If I want to be as erect as possible, I need a cock ring now. Never used a pill. However, a properly worn cock ring is absolutely incredible. My erection level without a ring on is maybe a 7/10, but with it on I am at 10+. I only wear a 1/2" wide leather one because I don't want it interfering with my wife's ability to go down on me. Big metal ones take up too much space, and not being adjustable makes them more of a hit or miss regarding being too loose, too tight or "just the right porridge". It definitely enhances the PONR as well.