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Our team combines decades of healthcare experience to provide safe, effective, and personalized treatments.

Aisana Pandya
Clinical Lead, Pharmacist, Independent Prescriber
Master of Pharmacy (MPharm)
Independent Prescribing Course (2019)
GPhC Number: 2085970

Justin Dicks
Superintendent Pharmacist
Bachelors in Nutrition & Dietetics
GPhC Number: 2038305

Lara Dunn-Ceylan
Dietician
Bachelor of Pharmacy (BPharm)
Trusted by 600,000+ patients
We support thousands of patients across the UK every day
Have a question? we’re here to help
Erectile dysfunction (ED), sometimes known as impotence, is the inability to get or maintain an erection firm enough for satisfactory sexual intercourse. It’s a common condition that becomes more frequent with age, affecting over 50% of men between the ages of 40 and 70. ED can be temporary or ongoing, and while it can affect men of any age, it’s particularly common in older men.
The main causes of erectile dysfunction are typically physical conditions that affect blood flow to the penis or nerve function. These include cardiovascular disease, diabetes, high blood pressure, obesity, and hormonal imbalances like low testosterone. Psychological factors such as stress, anxiety, and depression can also contribute. Many cases involve a combination of physical and psychological factors working together.
Erectile dysfunction treatments are generally safe when prescribed and monitored by healthcare professionals. However, they can interact dangerously with certain medications, particularly those containing nitrates used for heart conditions. Common side effects include headaches, flushing, and upset stomach. Your doctor will assess your medical history to ensure the medication is safe for you.
Most ED medications begin working within 30-60 minutes of taking them, though this can vary between individuals and different medications. The medications only work when you’re sexually aroused, and effectiveness may improve over the first few uses.
Studies show that PDE-5 inhibitor medications are successful in treating erectile dysfunction in approximately two-thirds of cases. Effectiveness can vary depending on the underlying cause of ED, with higher success rates in men whose ED has psychological components. Physical causes like diabetes or cardiovascular disease may require ongoing management alongside ED treatment for optimal results.
Whether erectile dysfunction can be ‘cured’ depends on its underlying cause. In some cases where ED is caused by lifestyle factors, psychological issues, or certain medications, it may be reversible with appropriate treatment and lifestyle changes.
However, for many men, especially those with underlying health conditions like diabetes or cardiovascular disease, ED is an ongoing condition that can be effectively managed with medication rather than completely cured.
As men age, several factors can affect ejaculation, including decreased testosterone levels, reduced muscle tone in the pelvic area, medications (particularly antidepressants and blood pressure medications), and underlying health conditions like diabetes. Age-related changes in the prostate and overall cardiovascular health can also impact ejaculatory function. Stress and psychological factors may also play a role in ejaculatory difficulties.
While various online self-tests exist, medical professionals don’t recommend relying on home testing for erectile dysfunction diagnosis. The most reliable home assessment involves keeping a record of your ability to achieve and maintain erections during sexual activity and noting any patterns of difficulty. However, proper diagnosis requires medical evaluation including medical history, physical examination, and potentially blood tests to identify underlying causes.
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