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ED drugs address only that issue, by improving blood flow into the penis and keeping the blood in place to maintain an erection. There are four ED drugs currently available sildenafil Viagra, avanafil Stendra, tadalafil Cialis, and vardenafil Levitra. Viagra takes around 30 minutes to become effective and lasts about 4 hours. Erectile Dysfunction ED Causes, Diagnosis Treatment These all improve blood supply to the penis. sex medicine for male - However, there are many other treatment options, including devices, injectable medications, and implants.