Medications: Oral medications such as sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra) can be effective. These should be taken under the guidance of a healthcare provider.Fildena Double 200 one of the best treatment for this. Therapy: Psychological counseling can address mental health issues like anxiety, depression, or relationship problems that may contribute to ED. Hormone Therapy: If low testosterone levels are contributing to ED, hormone replacement therapy might be recommended.