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The best erectile dysfunction treatments can include natural remedies, like changes to diet and alcohol consumption, and doctor-prescribed medication.

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Erectile dysfunction (ED) occurs when someone with a penis can’t have or maintain an erection. The condition affects around a third of men, according to research from 2018.

ED is more common in people who:

The treatment for ED depends on the cause. It may include prescription medications, vacuum devices, or surgery. But lifestyle changes and other natural treatments can also help improve ED.

There are many natural treatments for ED. They can include lifestyle changes like modifying your diet and getting exercise, as well as seeking mental health or relationship counseling.

It’s best to talk with your doctor before trying a new treatment. They can help identify the cause of your ED and recommend effective ED treatment options, whether conventional, natural, or a combination.

1. Diet

Eating a balanced diet may help maintain sexual function and decrease your risk of ED.

A 2020 study found that men who more strictly followed a Mediterranean diet or Alternative Healthy Eating Index 2010 diet had a reduced risk of developing ED. In particular, they consumed less red or processed meat and primarily ate:

  • fruits
  • vegetables
  • legumes
  • nuts
  • fish

Research from 2017 similarly found that eating more fruits, vegetables, and flavonoids (compounds found in produce, coffee, and other foods) lowered the risk of ED in men ages 18 to 40.

These foods are important for your overall health, so helping maintain or improve your sexual function as well is a win-win.

2. Exercise

Research indicates that physical activity may help protect against and improve ED. It may be particularly effective if obesity, inactivity, or cardiovascular disease, among other conditions, contribute to your ED.

Research from 2018 found that moderate-to-intense aerobic exercise for 40 minutes a day, four times per week for 6 months helped reduce ED. This includes exercises like:

  • running
  • brisk walking
  • bicycling
  • swimming
  • skiing

Physical activity helps improve blood vessel health, lower stress, and raise testosterone levels, which can all help with ED.

3. Sleep

Getting enough sleep each night is important for your overall health. Sleeping regularly may also improve your ED.

A 2017 study found that men working night shifts who reported worse sleep quality were at higher risk of ED.

Research from 2019 also indicated that people with a sleep disorder had a greater risk of developing ED. Other research has linked obstructive sleep apnea to an increased risk of ED.

Not getting enough sleep can lower your testosterone levels, which may contribute to ED. Sustained lack of sleep is also associated with conditions related to ED, like diabetes and high blood pressure.

4. Weight loss

Weight may be another factor in ED.

According to research from 2020, ED was significantly more common in men with obesity, who were overweight, or with a larger waist circumference.

A small 2014 study indicated that gastric bypass surgery improved blood vessel health and ED among men with obesity. In addition, research from 2017 similarly found an improvement in ED after bariatric (weight loss) surgery.

If weight contributes to your ED, exercise and a balanced diet can help you lose weight and improve your ED.

In addition, such as semaglutide (Wegovy, Ozempic) and tirzepatide (Mounjaro) are now available. Speak with your doctor to see if they may be right for you.

5. Psychotherapy

In some cases, ED results from a combination of physical and psychological issues. These may include fear of failure, religious beliefs, and sexual trauma.

ED can lead to additional mental health issues, including emotional distress and lower self-esteem, which can further worsen ED. Therapy may help address these issues to improve ED.

According to research from 2021, psychological interventions like cognitive behavioral therapy (CBT) were especially effective when paired with ED medications. Mental health interventions may also be effective, but more research is needed.

A small 2018 study involving 4 weeks of mindfulness-focused group therapy indicated that this type of therapy may help improve ED and sexual satisfaction.

More research should be done to determine the most effective types of psychotherapy for ED.

6. Sex therapy or couples counseling

Around 10–25% of men with ED have no known risk factors. This condition, known as nonorganic ED, may be caused by a mental health condition like depression or by experiencing anxiety when having sex.

A small 2020 study found that cognitive behavior sex therapy (CBST) and medication were each effective on their own at reducing nonorganic ED. In addition, CBST was more effective at lowering anxiety among study participants.

It may also be helpful to attend counseling with your partner to help them understand your condition and discuss ways to support you.

The American Urological Association created a guideline for treating ED based on a review of studies. The association recommends talking with a mental health professional, especially with your partner, and says that therapy can improve communication between couples and help them integrate ED treatments into their sexual relationship.

7. Stress reduction

Stress and anxiety are often linked to ED.

A 2019 study found that stress was one of the main predictors of ED, in addition to anxiety and depression. The study suggests that chronic stress may affect testosterone or cause sleep deprivation, which may contribute to ED.

Still, other research indicates that the effect of stress on ED is still unclear. A 2020 study found no association between stress and ED.

Another small study from 2014 found that an 8-week stress management program alongside ED medication was similarly effective for improving ED, compared with the medication alone.

Until more is understood about stress and ED, it’s still beneficial to reduce stress in your daily life to improve your overall health.

8. Alcohol reduction

Studies have shown mixed results for the effects of alcohol on ED.

Research from 2018 found that drinking moderate amounts of alcohol (fewer than 21 drinks per week, as defined by the study) was associated with a lowered risk of ED. On the other hand, regular and high consumption didn’t significantly affect ED.

Still, other research has linked alcohol use with ED. A 2018 study found that sexual dysfunction, particularly ED, was common in people with alcohol dependence syndrome. In addition, research from 2020 also identified alcohol as a risk factor for ED.

More research is needed on the role of alcohol in ED. The Centers for Disease Control and Prevention (CDC) recommend that men consume two or fewer alcoholic drinks per day.

