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Erectile Dysfunction Treatment
Safe and effective treatment to manage erectile dysfunction
Struggling with erections? Complete our quick online consultation to request clinically proven erectile dysfunction (ED) treatment.
ED is a common condition where it can be difficult to get or keep an erection that's firm enough for sex. Effective treatments include PDE5 inhibitors such as Viagra (sildenafil) and Cialis (tadalafil), which help improve blood flow to the penis.
Treatments available at UK Meds are approved by the MHRA, so you can buy with confidence following a medical assessment with a registered prescriber.
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Start Your Online Consultation For ED
It only takes a few minutes to complete your online consultation for erectile dysfunction with a registered prescriber at UK Meds. Just follow the steps below.
- Choose your preferred ED treatment.
- Take our online questionnaire for a registered prescriber to review. If it's approved, a prescription will be issued and your order will be dispensed.
- Your order will be delivered by your chosen delivery method in discreet packaging and could arrive as quickly as tomorrow!
Is it normal to have erection problems sometimes?
Erectile dysfunction (ED), also known as impotence, is a common condition where a man struggles to get or maintain an erection. This may happen occasionally or more persistently and can be caused by physical, emotional, or lifestyle factors (Lowy & Ramanathan, 2022; Yafi et al, 2016). It affects men of all ages, but becomes increasingly common with age (NHS Inform, 2023). Estimates suggest that ED affects around 52% of men globally, with at least 150 million men living with the condition[1]. However, the true number may be higher, as embarrassment and stigma often prevent men from seeking help.
It’s normal for men to occasionally experience difficulties with erections, especially during periods of stress or fatigue. But if the problem persists, it can impact relationships, self-esteem and overall wellbeing[2]. Persistent ED may also affect your sex life and emotional health, making it important to seek advice or treatment when needed.
Whether you're looking for guidance before speaking to a healthcare professional or exploring treatment options after a diagnosis, UK Meds offers a range of clinically proven erectile dysfunction medications to support your needs. From well-known brands to cost-effective generics, treatments are available to help restore confidence and improve your quality of life. Learn more about ED, what causes it, and how it can be effectively managed to support your physical and emotional wellbeing.
What Is Erectile Dysfunction?
Erectile dysfunction (ED), sometimes known as impotence, is when a man finds it difficult to get or maintain an erection firm enough for sex. This can be caused by physical health issues, emotional stress, or lifestyle factors such as smoking or poor sleep habits (Allen et al, 2023).
ED is common, but many men feel uncomfortable discussing it. This embarrassment can delay diagnosis and treatment, affecting mental well-being and self-esteem (Al-Shaiji, 2022; Leslie & Sooriyamoorthy, 2024).
Why It's Important to Seek Help
Left untreated, ED can lead to low confidence, anxiety, and relationship issues. But support is available. Effective treatment options include lifestyle changes, counselling and medication, such as PDE5 inhibitors like sildenafil or tadalafil.
Watch this short video from the Mayo Clinic for an overview of what causes ED and how it can be treated:
Remember, ED is a medical condition, not something to be ashamed of. Speaking to a doctor or sexual health specialist can help you find the right solution and restore your confidence.
What Causes Erectile Dysfunction?
Erectile dysfunction (ED), also known as impotence, happens when a man finds it difficult to get or maintain an erection. This can be caused by a range of physical, emotional, hormonal, or lifestyle-related factors.
Physical and Medical Causes
Several health conditions can affect blood flow or nerve signals, contributing to ED:
- Chronic illnesses such as diabetes, kidney disease, multiple sclerosis (MS Society UK, 2024), and Parkinson’s disease (Parkinson's UK, 2024)
- Cardiovascular issues like high blood pressure, high cholesterol, or obesity (Maiorino et al, 2015)
- Injuries to the penis, spinal cord or pelvic area
- Medications, including treatments for prostate cancer and some prescription drugs
- Lifestyle factors such as smoking, heavy alcohol use, and recreational drug use
Hormonal Causes
Low testosterone or other hormone imbalances may also contribute to erectile difficulties (Society for Endocrinology, 2021). If you suspect a hormone-related issue, speak to your doctor about testing and treatment options.
Emotional and Psychological Causes
Mental health plays a key role in sexual function. Research suggests that ED can be linked to:
- Depression (Liu et al, 2018)
- Performance anxiety or general stress (Kalaitzidou et al, 2013; Velurajah et al, 2021)
- Low self-esteem or guilt
- Relationship issues or emotional disconnect
Addressing psychological causes, whether through lifestyle changes, counselling or therapy — can significantly improve ED symptoms.
Can Erectile Dysfunction Be Treated?
Yes, ED is often treatable and in many cases, reversible. Up to 80% of men respond well to PDE5 inhibitor medications such as Viagra (sildenafil) or Cialis (tadalafil), which work by increasing blood flow to the penis during sexual arousal.
