Best Erectile Dysfunction Treatment of 2023

A Comprehensive Guide

Written by: Don Watson | Updated: November 7, 2023

Best Erectile Dysfunction Treatment of 2023
  • BlueChew is an online service that offers prescription erectile dysfunction medication.
  • It provides a discreet and convenient way to access ED treatment.
  • BlueChew offers two main active ingredients: Sildenafil and Tadalafil.
  • These ingredients are FDA-approved and commonly found in brand-name ED medications like Viagra and Cialis.
  • The tablets are delivered to your doorstep in discreet packaging.
  • BlueChew is more affordable compared to traditional brand-name ED medications.
  • Users report positive experiences with the service, citing its effectiveness and convenience.
  • BlueChew can be a viable option for individuals seeking ED treatment without in-person doctor visits.

Our Favorite Pick for the Year 2023: BlueChew

Bluechew offers two popular medications for the treatment of erectile dysfunction, and these medications are sildenafil and tadalafil. The primary difference between the two lies in their active ingredients and the way they work.

Sildenafil, commonly known as the brand name Viagra, is a medication that belongs to a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors. It works by increasing blood flow to the penis, which helps men achieve and maintain an erection when sexually stimulated.

Sildenafil typically takes effect within 30 to 60 minutes of consumption and lasts for around 4 to 6 hours. It is often recommended for on-demand use shortly before sexual activity.

Tadalafil, on the other hand, is the active ingredient in the brand-name medication Cialis. Like sildenafil, it is a PDE5 inhibitor, but it has a longer duration of action. Tadalafil can provide an effective response for up to 36 hours, earning it the nickname "the weekend pill."

This extended duration allows for greater spontaneity in sexual activities, as it doesn't need to be taken right before intercourse. Some people also use a lower daily dose of tadalafil for continuous, daily treatment of erectile dysfunction.

In summary, the main difference between Bluechew's sildenafil and tadalafil offerings is the duration of their effectiveness. Sildenafil offers a shorter but potent effect, while tadalafil provides a longer window of opportunity for sexual activity. The choice between the two often depends on an individual's preferences and their specific needs in addressing erectile dysfunction.

Bluechew puts tadalafil in the spotlight, and for good reason. Tadalafil edges out sildenafil and vardenafil as the top choice for most men dealing with ED. It offers a longer-lasting solution with the ability to maintain performance for up to 36 hours. What's more, Bluechew provides two tadalafil doses, perfectly suited for as-needed use.

This flexibility ensures that you can tailor your treatment to your specific needs and circumstances, whether it's a romantic weekend getaway or a spontaneous evening at home. Bluechew's emphasis on tadalafil and its range of options has made it the go-to choice for those looking to reclaim their confidence and intimacy, and I couldn't be happier with the results. It's truly a breath of fresh air in the world of ED treatment.

Our Silver Medal Pick: Hims

As a middle-aged man, I once found myself facing the all-too-common challenge of erectile dysfunction (ED). It was a hurdle I didn't anticipate, and it left me feeling a little lost and embarrassed.

That's when I stumbled upon Hims, a game-changer in the world of erectile dysfunction treatment. Hims offered a lifeline through telemedicine, allowing me to connect with a licensed doctor for a free consultation, all from the comfort and privacy of my own home. These doctors provided me with valuable guidance and reassurance.


Hims offered a range of erectile dysfunction treatments that sounded like a lifeline, including the well-known sildenafil and tadalafil, as well as stendra. But what really caught my attention was their innovative chewable ED treatment, a unique solution that made the whole process feel more convenient and less clinical.

What truly sets Hims apart and makes their products a savior for so many is their commitment to discretion, accessibility, and affordability.

Their telemedicine approach eliminates the need for awkward in-person visits, and the free consultation with a doctor ensures you get the right treatment for your unique situation. Hims has made a profound difference in my life, and I know it's doing the same for countless others, helping them regain their confidence and intimacy. In a world where erectile dysfunction can be a challenging obstacle, Hims offers a bridge to a more fulfilling, worry-free life, one chewable tablet at a time.

