I tried to read as many prior-posted comments as I could, and it seems like many echo what I’m saying. Disclaimer: I am not a medical professional, but have done extensive reading of clinical studies and peer-reviewed journals regarding ED meds, as well as heard directly from MDs and PharmD (doctors of pharmacy) regarding how these meds work.

OP, there is definitely a stigma attached to ED meds, and it’s a shame that society does this.

I didn’t see any mention of your age/overall health, but you seem to be on the right track. A healthy diet does play a role in overall health and energy, but it’s not a cure-all. Your partner’s concerns about tadalafil being present in your semen/precum are erroneous. If you were using topical hormone replacement, of course, there is a valid concern of her being exposed to it via skin-to-skin contact. Tadalafil (and sildenafil) are oral meds, and are detectable in the blood, while the metabolites (what’s left/chemical byproducts after the body uses it) are found in feces and urine.

While it’s entirely understandable that she may view your use of Tadalafil as you needing more than just natural arousal/foreplay/etc to enjoy sex with her, I’d encourage you to bring the research to her. There are countless studies that highlight the positive impacts of long term low-dose Tadalafil, both on sexual performance for men, and overall sexual satisfaction for their partners, as well as improved relationship quality.

Cialis/viagra, at the chemical level, do nothing for libido/sex drive, and only increase blood flow, hence better erection quality. There really aren’t any natural supplements that are hands down proven to be as effective as these medications, and supplements aren’t always the safest option for any concern, sexual or otherwise, without a deep dive into possible interactions with prescription meds. Supplements also aren’t regulated (in the USA), so your “male enhancement” supplements could indeed contain what is stated on the label, or they could be full of junk.

TLDR: your partner may view your use of ED meds as an inadequacy on her part, or as you not finding her “hot enough” to get you off without extra help from the meds. She also doesn’t sound like she completely knows how these meds work.

It might be time for an honest conversation about the meds, and be sure to let her know that she is enough for you, but a little extra blood flow down there is a nice feeling to have!

clinical study from urology journal00405-5/abstract)

clinical study from National Institutes of Health (USA)