If you’re one of the 30 million people living with erectile dysfunction (ED), then you know how frustrating it can be to get or keep an erection firm enough for sex.

The good news is there are many treatment options available for ED. Combined with taking care of your health overall, these treatments may help you manage ED effectively.

In this article, we’ll cover effective treatments, including products and services, from oral medications, penis pumps, and prescription creams to sex aids and other support at your fingertips.

Oral medications

Oral medications are often a first choice for treating ED. The most common oral medications for ED are phosphodiesterase type 5 (PDE5) inhibitors, including sildenafil, tadalafil, and vardenafil.

Your doctor can prescribe these drugs with personalized treatment, or you can turn to a telemedicine company that provides ED treatment. Here are three to consider.

Roman

Roman is a telemedicine company that provides diagnosis, treatment, and medication for ED, hair loss, premature ejaculation, cold sores, and genital herpes. The healthcare professionals for the company can analyze laboratory tests related to ED as well as conduct a digital consultation.

If appropriate, they will write you a prescription for ED medication. Providers from Roman prescribe sildenafil and tadalafil.

Pricing is dose-dependent and based on generic versus brand-name ED drugs. For example, a 50-milligram (mg) dose of sildenafil (generic Viagra) costs $34, and a 50-mg dose of Viagra costs $70.

Hims

Hims is a telemedicine company that provides services for hair loss, ED, skincare, primary care, and mental health.

After completing an online profile, you will speak with a healthcare professional licensed in your state to start your diagnosis and discuss potential treatments. They provide both generic and brand-name medications for ED.

If appropriate, a doctor will write you a prescription for an ED medication you can buy on the website. You then receive a month’s worth of medication at a time.

Hims offers five medications approved by the Food and Drug Administration (FDA), including Viagra, sildenafil, Cialis, tadalafil, and avanafil. Subscriptions range from $20 per month up to $116 per month.

BlueChew

BlueChew is a telemedicine subscription-based service that offers chewable tablets of sildenafil or tadalafil.

The company offers monthly subscription plans that start at $20 for six tablets of sildenafil (30 mg) or four tablets of tadalafil (6 mg) up to $120 for 34 sildenafil tablets (45 mg) or 28 tadalafil tablets (9 mg).

The chewable tablets are not FDA approved, but the ingredients are. To get BlueChew tablets, an affiliated provider will write you a prescription after you complete a medical profile and digital consultation, and it is deemed medically appropriate.

Penis pumps for ED treatment

Penis pumps work by drawing blood into the penis via air suction to produce an erection. You can also find pumps that use water pressure.

When used in the treatment of ED, it can improve your ability to have sexual intercourse.

Sex aids and external penile prosthesis

Oral medications and prescription creams or suppositories are often the “go-to” for ED, but some people find sex aids and external penile prostheses are also helpful (and fun) in the bedroom.

Penile sleeves

Penis sleeves cover the penile shaft and allow you to have insertive sex. Some of the sleeves are hollow with a space inside for the penis, so that you can slip it over the penis.

You can get a complete sheathe that covers the glans of the penis, also called the head or tip, or a partial sheathe that leaves the glans exposed.

Other penis sleeves are more like a penile prosthesis. You can also get an extender that covers the penis and adds more material to extend it.