Our Approach to Assessing ED Treatments

In our journey to evaluate treatments for erectile dysfunction, we considered a few key factors. One important thing to remember is that different men may require different medication doses to achieve the desired results.

So, what's crucial for most guys to think about before diving into the world of ED treatments is finding the right fit for their needs. While some men may need higher doses than others, our exploration led us to favor tadalafil over other medication types.

It's not just about the cost, although sildenafil is often the least expensive option. Tadalafil offers the same flexibility in available doses but has a unique advantage.

You can take it as needed, and it works for up to 36 hours, making it a more preferable option for many men who don't want to predict precisely when intimacy will happen.

Keep in mind that individual preferences and experiences may vary, so one medicine might work better for you than another. Both are highly effective, but tadalafil is likely a great starting point for most men.

Dose Timing

In our quest to assess treatments for erectile dysfunction, we considered several crucial factors. It's important to note that different men may require different medication doses to achieve the desired results.

So, it's essential for most guys to think about what suits them best before they opt for ED treatments.

Our evaluation led us to prefer tadalafil over other types of medication, even though sildenafil is usually the more budget-friendly choice.

Tadalafil offers similar flexibility in available doses but stands out due to its unique feature: you can take it as needed, and it remains effective for up to 36 hours. This convenience makes it a preferred option for many men who'd rather not predict exactly when they'll engage in intimate moments. 

Remember, individual experiences may vary, so one medication may work better for you than another. Both are highly effective, but tadalafil is likely an excellent starting point for most men.

Quick comparison of dose timing ED medication:



Time To Work

Lasts For

Cialis (Tadalafil)


30 minutes to 2 hours

Up to 36 hours

Viagra (Sildenafil)


30 minutes to 1 hour

2-4 hours



15 minutes to 30 minutes

Up to 8 hours


50mg-100 mg

15 minutes to 30 minutes

Up to 6 hours

Apomorphine (Sublingual)


10 minutes to 20 minutes

Up to 8 hours

If you think this is a good place to start, trying BlueChew is the way to go. If you're someone who can safely use medications like tadalafil and sildenafil, BlueChew gives you a chance to try them for free. They send you several doses at no cost, and you only need to cover the small shipping fee. It's a simple and affordable way to see if these treatments work for you.

Please note that these are approximate values, and individual responses may vary. It's important to consult with a healthcare provider to determine the most suitable treatment and dosage for your specific needs.



Time To Work

Cialis (Tadalafil)



Viagra (Sildenafil)









For guys on a tight budget, we recommend going with BlueChew sildenafil. It's the most affordable prescription ED medicine you can get. Start with BlueChew to save money. If you need a higher dose and BlueChew's plans don't work for you, consider Hims. They offer the next-best prices and more options for dosage.


When considering treatments for erectile dysfunction, it's crucial to prioritize safety at every step of the process. Firstly, consulting a healthcare professional is paramount. They can assess your specific health situation, as well as any underlying causes of your ED, ensuring that the chosen treatment is both effective and safe.

Medications like Viagra or Cialis should only be taken as prescribed by a medical expert, as they may have contraindications with other medications or underlying health conditions. It's important to be aware of the most common side effects associated with these medications, which can include headaches, flushing, nasal congestion, and digestive issues.

Another essential precaution is to purchase these medications from reputable sources to avoid counterfeit or potentially harmful products. Additionally, always follow the prescribed dosage to prevent adverse side effects. Lifestyle modifications such as maintaining a healthy diet, regular exercise, and managing stress can complement ED treatments and promote overall well-being.

Lastly, open and honest communication with your healthcare provider is vital to monitor progress and adjust the treatment plan if necessary. Safety should always be a top priority when addressing erectile dysfunction, ensuring that the chosen treatment enhances both your physical and emotional well-being.


Winner: BlueChew

Bluechew packaging discreet

Privacy is absolutely crucial when it comes to getting medication for erectile dysfunction, and let me tell you why. First of all, there's often a lot of stigma and embarrassment surrounding ED. Many men feel uncomfortable discussing it, even with healthcare professionals. So, having your privacy respected is a big deal.

