Disclaimer: This information is educational and not a substitute for a doctor’s consultation. Erectile problems can have multiple causes and require professional evaluation. Do not start, stop, or change any medication without medical advice.

Impotence medication: what it is and what to do

Quick summary in 30 seconds

• Impotence medication refers to approved treatments that help manage erectile dysfunction (ED), not cures.
• They work by supporting blood flow, nerve signaling, or hormonal balance—depending on the option.
• A medical assessment is essential to choose safely and to address underlying causes.
• Lifestyle changes and mental health support often improve results alongside medication.

What is “Impotence medication” (definition in simple terms)

Impotence medication is a general term for medicines used to help people with erectile dysfunction—difficulty achieving or maintaining an erection sufficient for sexual activity. These medications do not create desire and are not aphrodisiacs; instead, they support the body’s natural response to sexual stimulation.

Most commonly, the term refers to oral drugs approved by health authorities, but it can also include other medical options such as injections, urethral therapies, or hormone treatments when indicated. The right choice depends on the cause of ED, overall health, and personal preferences.

Causes and risk factors

Erectile dysfunction is often multifactorial. Understanding the cause helps determine whether medication is appropriate and which type may be considered.

• Vascular causes: Atherosclerosis, high blood pressure, diabetes.
• Neurological causes: Nerve damage from surgery, spinal injury, or conditions like multiple sclerosis.
• Hormonal factors: Low testosterone or thyroid disorders.
• Psychological factors: Stress, anxiety, depression, relationship issues.
• Medications and substances: Some antidepressants, blood pressure drugs, alcohol, tobacco.
• Systemic illness: Obesity, sleep apnea; recent evidence suggests COVID-19 and men’s health may be associated with temporary erectile issues in some patients, though research is ongoing.

Symptoms and how to distinguish from similar conditions

The hallmark symptom is persistent difficulty with erections. It’s important to distinguish ED from other sexual health issues.

Symptom	What it may mean	What to do
Inability to get an erection	Possible vascular or neurological cause	Seek medical evaluation
Erection but not firm enough	Blood flow issues or anxiety	Discuss lifestyle and treatment options
Normal morning erections	Often suggests psychological component	Consider mental health support
Low libido	Hormonal or mood-related issue	Hormone and mental health screening

Diagnosis (how it is usually confirmed, what tests/examinations are common)

Diagnosis typically begins with a detailed medical and sexual history, followed by a physical exam. Doctors aim to identify reversible causes and ensure medications are safe.

• Questionnaires: Standardized ED assessments.
• Blood tests: Glucose, lipids, testosterone, thyroid function.
• Cardiovascular assessment: Because ED can be an early sign of heart disease.
• Specialized tests: Ultrasound or nocturnal erection testing in select cases.

Educational resources in our Ciencia and Salud sections explain how these tests work.

Treatment and approaches (overview of options without prescribing treatment to the reader)

Treatment is individualized. Medications are one part of a broader strategy.

Common medication categories

• Oral PDE5 inhibitors: Support blood flow during sexual stimulation; require medical clearance.
• Injectable or intraurethral therapies: Used when oral options are unsuitable.
• Hormone therapy: Considered only when deficiency is confirmed.

Non-drug approaches

• Psychotherapy or sex therapy.
• Vacuum erection devices.
• Addressing underlying conditions and medication side effects.

Always follow the instructions and your doctor’s guidance. For patient stories and expert opinions, see our Entrevistas section.

Possible complications and when to see a doctor urgently (red flags)

• Chest pain, dizziness, or fainting during sexual activity.
• Sudden vision or hearing loss.
• Painful or prolonged erections lasting several hours.
• ED accompanied by symptoms of depression or severe anxiety.

These require prompt medical attention.

Prevention and lifestyle

While not all cases are preventable, healthy habits reduce risk and improve treatment response.

• Regular physical activity and weight management.
• Balanced diet and limited alcohol.
• Quit smoking.
• Manage stress and sleep.
• Stay informed through our Educación and Artículos resources.

FAQ

Is impotence medication safe?

Approved medications are generally safe when prescribed appropriately, but they are not suitable for everyone.

Can I buy ED medication without a prescription?

Regulations vary. Unregulated products carry significant risks.

Does impotence medication cure ED?

No. It helps manage symptoms while underlying causes are addressed.

How fast do these medications work?

Onset varies by type and individual; your doctor can explain expectations.

Can stress alone cause ED?

Yes, psychological factors can play a major role.

Is ED linked to heart disease?

Often, yes. ED can be an early warning sign.

What about supplements advertised online?

Evidence is limited, and some contain undeclared drugs.

Sources

• Mayo Clinic – Erectile Dysfunction
• NHS – Erectile dysfunction
• American Urological Association Guidelines
• CDC – Men’s Health