a condition that affects a person’s ability to achieve or maintain an erect penis. A male enhancement pill may assist with ED, stamina, and overall sexual and physical performance. Companies typically offer discreet delivery of their ED products.

Experts consider a person to have ED if they regularly find it difficult to achieve an erection or periodically struggle to keep a firm enough erection to engage in sexual activity or penetrative sex.

There are treatments available for ED, with the most common being the male enhancement pill. This article explores some of the male enhancement pills available for delivery, along with alternatives.

It is common for a person to experience difficulty with an erection throughout their lifetime. If they regularly struggle with sexual performance, they may have ED.

One 2016 study states that ED affects at least 12 million people in the United States, and while it is common among adults of all ages, it is more likely to affect older adults.

The Urology Care Foundation explains that ED mainly occurs when blood flow in the penis is limited, or its nerves are damaged. However, stress and other psychological factors can also lead to the condition.

In some instances, ED may result from an underlying medical issue. Health conditions that can increase a person’s risk of this issue include:

As well as physical risk factors, the psychological factors that can increase an individual’s risk of ED include:

Additionally, lifestyle factors, such as smoking, consuming large amounts of alcohol, using illegal drugs, and a lack of physical activity, may also play a role in sexual performance issues.

There are several effective treatments for ED. Phosphodiesterase type 5 (PDE5) inhibitors are a common drug and can be an effective ED treatment.

When a person becomes aroused, the body releases enzymes that cause the smooth muscle in the blood vessels to relax. This allows blood to flow through these vessels and into the penis, causing an erection.

When these enzymes degrade, they cause the blood flow to decrease. PDE5 inhibitors block the degradation of these enzymes, allowing for increased blood flow to continue, resulting in an erection.

A person does need to experience arousal for the drugs to produce the desired effect.

Viagra is a brand-name PDE5 inhibitor — its active ingredient is sildenafil citrate, the name of the generic version of the drug. Many companies provide generic sildenafil pills to treat ED.

Here we look at some male enhancement pills that a person may consider.

Please note that the writer of this article has not tried these products. All information presented is purely research-based.

Roman Sildenafil citrate

Roman is a United States healthcare technology company offering several products dedicated to male health. Their products all carry approval by the Food and Drug Administration (FDA).

One of these products is the Roman Sildenafil citrate pill. The manufacturer states that a person should take this pill without food around 30-60 minutes before sex. It also says that its effects can last 6–8 hours.

By visiting the Roman website, a person can arrange an online assessment with a healthcare professional. They will assess an individual’s requirements and be in touch within 24 hours with a treatment plan.

Once an individual orders from the Roman Pharmacy Network, the company provides free shipping in discreet packaging. Roman can also ship to local pharmacies for a small added fee.

Some Roman ED products do not require a prescription. However, the company’s physicians will prescribe sildenafil if they decide it is safe and appropriate following a person’s online assessment.

Roman offers individuals free, unlimited, and ongoing support, where they can discuss fine-tuning their treatments. This means a person may be able to adjust their dosage or move on to more suitable alternatives.

Hims Sildenafil

Hims & Hers Health is a U.S. telehealth company providing prescription and over-the-counter drugs online, such as sildenafil pills for ED. The medications come in varying doses depending on a person’s specific requirements.

Hims offers an evaluation from a qualified medical professional, who will assess a person’s specific requirements online and answer any questions they may have.

Once the assessment is complete, the healthcare professional will prescribe the ED treatment that best suits the individual’s needs. Hims then delivers these products directly and discreetly to their door.

People can also make ongoing adjustments to their treatments to help them achieve better results. They can do this by contacting the healthcare professional through the Hims platform.

Lemonaid Sildenafil

Lemonaid is a telehealth medicine service based in the U.S. offering a range of ED pills that vary in price and type.

The company prescribes sildenafil in 20-milligram pills that a person can purchase online only after completing an online doctor or nurse assessment.

The assessment involves answering questions so the medical professional can make an accurate ED diagnosis and ascertain its likely cause.

The healthcare professional may also suggest ordering investigative tests to look for underlying health conditions that might be triggering ED. However, these tests are optional.

Once an individual has completed their medical review, the medical professional will prescribe them suitable ED treatment. Lemonaid then sends the prescription to a partnered mail order pharmacy for free delivery.


REX MD is an online supplier of ED treatments in the U.S. It provides a variety of ED pills from several different manufacturers.

The company offers a consultation service, during which a person has an evaluation from a healthcare professional in their state. A doctor then makes a recommendation based on an individual’s specific needs. The assessment generally takes place online.

If the physician writes a prescription, REX MD’s pharmacy partner will ship it straight to the person’s door. The company offers free 2-day delivery as part of their service.

After receiving treatments, individuals are eligible for follow-up appointments free of charge, where they can reach their assigned physician at any time to ask questions, make requests, or raise concerns.

When considering taking any new medication, an individual should consult their family doctor, primary care physician, or another qualified healthcare professional.

Pills that contain sildenafil citrate are generally safe to use. However, some side effects may occur, including:

A person should also avoid taking ED pills if they are also taking certain medications. These include:

  • nitrates for chest pain
  • riociguat for pulmonary hypertension
  • recreational drugs that contain nitrates such as amyl nitrite

A person should seek medical help if they regularly experience ED — a doctor may suggest appropriate treatments specific to their needs. As ED may also signify an underlying health issue, visiting a healthcare professional could help identify additional treatment an individual may require.

Besides male enhancement pills, there are several alternative ways a person may treat ED.

These include:

A male enhancement pill may help a person with ED achieve and maintain an erection firm enough to engage in sexual activity.

ED is a common problem that many people experience. It develops due to many reasons, including stress, anxiety, type 2 diabetes, cardiovascular disease, and injuries to the penis.

There are many male enhancement medicines that a person can take to treat their ED. They could also consider alternative treatments, such as complementary medicines and wearable devices.