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

Erectile dysfunction is a common condition. A 2016 study states that erectile dysfunction 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 erectile dysfunction 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 erectile dysfunction, 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 erectile dysfunction. 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.

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

However, 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 be extra vigilant about 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.”

Get additional suggestions on how to vet brands and products here.

How we choose products

Medical News Today chooses products that meet the following criteria:

  • Claims that the company makes are not misleading.
  • Company healthcare practitioners are appropriately credentialed.
  • Products do not pose a legal or safety threat to consumers.

The sections below look at some male enhancement pills available for online ordering that a person may wish to consider.

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

1. Roman

Best for different budgets

Roman is a U.S. 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 that 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).

2. Hims

Best for discretion

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

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 $3 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 erectile dysfunction treatment that best suits the individual’s needs. Hims then delivers these products directly and discreetly to the person’s door.

3. Lemonaid

Good dose variety

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

  • Branded Viagra: available in 25-, 50-, and 100-mg doses at a cost of $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 erectile dysfunction treatment. Lemonaid then sends the prescription to a partnered mail order pharmacy for free delivery.

4. REX MD

Free 2-day delivery

REX MD is an online supplier of erectile dysfunction treatments in the United States. It provides a variety of erectile dysfunction 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.

5. K Health

24/7 clinician access

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

Instead, a person can pay $29 per visit with a prescribing physician or $19 per month for unlimited appointments. However, this does not include the cost of the medications.

K Health offers sildenafil in the following versions:

According to its website, K Health does not offer branded Viagra. However, it does offer generic Cialis (tadalafil) as an alternative to those who might prefer it.

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

6. GoodRx

Lowest price

GoodRx offers its own medical services and online pharmacy under the name 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 because a person can choose whether to pick it up at their local pharmacy or have it delivered to their home.

7. Blink Health

Best for convenience

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 sildenafil from Blink Health as follows:

  • Generic sildenafil: available in 25-, 50-, and 100-mg doses at a starting cost of $10 if a person gets their prescription from a Blink Health clinician (with an outside clinician, the starting cost is $19)

If a doctor recommends it over sildenafil (Viagra), tadalafil (Cialis) is also available for purchase.

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

The Urology Care Foundation explains that erectile dysfunction 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, erectile dysfunction may result from an underlying medical issue. Some health conditions that can increase a person’s risk of erectile dysfunction 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 erectile dysfunction 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.

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

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 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, which is also the name of the generic version of the drug. Many companies provide generic sildenafil pills to treat erectile dysfunction.

When considering taking any 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 erectile dysfunction 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 erectile dysfunction. A doctor may suggest appropriate treatments specific to their needs.

As erectile dysfunction may also signify an underlying health issue, visiting a healthcare professional could help identify additional treatments the person may require.

Besides male enhancement pills, there are several alternative ways to treat erectile dysfunction. 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.

Below are some of the most common questions and answers 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 erectile dysfunction. 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 that they are using an appropriate treatment for erectile dysfunction. Male enhancement pills sold without a prescription may not work as intended, and they may be unsafe.

Are male enhancement pills safe?

When prescribed by a medical professional and used as directed, some male enhancement pills are safe.

However, there are a number of unsafe, untested, and unregulated pills marketed as male enhancement products available for purchase. A person should speak with a doctor to ensure that 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 any male enhancement pills.

What are male enhancement pills supposed to do?

Prescribed male enhancement pills in the form of PDE5 inhibitors can help treat erectile dysfunction. 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, there are numerous unsafe pills and supplements 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.

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

Erectile dysfunction is a common issue. It may develop due to 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 erectile dysfunction. People could also consider alternative treatments, such as complementary therapies and wearable devices.