9. Smoking cessation

Smoking is another behavior that likely contributes to ED. This may be caused, in part, because smoking can damage blood vessels and prevent enough blood from reaching the penis for an erection.

Smoking may also reduce nitric oxide availability in the body, which is needed to cause involuntary muscle relaxation and increased blood flow that play a role in erections.

According to research from 2015, more frequent smoking was associated with an increased risk of developing ED and more severe ED.

Some damage from smoking may not be reversible. Still, the review concluded that quitting smoking, especially for men under age 50, may help improve ED.

It’s challenging to quit smoking, but there are many resources available to help. Stopping smoking has the potential to help ED and benefit many other areas of your overall health.

Note that quitting smoking also includes avoiding vaping, which is a source of nicotine.

Interested in other men’s health products?

Through our reviews and brand comparisons, you can explore our top picks for sexual wellness, hair health, and more.

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Lifestyle changes may be an effective natural remedy for ED and may improve your overall health. But many changes — such as losing weight, quitting smoking, or eating a balanced diet — may be difficult.

It may also take time for natural treatments to have an effect. Depending on the cause of their ED, some people may not show improvements without medications or other treatments. It’s helpful to work with your doctor to find a treatment that works for you.

Risks of taking unproven erectile dysfunction treatments

Many supplements are advertised online as a treatment for ED, but none have been proven effective and safe. Some may also contain dangerous combinations of ingredients or overly high doses.

More conclusive research on herbal remedies and other supplements for ED is needed for many of these claims. However, if you decide to try one, be sure to talk with your doctor first. They can help determine whether the treatment may be safe and if it’ll react with any medications you’re taking.

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Depending on the cause of your ED, natural remedies may not be effective for you. If this is the case, your doctor may prescribe you a proven ED medication. These medications are only available with a prescription.

However, if you’re looking to avoid an in-person meeting with your doctor, you can be evaluated online by a healthcare professional through companies like Hims.

Here’s a quick look at some of the erectile dysfunction treatments available through Hims:

Side effects of these medications may include headaches, indigestion, and dizziness. Don’t use these medications if you’re also taking nitrates or medications for chest pain.

Due to the long history and research around these medications, specifically sildenafil, and tadalafil, these medications are generally considered very safe, especially when taken as directed by your doctor.

Additionally, many of these medications are available online through reputable services like Roman, Hims, and the Optum Store that can all connect you with a doctor and — if prescribed — can ship the medications directly to your door.

Thinking about buying Viagra or Cialis online?

It’s important to know that there are risks associated with buying brand-name ED medications online if they’re coming from a disreputable or untrusted source. To help narrow your online search for a reputable retailer of ED medications, we created lists of the best places to buy Viagra online and the best places to buy Cialis online.

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It’s not uncommon to lose an erection from time to time. It can even be caused by stress.

However, if you often find it difficult to get or maintain an erection, it could be time to seek help for ED.

If ED is causing you distress or straining your relationship, it’s a good idea to talk with your doctor.

ED can be a sign of an underlying condition. Even if ED isn’t causing you any distress, it might be wise to make an appointment with your doctor to discuss the issue, as it can be a sign of an underlying health concern.

If you suspect your ED is caused by stress, trauma, or relationship issues, consider speaking with a therapist.

The most effective treatment for you depends on the underlying cause of your ED. While lifestyle changes tend to be safe while improving ED, they can be difficult to manage. Oral medications are another primary treatment for ED, but they don’t work for everyone.

Taking prescription medications will probably lead to faster improvement. That said the improvement might be temporary if you’re not addressing the underlying cause. You may be hesitant to take a prescription medication, but if you need quick relief or find limited results from natural remedies, ED medications like sildenafil and tadalafil may be worth considering.

If ED is caused by a lifestyle factor, health condition, or a medication you’re taking, it may be possible to reverse it by addressing the underlying cause. Surgery may also cure ED in some cases.

On the other hand, medications treat ED symptoms and can improve ED but do not cure the underlying condition.

You can start by leading a healthy lifestyle by changing your nutrition if needed, exercising, getting enough sleep, and working to reduce your stress. Also, consider limiting or quitting smoking and alcohol consumption. If this doesn’t help, see your doctor to determine the underlying cause and get medical treatment.

The first treatment for erectile dysfunction is usually a medication like sildenafil. Other medical treatments include an injection of a vasodilatory medication, which opens up the blood vessels in the affected area, hormonal replacement therapy, a penile implant, and shockwave therapy.

That said, the American Urological Association’s 2018 guidelines for ED state that men may choose any option — medication, lifestyle changes, assistive devices, or surgery — to begin treatment. The guidelines suggest talking with your doctor about the risks and benefits of each treatment.

Researchers have been exploring other options for ED treatment. One of the latest treatments for ED is penile shockwave therapy or low-intensity extracorporeal shockwave therapy.

Research from 2019 suggests this treatment might be effective for ED caused by vascular disease. However, this treatment is still largely experimental and not widely used aside from clinical trials.

Shockwave therapy works by improving blood function and encouraging new blood vessels to grow. It does this by pulsing and passing low-intensity sound waves through the erectile tissue. However, more clinical trials are needed to assess whether penile shockwave therapy is safe and effective.

ED is a common condition that can affect confidence, relationships, and quality of life. The most effective erectile dysfunction treatment depends on the cause of your ED. Still, natural remedies may help improve your ED and your overall health.

It’s best to talk with your doctor about ED. They can help identify the right treatments for you. It can also be beneficial to approach your condition together with your partner.

Remember that treatment may take time, particularly lifestyle changes like losing weight and getting more exercise. Work with your doctor to find the treatment or combination of remedies that work best for you.