What is erectile dysfunction?
Erectile dysfunction (ED) is the persistent inability to achieve or maintain an erection firm enough for satisfactory sexual activity. It is a very common condition that becomes more frequent with age, although it can affect men of all ages. Most men experience erection problems from time to time, but when they become persistent or recurrent, it is worth seeking medical advice.
Although erectile dysfunction is usually very treatable, it can sometimes be an early warning sign of an underlying health condition, such as cardiovascular disease, diabetes or low testosterone. A comprehensive assessment helps identify any contributing factors, allowing both the erectile dysfunction and any underlying medical condition to be treated appropriately.
What causes it?
The causes are often physical, psychological, or a mix of both. Common factors include:
- Reduced blood flow, high blood pressure or high cholesterol
- Diabetes and other long-term conditions
- Low testosterone or hormonal changes
- Certain medications
- Stress, anxiety and relationship factors
Assessment
A confidential comprehensive assessment is provided in a relaxed and supportive environment. This begins with a detailed discussion of your symptoms, medical history, current medications and lifestyle, followed by a focused physical examination where appropriate. Blood tests are arranged to look for common underlying causes, including low testosterone, diabetes, high cholesterol and other hormonal or metabolic conditions.
The aim is not simply to improve erections, but to identify and treat any underlying health problems that may be contributing to erectile dysfunction. Once the cause has been established, a personalised treatment plan can be developed to restore erectile function, improve sexual confidence and support your long-term health.
Treatment
The ideal treatment depends on the underlying cause and severity. Most men find an approach that works well for them.
- Lifestyle changes — Stopping smoking, losing weight, reducing alcohol, and increasing physical activity can improve both erectile function and general cardiovascular health.
- Oral medications — Phosphodiesterase type-5 inhibitors, such as sildenafil (Viagra®) and tadalafil (Cialis®), are the most commonly prescribed initial treatments.
- Medical devices & therapies — Vacuum erection devices can mechanically draw blood into the penis.
- Injections & implants — For those who do not respond to oral medication, prescription penile injections or intraurethral medications may be used, with penile implants a surgical option in specific circumstances.