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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 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.

Sildenafil received Food and Drug Administration (FDA) approval in 1998. Since then, more PDE5 inhibitors, such as tadalafil (Cialis), have also received FDA approval. In the US, drugs containing PDE5 inhibitors require a prescription.

It is important to be cautious regarding non-prescription male enhancement pills. The FDA recently issued a warning about certain tainted sexual enhancement products available without a prescription through online retailers such as eBay and Amazon.

PDE5 inhibitors are common drugs that can be effective in treating 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. Sildenafil is also the name of the generic version of the drug.

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 clearly state ingredients, side effects, and recommended dosage.
  • Safety: MNT selects brands that require a doctor’s prescription before customers can order Cialis. This ensures 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.
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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.

To order online with Roman, a person must go through an online assessment with a healthcare professional. The company’s physicians will prescribe medication if they decide it is safe and appropriate.

When a person 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): available in 20 milligram (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: available in 25, 50, and 100 mg doses starting at $34 per 25 mg

The manufacturer recommends that a person take these medications without food around 30–60 minutes before sex. The effects can last up to 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 (OTC) 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. The following versions of the pill are available:

  • 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.

A qualified medical professional 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 person’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 buy medication through Lemonaid only after completing an online assessment with a doctor or nurse.

Once a person has completed the 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 that involves an evaluation from a healthcare professional. The doctor then makes a recommendation based on the person’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 generic sildenafil 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 is 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. A person can 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 pick up their prescription at their local pharmacy or receive it by mail.

They can order generic sildenafil from Blink Health, which is available in 25, 50, and 100 mg doses at a starting cost of $10. The fee 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 should a doctor recommend 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 research to ensure the company is reputable.

Although several PDE5 inhibitors have received FDA approval, many pills marketed as male enhancement supplements are unsafe, untested, and unregulated.

The FDA found nearly 50 male enhancement products containing hidden ingredients that 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 involving 587 men suggests that ginseng only slightly affects erectile function compared with a placebo.

It is common for a person to experience difficulty with erections throughout their lifetime. If a person regularly experiences 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:

Some psychological factors that can increase a person’s risk of ED include:

Additionally, the following lifestyle factors may also play a role in sexual performance issues:

  • smoking
  • consuming large amounts of alcohol
  • misusing drugs
  • not getting enough exercise

When to speak with a doctor

A person should seek medical help if they regularly experience ED. A doctor can rule out potential medical causes and suggest appropriate treatment.

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 prescription products, such as Viagra, may help treat ED.

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?

Doctor-prescribed male enhancement pills are safe if a person uses them 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 if they are unsure about the safety of a 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. A person should speak with a medical professional before taking male enhancement pills.

What are male enhancement pills supposed to do?

PDE5 inhibitors increase 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 before taking non-prescription products promising to enhance sexual performance.

What does male enhancement mean?

People may consider enhancement as anything they feel makes male sexual performance stronger, such as increased blood flow to the penis and improvements in the length, size, strength, and girth of an erection.

Can you take male enhancement pills every day?

Some prescription drugs, such as tadalafil (Cialis), come in low doses that a person can take daily upon advice from their doctor.

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

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.