WebMayo Clinic: “Erectile Dysfunction Symptoms,” “ED: Viagra and Other Oral Medications,” “Prostate Gland Enlargement;” and “Tadalafil (Oral Route).” National Association for Continence: “Enlarged.Recent heart or blood vessel problems. For many people, a physical exam and answering some basic questions about your medical history is all that is needed. Physical issues like heart disease, high cholesterol, high blood pressure, diabetes, obesity, and smoking can all cause erectile dysfunction. If you have chronic health conditions or your doctor suspects an underlying condition might be involved, you could need further tests or a consultation with a specialist such as me. What your treatment ultimately looks like depends on the cause and severity of your erectile dysfunction, as well as any underlying health condition that may be present. It might work longer if you have mild to moderate erectile dysfunction.WebMar 29, · Treatments for prostate cancer or enlarged prostate; Surgeries or injuries that affect the pelvic area or spinal cord; Low testosterone; Psychological causes of . WebMayo Clinic: “Erectile Dysfunction Symptoms,” “ED: Viagra and Other Oral Medications,” “Prostate Gland Enlargement;” and “Tadalafil (Oral Route).” National Association for Continence: “Enlarged. WebJun 24, · Sildenafil (Viagra). This medicine works best when you take it on an empty stomach an hour before sex. The body takes longer to absorb it after a high-fat meal or .Millions of men are able to successfully treat their erectile dysfunction. These small differences affect the way each medication works, such as how quickly it takes effect and wears off, and the possible side effects. How oral medicines differ Each oral medicine for ED has a slightly different chemical makeup. As with sildenafil, a high-fat meal or alcohol keep the body from absorbing it as quickly. The fact is that erectile dysfunction affects men of all ages. It involves your brain, your hormones, your nerves, your muscles, and your blood vessels. Severe liver disease.