Erectile Dysfunction, or ED, is a common sexual health concern for males, especially in the US. Many men experience Impotence or the inability to achieve and maintain erections because blood flow to the penis is reduced. This happens due to stress, anxiety, Diabetes, High Blood Pressure, low testosterone levels or side effects of other medications. As a result, ED can affect your sexual and emotional well-being.
Fortunately, the condition is highly manageable with a personalized treatment plan. In San Antonio, you can easily get prescription oral medications (Viagra, Cialis or Levitra), Exoron topical gel or penile injections. For persistent or treatment-resistant cases of ED, testosterone therapy or penile implants may be recommended.
This article outlines the best Erectile Dysfunction treatments in San Antonio that you can access through trusted clinics, pharmacies, and telehealth providers. Additionally, we have listed some lifestyle changes, exercises, and therapies that will support long-term erectile function.
Best ED treatment options in San Antonio
There are several reliable approaches for treating Erectile Dysfunction. These include medications, hormonal therapies, supportive devices, and surgical treatments. Your doctor will guide you toward the option best suited to your diagnosis, health needs and lifestyle.
1. Oral medications (Prescription)
Prescription pills are the primary treatment for ED worldwide, including San Antonio. These medications belong to the Phosphodiesterase type 5 inhibitors (PDE5i) group, which increase penile blood flow during sexual stimulation. This, in turn, helps you achieve and maintain firm erections.
The most commonly prescribed FDA-approved medicines include:
- Sildenafil: This salt typically begins working within 30-60 minutes and remains effective in the body for 4-6 hours. Viagra, or the little blue pill, is most widely used for planned sexual activity.
- Vardenafil: It becomes active in 30-60 minutes and may last slightly longer than Sildenafil in some cases.
- Tadalafil: This long-acting medication can remain effective for up to 36 hours, earning it the nickname the weekend pill.
- Avanafil: This salt is known for its rapid onset, with effects beginning within 15-30 minutes.
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2. Penile injections (Prescription)
Intracavernosal Injections or ICI therapy are recommended for men who do not respond well to ED tablets. These injections deliver medication directly into the erectile tissue, helping produce a firm erection within a few minutes.
Consult a urologist in San Antonio, who can prescribe and administer FDA-approved Alprostadil. They will also explain how you can administer the injection correctly and safely at home thereafter.
3. Topical ED treatment (OTC)
Eroxon gel is a newer over-the-counter topical option for Erectile Dysfunction. Licensed as a medical device in the USA, UK and the European Union, this gel is applied to the head (glans) of the penis. It works by creating a cooling and warming sensation that helps stimulate blood flow within 10-15 minutes. Since it does not require a prescription, many men in San Antonio prefer this non-tablet OTC option.
4. Testosterone Replacement Therapy (TRT)
TRT is recommended when Erectile Dysfunction is linked to clinically Low Testosterone. It helps restore this male sex hormone to healthy levels for improved libido, energy levels, and erection quality. ED or sexual health doctors may prescribe Testosterone in the form of injections, gels, patches, or implanted pellets. They will also regularly monitor hormone levels, treatment response, and long-term safety throughout the course of therapy.
5. Advanced medical treatments for ED
For more severe cases of ED that do not respond to oral, topical or injectable forms of medication, medical implants are recommended. These include:
- Vacuum Erection Device (VED): This vacuum pump works by creating a gentle suction to draw blood into the penis for a firm erection. It then traps it using a constriction ring at the base to maintain it for a longer time.
- Intraurethral suppositories (MUSE): MUSE is an FDA-approved treatment in which a tiny Alprostadil pellet is placed inside the urethra. It helps increase blood flow and can trigger an erection within 5 to 10 minutes.
- Penile implants: These surgical devices are recommended when other ED treatments remain ineffective. You have the option between inflatable implants (use when needed) and malleable, semi-rigid rods (remain firm yet flexible) to fix weak erections.
- Shockwave therapy: This non-invasive treatment uses low-intensity sound waves to improve blood flow. Since it is not yet FDA-approved, proceeding with caution is required.
Non-medical options to manage ED
The following supportive non-prescription remedies strengthen long-term erectile function and can be combined with medical treatments for better results.
- Regular exercise: Pelvic-floor exercises help strengthen the muscles involved in erectile control. Moreover, cardiovascular and strength training help maintain healthy blood flow.
- Lifestyle improvements: Reducing alcohol, smoking, and tobacco use, improving sleep patterns, managing stress, and a nutrient-rich diet will support your vascular and hormonal health.
