# Treatment Summary for Erectile Dysfunction Based on user reviews, the erectile dysfunction treatment landscape includes several PDE-5 inhibitors as primary options. **Sildenafil** is highlighted as the first-line treatment due to its long safety track record, affordability, and effectiveness. **Tadalafil** offers an extended duration of up to 36 hours, making it suitable for patients preferring spontaneity or those with concurrent urinary symptoms. **Vardenafil** and **Avanafil** serve as alternatives when other PDE-5 inhibitors are ineffective or poorly tolerated, with avanafil noted for rapid onset in 15 minutes. Surgical options including two-piece, three-piece inflatable prostheses and malleable prostheses are listed as treatments, though no user reviews are provided for these. Injectable treatments (Trimix, Bimix, Alprostadil) are also available options without submitted user feedback.