Treatments Beyond Pills
Vacuum devices, injections, shockwave therapy, delay sprays and testosterone testing, what each is and what the evidence says.
7 guides
The brief
Pills are first-line for most men, but they are not the only option. These guides cover the other treatments a urologist may discuss, what each involves, what it costs and where the evidence stands.
Educational information only. Talk to a licensed provider before starting any treatment.
Start here · Explainer
Penis Pump for ED (2026): How Vacuum Erection Devices Work
What a vacuum erection device is, whether a penis pump works for erectile dysfunction, the 30-minute ring rule, who should not use one, what it costs, and what pumps cannot do.
Read it12 min read
- 02
Explainer
Trimix Injections for ED (2026): How They Work, Side Effects, Risks
What Trimix is, how penile injections work, the in-office test dose, priapism and other side effects, how Trimix compares with Viagra, and why it is compounded and not FDA-approved.
12 min read - 03
Explainer
Shockwave Therapy for ED (2026): Does GAINSWave Work?
What low-intensity shockwave therapy is, what the AUA guideline and trials say about whether it works, how GAINSWave fits in, how to think about cost, and the proven treatments to try first.
11 min read - 04
Explainer
Delay Spray (2026): Does Lidocaine Spray Work for Premature Ejaculation?
How delay sprays work, what the FDA rules say about lidocaine and benzocaine products, how to use one without numbing your partner, condom tips, side effects, and when to see a doctor instead.
11 min read - 05
Buyer's Guide
At-Home Testosterone Test: Best Kits, Accuracy and Low T vs ED
What home testosterone kits cost and measure, how to collect a reliable sample, how doctors actually diagnose low testosterone, and whether low T is behind your ED.
11 min read - 06
Explainer
Best ED Treatment for Diabetes: What to Know in 2026
Why erectile dysfunction is more common with diabetes, how oral PDE5 inhibitors fit in, the cardiovascular and medication checks that matter, and why the right option is a decision only your clinician can make.
11 min read - 07
Explainer
Erectile Dysfunction: Causes, Risk Factors & Treatment Options
What causes ED (blood flow, nerves, hormones, medicines, mind and habits), why it can be an early warning for heart disease and diabetes, how it is diagnosed, when to see a doctor, and the full treatment ladder from lifestyle to FDA-approved medication.
17 min read
Keep exploring
ED 101
Start here, how online ED care works, what the medications are, and how to vet a provider.
Provider Reviews & Comparisons
Every major ED telehealth provider, compared on price, brand vs generic, and how the consult works, so you can compare in one place.
ED Medications
Sildenafil, tadalafil, vardenafil and avanafil: how each works, how long it lasts, doses, side effects and brand vs generic.
Prices and Savings
What ED treatment really costs online and at the pharmacy, coupons, insurance, and the cheapest legit ways to start.
Where to start
The providers we would talk to first
- Visit HealthyMale
Generic sildenafil and tadalafil from about $20, free consult advertised, no subscription
- Visit DrHouse
02DrHouse
On-demand video visit in all 50 states, insurance accepted
- Visit Bayan Health
Sildenafil or tadalafil capsules listed from $49, prescribed by licensed physicians
- Visit Shed
04Shed
Daily tadalafil 5mg listed from $49.67/mo after an online consult
Test your levels first
- Visit Everlywell
At-home men's health test kit, physician-reviewed results
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