
23/08/2025
Most men suffering from ED go online and reach for the medication before really understanding the cause of their ED.
Possible downsides of Oral Medications (PDE5 Inhibitors):
⚠️ 1. They Don’t Work for Everyone
• Around 30–40% of men don’t respond well, especially if the ED is caused by nerve damage (e.g., after prostate surgery) or vascular disease.
⏳ 2. Timing Can Be Tricky
• Most medications require planning — typically taken 30–60 minutes before s*x.
• This can affect spontaneity and cause pressure around performance.
🧠 3. They Don’t Address Psychological Causes
• If ED is linked to stress, anxiety, or relationship issues, pills may not help — and could even lead to overreliance or frustration when they “don’t work.”
💊 4. Side Effects
Common side effects include:
• Headaches
• Flushing
• Nasal congestion
• Upset stomach
• Dizziness
• Back pain (especially with tadalafil)
• Changes in vision (e.g., a blue tinge)
• Heart Palpitations
❤️ 5. Not Safe for Everyone
• Men taking nitrates (e.g., for angina) or with serious heart problems must avoid these medications — the combination can cause dangerous drops in blood pressure.
💸 6. Cost and Convenience
• For some, ongoing prescriptions can be expensive, especially if not covered by insurance or NHS.
• There may be restrictions on the number of tablets dispensed per month.
🧠 7. Temporary Fix, Not a Cure
• These medications treat the symptom, not the cause.
• They don’t reverse underlying vascular, hormonal, or psychological issues.
Understanding the type of ED you have is key.