By identifying the underlying cause, whether medical, hormonal or emotional and following a suitable treatment plan, many men can regain confidence and improve their sexual health. Always consult a healthcare professional to find the right solution for your individual needs.
How Can I Treat Erectile Dysfunction?
There are several effective ways to treat erectile dysfunction (ED), including lifestyle changes, exercises, and medication. The right option depends on the underlying cause and your individual health needs. Here’s a guide to the most common treatments available.
1. Lifestyle Changes
Improving your overall health can have a positive impact on ED. Healthy lifestyle habits to consider include:
- Exercising regularly
- Eating a balanced diet
- Reducing alcohol intake (Arackal & Benegal, 2007)
- Stopping smoking
- Losing weight if overweight
- Managing stress and emotional well-being
Avoid unregulated supplements or herbal remedies, they are not medically proven and could be unsafe. Always speak to a doctor first.
2. ED Exercises
Pelvic floor exercises, such as Kegels, can improve muscle strength and blood flow in the area, making it easier to get and maintain an erection.
3. Erectile Dysfunction Medications
Prescription medications are a popular and proven option. They increase blood flow to the penis to support a firmer, longer-lasting erection (Dhaliwal & Gupta, 2023). Common treatments include:
Medication | Brand Names | Onset | Duration | Key Feature |
---|---|---|---|---|
Sildenafil | Viagra, Viagra Connect | 30 mins | 4-6 hours | Widely used, NHS first-line option |
Tadalafil | Cialis, Cialis Daily, Cialis Together | 30 mins | Up to 36 hours | Known as the "weekend pill" |
Vardenafil | Levitra | 30 mins | 4-6 hours | Often preferred for visual concerns |
Avanafil | Spedra | 15 mins | Varies | Fastest onset tablet |
Alprostadil | Vitaros | 5-15 mins | Varies | Non-oral option (topical cream) |
These treatments can be safely prescribed through an online consultation with a registered prescriber at UK Meds.
Choosing the Right Treatment
The best ED treatment depends on your medical history, lifestyle, and preferences. Many men benefit from a combined approach, using medication alongside exercise and healthy lifestyle habits. A consultation with your GP or prescriber can help you find a solution that works for you.
With the right support, most men can effectively manage and even reverse erectile dysfunction.
What Are the Alternatives to Erectile Dysfunction Tablets?
If oral medications like Viagra (sildenafil) or Cialis (tadalafil) aren't suitable or effective, there are several alternative erectile dysfunction (ED) treatments available. These options can help improve erectile function in different ways. Always consult your doctor to find the most appropriate solution for your needs.
1. Shockwave Therapy
This non-invasive treatment uses low-intensity sound waves to stimulate blood vessel repair and nerve regeneration in the penis. It may be particularly useful for men recovering from prostate cancer surgery and those with blood flow-related ED issues (Guy's and St Thomas' NHS Foundation Trust, 2022).
2. Erectile Dysfunction Cream (Alprostadil)
Alprostadil cream, sold under the brand name Vitaros, is applied directly to the penis to help improve blood flow. It’s often prescribed when oral tablets haven’t been effective (NHS Lancashire, 2015).
3. Vacuum Erection Devices (Penis Pumps)
These mechanical devices create a vacuum around the penis, drawing blood in to produce an erection. A constriction ring is then used to maintain it. Vacuum pumps are drug-free, non-invasive, and suitable for many men with ED (Cambridge University Hospitals, 2022).
4. Penile Implants
Surgical implants are typically considered a last-resort option for men with severe ED who haven't responded to other treatments. The procedure involves placing a prosthetic device inside the penis, enabling an erection for sexual activity (Newcastle Hospitals NHS, 2021).
From non-invasive therapies like shockwave treatment and vacuum pumps to prescription creams and surgical implants, alternative ED treatments offer options when standard tablets aren’t effective. Speak to your healthcare provider to explore the safest and most effective choice for your condition.
What Are the Side Effects of Erectile Dysfunction Medication?
Erectile dysfunction (ED) medications are generally safe and effective, but they can cause side effects in some men. These vary depending on the medication and how your body responds. Here’s an overview of common side effects associated with popular ED treatments:
Medication | Common Side Effects |
---|---|
Sildenafil (Viagra) | Headache, flushing, indigestion, nasal congestion, dizziness, blurred vision, nausea, back pain, rash. |
Tadalafil (Cialis) | Headache, muscle aches, back pain, flushing, nasal congestion, dizziness, visual changes, hearing loss, swelling, chest pain. |
Vardenafil (Levitra) | Headache, flushing, indigestion, nasal congestion, dizziness, back pain, muscle pain, changes in ejaculation, risk of priapism (prolonged erection). |
- Not everyone experiences side effects – many men tolerate ED medications well.
- Seek urgent medical help if you have serious symptoms such as chest pain, severe swelling, or an erection lasting more than four hours (priapism).
