A simple guide to erectile dysfunction treatments, how they work, and how to choose the right option for you.
- Understanding erectile dysfunction
- How ED treatments work
- The treatment options available
- Sildenafil (Generic Viagra) and Viagra
- Tadalafil (Generic Cialis) and Cialis
- Spedra (Avanafil)
- Vardenafil
- Common concerns when starting treatment
- Why choose prescription treatment over OTC options
- How to choose the right option
- What to do next
Understanding Erectile Dysfunction
Erectile dysfunction (ED) is more common than many people realise, and it can happen at any age.
It usually occurs when there isn’t enough blood flow to the penis to achieve or maintain an erection. This can be influenced by physical factors such as circulation, as well as lifestyle or psychological factors like stress, anxiety, or fatigue.
The important thing to understand is that ED is treatable, and for most people, treatment is simple and effective.
How ED Treatments Work
Most ED treatments belong to a group of medicines called PDE-5 inhibitors. They work by relaxing blood vessels and improving blood flow to the penis during sexual stimulation, making it easier to get and maintain an erection.
They do not cause an automatic erection — you still need to be sexually aroused for them to work. Although the medications work in a similar way, they differ in how quickly they start working, how long they last, and how they are taken.
The Treatment Options Available
There are several effective ED treatments available, all in tablet form. Each option offers slightly different benefits depending on your needs and preferences.
- Sildenafil (Generic Viagra)
- Viagra (branded Sildenafil)
- Tadalafil On Demand (Generic Cialis)
- Tadalafil Daily (Generic Cialis)
- Cialis On Demand (Tadalafil)
- Cialis Daily (Tadalafil)
- Spedra (Avanafil)
- Vardenafil
Sildenafil (Generic Viagra) and Viagra
Sildenafil / Viagra
One of the most commonly used treatments for ED. Taken 30 to 60 minutes before sexual activity. Viagra is the branded version of the same medication.
Sildenafil is a suitable option if you prefer a treatment you only take when needed and are comfortable planning ahead. It is often used as a starting point because it is well understood and effective for many people.
Tadalafil (Generic Cialis) and Cialis
Tadalafil works in a similar way to sildenafil but has a much longer duration of action. There are two main ways to take it, and this is where it differs most from other treatments.
- Taken before sexual activity
- Lasts up to 36 hours
- Less pressure around timing
- Greater flexibility
- Taken once a day at a lower dose
- No need to plan around medication
- Ready at any time
- More spontaneous experience
On-demand tadalafil may suit you if you prefer occasional use. Daily tadalafil may suit you if you are sexually active more regularly or want to avoid planning altogether.
Spedra (Avanafil)
Spedra (Avanafil)
Known for working more quickly than some other treatments — it can start working in as little as 15 to 30 minutes for some people.
Spedra may suit you if you want a faster-acting option or prefer not to wait as long before it takes effect. It has a shorter duration than tadalafil but works in a similar way.
Vardenafil
Vardenafil
Works in a similar way to sildenafil and is taken as needed. A useful alternative if other options are not as effective or suitable for you.
Some people respond better to vardenafil than other treatments, which is why it remains a well-regarded option within the PDE-5 inhibitor group.
Common Concerns When Starting Treatment
If you’re considering ED treatment for the first time, it’s normal to have questions. One common concern is whether the treatment will work — for most people these medications are effective, but it may take trying the correct dose and option to find what works best for you.
Some people worry about timing or “getting it right”. Treatments like tadalafil — especially daily dosing — are designed to reduce this pressure and allow for a more natural experience.
Another common concern is side effects. These treatments are generally well tolerated, and any side effects are usually mild and temporary. It’s also common to feel unsure about starting treatment at all — but ED is a medical condition like any other, and support is available.
Why Choose Prescription Treatment Over OTC Options
There are over-the-counter (OTC) products marketed for erectile dysfunction, but these are not the same as clinically proven treatments.
- Clinically tested and proven to work
- Target the underlying cause (blood flow)
- Prescribed based on your health and medical history
- Limited or no clinical evidence
- Do not directly improve blood flow
- May provide inconsistent results
Choosing a regulated, prescription-based treatment ensures both safety and effectiveness.
How to Choose the Right Option
All of these treatments are effective, but the best option depends on what suits you.
- Sildenafil may suit occasional, planned use
- Tadalafil on demand may suit those who want more flexibility
- Daily tadalafil may suit those who prefer not to plan at all
- Spedra may suit those who want a faster-acting option
Other factors, such as your health and how your body responds, also play a role. A consultation helps identify the most suitable option for you.
What to Do Next
If you’re thinking about starting treatment, you can begin your journey with us by completing a short pre-consultation form. This allows us to understand your medical history and your needs.
Once reviewed, you can arrange a consultation with one of our clinicians. During your consultation, you’ll receive personalised advice and a recommendation based on what’s most suitable for you. From there, you can move forward with a clear plan and ongoing support.
