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How can I get hard again without pills?

There are several options to treat erectile dysfunction aside from oral medications like Cialis, including: erectile dysfunction pump (penis or vacuum pump) penile injections. surgery for an inflatable penile prosthesis. therapy for emotional, psychological, and relationship issues related to ED. More items...

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Share on Pinterest We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission Here’s our process. How we vet brands and products Healthline only shows you brands and products that we stand behind. Our team thoroughly researches and evaluates the recommendations we make on our site. To establish that the product manufacturers addressed safety and efficacy standards, we: Evaluate ingredients and composition: Do they have the potential to cause harm?

Do they have the potential to cause harm? Fact-check all health claims: Do they align with the current body of scientific evidence?

Do they align with the current body of scientific evidence? Assess the brand: Does it operate with integrity and adhere to industry best practices? We do the research so you can find trusted products for your health and wellness. Read more about our vetting process. The key to getting harder erections is figuring out whether you’re dealing with a one-off issue, or if less-than-ideal erections are becoming a regular occurrence. Not happy with how hard your erections get? You’re not alone. It could be caused by a health problem, a relationship issue, or something else that needs to be resolved. A combination of talking with your partner, making a few lifestyle adjustments, and forming new habits may help. What is erectile dysfunction? Erectile dysfunction (ED) is a condition where a person with a penis is regularly unable to have or maintain an erection for the duration of a sexual encounter. It’s worth noting it’s possible to lose an erection prematurely from time to time during sex. It’s not considered ED unless it happens several times a week over the course of 4 weeks or more. So, if you’re experiencing these symptoms frequently and over an extended period of time, ED may be why. Erectile dysfunction causes The most common cause of ED is reduced blood flow to the penis. During arousal, blood flows into the tissues of the penis, which causes it to harden, resulting in an erection. If blood isn’t able to flow unobstructed to the penis, it can prevent an erection, cause an erection to be lost prematurely, or reduce its overall hardness. Phosphodiesterase type 5 (PDE5) is an enzyme that can restrict blood flow. It’s often to blame when someone experiences ED. This is why medications like Viagra and Cialis are so effective: They are both PDE5 inhibitors. By blocking or inhibiting PDE5, blood flow to the penis is improved. However, the cause of ED isn’t always physical. Many factors can contribute to ED, such as: sudden changes to your routine

increased stress in daily life

significant changes to diet or nutrition

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mental health conditions like depression This is why it’s always a good idea to talk with a doctor if you think you’re experiencing ED symptoms. A doctor can more accurately diagnose your symptoms and rule out any other contributing factors. When to call a doctor Make an appointment with a doctor or other healthcare professional if you’re frequently: concerned about the overall firmness of your erection

unable to get or maintain an erection

stressed or concerned about your sexual performance These could be symptoms of ED. Low testosterone levels can also affect your sexual performance. See a doctor if you notice any of the following: reduced semen volume

abnormal hair loss

persistent fatigue

difficultly concentrating

trouble with your memory

losing muscle mass

abnormal fat buildup, especially in the chest (gynecomastia) Your doctor can order some blood tests and recommend treatment, if needed. If you don’t already have a provider, our Healthline FindCare tool can help you connect to physicians in your area. Frequently asked questions What causes a weak erection? Weak erections can be caused by any number of factors, all of which differ for each individual. It’s most important to pay attention to what’s going on in your world: personally, professionally, and physically, and think about how it could be impacting your sex life. Why is my erection not as strong as it used to be? As we get older, it’s very common to see a dip in our sexual health. ED is also much more common in older males. If you’re concerned about the strength of your erections, it’s worth meeting with a doctor to rule out any physical health issues that may be contributing to a softer erection. Overall arousal may contribute to the strength of your erection, too. It’s worth considering any recent lifestyle or relationship changes that may be affecting your arousal, such as: being under a lot of stress in your daily life

being distracted by things outside of sex

feeling less attracted to your partner

holding on to negative feelings toward your partner How long can the average male stay erect? It can be difficult to say exactly how long the average erection lasts. Many factors can contribute to the overall length of time. For someone who reaches orgasm very quickly, this period of time is shortened because the penis usually stops being erect after ejaculation. For people who “last longer” during sex or have a sexual encounter that’s drawn out over a longer period of time, an erection can last much longer. But, on average, an erection lasts for the length of a sexual encounter — around 7 to 13 minutes. Medications that help someone have an erection, like Viagra and Cialis, allow blood to flow more easily to the penis. In many cases, they can cause a longer erection. However, if your erection lasts longer than 4 hours, get immediate medical attention. You may be experiencing priapism. This is a serious medical condition where blood is unable to flow out of the penis. It can cause severe or permanent damage if left untreated. Can I get ED medications without seeing a doctor? No, you’ll need to talk with a doctor (whether it be in-person or telemedicine) to get a prescription to get Cialis or the generic, called tadalafil. Viagra (sildenafil) and Levitra (vardenafil) are two other prescriptions that are often used for ED. These medications are not available over the counter. You can meet with your doctor to discuss your symptoms, and if it’s appropriate, they will prescribe the right ED medication for you. You can also consider the following telemedicine options: Hims: You’ll complete an online questionnaire and consult with a licensed medical professional in your state. They will evaluate you to determine which ED medication is right for you. The prescription will be shipped from a licensed pharmacy in discreet packaging to your home. Costs are not listed upfront on Hims’ website. Lemonaid Health: You’ll complete an online questionnaire and consult with a licensed medical professional (a nurse practitioner or doctor) in your state. They will evaluate you to determine which ED medication is right for you. The prescription will be shipped from a licensed pharmacy in discreet packaging to your home. Lemonaid Health’s website has pricing for each type of ED medication, ranging from $50-$60 for the first order. Roman: You’ll complete an online questionnaire and consult with a licensed medical professional in your state. They will evaluate you to determine which ED medication is right for you. The prescription will be shipped from a licensed pharmacy in discreet packaging to your home. Costs are not listed upfront on Roman’s website. If you’ve already met with your doctor and would like to compare pharmacy options, GoodRx is available to help you search online to find cheaper pharmacy prices and also has coupons for many prescriptions. What options do I have other than taking ED medication? There are several options to treat erectile dysfunction aside from oral medications like Cialis, including: erectile dysfunction pump (penis or vacuum pump)

penile injections

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surgery for an inflatable penile prosthesis

therapy for emotional, psychological, and relationship issues related to ED

suppositories (Alprostadil is one example, which is a urethral suppository – many others available are rectal)

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