Erectile dysfunction is an issue experienced by as many as 322 million men worldwide. (1) While dealing with ED can be incredibly frustrating, the good news is that the condition is highly treatable once the underlying cause has been determined.
While many men believe that ED is just a side effect of aging, the reality is that there is a strong chance of erectile function being restored with proper treatment regardless of your age. As you head into a new year, addressing your sexual health is one of the most effective ways to boost confidence, energy, and daily performance.
If you want to start 2026 by feeling stronger and more capable, exploring modern ED solutions is a smart first step. Over the last several years, erectile dysfunction treatment has evolved substantially, and there are now many more options available than traditional pills for short-term treatment.
In this guide, we’ll explore what causes ED, what treatment options are presently available, and how you can work with your provider to address the root cause of your ED and start performing like yourself again.
What Causes Erectile Dysfunction and Why Treatment Options Differ
Erectile dysfunction can occur for a plethora of different reasons, which is why no single treatment works for every man. Understanding what is driving the symptom is important for choosing the right plan. Common causes of ED include (2):
- Poor circulation that reduces blood flow
- Low testosterone and hormonal imbalance
- Stress, performance anxiety, or mental fatigue
- Metabolic issues such as insulin resistance and obesity
- Lifestyle factors such as alcohol use, inactivity, or smoking
- Certain medications that impact blood flow or hormones
- Conditions such as diabetes
Once you understand what exactly is causing your ED, treatment can become much more targeted and effective. Modern ED clinics such as Gameday Men’s Health can help you pinpoint the root cause of your erectile dysfunction and tailor treatments and lifestyle recommendations to best fit your specific situation.
Lifestyle Changes That Support Erectile Function
Lifestyle choices and habits play a larger role in sexual performance than many men realize. Improving certain habits can help reduce the effects of ED for many men. Even small changes can make a big difference when it comes to restoring healthier erections.
Some key areas to focus on include: (3)
- Regular exercise to help improve circulation
- Healthy weight management for improved vascular and metabolic function
- Reducing alcohol and nicotine use
- Prioritizing sleep for better hormone balance
- Practicing stress reduction techniques such as mindfulness or relaxation habits
Lifestyle improvements are often recommended alongside modern treatment options to help men see stronger and longer-lasting results.
Oral ED Medications (Viagra and Cialis)
Oral ED medications remain one of the most well-known and widely used treatment options. These prescriptions can increase blood flow to the penis and help men achieve and maintain an erection when aroused. For many men, these medications are reliable and convenient.
There are clear benefits for oral ED medications, the most common of which are Viagra and Cialis. These pills are highly accessible, easy to use, and effective for a large percentage of patients. Many men appreciate that these medications work quickly and can be used as needed.
However, there are also limitations to oral ED medications. While effective for singular erections, they do not address the root cause of ED and may not help men who have significant vascular issues, metabolic conditions, or hormonal imbalance. Some men also experience side effects (such as headaches, nausea, or hot flashes) or find that oral medications lose effectiveness over time. (4) Still, they remain a strong option and are often prescribed as part of a broader treatment plan.
Trimix Injections: A Reliable Option When Pills Are Not Enough
Trimix is one of the most dependable treatment options available for men who do not respond well to oral medications. This injectable therapy contains a combination of three medications that work directly to produce an erection. It works quickly, often within 5-15 minutes, and does not rely on the cardiovascular system in the same way pills do. (5)
Trimix injections are a popular treatment option for men seeking predictable, consistent results. It is especially helpful for individuals with diabetes or more advanced vascular issues. At Gameday, Trimix is provided as part of a medically supervised program that ensures men have proper dosing, technique, and safety.
Testosterone Replacement Therapy: For Low T Related ED
Low testosterone is one of the most common hormonal drivers of sexual dysfunction and can have a substantial impact on performance in the bedroom. (6)
When testosterone levels drop, men often notice reduced libido, weaker erections, lower energy, irritability, and a decline in confidence. (7) In these cases, ED pills alone will not fix the problem, because the root cause is hormonal.
Testosterone replacement therapy (TRT) helps restore balance to the hormonal system. TRT can help improve libido, sexual performance, mental clarity, energy, and day-to-day confidence.
Reviews show TRT can improve erectile function, particularly in hypogonadal men, but the effect size is variable and PDE5 inhibitors remain first-line options.
