Erectile dysfunction is characterized by the inability to develop or maintain an erection during sexual intercourse. If you would like to try a prescription erectile dysfunction treatment, we can help.
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You can also pay to get Viagra delivered within 2 hours by Shutl courier in London and Southampton.
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When a man becomes sexually aroused, his brain sends nerve signals to his penis causing an erection (the nerves increase the blood flow to the penis and the tissue expands and hardens). Erectile dysfunction, sometimes referred to as ED or impotence, is when a man cannot get or keep a firm enough erection to have satisfactory sex. The term can also refer to a lack of sexual desire (a reduced libido). Erectile dysfunction treatment can help men achieve an erection and enjoy sex. Which treatment is best depends on what is causing the problem.
Erectile dysfunction is very common and is thought, in some way, to affect roughly 50% of all men aged 40-70. Erectile dysfunction is very different to issues with ejaculation (for example, premature ejaculation – where arousal, orgasm and ejaculation happen quickly.)
It is also possible for some medicines to cause erectile dysfunction.
You might find that you sometimes experience difficulty getting an erection and other times find it very easy. For example, you might get an erection in the morning and when you masturbate, but not when you try to have sex with your partner. In this type of scenario, it is likely that the cause of your erectile dysfunction is psychological. It could be stress related, for example. If you can’t ever get an erection, under any circumstances, the causes of your impotence are probably physical.
Erectile dysfunction can also be the result of psychological causes like depression and anxiety. Emotional issues can also affect whether you feel physically able to get and keep an erection. If you are having relationship problems or starting a new relationship, if you feel like you don’t know what you’re doing when it comes to sex, if you have had sexual issues in the past or have experienced sexual abuse, then you may find that you are experiencing erectile dysfunction. Counselling can help to resolve these issues.
It is possible to get erectile dysfunction that is caused by both physical and psychological factors. An example might be, if you have multiple sclerosis and find it difficult to get an erection, you may then be worried about this. The two factors together can lead to an episode of ED.
If you drink alcohol heavily, take illegal drugs like heroin, cocaine or cannabis, or if you are very tired, this can result in erectile dysfunction, too.
If you’re worried that your medication is causing erectile dysfunction, speak to your GP as there might be other options that you could try. Don’t stop taking a medicine that your GP has prescribed without discussing it with a qualified professional though.
Viagra and Levitra work for between four and eight hours after you take them. Cialis lasts for longer – about a day and a half – so is more suited if you need a longer-lasting treatment, for example, over a full weekend. All three types of medicines start working within half an hour to an hour. The medication will work faster if you take it on an empty stomach. You can then eat an hour after taking it without affecting its effectiveness.
You should talk to your doctor about which type of PDE-5 inhibitor might be best for you, depending on whether you have taken one before and how often you intend to have sex.
If you find that PDE-5 inhibitors don’t work, you might want to consider whether you waited long enough for the medication to kick in, whether you waited too long for the medication to kick in, whether you had a high enough dose, and whether you felt sexually aroused. You still need to feel sexually stimulated to get an erection when taking PDE-5 inhibitors.
You can get all three types of PDE-5 inhibitors on prescription from your NHS GP, but in some cases you’ll be asked to pay the full cost of the medication (£17-£30 for 4 tablets depending on the pharmacy’s pricing). If you have: diabetes, multiple sclerosis, Parkinson’s disease, polio, prostate cancer, a severe pelvic or spinal injury, spina bifida, or certain genetic conditions, then you may be entitled to an NHS prescription for PDE-5 inhibitors.
Likewise, if you have had one of the following medical treatments, then you may also be entitled to an NHS prescription for PDE-5 inhibitors: pelvic surgery, surgical removal of the prostate gland (prostatectomy), dialysis for kidney failure, a kidney transplant.
If a specialist centre decides that erectile dysfunction is negatively affecting your daily life, mood/behaviour, or your relationships, then they may also prescribe treatment on the NHS.
If you were getting treated for impotence before or on September 14 1998 then you may also be entitled to an NHS prescription (eligibility for impotence treatment was redefined in 1999, and people who were receiving treatment prior to that date are often still allowed to get it on prescription).
There are different types of treatment depending on the causes of your impotence.
The most common types of treatment include:
You can often improve the erectile problems by switching to live a healthier lifestyle.
Some changes that you can make yourself include:
If you are suffering from erectile dysfunction as a result of an underlying health condition, you’ll usually need to treat the underlying condition first, before you embark upon a course of treatment for impotence. You may then find that by treating the underlying condition, this solves the problem of your erectile dysfunction too. Speak to your doctor about the fact that you are struggling with ED as well as your underlying condition, so that they can factor this into your treatment plan.If you are taking medication for another condition and you think that this is causing erectile dysfunction, have a chat with your doctor about it. It may be that they can suggest an alternative type of medication. Make sure that you talked to your doctor or healthcare professional before you stop taking any medication that you’ve been prescribed.
