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Enjoy sex like you used to
Your penis gives off some serious Main Character Energy — both in and out of the bedroom. So, when you have erectile dysfunction (ED), it can feel like your sex life is doomed.
But sex with ED is possible.
You can:
Be open with your partner
Master foreplay
Use sex toys
Explore other erogenous zones
Talk to a therapist
Try ED treatments
Make healthy lifestyle changes
Ahead, we’ll share how to have sex with ED and explore these pieces of advice in more detail.
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Yes, men who have erectile difficulties can learn how to have sex with ED and satisfy their partners. They may just need to get creative and have sex in different ways or explore the many causes of erectile dysfunction and decide on an appropriate ED treatment option.
Erectile dysfunction is when you can’t get or keep an erection suitable enough for satisfactory sex. That means your penis may not be hard enough to penetrate your partner — or, you might be able to start having sex but go soft midway through.
Losing erections during sex or not being able to start in the first place can be distressing for both you and your partner. But that doesn’t mean sex is off the table completely.
Before you lose hope, know this: Having ED doesn’t automatically mean your erections are gone for good. Some men with erectile dysfunction can still get hard, but their erection quality diminishes over time, or they can’t maintain their erections long enough for a satisfying sexual experience.
Having ED doesn’t mean you don’t know how to ejaculate with ED or have an orgasm. It just means that your erections aren’t reliable, sustainable, or as hard as you’d like them to be.
With these seven tips, you can keep your sex life going — even if you have ED. Some of our suggestions will help you continue having sex with erection problems, while others aim to address your ED and improve sexual function overall.
We know, we know. Talking to your partner about ED can feel as embarrassing as ED itself. But having an honest chat about what’s going on can improve sexual dysfunction symptoms.
For one, stress and anxiety can make ED worse — and you’re probably feeling stressed and anxious about your ED. Talking with your partner can take some of the pressure off.
It can feel embarrassing when a guy can’t get hard. But if you’re in a long-term relationship, your partner will be more receptive if you’re willing to get vulnerable.
In fact, they may be thinking that they are the reason you can’t get hard. This is your opportunity to set the record straight. You can reassure your significant other that it’s not about them and then discuss ways to tackle the problem together. Turn it into a fun couple’s activity — maybe by browsing for new sex toys or trying new types of sex — to keep your sex life light and exciting.
For more advice, check out our guide to dealing with ED in a relationship.
If penetrative sex is proving tricky, focus on your foreplay game. Foreplay is anything before the “main event” of sexual intercourse. It can include sending flirty texts throughout the day, making out on the sofa before moving to the bedroom, nipple play, caressing, massaging, mutual masturbation, and oral sex.
But really, there are no rules when it comes to foreplay — now’s the time to get creative with your partner.
Foreplay can make you aroused and help you keep a firm erection during sex. It can also be a prominent part of your sexual activity — not something you rush through.
If you struggle with penetration or staying hard long enough, you can still enjoy sexy time together by spending longer on foreplay.
There’s even research suggesting that giving oral sex is linked to a better relationship.
A 2018 study found that older heterosexual couples with better relationship quality gave their partner oral sex more often than those with worse relationship quality. The link was there for both men and women, but it was stronger for men.
The lesson? Going down on your partner may improve your relationship — and you don’t need an erection for that.
Not sure what to do? Here are some foreplay ideas to get you started.
You may have seen the bold claims online: Sex toys can cure ED!
They may not be that powerful — more research is definitely needed — but they can certainly help spice up your sex life if ED has put the fire out.
Here are some options to consider:
Penis sleeves. Penis sleeves are hollow sleeves you put on your penis during sex. They come in different shapes and sizes, and many feature added textural features like ribs. There’s not much research on these, but anecdotally, they’ve been shown to recreate the sensory experience of having penetrative sex, even if your penis isn’t doing the penetrating.
Penis rings. If you’ve never used a sex toy before, penis rings — also popularly known as “cock rings” — may be the most beginner-friendly. Penis rings are ring-shaped devices worn at the base of the penis during sex. The ring helps keep blood inside the penis, which can help men with ED stay hard. Check out our Standing O penis rings.
