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Treatment for erectile dysfunction

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Viagra is one of the treatments prescribed by our doctors to treat erectile dysfunction. Learn more about our prices and how to order your treatment.

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What is erectile dysfunction?

In the UK alone, millions of men suffer from erectile dysfunction. Half of the men between the ages of 40 to 70 suffer from it to some degree. Erectile dysfunction is the permanent or intermittent inability to maintain an erection that is firm enough to be able to engage in sexual intercourse.

The men affected are of all ages and will be looking for causes and solutions for their erectile problems. Quite often, erectile dysfunction is easily treatable but there is a variety of physical as well as psychological reasons which can cause it.

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Order your erectile dysfunction treatment

Viagra is one of the treatments prescribed by our doctors to treat erectile dysfunction. Learn more about our prices and how to order your treatment.

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When should ED be treated?

If you are suffering from permanent or intermittent erectile dysfunction over a longer period of time, you should seek treatment. ED and other potency issues can be of diverse nature. Often an erection is either not firm enough or does not last long enough for sexual intercourse. These problems can be treated. At DoktorABC you have the opportunity to consult our online GPs and receive timely and effective treatment.

How can I get treated for erectile dysfunction?

Erectile dysfunction (ED) is defined as the inability to achieve an erection or to maintain it for long enough to have sexual intercourse. There are many different causes of ED, but ultimately, erectile dysfunction occurs when the flow of blood to the penis is insufficient or the blood leaves the penis during an erection. The reason behind this is an enzyme called PDE5. PDE5 inhibitors that are taken orally will increase the blood flow to the penis and will also help maintain an erection over a longer period of time. 

When a penis is flaccid, the erectile tissue does not receive enough blood because the blood vessels are constricted. When aroused, the so-called cyclic guanosine monophosphate (cGMP) starts to flow. This leads to a relaxation of the vascular muscles and more blood will flow into the erectile tissue, resulting in an erection. PDE5 inhibitors have their effect by blocking the phosphodiesterase type 5 enzyme (PDE5). This enzyme reduces the cGMP and thus has an influence on the ability of the penis to be erect. The intake of PDE5 inhibitors increases the concentration of this messenger substance and the erection will last longer. However, PDE5 inhibitors only have an effect during sexual arousal. 

Medication based on PDE5 inhibitors has generally proven to be very reliable. The most-known brands are Viagra and Cialis as well as a range of other drugs available on prescription. Apart from PDE5 inhibitors, there are further alternatives available on the market which can also help treat erectile dysfunction. However, these are not offered by DoktorABC.

PDE5 inhibitor medication

PDE5 inhibitors are a group of drugs that are used for the treatment of erectile dysfunctions. In the UK, two different PDE5 inhibitors are approved for use.1

Erectile dysfunction (ED) occurs when an insufficient amount of blood flows into the penis. Most commonly this is due to an enzyme called phosphodiesterase type 5 (PDE5). In most cases, your general practitioner will recommend for you to take PDE5 inhibitors. These block the PDE5 enzyme your body produces, which causes the blood vessels to expand. The erectile tissue of the penis then fills up with blood more easily. The tablets are taken orally, and the effect lasts between four to 30 hours. Yet, the erection-enhancing effect only occurs if the man is sexually aroused. 

PDE5 inhibitors thus neither influence the libido of the treated person, nor can they cause an erection "automatically". 

Viagra is probably the best-known medication to treat erectile dysfunction. Its active substance, Sildenafil, has been prescribed for the treatment of permanent erectile dysfunctions since 1998. In 2003, an additional two substances entered the market: Tadalafil (Cialis) and Vardenafil (Levitra). The latest substance of this kind is Avanafil, also known under its marketing name Spedra. This substance was cleared for use in the UK in 2014. 

After your online consultation, our GPs will suggest the most appropriate method of treatment for you. All erection-enhancing substances are only available on prescription and their active substances differ in the exact effects they have.

Viagra-25mg-package-front-view

Order your erectile dysfunction treatment

Viagra is one of the treatments prescribed by our doctors to treat erectile dysfunction. Learn more about our prices and how to order your treatment.

Read More

Available potency enhancers - ED Tablets

The most known and used method of treatment for erectile dysfunction is oral tablets. For many, tablets are the preferred treatment because they are generally easier to take and effective (based on clinical trials). This only applies to prescription based PDE5 inhibitors. There are four Main PDE5 inhibitors used in erectile dysfunction medications.

