If you’re a man suffering from erectile dysfunction, chances are at one point or another, you’ve been looking for a cure. Unfortunately, unless it’s caused by underlying issues and other physiological problems, erectile dysfunction is usually a permanent condition which comes about naturally as the body wears down from age and other diseases.

While there’s no cure for erectile dysfunction, it can be treated. The various proven treatments allow men suffering from male impotence to achieve and maintain erections long enough to perform sexual intercourse, and range from easy-to-take pills to surgical procedures. The two most common forms of treatment for erection dysfunction are oral tablets and Alprostadil.

Alprostadil is the granddaddy of all ED treatments, and also the most effective in clinical trials. So why do so few men use it, or have never heard of it? The answer is simple: its delivery method. Originally it was a penile suppository, requiring men to deposit the medicine directly into their urethra. Not surprisingly, when pills treating erection dysfunction came about most men gladly tossed out their suppositories. To combat the dropping number of users, scientists have begun work on creating a cream out of the medication. Known as Befar, the topical treatment has already passed clinical tests in the East (and is available online); no word yet on when it will be tested by the USFDA.

The most common (and most asked for) treatments for this sexual condition are pills. Serving as PDE5 inhibitors, pills treating ED (Viagra, Levitra, and Cialis) work by blocking the PDE5 enzyme, and long story short, allows more sustained blood flow to the walls of the penis.

Since Viagra shook the world in 1998, PDE5 inhibitor pills have become (by far) the most used and trusted form of treatment for male impotence.

Of course, there are other options available. One option isn’t an option so much as a requirement for certain causes of ED: hormone treatments. If the causes of your impotence are hormonal in nature, simple hormone treatments will correct the problem both short- and long-term.

So what happens if Alprostadil and PDE5 inhibitors don’t work for you, and your underlying cause isn’t hormonal? These days men who find the usual treatments ineffective are opting for surgery to fix their problems. Doctors can insert prosthetic implants into your penis, giving it support to help maintain erections longer. Surgery is a costly and irreversible treatment with several possible side effects, however, so it’s usually a last resort used by men willing to risk more to treat their ED.

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