Penis vibrators. Vibrators aren’t just for the ladies — they might help stimulate a man with erectile dysfunction. One review concluded that penile vibratory stimulation may improve erectile function in men with ED. Another paper indicated that penis vibrators could help men with ED get an erection, but more research is needed. Check out the OMG Ring penis vibrator to do your own study on the matter.
Prostate massagers. Prostate massagers do exactly what their name implies: massage the prostate. There’s not much research into whether they can help you get hard, but they can provide an alternative place to explore, either solo or with a partner. Check out our Thrill Ride prostate massager.
Bullet vibrators. Got a female partner? Show her some love. Bullet vibrators are small vibrators designed for external use. Vibrator use has been linked to higher sexual desire in both men and women, and it may help people with anorgasmia (trouble reaching orgasm). Using a bullet as backup is just one way a man with erectile dysfunction can satisfy a woman.
Learn more in our guide to sex toys for ED.
When your penis isn’t playing ball, there are other erogenous zones to explore. Don’t neglect your neck, earlobes, nipples, testes, perineum, and prostate.
Spice up your sex life by stimulating these areas with toys or your partner’s hands or mouth — or even with different sex positions for ED.
Remember to return the favor and explore your partner's erogenous zones, too.
Not feeling it? Check out our guide on how to get turned on for a sex drive boost.
Erectile dysfunction can be caused by psychological or emotional issues like:
Fear of sexual failure or sexual performance anxiety
Anxiety
Depression
Guilt about sexual performance or certain activities
Low self-esteem
Stress
The bad news is ED can cause some of these problems — hello, stress, and sexual performance anxiety. But these problems can also make ED worse, creating a vicious circle.
Talking to a therapist, either in person or online, can help. A therapist can talk through any mental health and well-being issues you might be struggling with and suggest helpful techniques or medication like antidepressants if needed.
You can also try sex therapy. A sex therapist can help you work through any sexual health issues that could be behind ED.
Learn more about psychological ED in our blog.
Most of the time, ED can be treated, and several treatment options are available. No, we’re not talking about the herbal “supplements” sold in gas stations and sex shops.
Phosphodiesterase type 5 inhibitors — or PDE5 inhibitors — are a first-line treatment for ED. They work by increasing blood flow to your penis, helping you stay harder for longer.
FDA-approved PDE5 inhibitors include:
Sildenafil (generic for Viagra®)
Avanafil (generic for Stendra®)
Vardenafil (generic for Levitra®)
Learn more about each of these options in our guide to PDE5 inhibitors.
We also offer access to erectile dysfunction medication in the form of chewable hard mints. These ED meds contain the active ingredients in the drugs Cialis, Viagra, and Staxyn® at different dosages.
You’ll need a prescription for ED medications, so speak to your primary care provider or a urologist. To skip the awkward IRL chat, consider an online consultation with a licensed healthcare provider.
Aside from pills, another medication for ED is alprostadil, which is an FDA-approved injectable medication. There is also a recently FDA-authorized, non-medicated topical gel for ED called Eroxon® Another option is to get a vacuum erection device, which is placed over your penis and then pumped to draw blood to the area.
There are also surgical treatments for erectile dysfunction, like penile implants, but these are usually reserved for those who can’t take or don’t react well to ED drugs.
ED can be caused by an unhealthy lifestyle — or the health problems an unhealthy lifestyle can lead to. In any case, bad habits can make the problem harder to fix.
The good news is that a few lifestyle adjustments might help you get hard.
Try working on addressing these common causes of ED:
Quitting smoking
Cutting down on alcohol
Quitting drugs
Losing weight if you’re overweight
Exercising
Reducing cholesterol
Eating a healthy diet (add these foods for virility to your grocery list)
You can also speak to a healthcare provider to get tested for underlying medical conditions that may be behind your ED. Health conditions such as type 2 diabetes, high blood pressure, low testosterone, spinal cord injuries, and cardiovascular disease.
A medical professional can also advise you on whether ED is a side effect of any medication you’re taking, or treatment you’re undergoing, like those for prostate cancer or kidney disease.
For more advice, check out our guide on how to maintain an erection.
Not only can you have sex with ED, you can have great sex! So don’t give up on your love life just because erections aren’t as easy to come by these days.
