Are you among million men struggling with erectile dysfunction or ED? You might be surprised to find out all the options for erectile dysfunction treatment. In this article read more about erectile dysfunction, its causes and symptoms and discover what are the best erectile dysfunction treatment over-the-counter in 2024.


Studies have shown that approximately 50 % of men over the age of 50 have some form of erectile dysfunction, and even 35% of them suffer from impotence caused by enlarged prostate or prostatitis.


  • Erectile dysfunction – definition
  • Most common causes of erectile dysfunction
  • Enlarged prostate and prostatitis as erectile dysfunction causes
  • Erectile dysfunction symptoms
  • Finding the erectile dysfunction treatment online or in the pharmacy
  • Best erectile dysfunction treatment over-the-counter in 2024.

Erectile dysfunction is defined as an inability to get and sustain an erection that with premature ejaculation affects a man’s sex life. Erectile dysfunction, generally, causes additional emotional stress, that indirectly affects problems with a partner, family, environment and the workplace, etc. For these reasons, treating erectile dysfunction cannot wait. It is necessary to act, seek medical attention immediately when the first symptoms occur.


It is well known that erectile dysfunction can be caused by various factors. Firstly it is necessary to define the causes of erectile dysfunction in order to increase the chances for successful recovery of sexual function. The causes of ED can be divided into 2 general categories: organic and psychogenic.

Organic (physical) causes of erectile dysfunction

The organic cause of erectile dysfunction or weak and/or short-lasting erection most commonly affects men over 50. Erectile dysfunction can be caused by different physical causes, like:

  • Urological disorders – prostatitis, benign prostatic hyperplasia (BHP), cystourethritis, orchitis. Urogenital disorders have a direct effect on sexual function(reducing sex drive), resulting in changes in testicular and penile tissues.
  • Endocrine disorders – linked to diabetes, insufficient testosterone production, hormonal imbalance in the body that can lead to low sexual desire (libido) and lower vitality in men
  • Neurological disorders – multiple sclerosis, problems with cerebral circulation, Parkinson’s disease, osteochondrosis, etc. These diseases lead to the impaired genital blood supply and impaired transmission of nerve impulses.
  • Atherosclerosis and concomitant vascular disease cause at the same time impaired blood flow to the genitals, causing direct erection problems and even complete impotence.
  • Hypertension and heart disease – these diseases are also accompanied by poor blood circulation throughout the body, including the genital area
  • Liver disease – is associated with lower testosterone level and the development of impotence
  • Alcohol, tobacco, and illegal drugs – inhibit the cerebral cortex and block the nerve endings responsible for getting an erection and thus causing impotence.
  • Penile injuries, frequent infections in the genital area can cause erectile dysfunction.

Psychogenic causes of erectile dysfunction

Erectile dysfunction caused by psychogenic factors is surprisingly common among young men (from 20-40 years). Usually, these problems occur due to a lack of confidence and experience, high exposure to stressful environments or situations. Psychological erectile dysfunction (impotence) is caused by psychological problems. When treating psychological causes of impotence your first step should be to talk to your doctor and your partner about your concerns. Experts can help you create a medical action plan and regain your confidence.

Some of the most common causes of psychological impotence are:

  • Failure during sexual intercourse – a man no longer wants to be ashamed for not being able to please the partner
  • Stress and depression – They inhibit the nervous system and reduce sexual desire.
  • Hard physical work, emotional exhaustion – causing a nervous breakdown and lack of desire for intimacy.
  • Fear of getting sexually transmitted diseases and infections – this fear can be so intense that a man refuses to have sexual intercourse even with a regular partner.
  • Fear of their partner getting pregnant
  • Uncomfortable conditions for sexual intercourse – involves living in the same apartment with parents or other people
  • Having psychological assumptions from childhood that are sometimes difficult to recognize – for example, that sex is something dirty and obscene.
  • Spending a great deal of time masturbating can reduce the attraction of the opposite sex and create problems in an intimate relationship
  • Psychological problems caused by sexual abuse by others in childhood or adolescence.


Enlarged prostate and prostatitis

When talking about the problem with impotence (erectile dysfunction), be aware that it can be caused by benign prostatic hyperplasia, enlarged prostate and prostatitis. Prostate enlargement and prostatitis affect all areas of men’s life and thus the problem with potency. Other potential causes of impotence, i.e. erectile dysfunction, can be low testosterone levels, concerns related to sexual orientation, bad sexual experiences, expressive shyness and insecurity, side effects of some drugs (antidepressants, beta-blockers …), opiate use, alcoholism, poor blood circulation in veins and arteries, diabetes, obesity, smoking, stress, loss of sexual desire (libido), anxiety, high blood pressure, etc.

