Erectile dysfunction (ED) is the persistent inability to achieve or maintain an erection sufficient for satisfactory sexual performance. This common condition affects millions of men across the UK, with studies indicating that approximately 40% of men over 40 experience some degree of ED, rising to 70% of those over 70.
ED can result from various physical and psychological factors. Physical causes include:
Psychological factors like stress, anxiety, depression, and relationship issues can also contribute significantly to erectile difficulties. The condition often impacts relationships and overall quality of life, making it essential to seek medical advice when ED becomes persistent or causes distress.
The UK offers comprehensive treatment pathways for erectile dysfunction through both NHS and private healthcare services. Treatment options are tailored to individual needs following proper medical assessment.
PDE5 inhibitors remain the first-line treatment for ED in the UK. These include sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra), and avanafil (Spedra). These medications work by enhancing blood flow to the penis during sexual arousal.
Non-medication alternatives include lifestyle modifications such as regular exercise, healthy diet, stress management, and smoking cessation. Vacuum erection devices, penile injections, and psychological therapy may also be recommended.
All ED medications require consultation with a qualified healthcare professional. The NHS provides treatment for ED in specific circumstances, whilst private consultations offer broader access to treatment options with registered UK pharmacies and clinicians.
Sildenafil remains the most recognised ED treatment, typically prescribed in 25mg, 50mg, or 100mg doses. Most men start with 50mg taken approximately one hour before sexual activity. The medication is effective for 4-6 hours, with peak effectiveness occurring 30-120 minutes after consumption. Clinical studies show sildenafil is effective for approximately 70% of men with ED.
Tadalafil offers the longest duration of action, remaining effective for up to 36 hours. Available as both on-demand tablets (10mg or 20mg) and daily low-dose options (2.5mg or 5mg), it provides greater spontaneity. The daily option maintains constant medication levels, allowing for sexual activity without timing constraints.
Vardenafil works similarly to sildenafil but may be more effective for diabetic patients. Avanafil is the fastest-acting option, working within 15-30 minutes and causing fewer side effects. Generic alternatives offer identical active ingredients at reduced costs, making treatment more accessible whilst maintaining the same effectiveness as branded versions.
ED medications belong to a class called phosphodiesterase type 5 (PDE5) inhibitors. These work by blocking the PDE5 enzyme, which normally breaks down cyclic GMP, a chemical that relaxes blood vessel walls in the penis. By inhibiting this enzyme, blood vessels remain dilated, allowing increased blood flow during sexual arousal.
These medications enhance natural erectile function rather than creating artificial erections. Sexual arousal remains necessary for effectiveness. Several factors can influence medication performance:
Most men experience improved erections within the first few uses, though some may need to try different medications or dosages to find their optimal treatment. Realistic expectations include improved ability to achieve and maintain erections sufficient for satisfactory sexual activity.
Understanding potential side effects is crucial for safe ED treatment. Common side effects include headaches, facial flushing, nasal congestion, and mild stomach upset. These typically diminish as your body adjusts to the medication and can often be managed with simple measures like staying hydrated and taking medication with food.
Serious contraindications include active heart conditions, recent stroke or heart attack, severe liver or kidney disease, and low blood pressure. ED medications can interact dangerously with nitrate medications commonly prescribed for chest pain, potentially causing life-threatening blood pressure drops. Always inform your healthcare provider of all medications you're taking.
Seek immediate medical attention if you experience chest pain, sudden vision or hearing loss, or prolonged erections lasting over four hours. Age-specific considerations apply, with lower starting doses typically recommended for men over 65 or those with underlying health conditions.
Our online consultation process makes accessing ED treatment straightforward and confidential. You'll complete a comprehensive medical questionnaire covering your symptoms, medical history, current medications, and lifestyle factors. Our UK-registered doctors review each application individually to ensure treatment suitability and safety.
Essential information you'll need includes:
All ED medications require a valid prescription from a registered UK doctor. Our service operates within MHRA guidelines, ensuring full legal compliance. We offer discreet packaging and flexible delivery options to maintain your privacy. Following initial treatment, regular follow-ups allow for dosage adjustments and ongoing support. Additional resources including lifestyle advice and counselling referrals are available to complement your treatment plan.
