I have a question about erectile dysfunction. I am using testosterone gel under a dr.s' care. Use cialis as well. I can
Erectile dysfunction is a condition in which you have trouble getting or keeping an erection firm enough for satisfying sex.
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Urology Residency, University of California San Francisco Urology Residency, University of California San Francisco Northwestern University Feinberg School of MedicineB.S. in Radiologic Science, Chemistry Minor, University of North Carolina at Chapel Hill Northwestern University Feinberg School of MedicineB.S. in Radiologic Science, Chemistry Minor, University of North Carolina at Chapel Hill Cowan, B, Walker, K., Rodgers, K., Agyemang, J. Hormonal Management Improves Semen Analysis Parameters in Men with Abnormal Concentration, Motility, and/or Morphology. Fertility and Sterility, Volume 118, Issue 5, e4. Erectile dysfunction affects as many as 30 million men in the United States.
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Premature ejaculation (PE) is a sexual dysfunction characterized by a short ejaculatory latency, a perceived lack of control about the timing of ejaculation, and distress and interpersonal difficulty related to ejaculating too quickly.
| Region | Estimated Prevalence (%) | Data Source | Notes |
|---|---|---|---|
| North America | 20-40 | WHO, local studies | Higher with aging |
| Europe | 30-45 | European surveys | Varies by country |
| Asia-Pacific | 15-35 | Regional research | Cultural factors affecting data |
| Africa | 10-25 | Limited data | Underreporting possible |
Low testosterone or testosterone deficiency, also known as hypogonadism, is a condition in which patients develop symptoms such as low sex drive, erectile dysfunction (ED), and fatigue because the body doesn’t produce enough testosterone.
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Cowan, B, Walker, K., Rodgers, K., Agyemang, J. Regret Regarding Fertility Preservation Decisions Among Male Cancer Patients. The Journal of Urology, 201(Supplement 4), e680-e681. Feasibility Study of Video Telehealth Clinic Visits in Urology. The Journal of Urology, 201(Supplement 4), e545-e545. Though many men don’t like to talk about it, ejaculation problems are very common.
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There’s also a possibility of priapism — a prolonged erection lasting more than four hours. Priapism is often painful and requires urgent medical treatment. Beyond potential side effects, these products just may not work for you. If erectile cream or gel isn’t giving you results, even after a few attempts, consider speaking with a healthcare provider about other options. You shouldn’t use alprostadil cream if you have certain medical conditions, including: Peyronie’s disease (penile scar tissue buildup) and other deformities of the penis Peyronie’s disease (penile scar tissue buildup) and other deformities of the penis You should also avoid Eroxon if you have: An allergy to any of the ingredients An allergy to any of the ingredients Peyronie’s disease or other deformities of the penis Peyronie’s disease or other deformities of the penis Sore, damaged, or irritated skin on the penis Sore, damaged, or irritated skin on the penis If you have a condition that makes it risky to use erectile dysfunction creams, consult a medical professional about alternative treatments.
1. When to Apply
You might even benefit from a few natural ways to protect erectile function. Certain lifestyle changes can improve your erections and overall sexual health. A 2024 study of topical ED products suggests that they can be helpful for many men. But the research stopped short of declaring them as effective as or better than ED medications, such as PDE5 inhibitors. At this point, very few ED creams and gels are backed by research, and only one has been authorized by the FDA.
4. Ayurvedic / OTC Gels (Example: Himalaya Himcolin)
That said, there are quite a few alternatives to ED creams and gels in the form of oral medications. While erectile dysfunction can be caused by physical ailments like cardiovascular disease, psychological factors may also come into play. Your ED could be due to mental health issues like anxiety, depression, or sexual performance anxiety. If you’re experiencing psychological ED, consider in-person or online therapy. Seeking treatment for mental health can lead to better erectile function while helping you feel better overall. Some of the most common issues include premature, delayed, or retrograde ejaculation.
- Some ED gels include natural or herbal ingredients, though evidence varies.
- They may be combined with physical therapy for better results.
- Gels are suitable for temporary or chronic ED.
- They help improve erectile rigidity and duration.
- Proper dosing prevents potential side effects.
- Use of gels should be discussed with a healthcare provider.
- Gels are a discreet alternative to other invasive treatments.
- They support a more spontaneous sexual experience.