That's where options like Bluechew come in. Their website interface is user-friendly and discreet, meaning you can get the help you need without feeling exposed. When you order from them, they also ensure privacy in the packaging. You won't find any labels or logos that scream, "Hey, I've got ED meds here!" It's a discreet, brown package that keeps your personal business private.

In a world where privacy matters, especially when dealing with sensitive issues like ED, Bluechew stands out as a great option. It provides a safe and discreet environment for men to address their concerns without fear of judgment or unwanted exposure. So, when it comes to ED treatment, privacy is paramount, and Bluechew's approach truly respects that.

Medication format

Join me as we explore ways to address the erectile dysfunction treatment and the different ways to take the medicine. You see, when Viagra first appeared in 1998, it earned the nickname "the little blue pill." Men came up with this catchy name to keep a bit of distance from the stigma often linked to ED back then. Over time, it seemed like the "little" and "blue" traits of Viagra could change as more generic versions hit the scene. But lately, the focus has shifted to the "pill" part of the equation.

Now, pills are the most common way to take medications like sildenafil, tadalafil, Stendra, and vardenafil. However, not everyone finds pills convenient. Swallowing them can be tough for some, especially when you need to take a pill right before intimacy – finding a drink to wash it down can be a hassle. That's where options like BlueChew and Rugiet come in. They offer chewable tablets and dissolving lozenges to make things easier.

Some studies suggest that chewable and dissolvable methods might kick in a bit faster. That's because the medication can be absorbed through the mouth and into your bloodstream without going through your stomach. However, the time difference is usually just a few minutes. So, it's more about making life convenient.

BlueChew's chewable tadalafil is a standout here because their tablets are more convenient than Rugiet's lozenges, which need to be stored below room temperature to stay solid.

Now, the chewables game recently got more players in the field. Hims came up with its chewable tablets for tadalafil, vardenafil, and a mix of sildenafil and tadalafil. But, there's a catch – Hims currently only offers a 6mg dose for daily-use chewable tadalafil. Many men usually start at a 2.5mg dose for daily tadalafil. If you go for the 6mg Hims tadalafil and have side effects, there's no way to lower the dose. Plus, Hims' chewable tadalafil is more expensive right now compared to BlueChew.

So, as things stand, BlueChew is your go-to for chewable sildenafil. It's all about finding what suits you best, and sometimes, it's the little things that make a big difference.

What is erectile dysfunction? A Journey of Understanding

Erectile dysfunction (ED) is a common medical condition that affects men, including myself.

It involves difficulties in achieving or maintaining a firm erection suitable for sexual activity. From my perspective, it's like a roadblock on the path to intimacy, causing frustration, anxiety, and a dent in self-confidence.

ED can have various causes, both physical and psychological, making it essential to seek professional help to determine the underlying issue.

Treatments range from lifestyle changes to medication, and open communication with one's partner is crucial in navigating this challenge.

It's vital to remember that ED doesn't define one's masculinity; it's a condition that can be managed with the right approach and support.

Couples having problems

Erectile Dysfunction: What Lies Beneath?

Erectile dysfunction, or ED, is a challenge that many of us men may face at some point in our lives. It's important to explore the various causes from our perspective to shed light on this condition. While I'm not a doctor, I can offer insights into the common factors that contribute to ED.

Firstly, there are physical causes that can disrupt our ability to achieve or maintain an erection. As we age, blood flow to the penis may decrease, which can affect our performance. Conditions like heart disease, high blood pressure, diabetes, obesity, and certain medications can also interfere with our sexual function. Injuries to the pelvic area can play a part as well, sometimes causing ED.

But it's not just about the physical; the mind plays a significant role. Psychological factors, such as stress, anxiety, depression, and relationship issues, can contribute to ED. It's not uncommon for us to experience performance anxiety, which can become a self-fulfilling prophecy if left unaddressed.

