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New Erectile Dysfunction (ED) Treatments 2024

Kelly Brown MD, MBA

Reviewed by Kelly Brown MD, MBA

Written by Geoffrey C. Whittaker

Published 03/14/2021

Updated 09/26/2024

If you’re wondering what’s new and innovative in the world of effective treatment for erectile dysfunction, you may be surprised to find that not everything is approved by the Federal Food and Drug Administration (FDA). 

If more traditional treatments (like FDA-approved Viagra® or Cialis®) haven’t worked for you or your ED is serious, some of the cutting edge technology might be where you go next in search of results.

So what new ED treatments of 2024 and the past several years did you miss? Which new ED drug is getting the most attention? What new procedures for erectile dysfunction may be worth the risks — and recovery?

Below, we’ve discussed which options you might want to consider if you’re one of the estimated 30 million men in the US affected by some form of ED.

Google “what is the latest treatment for erectile dysfunction” and you’re likely to get ads for a lot of products, from mild to wild. But just because something is considered to be among the latest ED treatments, doesn’t mean it’s the best ED treatment available in 2024 — or the safest.

Developing new treatments for medical conditions like ED takes time and money — and a lot of both. This means that new technologies can take years to go from being in a research phase to hitting the shelves of your local pharmacy.

Still, because erectile function issues are so common, experts are constantly looking into new ways to treat them. New treatments being employed in 2024 include:

  • Melanocortin activators

  • Eroxon Stimgel

Let’s take a closer look at each area of research.

Melanocortin Activators

Currently, the most common medications for erectile dysfunction are PDE5 inhibitors, a class of drugs we’ve discussed in more detail further down the page. But researchers are constantly looking into new forms of medication for managing ED, and recent research has revealed several options with real potential.

These include dopaminergic medications, which work by targeting dopamine receptors located throughout your body, as well as melanocortin receptor agonists, which may improve erections and other aspects of sexual performance.

Unfortunately, some of these medications — particularly melanocortin receptor agonists — have significant adverse effects that make them less appealing as treatments for ED. These include severe vomiting and hypertension (high blood pressure).

Although many of these medications seem to show potential, it could be a long time before they become available to the public.

Eroxon Stimgel

The most recent erectile dysfunction treatment is an over-the-counter topical gel called Eroxon, approved by the FDA in June 2023.

Immediately before sexual intercourse, the single-use tube of gel is rubbed onto the head of the penis. This stimulates the nerve endings of the penis with a cooling effect followed by a warming sensation.

Eroxon stimgel is also thought to work through the stimulation by releasing nitric oxide to increase blood flow into the penis. Clinical trials found that around 63 percent of men who used Eroxon achieved an erection.

The other big selling point of this new ED treatment is that Eroxon worked within 10 minutes, compared to common prescription ED drugs like tadalafil (Cialis®) and sildenafil (Viagra®) which take around 30 minutes to work.

The common side effects were headaches and nausea, but these occurred in only 1 to 3 percent of men.

Personalized Rx

Hard results, delivered

Erectile dysfunction isn’t a new problem — in fact, research suggests that it’s been around since the beginning of recorded human history. Descriptions of ED are found in all sorts of ancient art, including Greek cup paintings and Egyptian tombs. 

Most treatments for ED were developed in the 20th century, including medications for improving blood flow and therapeutic techniques for improving relaxation and comfort in bed.

These treatments address the cause of ED in circumstances where it’s related to heart disease, lifestyle or the presence of other health conditions.

Lifestyle Changes

Currently, the most common way to treat erectile dysfunction is by making changes to your daily habits and using medication to increase blood flow to your penile tissue.

These lifestyle changes include keeping yourself physically active, maintaining a body weight in the healthy range, limiting your alcohol consumption, avoiding harmful drugs and, if appropriate, not using cigarettes or other products that contain nicotine.

Medication

When it comes to medication, erectile dysfunction is usually treated with oral prescription drugs referred to as PDE5 inhibitors

These medications work by increasing the amount of blood flow to your penis, making it easier for you to get and maintain an erection sufficient for penetrative sex.