GLP-1 Medications for Weight and Metabolic Health
Metabolic health can also play a major role in erectile function. Excess weight, insulin resistance, and poor cardiovascular health all make it harder for blood vessels to function properly. This often leads to weaker erections or inconsistent performance. (8)
GLP-1 medications such as semaglutide or tirzepatide have become popular because they help men lose weight while also improving insulin sensitivity and vascular function. As metabolic health improves, erections often improve as well. Men often report increased energy, better stamina, and stronger sexual performance after losing weight and restoring healthier blood sugar levels.
Sermorelin Peptides: For Supporting Energy, Recovery, and Hormonal Balance
Sermorelin is a peptide therapy that helps stimulate natural human growth hormone production. While Sermorelin doesn’t directly support erectile dysfunction, it does provide support for several important systems that can influence sexual health.
Men may use Sermorelin peptides to enhance recovery, improve sleep, have more energy, and create a healthier body composition. Aging, fatigue, and poor recovery can all contribute to sexual performance issues, so optimizing recovery and cellular repair can have a meaningful impact. When used under medical supervision, Sermorelin can help support a broader men's health plan and contribute to improved sexual function over time.
GAINSWave® Shockwave Therapy: One of Today’s Most Advanced ED Treatments
GAINSWave® Shockwave Therapy uses gentle acoustic waves applied along the penile shaft to support blood vessel repair and improved circulation. This therapy is one of the most advanced regenerative treatments available for ED because it focuses on restoring natural function rather than providing temporary support.
Shockwave therapy can help stimulate new blood vessel growth and support long-term improvement in firmness and sensitivity. Men who want a drug-free and noninvasive solution often choose GAINSWave® therapy because it addresses the vascular health of the penis directly. (9)
P-Shot: PRP Injections for Sexual Performance
The P-Shot uses platelet-rich plasma created from a small sample of the patient’s own blood. This plasma contains natural growth factors that support tissue healing, blood flow, and cellular repair. When injected into targeted areas, PRP injections may help men improve firmness, sensitivity, and overall erectile function.
Many men choose the P-Shot because it uses their own biological material and supports regeneration rather than simply managing symptoms. Many men’s health providers often pair the P-Shot with GAINSWave® therapy, creating a combined effect that helps improve blood flow while also supporting structural tissue repair.
Which Erectile Dysfunction Treatment Option Is Right for You?
There is no single best treatment for every patient. The most effective solution depends on several factors, including hormone levels, blood flow, metabolic health, stress levels, lifestyle choices, age, and overall wellness. Personalized testing from a medical professional helps identify the root cause of ED rather than relying on trial and error.
Heading into 2026, men have more treatment options for ED than ever before. Oral medications, injections, hormone therapy, metabolic treatments, and regenerative therapies can all play a role, depending on your specific symptoms and health profile. The strongest results come from a tailored plan designed around your specific biology and personal goals.
How Gameday Men’s Health Creates a Personalized ED Treatment Plan
Gameday Men’s Health focuses exclusively on men’s wellness, allowing our team to deliver fast and accurate support tailored to your needs from locations throughout the US and Canada. At Gameday, you will experience a private, discreet environment designed for men who want clear answers and real, actionable results.
Your visit to Gameday may include:
- A private consultation with a men’s health specialist
- Same-day onsite lab testing for testosterone and metabolic markers
- Access to a full suite of modern ED treatments
- A personalized plan designed to address the root cause of your symptoms
This approach creates a supportive environment where men can improve performance, confidence, and long term health without guesswork.
Key Takeaways
Erectile dysfunction is a common problem for men, but it is also highly treatable. For men suffering from ED, there are more treatment options than ever before, including oral medications, injections, hormone therapy, metabolic support, regenerative treatments, lifestyle adjustments, and advanced therapies like GAINSWave® Shockwave Therapy and the P-Shot.
The most effective treatment depends on the underlying cause of your symptoms. If one of your New Year’s Resolutions is to finally get your ED under control, Gameday has you covered. With modern testing and a tailored health plan created specifically for you, we’ll help you make 2026 the year you take back control of your health. Contact your local Gameday Men’s Health today to schedule a consultation.
References
- The likely worldwide increase in erectile dysfunction between 1995 and 2025 and some possible policy consequences
- Sexual dysfunction
- Lifestyle modifications and erectile dysfunction: what can be expected?
- Side effects of sildenafil
- Erectile Dysfunction: TRIMIX Injections
- The role of testosterone in male sexual function
- Low Testosterone (Male Hypogonadism)
- The Link Between Obesity and Erectile Dysfunction
- Understanding GAINSWave: The Key To Enhancing Men’s and Women’s Sexual Wellness