Lifestyle choices are another factor. Smoking, excessive alcohol consumption, and substance abuse can take a toll on our sexual health. Sedentary habits and a poor diet can also impact our overall well-being, including our ability to maintain an erection.

Sometimes, it's a combination of these factors that leads to ED, and it's essential to recognize that we're not alone in facing this challenge. Seeking professional help is the first step toward understanding the root cause of our ED, and a healthcare provider can help determine the most appropriate treatment plan.

From my perspective, it's crucial to approach ED with a proactive mindset, embracing a healthy lifestyle, seeking support from a healthcare professional, and maintaining open communication with our partners to navigate this condition effectively. Remember, there's no shame in experiencing ED; it's a medical condition that can be addressed, allowing us to regain our confidence and intimacy.

Prescription Medications for Erectile Dysfunction

When it comes to prescription ED treatment options, several medications are available, all of which are PDE-5 inhibitors that enhance the effects of nitric oxide in the body. Here's a comparison of popular choices:


BlueChew Sildenafil 30 mg

BlueChew Tadalafil 6 mg

Roman Sildenafil 40 mg

Hims Stendra 100 mg

Roman Viagra 50 mg

Lowest price per dose:






Free trial:






Onset time:

30 minutes

30 minutes

30 minutes

15-30 minutes

30 minutes


Up to 6 hours

18-36 hours

Up to 6 hours

Up to 6 hours

Up to 6 hours

Medication form:






What are the side effects of PDE 5 inhibitors?

The safety of ED medications, particularly PDE-5 inhibitors like sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra), depends on your individual health and any other medications you may be taking. It's crucial to consult with a healthcare provider before using these medications to ensure they are safe and appropriate for you. Here are some general considerations and potential side effects of PDE-5 inhibitors:

Common Side Effects:

  1. 1
    Headache: This is one of the most common side effects.
  2. 2
    Flushing (Redness of the face and neck): Due to increased blood flow.
  3. 3
    Indigestion or Upset Stomach: May cause gastrointestinal discomfort.
  4. 4
    Nasal Congestion: A stuffy or runny nose.
  5. 5
    Dizziness or Lightheadedness: Occurs in some individuals.
  6. 6
    Vision Changes: Rarely, it may cause changes in color vision or blurred vision.

Less Common Side Effects:

  1. 1
    Back Pain or Muscle Aches: Occurs infrequently.
  2. 2
    Priapism: An erection lasting more than four hours requires immediate medical attention.
  3. 3
    Sudden Hearing Loss: A rare but serious side effect; seek medical help if this occurs.

Precautions and Safety Considerations:

  • PDE-5 inhibitors should not be used if you are taking nitrate medications for chest pain (angina) or have certain heart conditions.
  • Inform your healthcare provider of any other medications you are taking, as interactions can occur.
  • ED medications may not be safe if you have certain medical conditions, such as severe liver or kidney disease.
  • If you experience a sudden decrease or loss of vision or hearing, seek immediate medical attention.

Other alternatives to prescription ED medication

There are several alternatives to prescription ED medications that you can explore if you're looking for different options or if prescription medications are not suitable for you. some specific natural supplements and remedies have been explored as potential alternatives to prescription ED medications. These include:

  1. L-Arginine and Pycnogenol: L-arginine is an amino acid that can help with the production of nitric oxide, a compound that relaxes blood vessels in the penis, aiding in achieving and maintaining an erection. Pycnogenol, derived from French maritime pine bark, has antioxidant properties and is sometimes used in combination with L-arginine to improve blood flow. While some studies suggest a potential benefit, the evidence is not conclusive, and it may not work for everyone.
  1. Red Ginseng (Panax ginseng): Red ginseng is an herbal remedy that has been used in traditional medicine to boost sexual performance. Some research suggests it may help improve erectile function, possibly by promoting the release of nitric oxide and increasing blood flow. However, more studies are needed to confirm its effectiveness.
  2. DHEA (Dehydroepiandrosterone): DHEA is a hormone produced by the adrenal glands that can be converted into both testosterone and estrogen in the body. Some men with ED have low DHEA levels, and supplementation may help improve sexual function. However, DHEA is not recommended for everyone, and it should be used under the guidance of a healthcare provider, as it can have potential side effects and interactions with other medications.

