“In my 25 years of clinical practice, if you look at the pills, I’d say that the oral medications for erectile dysfunction work well in about 50% of men. They work well in about 50% of men. The other 50%, either they aren’t working adequately or they don’t work at all.
Now, what are some of the problems with these pills? Well, some of the men will complain about side effects. You can get a headache. You can get a stuffy nose. You can get indigestion. A number of side effects with the pills.

The other thing that I found is a lot of men, when they come in to see me, they really don’t want to go on the pills. And I’ll just focus on pills right now. They don’t want to go on the pills and they’ll ask me, ‘Well, what else can I do?’ And then we talk about diet and exercise and things like that. And I’d say one of the big changes in our practice now is that we really want to focus more on the lifestyle changes. Not to the exclusion of the pills, because I think what’s important for the men that come in is they want that sexual health issue taken care of. So if they have erectile dysfunction, they want that treated.

What I try to offer you is a spectrum of treatments. I have some men who, I can tell you, they will want to go on more of the lifestyle intervention, with nutrition changes and exercise, before they even try these pills. Other men will say, ‘I need to get back in the saddle so to speak, so I want to do that.’ But here’s why you need to try a more comprehensive approach. So that’s one of the things that we try to spend a lot of time on, is education. Why erectile dysfunction and other problems that we deal with on the sexual side are really early manifestations of other things that are probably going on. So it’s just as important to take care of that.”