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Erectile dysfunction (ED) affects a person’s ability to get or keep an erection. A male enhancement pill may assist with ED, stamina, and overall sexual and physical performance. Companies typically offer discreet delivery of their ED products.

ED is a common condition. A 2016 study states that ED affects at least 12 million people in the United States. Although the condition is common in adults of all ages, it is more likely to affect older adults.

Healthcare professionals consider someone to have ED if they regularly find it difficult to get an erection or periodically have trouble maintaining a firm enough erection for sexual activity or penetrative sex.

There are treatments available for ED, the most common being the male enhancement pill.

This article explores some of the male enhancement pills available for delivery. It also looks at some alternatives.

Male enhancement pills are a common treatment for ED. They typically contain phosphodiesterase 5 (PDE5) inhibitors, such as sildenafil citrate.

Generally, people should take no more than one pill per day. However, a person should follow the manufacturer’s instructions.

Sildenafil received Food and Drug Administration (FDA) approval in 1998. Since then, more PDE5 inhibitors, such as tadalafil (Cialis), have also received FDA approval.

The FDA recently issued a warning about tainted sexual enhancement products. Therefore, a person should consult a doctor before taking any male enhancement pills.

There are numerous effective treatments for ED. PDE5 inhibitors are common drugs and can be effective in the treatment of ED.

When a person becomes aroused, their 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 blood flow to decrease. PDE5 inhibitors block the degradation of these enzymes, enabling increased blood flow and 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, also the name of the generic version of the drug. Many companies provide generic sildenafil pills to treat ED.

When considering new medication, a person should always consult a doctor first.

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

A person should avoid taking ED pills while taking certain medications. These include:

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

Medical News Today chooses ED products that meet the following criteria:

  • Company reputation: MNT selects products from brands that have undergone internal vetting of medical and business standards. The brands we choose are reputable and reliable, with positive reviews and transparent business practices.
  • Product transparency: MNT selects products that state ingredients, side effects, and recommended dosage clearly.
  • Safety: MNT selects brands that require a doctor’s prescription before customers can order Cialis. This ensure that a person can safely take Cialis and that the provider is responsible.
  • Price:MNT selects products that suit a range of budgets, including choosing brands that offer both brand-name and generic Cialis.

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

Medical News Today follows a strict product selection and vetting process. Learn more here.

Best for different budgets: Roman

Roman, formally known as GetRoman, is a US healthcare technology company offering several products dedicated to male health. Its products all carry approval from the FDA.

By visiting the Roman website, a person can arrange an online assessment with a healthcare professional. The company’s physicians will prescribe medication if they decide it is safe and appropriate following the person’s online assessment.

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.

The manufacturer offers male enhancement pills such as:

  • Sildenafil citrate: intended for off-label use and available in 20 milligrams (mg) tablets starting at $2 per 20 mg
  • Branded sildenafil (Viagra): available in 25-, 50-, and 100-mg doses starting at $70 per 25 mg
  • Generic sildenafil: also available in 25-, 50-, and 100-mg doses starting at $34 per 25 mg

The manufacturer recommends that a person take this pill without food around 30–60 minutes before sex. Its effects can last 6–8 hours.

In addition, Roman offers both the generic and branded versions of tadalafil (Cialis).

Learn more about Roman here.

Best for discretion: Hims

Hims & Hers Health is a US telehealth company providing online access to prescription and over-the-counter drugs, such as sildenafil pills for ED.

The medications come in varying doses, depending on a person’s specific requirements.

The manufacturer recommends taking sildenafil 30–60 minutes before sex. It offers the following versions of the pill:

  • Branded Viagra: available in 25-, 50-, and 100-mg doses at a starting cost of $70 per dose
  • Generic sildenafil: available in 25-, 50-, and 100-mg doses with a starting cost of $4 per dose

In addition, a person can also purchase generic and branded Cialis from Hims.

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 the person’s door.

Learn more about Hims here.

Best for dose variety: Lemonaid

Lemonaid is a telehealth medication service based in the United States. It offers a range of ED pills that vary in price and type. It offers the following sildenafil versions:

  • Branded Viagra: available in 25-, 50-, and 100-mg doses at $60–$80 per dose
  • Generic sildenafil: available in 20-, 25-, 50-, and 100-mg doses starting at $2 per 20 mg

In addition, a person can purchase generic Cialis (tadalafil) from Lemonaid.

A person can purchase medication through Lemonaid only after completing an online assessment with a doctor or nurse.

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

Learn more about Lemonaid here.

Fast delivery: REX MD

REX MD is an online supplier of ED treatments in the United States. It provides a variety of ED pills from several different manufacturers. The available doses are:

  • Generic sildenafil: available in 25-, 50-, and 100-mg doses starting at $10 per dose
  • Branded Viagra: available in 25-, 50-, and 100-mg doses starting at $90 per dose

In addition, a person can buy Cialis from this service.

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

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

Learn more about REX MD here.

24/7 clinician access: K Health

K Health is an online pharmacy and medical service provider. A person does not need medical insurance to order medications from K Health.

Instead, a person can pay $39 per visit with a prescribing physician or $29 per month for unlimited appointments. However, this does not include the cost of the medications.

K Health offers sildenafil in the following versions:

  • Generic sildenafil: available in 25-, 50-, and 100-mg doses at a starting price of $1.80 for the lowest dose

According to the company website, K Health does not offer Viagra. However, it does offer generic Cialis (tadalafil) as an alternative.