Several PDE5 inhibitors are available as prescription medications, including sildenafil (Viagra®), tadalafil (Cialis®), vardenafil (Levitra®) and avanafil (Stendra®). All of these medications can be used as-needed, usually 30 to 60 minutes before sexual.

In certain cases, such as with tadalafil, these medications can also be taken on a daily basis for ongoing relief from ED. 

PDE5 inhibitors can cause mild side effects, including headaches, flushing, back or muscle pain, nasal congestion and dizziness. We’ve discussed these in more detail in our list of common side effects of Viagra

In rare cases, PDE5 inhibitors can also cause issues like priapism, as well as a sudden drop in blood pressure levels when used with other medications. If you’re prescribed any medication to treat ED, your healthcare provider will inform you about side effects before starting treatment.

Of the PDE5 inhibitors that are on the market today, avanafil — the active ingredient in Stendra — is the newest. This medication works rapidly, often in as little as 15 minutes, and has a selective effect within your body that means it’s less likely to cause some side effects.

Other medications under investigation include topical agents like alprostadil (a medication that’s currently available in  cream and injectable form), as well as guanylyl cyclase activators.

If PDE5 inhibitors aren’t an effective form of treatment for you, your primary care provider might suggest using injectable medication to stimulate an erection.

Injectable ED medications are delivered via syringe directly into your penis. Then generally work rapidly and provide near-instant relief of ED symptoms.

Alprostadil is one such injectable medication, which can also be taken as a small pellet inserted into your urethra. As you might imagine, although often effective, this type of medication can be unpleasant to administer, and isn’t necessarily a good option for everyone.

Medical Devices

Beyond medication, medical devices and surgical procedures are also used to treat severe and persistent erectile dysfunction.

Many men who have erectile dysfunction that doesn’t respond to medication use a penis pump, or vacuum device, to get hard. This type of device works by creating negative pressure around your penis, which increases blood flow into your erectile tissue.

While effective, vacuum devices are less popular with younger men because the erection often feels less natural.

Choose your chew

Low-Intensity Shockwave Treatment

Extracorporeal low-intensity shockwave therapy, or LIST, involves the use of acoustic waves to generate pressure impulses, which may vascularize the tissue inside your penis and promote blood flow. 

Sounds a little “iffy,” but so far, the research looks supportive.

As promising as low-intensity shock treatment seems, it’s important to keep in mind that it’s still very much in the early phase of research. As such, a lot more scientific research is necessary to properly assess its effectiveness and safety.

Gene Therapy

Also in research stages, injecting genetic material into your penis may improve erectile function and sexual performance.

One small-scale study involving 11 patients showed encouraging results when a single dose of DNA was injected into the penis. Although no adverse effects were reported, only 11 people in a single-dose study isn’t enough to call this type of treatment ready for the general public. 

Stem Cell Transplant Therapy

Stem cells are widely used to repair damaged tissues, and there have been promising results when stem cells were injected into the penile tissue of animals that failed to respond to older forms of treatment for ED.

Because stem cells can grow into numerous types of cells, it’s believed they can help to repair damaged or diseased tissues, including tissue inside the penis.

Although human clinical studies into stem cell therapy as a form of treatment for ED are limited, a small study carried out in Korea shows promising results in adult men with diabetes.

Platelet-Rich Plasma (PRP) Injections

Platelets, which are found in your blood, are known to play an important role in the processes of tissue regeneration, inflammation and angiogenesis (new blood vessel formation).

Some early research suggests that injecting platelets and plasma proteins from your own blood into your penis may be helpful for the treatment of erectile dysfunction, particularly if you have a form of nerve injury. 

However, the total amount of research into PRP for erectile dysfunction is limited, meaning we’ll need more studies before we know if this is a reliable treatment option.

Surgeries

Surgery for erectile dysfunction, on the other hand, generally involves fitting a penile implant or repairing the blood vessels inside your penis. Two types of implants — inflatable prosthetic implants and malleable implants — are used during this type of procedure.

Implant surgery is often effective when it’s conducted, but it also has a lengthy recovery period that usually lasts for at least four weeks. Like with other forms of surgery, there’s also a risk of tissue damage and infection.