Here are the key things to keep in mind:
Start with an honest chat. Talk to your partner about ED. Awkward? Maybe. Helpful? You betcha. Take the pressure off and discuss ways to tackle the problem together.
Try mixing up your sex life. Experiment with different sex positions with ED, new toys and erogenous zones, extended foreplay, and more oral sex — your partner can thank us later.
Remember, ED is treatable. ED treatments like Viagra, Cialis, and sex therapy can help you get and maintain an erection.
ED isn’t a death sentence for your love life. Explore more erectile dysfunction treatments to get the help you need.
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Dr. Kelly Brown is a board certified Urologist and fellowship trained in Andrology. She is an accomplished men’s health expert with a robust background in healthcare innovation, clinical medicine, and academic research. Dr. Brown was previously Medical Director of a male fertility startup where she lead strategy and design of their digital health platform, an innovative education and telehealth model for delivering expert male fertility care.
She completed her undergraduate studies at University of North Carolina at Chapel Hill (go Heels!) with a Bachelor of Science in Radiologic Science and a Minor in Chemistry. She took a position at University of California Los Angeles as a radiologic technologist in the department of Interventional Cardiology, further solidifying her passion for medicine. She also pursued the unique opportunity to lead departmental design and operational development at the Ronald Reagan UCLA Medical Center, sparking her passion for the business of healthcare.
Dr. Brown then went on to obtain her doctorate in medicine from the prestigious Northwestern University - Feinberg School of Medicine and Masters in Business Administration from Northwestern University - Kellogg School of Management, with a concentration in Healthcare Management. During her surgical residency in Urology at University of California San Francisco, she utilized her research year to focus on innovations in telemedicine and then served as chief resident with significant contributions to clinical quality improvement. Dr. Brown then completed her Andrology Fellowship at Medical College of Wisconsin, furthering her expertise in male fertility, microsurgery, and sexual function.
Her dedication to caring for patients with compassion, understanding, as well as a unique ability to make guys instantly comfortable discussing anything from sex to sperm makes her a renowned clinician. In addition, her passion for innovation in healthcare combined with her business acumen makes her a formidable leader in the field of men’s health.
Dr. Brown is an avid adventurer; summiting Mount Kilimanjaro in Tanzania (twice!) and hiking the incredible Torres del Paine Trek in Patagonia, Chile. She deeply appreciates new challenges and diverse cultures on her travels. She lives in Denver with her husband, two children, and beloved Bernese Mountain Dog. You can find Dr. Brown on LinkedIn for more information.
Education & Training
Andrology Fellowship, Medical College of Wisconsin
Urology Residency, University of California San Francisco
M.D. Northwestern University Feinberg School of MedicineB.S. in Radiologic Science, Chemistry Minor, University of North Carolina at Chapel Hill
Published as Kelly Walker
Cowan, B, Walker, K., Rodgers, K., Agyemang, J. (2023). Hormonal Management Improves Semen Analysis Parameters in Men with Abnormal Concentration, Motility, and/or Morphology. Fertility and Sterility, Volume 118, Issue 5, e4. https://www.sciencedirect.com/journal/fertility-and-sterility/vol/120/issue/1/suppl/S
Walker, K., Gogoj, A., Honig, S., Sandlow, J. (2021). What’s New in Male Contraception? AUA Update Series, Volume 40. https://auau.auanet.org/content/update-series-2021-lesson-27-what%E2%80%99s-new-male-contraception
Walker, K., Shindel, A. (2019). AUA Erectile Dysfunction Guideline. AUA Update Series, Volume 38. https://auau.auanet.org/content/course-307
Walker, K., Ramstein, J., & Smith, J. (2019). Regret Regarding Fertility Preservation Decisions Among Male Cancer Patients. The Journal of Urology, 201(Supplement 4), e680-e681. https://www.auajournals.org/doi/10.1097/01.JU.0000556300.18991.8e
Walker, K., & Smith, J. (2019). Feasibility Study of Video Telehealth Clinic Visits in Urology. The Journal of Urology, 201(Supplement 4), e545-e545. https://www.auajournals.org/doi/10.1097/01.JU.0000556071.60611.37