Impotence or some form of erectile dysfunction is a common diagnosis in men over 50 years of age.

It is much easier to act preventively in time rather than treating enlarged prostate and prostatitis along with all the complications or urological disease and prostate. If it’s not too late, erectile dysfunction treatment using natural medicines can slow down the prostate enlargement and prostatitis development, thus prevent the loss of potency (erection) and in some cases restore lost potency, sexual strength, libido, and vitality.

The prostate gland has an important function in the male body. The prostate gland not only affects testosterone production, semen quality, and motility but is also responsible for healthy sexual activity, erection, orgasm, etc. Very often, inflammatory processes in the prostate gland reduce erection duration and significantly impair sperm quality. Some men who suffer from prostate problems, in addition to potency, lose at the same time, completely or partly their pleasure during sexual intercourse.

The prostate regulates, among other things, the metabolism of male hormones – androgens. Also, the prostate gland acts as a valve, blocking the urethra during an erection. Over time, inflammation of the prostate, enlarged by swelling (adenoma) or scars, can block the ducts, leading to impairment of the male reproductive system.

One of the complications of prostatitis is impotence, which is manifested as complete or partial erectile dysfunction, premature ejaculation, and loss of libido. Loss of sensation of the penis during intercourse and pain during orgasm can also occur.


Prostatitis is a serious inflammation of the male reproductive organ. Prostatitis is caused by pathogenic microorganisms that multiply in the prostate, causing poor blood circulation in the pelvic organs. The inflammation of the prostatic gland also causes its enlargement.

The most common causes of prostatitis can be:

  • Impaired immunity
  • Unregular sexual activity
  • Injuries in the pelvic area
  • Smoking, alcoholism, drug use
  • Hypothermia
  • A sedentary lifestyle
  • Deterioration of blood flow and lymph circulation in male pelvic organs
  • Hormonal disorder
  • Chronic infectious diseases
  • Sexually transmitted disease
  • Infections
  • Bacteria (E.coli)
  • Catheterization
  • Bladder stones
  • Tumors


No matter the causes of enlarged prostate and prostatitis, the disease is accompanied by the following symptoms:

  • Lower abdominal pain
  • Groin and pelvic pain
  • Sexual disorders (impotence)
  • A frequent, sometimes false need to urinate
  • Weak erection or impaired sexual function (erectile dysfunction)
  • Decreased sensitivity during intercourse
  • Painful orgasms
  • Urinary problems
  • Pain during urination
  • Premature ejaculation

Also, the main symptoms of prostatitis can be manifested as general weakness, migraine, fever. A prolonged period of acute disease also leads to chronic prostatitis.

“If your erection is weak or if impotence suddenly occurs, there is a possibility you are having prostate-related problem that needs to be treated.”


Comprehensively approach with prostatitis diagnostics is important in order to get a proper diagnosis. Initially, the specialist will examine the patient. The doctor will perform a rectal examination and, after a urine test, determine the causes of the infection. To obtain the most accurate results, it is necessary to compare three urine samples. For this purpose, urine is collected at the beginning and in the middle of urination and analyzed. The secretions obtained during prostate massage after urination are also analyzed. If there is an increased number of bacterial colonies, then the doctor will confirm the diagnosis of prostatitis.

If prostatitis treatment is started immediately after the onset of the first symptoms, then in most cases it will be possible to regain potency.

The main steps in treating the prostate and regaining the potency are focused to restore potency of the ducts, eliminating the infection, increasing blood circulation.

Today, men are aware of the importance of preventive care. Surveys from the United States (conducted on a sample of 5000 respondents aged 25-40 years) showed that as many as 27% of younger men take preventively some natural medicines for impotence at least twice a year.


Erectile dysfunction treatment involves taking various pills and natural supplements that can be purchased without a doctor’s prescription. Online shopping from trusted Internet stores has lately become very popular due to many reasons, like:

  • discretion and discreet delivery
  • in most cases, it is less expensive compared to pharmacies
    – quantity discount available
  • comfort shopping from home
    – before the final decision, you can get detailed information about the product
  • for larger quantities, some retailers offer free delivery at your doorstep



This is the selection of the best erectile dysfunction treatment over-the-counter in 2024. They do not act like Viagra, Cialis, Levitra immediately and instant, directly and only to an erection. Erectile dysfunction treatment using natural medicines help treating the prostate gland and restoring natural erection. They also act preventively, and it is advisable to take them immediately after feeling weak erection, low sexual drive (libido) or reduced vitality.

