Our doctors prescribe branded medicines and generics
Our Service in 3 Simple Steps
Complete a simple online health questionnaire
Our GP will issue your prescription, if the medication is safe for you
You will receive your medication the next day
Erectile Dysfunction treatments
Half of all men between 40 and 70 experience Erectile Dysfunction to some degree. It can be triggered by different factors. When achieving or maintaining an erection becomes a regular challenge for you, it may be time to seek consultation. The good news about Erectile Dysfunction is that there are a variety of treatments available to manage it, and you can receive them conveniently online using the service of DoktorABC.
- What is Erectile Dysfunction?
- Which symptoms characterise Erectile Dysfunction?
- What causes Erectile Dysfunction?
- Who can be affected by Erectile Dysfunction and can it be cured?
- Which Erectile Dysfunction treatments exist?
- How do Erectile Dysfunction tablets work?
- Can I buy ED pills over the counter?
- What are alternatives to the well-known ED pills Viagra and Cialis?
- Which side-effects can male enhancement pills cause?
- Who should not take ED medications containing PDE-5 inhibitors?
- DoktorABC’s online Service
What is Erectile Dysfunction?
Erectile Dysfunction is diagnosed when a man is unable to achieve and maintain an erection more than 50% of the time. In the UK, every fifth male between the age of 40 and 70 are affected. While the likelihood increases with age, the condition occurs in younger men as well. The causes can be physical, and ED may hint at a more severe health issue. However, psychological factors have a significant impact and cause erection problems just as often. Treatment with Erectile Dysfunction tablets can be effective in each case.
Which symptoms characterise Erectile Dysfunction?
Erectile Dysfunction is not black-or-white. Most men struggling with ED can get an erection when sufficiently stimulated. The challenge is to engage in and complete satisfying sexual intercourse.
Generally, erection problems start with weak erections. In other words, the penis will get hard, but not hard enough to penetrate the female vagina. Another common scenario is when a firm erection is achieved but does not last long enough to engage in successful sexual intercourse.
What causes Erectile Dysfunction?
The reason behind the difficulty to achieve and maintain erections is rooted in the activity of certain enzymes in the bloodstream. Phosphodiesterase-5 (PDE-5) is the enzyme which instigates the decline of an erection. When this is released too early or not in proportion, erectile dysfunction is the result.
The reasons why this is happening are numerous and can be based on a variety of physical conditions or psychological issues. High blood pressure, high cholesterol, heart disease, hormonal imbalances and diabetes are among the common physiological causes. Stress, anxiety and depression can similarly affect bodily functions and harm sexual performance. Read more on the subject in this. article on causes and symptoms.
Who can be affected by Erectile Dysfunction and can it be cured?
Sexual function decreases after age 50, and as men age, the risk for Erectile Dysfunction becomes greater. However, younger men frequently suffer from ED during periods of high stress, when they are going through significant changes in life or even due to insecurity when facing a potential sexual partner. Erectile Dysfunction tablets are suited for all cases if the doctor affirms there is no health risk to you.
Be aware, that erectile dysfunction can also be attributed to your lifestyle in general. For example, extensive consume of alcohol damages the nerves in the brain or spinal cord, which take their toll on erections. Taking certain medications may also affect potency, for example, the so-called beta-blockers, which have a hypotensive effect.
Erectile dysfunction can be a symptom of more serious illnesses. Many men are ashamed to face a doctor with their potency problems. The discreet online service of DoktorABC allows you to consult a doctor and receive the appropriate treatment for you without having to visit a doctor personally.
Which Erectile Dysfunction treatments exist?
Erectile Dysfunction treatment with tablets
The treatment with ED tablets is based on substances that inhibit the enzyme PDE-5. There are four known such active ingredients and the original medications are Viagra, Cialis, Levitra, and Spedra.
- Viagra is manufactured by Pfizer and based on the active ingredient Sildenafil. It first came on the market 20 years ago. It becomes effective 30-60 minutes after ingestion, and an erection can be maintained for 4 hours after it is taken. Generic versions of Viagra, also based on Sildenafil, are available as well.
- Cialis is based on Tadalafil (also available in generic form) and was introduced on the market in 2003. It is taken an hour before sexual activity and lasts for up to 36 hours. There is also a lower dosage available, which can be taken daily and allows for more spontaneous sex life.
- Levitra, based on Vardenafil, takes about 30 seconds to start working and lasts for approximately 5 hours. It can be a better choice for men of advanced age and men who suffer from other medical conditions. It was introduced to the market in the same year as Cialis arrived on the stage and is produced by Bayer.
- Spedra is the fastest acting Erectile Dysfunction medication using Avanafil as active ingredient. It starts to work within 12 minutes and multiple erections can be achieved for a period of 6 hours. Spedra is manufactured by Menarini International and is a newcomer on the market, having been approved by the EMA on the European market in 2013.
