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The Best Medicines for Erectile Dysfunction

You've seen those erectile-dysfunction drug ads on TV and online—even former Bears coach Mike Ditka barks at you to "get back in the game" in a Levitra commercial. Erection issues are plenty common, even in guys who aren't as old as the famous Viagra pitchman, former senator Bob Dole. Seven percent of 18- to 29-year-old men and 9 percent of 30- to 39-year-olds are unable to achieve orgasm, according to a study in the Journal of the American Medical Association.

But is a pill the answer for you?

What Can You Expect from Drugs?
The class of drugs that Levitra, Viagra, Stendra, and Cialis belong to are called PDE5 inhibitors. They work by relaxing tight blood vessels, allowing more blood to surge into the penis and cause an erection, says Gregory Bales, M.D., an associate professor of urology at the University of Chicago.

The little pills do the trick for more than two-thirds of men with erectile dysfunction (ED). They also work for guys who simply need them for a short time to get their "confidence back, " says Michael Eisenberg, M.D., director of male reproductive medicine and surgery at Stanford University. (Do you have erectile dysfunction? Click here to learn the signs.)

ED drugs also reduce the recovery period between bouts of sex, which can be helpful for the 40 percent of men who suffer from premature ejaculation and come in 1 to 2 minutes, says Harry Fisch, M.D., clinical professor of urology and reproductive medicine at Weill Cornell Medical College/New York Presbyterian Hospital, and author of Size Matters. "Even if it is premature [the second time], at least it's another 2 minutes. You can have overall more erections." And guys who take the long-acting Cialis, particularly if they get the daily dose, can have them with more spontaneity, says Dr. Fisch. "You don't have to take a pill two hours before you have sex." (For easy tricks to try tonight, click here for 3 Ways to Last Longer in Bed.)

No drug is without side effects. Viagra, Cialis, Stendra, and Levitra may cause headaches, dizziness, facial flushing, a runny nose, and indigestion. But many men either don't experience side effects or don't mind them. "If you have real erectile dysfunction, " Dr. Fisch says, "you'll put up with nasal congestion."

To decrease the risk of potential side effects, take the lowest dose that works for you. Your doctor will probably start you on a low dose, and then up it until it works. And don't worry about jonesing for your Viagra. "These drugs are not addictive, " Dr. Eisenberg says. "You're not going to form dependency."

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