It's important to note that while these natural supplements and remedies may offer some benefits for certain individuals, their effectiveness varies, and they may not work for everyone.

Additionally, the safety and appropriateness of these options can depend on your overall health and specific medical conditions. Always consult with a healthcare provider before using these or any alternative treatments to ensure they are safe and suitable for your situation.

In addition to the alternatives mentioned earlier, These alternatives include:

Lifestyle Changes: Making healthy lifestyle adjustments can significantly improve erectile function. This includes maintaining a balanced diet, regular exercise, and managing stress. Quitting smoking and reducing alcohol or recreational drug use can also help.

Psychotherapy: If ED is primarily due to psychological factors such as anxiety or relationship issues, therapy or counseling can be beneficial. A mental health professional can help address underlying emotional concerns.

Vacuum Erection Devices (VEDs): These are non-invasive devices that create a vacuum around the penis, drawing blood into the area and allowing for an erection. A constriction ring is then used to maintain the erection.

Penile Injections: Some men use self-injections of medications like Alprostadil to improve blood flow to the penis. These injections are typically administered just before sexual activity.

Penile Implants: Surgical implants are an option for men who do not respond to other treatments. These devices are placed in the penis to enable erections on demand.

Hormone Replacement Therapy: If ED is related to a hormonal imbalance, hormone therapy may be considered. This is less common but can be effective in some cases.

It's essential to remember that the effectiveness of these alternatives can vary from person to person. What works best for you may depend on the underlying cause of your ED and your individual health. Consult with a healthcare provider to discuss the most suitable options and determine the best course of action for your specific situation.

Final Thoughts

In conclusion, the quest for the best erectile dysfunction (ED) treatment in 2023 has been a deeply personal exploration from a male perspective. ED is a common challenge faced by many men, and addressing it is crucial for restoring confidence and intimacy. Our journey has encompassed understanding the condition, evaluating prescription medications, and delving into alternative options.

Our top choice for 2023, BlueChew, offers a discreet online service providing FDA-approved prescription ED medications like sildenafil and tadalafil. Its flexible subscription plans and positive user feedback make it an attractive option for those seeking ED treatment without in-person doctor visits. Hims also stands out as a runner-up, offering telemedicine-based ED treatment with innovative chewable medications and a commitment to discretion and accessibility.

When assessing ED treatments, individual preferences and needs are key. Tadalafil, with its extended 36-hour effectiveness, often emerges as a preferred choice for its flexibility.

The safety of ED medications, particularly PDE-5 inhibitors, depends on individual health and professional guidance. While effective, these medications may have common side effects, emphasizing the importance of consulting healthcare providers and maintaining open communication.

Privacy is paramount, and services like BlueChew ensure discreet treatment from consultation to delivery. Medication format is evolving, with chewable and dissolvable options providing convenience for those who find swallowing pills challenging.

Understanding the causes of ED, be they physical, psychological, or lifestyle-related, is essential. Seeking professional help is the initial step in addressing this issue.

In addition to prescription medications, various alternatives, including natural supplements, lifestyle changes, psychotherapy, and devices like vacuum erection devices and penile implants, can be explored to enhance erectile function.

Ultimately, there is no one-size-fits-all solution for ED. Every man's experience is unique, and the right approach depends on individual circumstances and preferences. With the guidance of healthcare providers and a proactive mindset, men can effectively navigate erectile dysfunction, regain their confidence, and enjoy fulfilling relationships and intimacy.

About Don Watson

My name is Don Watson and I love to support my wife Angela's passion for human sexuality. It pays dividends for me personally and I enjoy writing about the topic as I'm a sexual person by nature. I concern myself with everything on the website that has to do with the male reproductive system to compliment my wife's female-oriented content. Have any questions? You can contact me via email.

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