Other treatment options
Another treatment option is a penis pump, which may be a solution if you cannot take medicine for health reasons and you are suffering from permanent ED. It can also be used in combination with other ED treatments. The pump takes some practice to get used to, but 90% of men who use it reported that they were able to sustain an erection for long enough to perform sexually.
When the root cause is psychological, a professional psychological consultation may be helpful. This usually takes some time, and you can supplement the treatment with ED pills in the meantime. A healthy lifestyle can be beneficial to your sex life. Since Erectile Dysfunction is often a symptom of other health issues, lowering blood pressure and cholesterol by implementing a healthy diet and getting enough exercise can help improve your erections.
How do Erectile Dysfunction tablets work?
During an erection, a man's body releases cGMP, which causes the muscles in the penis to relax and dilate the blood vessels. More blood then flows into the cavernosum, resulting in an erection. The penis returns to its normal state when the enzyme Phosphodiesterase-5 (PDE-5) breaks down the cGMP. When there is Erectile Dysfunction, the PDE-5 is released too soon, and the cGMP is degraded too fast. This prevents the man from forming or maintaining an erection.
The active ingredients contained in Erectile Dysfunction tablets are also known as PDE-5-inhibitors. As the name indicates, they restrain the increased action of the enzyme Phosphodiesterase-5. This way, the erection can be achieved and maintained for a longer time. ED tablets don't cure permanently, they treat the symptom and allow a man to enjoy normal sexual activity.
Can I buy ED pills over the counter?
No, original Erectile Dysfunction tablets can only be obtained with a prescription. It is extremely dangerous to buy ED pills over the counter for several reasons. First off, it is illegal and you do not know what you are getting. Counterfeit medicines and unknown, potentially dangerous ingredients may be present in untested medicines from foreign countries. These "medications" can cause overdose, interactions with other medications and very low blood sugar. Placebos are also being sold as ED medications by unlicensed providers. These will not harm you, but they will also not work. However, they may cause you to become disillusioned with treatment and not seek further help.
Secondly, Erectile Dysfunction medications may conflict with other medications you are taking, or your health issues may make it inadvisable to take certain medicines. A physician needs to look at your medical history and current prescriptions and determine what medicine, if any, is right for you. It is important to consult with a licensed physician and answer all the questions honestly, to be prescribed a medication which is safe for you to use.
What are alternatives to the well-known ED pills Viagra and Cialis?
Generic medications of both Viagra and Cialis are available on the market. Generic medicines contain the same active ingredients as brand name medicines and are just as safe to use since they are required to undergo the same stringent testing and regulatory process to ensure their effectiveness. In general, generic medicine is less expensive than the brand name medication. Sildenafil is a generic version of Viagra and Tadalafil is a generic version of Cialis.
Which side-effects can male enhancement pills cause?
Side effects of male enhancement pills aren't very common and usually pass quickly. Headache, dizziness, upset stomach, nasal congestion and flushing are some of the more common reactions men experience. Occasionally, a man will get an erection that lasts for more than 2 hours, and this requires a doctors attention. Studies found that the side effects with medication containing Tadalafil (Cialis) last longer than in the other medications. With Vardenafil side effects are less frequently reported. More recent reports claim that Avanafil (Spedra) has even less secondary responses.
Besides the side-effects mentioned above, tablets containing Sildenafil (Viagra) can also cause certain irritations of eyes and vision, specifically impaired colour vision or sensitivity to light. These are rare with Cialis. On the other hand, back pains and muscle pains are unique to Tadalafil containing pills (Cialis).
Who should not take ED medications containing PDE-5 inhibitors?
All PDE5-inhibitors function in the same way and have a lowering effect on blood pressure. Therefore Erectile Dysfunction pills are not suitable for men who already suffer from low blood pressure. In addition they should not be taken if you…
Make sure to read the information on the pamphlet of the medication before ingesting and follow the instructions. If you are not sure or have additional questions, you can always contact our physicians free of charge via our DoktorABC site.
DoktorABC’s online Service
Erectile Dysfunction tablets are prescription medicines. Our fast and discreet online service lets you obtain both: the prescription and the treatment itself. Simply fill in a short online questionnaire so our doctor can issue a prescription, if suitable for you. You may indicate your preferred medication for the treatment, such as Viagra (Sildenafil), Cialis (Tadalafil), Levitra (Vardenafil), and Spedra. Our price includes prescription, treatment and next-day-shipping.
- NCBI - Phosphodiesterase-5 (PDE5) Inhibitors In the Management of Erectile Dysfunction
- Pyrah Department of Urology, St James’ University Hospital - Research Article
- US Pharmacist 2018, article: PDE5-inhibitors for erectile dysfunction compared
- The Telegraph - Everything you need to know about ED
- WebMD - Erectile Dysfunction Common With Age