Your pelvic floor is a lot like plumbing in your home: you never really think about it unless something goes wrong.
- Common ingredients include alprostadil and nitric oxide donors.
- Gels offer a non-invasive treatment option.
- They reduce the risk of systemic side effects.
- Proper storage preserves gel efficacy.
- Gels are suitable for men who cannot take oral medications.
- Users should wash hands after application.
- Gels may interact with other topical products.
- Regular follow-up with a healthcare provider is recommended.
When you think of male sexual dysfunction, concerns like erectile dysfunction (ED) or premature ejaculation (PE) probably come to mind first.
In the journals
SST completes Phase I trial of SST-6006 to treat erectile dysfunction in men. Alprostadil cream in the treatment of erectile dysfunction: clinical evidence and experience. A review on phosphodiesterase-5 inhibitors as a topical therapy for erectile dysfunction. Counterfeit phosphodiesterase type 5 inhibitors pose significant safety risks. National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK).
6. Stop Use & Seek Help If You Notice
Randomized study of testosterone gel as adjunctive therapy to sildenafil in hypogonadal men with erectile dysfunction who do not respond to sildenafil alone. U.S. Food and Drug Administration (FDA). Scoping review exploring advancements in topical agent therapies for erectile dysfunction. A double-blind placebo-controlled evaluation of the effect of topical sildenafil on erectile dysfunction.
Quick Choice Guide (What to pick)
Alpostadil in cream — a new option of treating erectile dysfunctions in diabetes. Hims & Hers has strict sourcing guidelines to ensure our content is accurate and current. We rely on peer-reviewed studies, academic research institutions, and medical associations. We strive to use primary sources and refrain from using tertiary references. Dr. But there’s another sex-related issue that’s more common in men than you might expect: difficulty orgasming.
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Kelly Brown is a creams for erectile dysfunction board certified Urologist and fellowship trained in Andrology. She is an accomplished men’s health expert with a robust background in healthcare innovation, clinical medicine, and academic research. Dr. Brown was previously Medical Director of a male fertility startup where she lead strategy and design of their digital health platform, an innovative education and telehealth model for delivering expert male fertility care. She completed her undergraduate studies at University of North Carolina at Chapel Hill (go Heels!) with a Bachelor of Science in Radiologic Science and a Minor in Chemistry.
1. Eroxon (MED3000)
She took a position at University of California Los Angeles as a radiologic technologist in the department of Interventional Cardiology, further solidifying her passion for medicine. She also pursued the unique opportunity to lead departmental design and operational development at the Ronald Reagan UCLA Medical Center, sparking her passion for the business of healthcare. Dr. Brown then went on to obtain her doctorate in medicine from the prestigious Northwestern University - Feinberg School of Medicine and Masters in Business Administration from Northwestern University - Kellogg School of Management, with a concentration in Healthcare Management. During her surgical residency in Urology at University of California San Francisco, she utilized her research year to focus on innovations in telemedicine and then served as chief resident with significant contributions to clinical quality improvement.
Have you ever tried a topical cream for erectile dysfunction to improve your symptoms?
Dr. Brown then completed her Andrology Fellowship at Medical College of Wisconsin, furthering her expertise in male fertility, microsurgery, and sexual function. Her dedication to caring for patients with compassion, understanding, as well as a unique ability to make guys instantly comfortable discussing anything from sex to sperm makes her a renowned clinician. In addition, her passion for innovation in healthcare combined with her business acumen makes her a formidable leader in the field of men’s health. Dr. Skip to main content 20% OFF $50+ sitewide* with code MAY20 Get $10 in rewards* on $50+ in store or online thru 5/30 BOGO 50% OFF select same-brand skin & sun care Account Menu Account Sign in Create an account Your Account Walgreens Cash Rewards Prescription Refills & Status Vaccination Records Order Status & History Buy It Again Sign in Create an account Account Back Account Your Account Walgreens Cash Rewards Prescription Refills & Status Vaccination Records Order Status & History Buy It Again Close main menu Pharmacy Back Pharmacy Home Prescriptions Back Prescriptions Refills Orders Records Transfer Rx to Walgreens Request new Rx Auto Refills Drug info Close main menu Contact Lenses Back Contact Lenses Reorder Contact Lenses Shop All Contact Lenses Solutions, Drops & Cases Eye Health Supplements Shop Contact Lenses Close main menu More Services Back More Services Pharmacy Chat Refill with Rx Number Mail Service Pharmacy
| Area | Potential Developments | Challenges | Expected Impact |
|---|---|---|---|
| Regenerative medicine | Stem cell therapy for tissue repair | Cost, safety concerns | Long-term functional recovery |
| Personalized medicine | Tailored treatment based on genetics | Complexity, cost | Improved efficacy |
| Telemedicine | Remote consultation and monitoring | Technology barriers | Greater accessibility |
| Novel drug development | Targeting new molecular pathways | Research complexity | Fewer side effects, better outcomes |
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Related questions
Erectile dysfunction creams and gels may seem great in theory, but few are available for purchase. Fortunately, though, there are many other ED treatments with plenty of satisfied customers. Here’s what to keep in mind when considering ED creams: The only FDA-authorized ED gel is Eroxon. Over-the-counter Eroxon is available without a prescription and works by cooling and heating the penis, stimulating the nerves to improve blood flow. The only FDA-authorized ED gel is Eroxon.
