Pills were helping some but still left a lot to be desired by both myself and my spouse. I also did not like the side effects or the fact that it would limit me if I needed to use my Nitrostat. The elator has been a good option as I can use it without worry of side effects. It also allows for much more spontaneity in our life as we no longer need to time taking a pill. My wife also really likes it as the Elator allows for easier insertion as even with the pills I was not getting a very good erection.