Sildenafil citrate (Viagra): This is the most commonly prescribed type of OTC Erection pill. It relaxes muscles in your blood vessels and increases blood flow to your penis during sex. The FDA has approved this drug for erectile dysfunction only when other treatments have failed.
Try medications
Some medications can help people get and keep an erection by increasing blood flow to the penis. These medications include: sildenafil (Viagra) vardenafil (Levitra, Staxyn)
Are there any Viagra alternatives you can get without a prescription? The only over the counter Viagra alternative is Viagra Connect. This has the same active ingredient but instead of getting a prescription, you can go straight to the pharmacist to order it.
Oral medications
Oral drugs, including Viagra, are frequently the first course of treatment for men with erectile dysfunction. Alternative, prescription-only PDE5 inhibitors to Viagra include: Vardenafil: Sold under the brand names Levitra and Staxyn, this drug is available in tablet and disintegrating tablet form.
L-citrulline and L-arginine
Some researchers believe that L-citrulline, an amino acid, can cause blood vessels to relax similarly to how Viagra works. It's the precursor of L-arginine, another amino acid that has been shown to improve blood flow (Cormio, 2011).
Losing an erection or being unable to become erect often results from nerves, anxiety, or using alcohol or other drugs. Sometimes men worry about performance, and sometimes they're anxious about whether or not having intercourse is the right decision, or whether they're with the right partner.
Reduced blood flow to the penis
The blood flow may then not be enough to cause an erection. Risk factors can increase your chance of narrowing of the arteries. These include getting older, high blood pressure, high cholesterol and smoking.
ED can happen at any age, but it's more common in older men. By the time a man is in his 40s, he has about a 40% chance of having experienced ED. That risk increases by about 10% for each decade of life—a 50% chance in his 50s, a 60% chance in his 60s, and so on (Ferrini, 2017).
Typically, an average erection may last from a few minutes to roughly half an hour. However, this can vary significantly due to the many factors that can affect erection duration. It is also worth noting that a person does not need an erection to achieve orgasm.
People with penises have an average of 11 erections per day and three to five more each night, but everyone is different. There are numerous factors that can affect how often you get hard, like your age, hormone levels, and lifestyle.
Feel free to drink more caffeine
Love coffee or tea? Great! A 2005 review showed that caffeine may improve blood flow and relax the muscles that help you get and keep an erection. Try to keep it to black coffee, unsweetened tea, and caffeinated drinks without sweeteners.
Interestingly, the study found that men who have less than one morning erection per week are 2.5 times more likely to get erectile dysfunction as are men who have two or three morning erections per week. But having a morning erection every day did not lower a man's risk of erectile dysfunction.
Your testosterone level is at its highest in the morning after you wake up. It is highest immediately after waking up from the rapid eye movement (REM) sleep stage. The increase in this hormone alone may be enough to cause an erection, even in the absence of any physical stimulation.
Although men do not always wake up at the end of each episode of REM sleep, they are likely to awaken in the morning with an REM sleep-related erection. Erections are considered a normal part of sleep physiology in men.
We move from sympathetic (fight and flight) stimulation to parasympathetic (rest and digest) stimulation. This is not found during other parts of the sleep cycle. This shift in balance drives the parasympathetic nerve response that results in the erection. This is spontaneous and does not require being awake.
Morning wood is a slang term for nocturnal penile tumescence. This occurs when someone with a penis gets an erection in the middle of the night or the early morning hours while they are sleeping. If you have morning wood, you may often wake up with an erection. Another name for morning wood is morning glory.
Average Male Size – The BIG Size Myth
These types of studies have contributed to the big size myth in current society. More accurate clinical studies show average excited male length is 5.1-5.5 inches (12.95-13.97 cm).
You have concerns about your erections or you're experiencing other sexual problems such as premature or delayed ejaculation. You have diabetes, heart disease or another known health condition that might be linked to erectile dysfunction. You have other symptoms along with erectile dysfunction.
You need a prescription from a doctor to obtain Viagra. You can buy it from a store-based pharmacy or reputable online pharmacy with a prescription.
In the United States, Viagra and its generic sildenafil are only available by prescription. Talk with your healthcare provider to see if Viagra is right for you, or check out online doctor services that offer ED prescriptions.