The company claims it is easy to book a clinician appointment to get a prescription, and physicians are available 24/7.

Learn more about K Health here.

Lowest price: GoodRx

GoodRx offers its medical services and online pharmacy under GoodRx Care. A person can pay $49 for one appointment with a clinician or pay for an unlimited membership at $19 per month. The cost of any prescribed medication would be extra.

It is possible to order sildenafil from GoodRx Care as follows:

  • Generic sildenafil: available in 25-, 50-, and 100-mg doses, starting at $1 per dose.
  • Branded Viagra: available in 25-, 50-, and 100-mg doses starting at approximately $67 per dose.

A person can also order both generic and branded Cialis from GoodRX. Ordering is convenient — a person can choose whether to pick up their drug at a local pharmacy or request the company mail it to them directly.

Blink Health is another online pharmacy service that can help people get the medication they need online.

A person can transfer an existing prescription to Blink Health. A person can pick up their prescription at their local pharmacy or receive it by mail.

A person can order generic sildenafil from Blink Health that is available in 25-, 50-, and 100-mg doses at a starting cost of $10. The $10 cost applies when a person gets their prescription from a Blink Health clinician. With an outside clinician, the starting cost is $19.95

Tadalafil (Cialis) is also available for purchase when a doctor recommends it over another prescription drug.

Various online pharmacies and telehealth companies allow a person to order male enhancement pills online for delivery.

Before purchasing a male enhancement medication online, a person should do their research to make sure the company of their choice is reputable.

In particular, a person should research a medication’s quality and ingredients. Although several PDE5 inhibitors have received FDA approval, many pills marketed as male enhancement supplements are unsafe, untested, and unregulated.

The FDA released a warning about male enhancement pills sold through online marketplaces. The agency found nearly 50 male enhancement and weight loss products containing hidden ingredients. These products may pose a serious health risk.

A regularly updated list of tainted sexual enhancement products is available on the FDA website.

According to the FDA, “Consumers should also be on alert for products that offer immediate or quick results and that sound too good to be true.”

All the brands included in this article have undergone vetting for safety and quality.

Learn more about buying ED pills online safely here.

Besides male enhancement pills, alternative ways to treat ED exist. These include:

  • testosterone therapy, which may be helpful for people with low serum testosterone
  • talk therapy
  • vacuum pumps
  • wearable aids

Some people may also wish to try ginseng supplements. However, a 2021 study on 587 men suggests that ginseng only has slight effects on erectile function compared with a placebo.

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

The Urology Care Foundation explains that ED typically occurs when blood flow in the penis is limited, or the penis’s 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. Some health conditions that can increase a person’s risk of ED include diabetes, heart disease, obesity, multiple sclerosis, certain cancer surgeries, penile injury, and more.

Some psychological factors that can increase a person’s risk of ED include anxiety and depression, post-traumatic stress disorder (PTSD), stress, and guilt about poor sexual performance or specific sexual activities.

Additionally, certain lifestyle factors — such as smoking, consuming large amounts of alcohol, using illegal drugs, and not getting enough exercise — may also play a role in sexual performance issues.

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 treatments the person may require.

Below are some of the most common questions about male enhancement pills.

Do male enhancement pills work?

No research has confirmed that male enhancement pills improve sexual performance or increase penis size.

However, some prescribed products, such as those reviewed in this article, may help treat ED. The FDA has vetted and approved pharmaceuticals such as sildenafil and tadalafil for prescription by a licensed practitioner.

A person should speak with a doctor to ensure they are using an appropriate treatment for ED. Male enhancement pills sold without a prescription may not work as intended and may be unsafe.

Are male enhancement pills safe?

Some male enhancement pills are safe when prescribed by a medical professional and used as directed.

However, there are many unsafe, untested, and unregulated pills marketed as male enhancement products available for purchase. A person should speak with a doctor to ensure they do not use an unsafe product.

What are the possible side effects of male enhancement pills?

Some of the possible side effects of male enhancement pills include:

  • headaches
  • back pain
  • dizziness
  • muscular pain

Male enhancement pills can also interact with other medications. Therefore, a person should speak with a medical professional before taking male enhancement pills.

What are male enhancement pills supposed to do?

Prescribed male enhancement pills in the form of PDE5 inhibitors can help treat ED. PDE5 inhibitors allow for increased blood flow to the penis, resulting in an erection.

The manufacturers of male enhancement supplements sold without a prescription may also claim that their products improve sexual performance or increase penis size. However, numerous unsafe pills and supplements are marketed as male enhancement products.

A person should speak with a doctor if they are experiencing any sexual health issues. The doctor can prescribe a safe and appropriate treatment that best suits the individual.

What does male enhancement mean?

People may consider enhancement as anything they feel makes male sexual performance stronger. This medication may positively affect blood flow to the penis and improve the length, size, strength, and girth of an erection.

Can you take male enhancements pills every day?

Different types of male enhancement pills are available, and some are suitable for daily use. For example, some prescription drugs, such as tadalafil (brand name Cialis), come in low doses that a person can take daily upon advice from their doctor.

Taking a male enhancement pill may help a person with ED get and maintain an erection that is firm enough to engage in sexual activity.

ED is a common issue. It may develop for many reasons, including stress, anxiety, type 2 diabetes, cardiovascular disease, and injury to the penis.

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