The selection criteria were: the ingredients, quantity of ingredients, country of origin, manufacturer, opinion and suggestion of pharmacists when buying at different pharmacies, price/quality ratio, onset of action, availability at pharmacies and checked online pharmacies and shops, customers opinion found on the internet.



  • First choice for numerous men having symptoms of prostate disease or erectile dysfunction, low libido or reduced vitality, that improves sexual function in men (prostate regenerating, prolongs sexual intercourse, strengthens sexual potency, shortens the refractory period in men, delays premature ejaculation).
  • REGEN50 STRONG is a leader among prostate natural medicines
  • Effectively solution for the problem of frequent urination
  • Produced in Germany, under the brand  Nutrilago®
  • Available for sale in the pharmacies and via official website
  • Available without a prescription
  • Contains only herbal ingredients, vitamins, minerals and antioxidants
  • Contains 12 active natural ingredients: Sabal palm fruit extract, African plum bark extract (phytosterol), nettle root extract, Vitamin C, Vitamin E, Vitamin B6, Zinc, Magnesium, Maca, L-arginine, Indian frankincense resin extract, Lycopene (Tomato extract)
  • Wide range of positive effects on the entire body
  • Proven effective and safe product if used according to instructions
  • One package contains 60 capsules, sufficient for 30 days of treatment (2 capsules per day)
  • Most modern approach in treating prostate, sexual potency, libido and vitality
  • The effects are exponentially increased with longer use

Price for a package for 1 month is 35,00 £/bottle and for 3 months is 29,75 £


prostate cure

  • Unlike REGEN50 STRONG, REGEN50 is used by men having prostate problems like frequent urination and also by women suffering from urogenital problems, due to its positive effect on the urinary system
  • Compared to REGEN50, REGEN50 STRONG acts more powerful to potency, libido, and vitality
  • Produced in Germany, under the  Nutrilago® brand
  • Available for sale in the pharmacies or via the official internet store
  • Available without a prescription
  • Contains only herbal ingredients, vitamins, minerals, and antioxidants
  • Contains 8 active natural ingredients: Sabal Palm fruit extract, Extract of African plum bark (Phytosterols), Pumpkin seed extract, Vitamin C, Vitamin E, Vitamin B6, Zinc, Magnesium
  • Wide range of positive effects on the entire body
  • Proven effective and safe product if used according to the instructions
  • One package contains 60 capsules, sufficient for 30 days of treatment (2 capsules per day)
  • The effects are exponentially increased with longer use
  • The price for 1 month is 29,00 £/per package and the price for 3 months is 24,65 £/per package

VigRX plus


  • A product that’s been present for a long period on the market as a natural male enhancement pills
  • Consist of several natural ingredients: Korean Ginseng, Saffron, Hawthorn Berry, Gingko Biloba Leaf Extract, Damiana, Maca, Pomegranate, Turmeric..
  • Available without prescription
  • 1 package contains 60 tablets sufficient for 1 month
  • Available for sale online or in the shops
  • Price per package is £49.99.



  • Contains a 100% natural ingredients that help to enhance male vitality, desire and drive.
  • Consist of the following ingredients: Korean Ginseng, Butea Superba, Solidilin and Drilizen.
  • Available without prescription
  • One pack contains 60 capsules – which is one months supply.
  • Available for purchase online or in the shops
  • Price for package: currently unknown



  • It is a pill form supplement which promises to help men with erectile dysfunction.
  • Here is the list of the ingredients: Citrus Sinensis, Pomegranate, Ginkgo Biloba, Tribulus Terrestris, Extract of Panax Ginseng Root, Epimedium Brevocorum and Zinc
  • One pack contains 10 tablets
  • Available for purchase online
  • It is advised to take one tablet daily.
  • Regular use is recommended for long-lasting results.
  • The price for 1 package of 10 tablets is £54.99.


  • Includes 5 natural ingredients: Epimedium, Ginko, Ginseng, Saw Palmetto, Cayenne Fruit
  • The manufacturer recommends taking one pill per day
  • Bottle size has been reduced to 30 capsules, sufficient for 1 month.
  • Price: currently unavailable