Counselling can be very helpful for people who have erectile dysfunction that is caused by psychological problems like anxiety or depression. Another type of treatment for people who have ED that has a psychological cause is called Sensate Focus.Sensate focus is a type of sex therapy. You and your partner agree not to have sex for a set period of time. During this time, you can still touch each other, but you agree not to touch each others’ genitals (or a woman’s breasts). During the agreed timeframe, you then set aside time to spend together as a couple to explore each others’ bodies without having sex. Clothed or naked, you can massage each other, explore touch, and stroke each other. Once the agreed timeframe has passed, you can then start to touch each others’ genitals, you can start to use your mouth as a way of exploring each others’ bodies through kissing or licking your partner, for example. Gradually, you can then build up to penetrative sex together. If you would like to read a bit more about Sensate Focus or about sex therapy in general, the College of Sexual and Relationship Therapists website is very useful: http://www.cosrt.org.uk/information-for-members-of-the-public/tips-for-sexual-wellbeing/
Like acupuncture claim to improve impotence. The evidence of whether this is effective is limited. If you decide to try to treat your erectile difficulties with complementary therapies, speak to your doctor first because sometimes they can interact with other medicines.
A vacuum pump is made up of a clear plastic tube connected to a hand or battery activated pump. You put your penis into the tube and pump out all of the air. This increases the blood flow to your penis so that you can get and sustain an erection. You then put a rubber ring around the base of your penis to keep the blood there. Using this, you will be able to sustain an erection for about 30 minutes. It can take a bit of practice to get used to using the pump properly, but 90% of men who used it found that they were able to sustain an erection (regardless of the cause of their impotence).
You shouldn’t use the vacuum pump if you have a bleeding disorder or take anti-coagulant (blood thinning) drugs. Under a third of people find that they experience side effects of pain or bruising using the pump. If you qualify for erectile dysfunction treatment on the NHS, then you might also be able to get a pump, but normally most people have to buy their own. You can get advice on using pumps and other topics from the Sexual Advice Association: http://www.sda.uk.net/advice.php
If you find that your erectile dysfunction is not responding to your course of treatment, or if you can’t use Viagra, Cialis, Levitra or the vacuum pump, then your doctor might suggest you try Alprostadil (a synthetic hormone that increases the flow of blood to the penis given either as injection into the penis or as a pellet placed inside the urethra). You can be trained in how to inject or insert the pellet of Alprostadil. It usually takes effect within five to fifteen minutes. The length of time that the erection lasts for varies with the dose. If your partner is pregnant, you’ll need to use a condom during sex.Alprostadil when placed in the urethra is effective in 2 out of 3 men with ED. Alprostadil injections worked for just over 8 out of 10 men who found that Viagra, Cialis and Levitra didn’t work for them.
Men with the following conditions should not use Alprostadil:
Men with the following conditions should not use Alprostadil:
If your doctor thinks that your erectile dysfunction is related to your hormones, chances are you will be referred to a hormone specialist (an endocrinologist) who will look to rebalance your hormone levels (probably with a series of hormone injections.)
Surgery is a last resort for treating impotence. It is normally only recommended for younger men who have seriously injured their pelvic area or men who have an anatomical problem with their penis.It used to be the case that if a man had a blockage in the blood vessels leading to the penis, then surgery could be used as a way to unblock these to allow the blood to flow again. However, evidence shows that this surgery is often not successful in the longer term, so it is now rarely used to treat this problem.
Men who have cardiovascular disease including conditions like coronary heart disease, should use PDE-5 inhibitors with caution. Speak to your doctor if this applies to you. Sex can be a good way to improve your cardiovascular health, but you need to ensure that you are fit enough to take the medication safely.
If you have an anatomical issue with your penis, like Peyronie’s Disease, again you need to consult your doctor to see if it is safe for you to take PDE-5 inhibitors.
If you are taking medicines (for example, to treat angina) or using recreational drugs (such as butyl nitrate, also known as poppers) that contain nitrates, then you must not take PDE-5 inhibitors. Using the two drugs together can be very dangerous for your heart.
If you suffer from priapism (a painful erection that lasts several hours), or if you are taking long-lasting alpha-blockers (a type of medication used to treat high blood pressure), then, again, you need to be very cautious about taking PDE-5 inhibitors, so speak to your doctor first.
|How long it takes to work||usually works within thirty minutes||Cialis usually works in fifteen to thirty minutes, so it is slightly faster than Viagra and Levitra||usually works within just over half an hour|
|How long it lasts||Normally about 4 hours (but up to 8 hours)||Up to thirty six hours.||Normally about 5 hours (but up to 8 hours)|
|Some pros/cons||Reported to be the most effective of the three drugs, but also reported to have the most side effects of the three drugs||Because it lasts for up to 36 hours, the dosage cannot be repeated the following day, unlike Viagra and Levitra.||Reported to be the most suitable of the three drugs for diabetics. Fewest side effects out of the three drugs.|
|Risks||Men with cardiovascular disease/anatomical issue with their penis/priapism/taking long-lasting alpha-blockers should use with caution and discuss with a doctor first.
Do not mix with drugs/medications containing nitrates
Do not take if you:
|Side effects||All can have the following side effects:
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