Research is ongoing into the possibility of certain surgical options with varying levels of severity. Both penile transplants and vascular stent implantation pose potentially promising benefits but significant risks of infection, injury, failure and other extremes at the end of the risk chart.

Personalized Rx

Enjoy sex like you used to

Guys will try a lot of things to treat ED. Nitrates and nitric oxide supplements — over-the-counter medications in general — are easier than the oral medications prescribed by a urologist because they don’t involve an uncomfortable conversation. 

Unfortunately, men’s health and the research into ED has not found a “miracle cure” in any randomized clinical trials thus far, so if you were hoping for a quick and easy fix, we suspect that’s years off in the future.

Science is always evolving, and for a medical condition like ED that affects so many men, new treatments will always be pursued. Many future treatments for ED appear to have real potential for better erections and more reliable sexual function. 

However, for the past several decades, PDE5 inhibitors have primarily been the first choice for doctors when it comes to medical treatments for erectile dysfunction. 

We offer several evidence-based medications for erectile dysfunction online, including popular PDE5 inhibitors such as sildenafil and tadalafil

These medications are available following an online evaluation with a licensed physician, who will determine if a prescription is appropriate. 

If you’re concerned about ED, speaking with a healthcare provider can help you to learn more about your options and, if appropriate, access the most effective form of treatment to improve your sexual function and overall sex life.

11 Sources

  1. Definition & Facts for Erectile Dysfunction. (2017, July). Retrieved from https://www.niddk.nih.gov/health-information/urologic-diseases/erectile-dysfunction/definition-facts
  2. Panchatsharam, P.K., Durland, J. & Zito, P.M. (2022, May 8). Physiology, Erection. StatPearls. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK513278/
  3. Symptoms & Causes of Erectile Dysfunction. (2017, July). Retrieved from https://www.niddk.nih.gov/health-information/urologic-diseases/erectile-dysfunction/symptoms-causes
  4. Patel, C.K. & Bennett, N. (2016). Advances in the treatment of erectile dysfunction: what’s new and upcoming? F1000 Research. 5, 369. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4979545/
  5. Patel, D.P., Cheng, P.J., Hotaling, J.M. & Pastuszak, A.E. (2019, May 17). Emerging treatment options for ED: Hope or hype? Urology Times. Retrieved from ​​https://www.urologytimes.com/view/emerging-treatment-options-ed-hope-or-hype
  6. Gurtner, K., Saltzman, A., Hebert, K. & Laborde, E. (2017, May). Erectile Dysfunction: A Review of Historical Treatments With a Focus on the Development of the Inflatable Penile Prosthesis. American Journal of Men’s Health. 11 (3), 479-486. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5675239/
  7. Treatment for Erectile Dysfunction. (2017, July). Retrieved from https://www.niddk.nih.gov/health-information/urologic-diseases/erectile-dysfunction/treatment
  8. Dhaliwal, A. & Gupta, M. (2022, May 20). PDE5 Inhibitors. StatPearls. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK549843/
  9. Kim, S., Cho, M. C., Cho, S. Y., Chung, H., & Rajasekaran, M. R. (2021). Novel Emerging Therapies for Erectile Dysfunction. The world journal of men's health, 39(1), 48–64. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7752520/
  10. FDA Roundup: June 13, 2023. (2023, June 13). FDA. Retrieved from https://www.fda.gov/news-events/press-announcements/fda-roundup-june-13-2023
  11. Ralph, D. (n.d.). Eroxon®: Clinical trials. Eroxon® Stimgel. Retrieved from https://hcp.eroxon.co.uk/hcpentry/clinically-proven
Editorial Standards

Hims & Hers has strict sourcing guidelines to ensure our content is accurate and current. We rely on peer-reviewed studies, academic research institutions, and medical associations. We strive to use primary sources and refrain from using tertiary references. See a mistake? Let us know at [email protected]!

This article is for informational purposes only and does not constitute medical advice. The information contained herein is not a substitute for and should never be relied upon for professional medical advice. Always talk to your doctor about the risks and benefits of any treatment. Learn more about our editorial standards here.

Kelly Brown MD, MBA
Kelly Brown MD, MBA

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.

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