- Herbal supplements: Certain herbs, such as ginseng, ashwagandha, and tribulus terrestris, are known for their positive effects on blood flow and libido.
- Psychosexual therapy: It is beneficial to reduce anxiety and improve communication with your partner when you suffer from Psychological ED.
Consult a local dietician and a pelvic floor therapist in San Antonio to treat ED without pills.
Where to find ED treatment in San Antonio?
Men in San Antonio have access to both public and private treatment options for ED. These include community clinics, specialist urology practices, telemedicine services, and local pharmacies.
Free or government-supported clinics and hospitals
These centres offer affordable evaluations, blood tests, diagnostics, prescriptions and even referrals to specialists when necessary. Some options for you include San Antonio Metropolitan Health District clinics, CommuniCare Health Centers, University Health clinics and Baptist Neighborhood Hospital-Kelly.
Private urology clinics
Several private men’s health clinics across San Antonio provide specialised sexual dysfunction treatment, advanced diagnostics, and personalised care. Some popular user-recommended private practices you can visit are Urology San Antonio, Alamo Urology Associates, and South Texas Urology Group.
Men’s wellness centres
Men’s wellness centres located in Stone Oak, Alamo Heights, The Rim, and North West San Antonio also provide services such as TRT, shockwave therapy, and comprehensive sexual health support for men in San Antonio.
Telehealth platforms
Telemedicine platforms licensed in Texas, like MDLive and Amwell, allow you to consult a licensed clinician virtually, discuss your symptoms, receive a prescription, and arrange medication delivery. This is especially helpful for men seeking confidential consultation or fast access to care in San Antonio.
Pharmacies
Once your doctor or telemedicine clinician approves your ED treatment, you can purchase your medication from licensed local pharmacies or major chains such as CVS or Walgreens with a valid prescription.
Alternatively, you can purchase them from trusted online pharmacies, such as GoodRxMedicine, which offer convenient doorstep delivery, discreet packaging, and excellent customer service. You can easily compare prices for medicines like Sildenafil or Tadalafil and even buy bulk packs at discounted prices.
When exploring online options, ensure that all medications, whether brand-name or generic, are sourced from WHO-compliant manufacturers. This will provide consistent formulations that deliver reliable results.
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Conclusion
Erectile Dysfunction Treatments are highly effective and widely accessible in San Antonio. First-line oral treatment, such as Sildenafil or Tadalafil, can help you restore firm erections. Combining them with lifestyle adjustments, pelvic floor exercises and counseling for quicker outcomes.
When these don’t suffice, intervention options such as TRT, Vacuum Erection Devices, shockwave therapy and penile implants are also available in San Antonio.
You can obtain your prescription medications from local pharmacies, CVS, Walgreens or online platforms. With access to trusted clinics and community health centres, you will get a personalised plan that boosts your sexual confidence, intimacy, and long-term wellness.
Frequently Asked Questions
What is the best test to confirm Erectile Dysfunction?
The best tests to confirm Erectile Dysfunction include checking for testosterone levels, blood sugar, and cholesterol. In some cases, a penile Doppler ultrasound or nocturnal erection test is used to assess blood flow and erectile function.
Which doctors specialize in men’s sexual health in San Antonio?
Urologists are the primary specialists for Erectile Dysfunction and men’s sexual health in San Antonio. If it is an Anxiety-related ED, psychosexual therapists and counsellors provide additional support alongside medical care. You can also visit men’s wellness clinics for concerns related to sexual performance.
How long does it take to recover from Erectile Dysfunction?
There is no fixed timeline, as the time taken to recover from ED varies based on the severity of the condition, age-related factors and overall cardiovascular health. Some men respond to ED medications within days or weeks, while others may need several months of consistent treatment, hormone therapy or counseling.
What is the newest ED treatment in 2026?
One of the newest ED treatments available is Eroxon gel. This over-the-counter topical treatment helps you achieve an erection within about 10 minutes. In addition, shockwave therapy is also evolving as an alternative for those seeking non-pill options.
Can a man with Erectile Dysfunction satisfy a woman?
Yes, men with Erectile Dysfunction can still satisfy a woman. You can learn foreplay tips, master oral sex or introduce toys into the dynamic. The key lies in communicating openly with your partner to maintain a satisfying sexual and emotional relationship.
Does insurance cover Erectile Dysfunction treatment in Texas?
Insurance coverage for Erectile Dysfunction depends on your insurance plan. Most providers cover ED evaluations, blood tests, and specific procedures when deemed medically necessary. Some plans partially cover ED medications, while others require you to pay out of pocket. Therefore, you will need to review your policy and discuss it with the insurance company.
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