Penile Prosthetic Implants (flexible rods or inflatable devices) or Vascular Reconstructive Surgery for ED are surgical options. Surgery is often used as a last resort because of the risks involved.
There are several oral treatments for ED. Some have been produced by major medical companies and have had tremendous media exposure, like Viagra™. Many other unproven and unregulated vitamins and supplement type solutions are also advertised today.
The problem with many of the medications on the market today is that many are not effective in that they do not work for everyone and many can cause various possible side effects. Oral treatments are expensive. For many, the client has to wait several hours before having an erection and in waiting for it to subside.
Timing is key. Chemically proven medications require a prescription and should be used under the supervision of a physician. Many men do not talk to their doctors about their sexual problems and prefer to buy a treatment directly if possible.