Eroxon® is easy to apply – by men and their partners
Many “natural” products are marketed for improving erectile function and enhancing sexual performance — but there’s very little proof they work. Since the FDA doesn’t test or approve these supplements in the same way it regulates medications, they may contain harmful ingredients. There are legit alternatives to erectile dysfunction creams and gels. While very few ED creams and gels are on the market, numerous safe and highly effective erectile dysfunction treatments are available. Therapy can also be helpful if your ED has psychological roots, like anxiety.
2. Vitaros (Alprostadil Cream)
Erectile dysfunction can be frustrating to deal with, but it is treatable. Learning more about ED and your treatment options is a solid first step in figuring it out. Check out our blog posts on the latest ED treatments, remedies for premature ejaculation (PE), and how to get hard. Our online platform can connect you with a healthcare professional today. Clinical use of alprostadil topical cream in patients with erectile dysfunction: a review. Vaccinations Test for COVID-19 & Flu Treatment for COVID-19 & Flu Online Doctor Visit Weight Management In-person Care MyWalgreens Health Access™ Find Rx Coverage Clinical Trials Health Articles Close main menu Shop Back Shop Shop All FIFA World Cup 2026 Summer Essentials Allergy & Sinus Grocery & Beverages Beauty Personal Care Contact Lenses Household & Pet Essentials Medicines & Treatments Sexual Wellness Vitamins & Supplements Baby & Kids Toys, Games & Books Home Health Care Solutions Walgreens Brand Fitness & Nutrition Party Supplies Gift Cards Incontinence First Aid Online Clearance Sale Shop by Brand Buy Again Close main menu Savings Back
The Eroxon® difference
Brown is an avid adventurer; summiting Mount Kilimanjaro in Tanzania (twice!) and hiking the incredible Torres del Paine Trek in Patagonia, Chile. She deeply appreciates new challenges and diverse cultures on her travels. She lives in Denver with her husband, two children, and beloved Bernese Mountain Dog. You can find Dr. Brown on LinkedIn for more information. Savings Coupons Clearance Weekly Ad myWalgreens® Close main menu Photo Back Photo Photo Home Your Photos Upload Photos Prints Photo Books Cards & Stationery Calendars Posters Canvas & Décor Gifts and More Passport Photos Deals All Photo Products Close main menu Financial Services Back Financial Services Financial Services Home Gift Cards Corporate and Bulk Gift Cards myWalgreens® Credit Card Scarlet® Bank Account Reloadable Debit Cards Western Union Close main menu Weekly Ad Vaccinations Español Account Menu Account Sign in Create an account Your Account Walgreens Cash Rewards Prescription Refills & Status Vaccination Records Order Status & History Buy It Again Español
| Treatment Type | Method | Effectiveness (%) | Notes |
|---|---|---|---|
| Oral medications | PDE5 inhibitors (e.g., Viagra, Cialis) | 70 | Taken before activity |
| Lifestyle changes | Exercise, diet improvements | 50 | Long-term benefits |
| Vacuum erection devices | Mechanical pumps to draw blood into penis | 60 | Non-invasive, temporary |
| Penile injections | Alprostadil injections into the penis | 75 | Requires training |
