Maybe. Most men find that they do not. However, if there is vascular compromise from arteriosclerosis or diabetes, then it is still possible that ED medicine in one form or another may be needed. We often find that a patient’s blood pressure medicine is contributing to the problem and we advise our patients to switch to a blood pressure medication that is least likely to cause ED. In any case, if ED meds are needed, they are also generally used at a lower dose than before.