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Treatment reviews

Treatments that aren't a pill

Clinical guidance runs medication first, then devices and injections, then surgery. The rungs below the pills get almost no honest coverage — which is where both the genuine bargains and the expensive dead ends live.

7.7out of 10

Trimix and Bimix injections

Injection therapyWorks when pills don'tCompounded — not FDA-approved

The most effective ED treatment there is, and the one nobody advertises

Cost
Often $50–$150 per vial, which typically yields many doses — commonly a few dollars per use
7.6out of 10

Penile implants

SurgeryHighest satisfaction ratesIrreversible

The end of the road, and the treatment people are gladdest they had

Cost
Frequently covered by insurance once conservative treatment has failed; tens of thousands of dollars without coverage
7.4out of 10

Vacuum erection devices

Vacuum pumpNo drug interactionsNo prescription required

Unglamorous, drug-free, and it works when the pills don't

Cost
Roughly $100–$500 for a medical-grade device, as a one-time purchase
6.6out of 10

Constriction rings and wearable ED devices

Wearable deviceNo prescription neededSafe with nitrates

The cheapest thing that works, if your problem is holding an erection rather than getting one

Cost
Purpose-built devices run roughly $100–$200; Eddie is priced around $188 for a four-month cycle
6.3out of 10

Eroxon (MED3000) topical gel

OTC topical gelNo prescription neededSafe with nitrates

The first ED treatment you can just buy — and it contains no drug at all

Cost
Around $25.99 for four single-use tubes — roughly $6.50 per use
5.4out of 10

Testosterone replacement therapy

Hormone therapyOnly for confirmed low testosteroneSuppresses fertility

Real medicine for a real condition — and the wrong answer for most people who ask about it

Cost
Generic injections are inexpensive; gels, pellets, and oral forms cost substantially more, plus ongoing lab monitoring
4.2out of 10

Shockwave therapy (Li-ESWT)

Clinic procedureInvestigationalNot FDA-cleared for ED

Sold as a cure, priced like surgery, backed by evidence that isn't there yet

Cost
Commonly $3,000–$6,000 for a course, paid out of pocket
4.0out of 10

PT-141 (bremelanotide)

PeptideNot approved for menActs on desire, not blood flow

An approved drug — for women. Sold to men by clinics that do not always mention that

Cost
Varies widely; wellness-clinic peptide programmes are typically expensive and cash-pay
2.1out of 10

Herbal and OTC “male enhancement” supplements

OTC supplementNot recommendedFrequently adulterated

The only category here where the products that work are the ones breaking the law

Cost
Commonly $30–$80 a month, frequently more than FDA-approved generic sildenafil costs

Why this section exists

These are the treatments nobody advertises to you, for opposite reasons. A vacuum device is a one-time purchase that pays no recurring commission, so you never see it promoted. Shockwave therapy is promoted relentlessly, at thousands of dollars a course, on evidence that does not yet support the claims. Both deserve a straight answer.