- Talk to your doctor if you're concerned or unsure which ED treatment is most appropriate for you. They can help minimise side effects and recommend alternatives if needed.
Always follow medical advice and report any unexpected reactions to a healthcare professional.
Erectile Dysfunction FAQs
What ED Tablets Are Available?
There are four main types of erectile dysfunction tablets, all classed as PDE5 inhibitors. These work by increasing blood flow to the penis to help achieve and maintain an erection:
- Sildenafil - Found in Viagra, Viagra Connect and generic versions. Takes effect in around 30 minutes and lasts for 4-6 hours. Commonly prescribed on the NHS.
- Tadalafil - Found in Cialis, Cialis Together, Cialis Daily and generics. Known as the “weekend pill” due to its long-lasting effects (up to 36 hours). Daily version provides continuous coverage without planning.
- Vardenafil - Found in Levitra. Similar to Sildenafil, but may be better for men with eye-related concerns. Lasts 4-6 hours.
- Avanafil - Found in Spedra. Fastest-acting option, with effects starting in as little as 15 minutes.
Which ED Tablet Works Best?
No single ED medication is “most effective” for everyone. The best option depends on your health, lifestyle and how your body responds. Higher doses may be stronger but can increase the risk of side effects. Always follow your doctor’s advice.
Which Works Fastest?
Spedra works within 15 minutes. Cialis Daily provides ongoing coverage when taken daily.
Which Lasts the Longest?
Cialis can last up to 36 hours. Cialis Daily remains effective with consistent daily use.
Can I Get ED Treatments on the NHS?
Generic Sildenafil is available on the NHS. Other treatments like branded Viagra or Tadalafil may only be prescribed on the NHS in specific cases, such as for men with certain medical conditions (e.g. pulmonary hypertension). Otherwise, they’re typically available privately.
What Other ED Treatments Are Available?
If tablets aren’t suitable, other options include:
- Alprostadil Cream - A topical ED cream (brand name Vitaros) that helps increase blood flow when applied to the penis.
- Vacuum Pumps - Non-invasive devices that encourage blood flow mechanically.
- Shockwave Therapy - A newer, non-surgical treatment that may help repair blood vessels.
- Penile Implants - Surgical implants used as a last-resort solution when other treatments fail.
Can Erectile Dysfunction Signal Other Health Issues?
Yes, ED can sometimes be an early warning sign of underlying conditions like high blood pressure (European Society of Cardiology, 2020) or heart disease (European Society of Cardiology, 2020). If you experience ongoing erectile difficulties, it’s worth speaking to your doctor for a full health assessment.
Is ED Linked to Mental Health?
Yes. ED can affect confidence and may lead to stress, anxiety, or low mood. Research suggests that emotional or relationship issues can also play a role (Elterman et al, 2021). Addressing mental health and seeking professional support can improve symptoms and overall well-being.
Is Erectile Dysfunction the Same as Premature Ejaculation?
No, they are different conditions:
- Erectile Dysfunction (ED) - Difficulty getting or maintaining an erection.
- Premature Ejaculation (PE) - Ejaculation happens sooner than desired during sexual activity.
If you're concerned about ED or PE, speak to a healthcare provider to explore the most suitable treatment options for your needs.
Sources:
- NHS - Erection Problems (Erectile Dysfunction)
- Mayo Clinic - Erectile Dysfunction
- National Institute of Diabetes and Digestive and Kidney Diseases - Erectile Dysfunction
- NHS Inform Scotland - Erectile Dysfunction (Impotence)
- Medical News Today - Erectile Dysfunction
- Clinical Knowledge Summaries - Erectile Dysfunction
- WebMD - Understanding Erectile Dysfunction Basics
- British Association of Urological Surgeons - Erectile Dysfunction (Impotence)
- Patient - Erectile Dysfunction (Impotence)
- British Heart Foundation - Erectile Dysfunction
- ScienceDirect - Erectile Dysfunction
- The Urology Foundation - Erectile Dysfunction
Learn more with UK Meds erectile dysfunction support resources:
Interested in finding out more about erectile dysfunction? The UK Meds Health Hub has a range of helpful content related to erectile dysfunction for you:
- What Causes Erectile Dysfunction
- UK Meds Hard Talk Erectile Dysfunction Campaign
- How Does Cialis Work
- Is Viagra, Cialis, or Levitra the Best
- Guide to Vitaros for Erectile Dysfunction: Exploring Alprostadil
- Cock Rings for Erectile Dysfunction: Everything You Should Know About Penis Rings
- Horny Goat Weed vs Viagra
- Can Losing Weight Treat Erectile Dysfunction
- How to Make Erectile Dysfunction Medication Work Better
- When Should I Take Viagra for the Best Results
- Foods Like Viagra That Give Erection
- What Does Cialis Do
- How Long Will Cialis Work
- What Is Alprostadil
- Taking Erectile Dysfunction Medication with Alcohol
- Does Masturbation Cause Erectile Dysfunction
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