Medication Viagra Cialis Levitra Spedra
Active ingredient Sildenafil Tadalafil Vardenafil Avanafil
Effective after 30 minutes for 4 hours after 30 minutes for 36 hours after 30 minutes for 6 hours after 15 minutes for 6 hours
Dosage 25 mg, 50 mg, 100 mg 10 mg, 20 mg 5 mg, 10 mg, 20 mg 50 mg, 100 mg, 200 mg
Description Reliable, well-known, proven, the first PDE5 medication used to treat ED Has a long lasting effect for sex wihout time pressure Very well-tolerated, including men over 50 Quickest effect for those who don't always plan sexual intercourse

These treatments can be prescribed by our GPs.

Sildenafil and Tadalafil are the most-used substances for erectile dysfunction treatment. They are both categorised as PDE5 inhibitors and their erection enhancing effects both start soon after taking the pill. 

After the patent protection of the original Viagra medication by Pfizer expired in 2013, many cheaper generic medications have entered the market.

Could there be side effects?

Just like any other prescribed medication, PDE5 inhibitors also have potential side effects. 

Amongst the most common side effects of PDE5 inhibitors are headaches, skin redness in your face or on your upper body, or a stuffy nose. Your general practitioner will inform you about potential side effects.

When should you not take PDE5 inhibitors?

In some cases, PDE5 inhibitors are not recommended. Please always check with your general practitioner before you start any medication. 

If you are suffering from severe heart, circulatory or liver problems, or have had a stroke within the last six months, you should not take any PDE5 inhibitors. The same applies to certain eye conditions. 

Furthermore, there are a variety of medications that emit nitrogen monoxide. Medics call these NO donors. When PDE5 inhibitors and nitrogen monoxide are combined, the blood pressure in your body can fall dramatically. Worst case, this can be life-threatening. 

It is generally possible that potency enhancers and other medications influence each other's effectiveness.

How can DoktorABC help you?

At DoktorABC, you can start a medical consultation or request to renew an existing prescription from one of our GPs. To start, fill out a quick medical questionnaire and if there are no health-related issues, one of our GPs will issue a prescription and forward it to the online pharmacy. Our pharmacy service will take care of your order and ship your medication the next workday. Start your consultation here.

Alternative treatments for Erectile Dysfunction

Natural treatment alternatives

Aside from the medicinal treatment of ED, some plants and natural substances can have positive effects on erectile function as well as the libido - your desire for sexual activity. Here are some well-known natural sexual enhancers. 

  • Gingko: The essence is won from the leaves of the Gingko tree. The tree initially came from China, but has now found a home around the world. The leaves contain flavonoid, terpenes, ketones and acids, which improve the arterial blood flow. 
  • Ginseng: One of the most popular plant-based substances, which has been used in China for thousands of years as an aphrodisiac. 

These substances are branded as sexual enhancers by their manufacturers, but there are hardly any reliable studies which prove their effectiveness. These plant-based substances do not get prescribed by general practitioners.

Psychological and wellness therapies 

Therapy alongside a medicinal treatment can also make a difference, particularly if psychological factors play a role with your ED.

Coaching or Psychotherapist

Men whose erectile dysfunction clearly originates from psychological issues often suffer from other symptoms as well. Coaching is a therapeutic method that can help with low confidence, inhibition or relationship conflicts.

Healthy lifestyle

This isn't really a treatment, but a general recommendation, independent of the actual diagnosis of impotence and its deeper cause. Part of a healthy lifestyle is a well-balanced diet, low in fats and cholesterol, as well as moderate consumption of alcohol and no consumption of nicotine or drugs. All these have an effect on the blood quality and your nerve function - both of which are critical factors for the development of a healthy erection and sexual wellbeing.

Physical exercise 

This is also part of a healthy lifestyle. Regular physical exercise is the base for a healthy and functional body. A GP can also recommend dedicated exercises to strengthen the pelvis to increase potency.

Other methods of treatment

Injection therapy

With this method, medication is injected right into the penis. The penis stiffens up after about 20 minutes and remains erect for about 30 to 60 minutes. This method can only be prescribed by a urologist after a thorough diagnosis. It is not suited for patients that react negatively to PDE5 inhibitors or cannot take them. 

Penis pump

If you cannot take medications or you show allergic reactions to certain substances, there are more mechanical treatments of erectile dysfunction available. The most known method is the so-called penis pump. This is a vacuum pump that helps by pumping blood into the penis. 

Penis ring

The penis ring is applied similarly to the vacuum pump. This plastic ring is placed on the penis before sexual activity. An erection occurs due to increased blood flow into the erectile tissue of the penis. 

Surgical options 

If other conventional methods cannot be used or are not successful, there is the option of an implant into the erectile tissue. This method is reliable and only requires a single surgical procedure to enable an erection again.

Why choose DoktorABC?

Our online doctor and pharmacy service can help men seeking a first-time diagnosis and treatment as well as men who have been prescribed an ED treatment in the past that are looking to renew their prescription.  

The online consultation consists of a short health questionnaire, followed by our GP’s review, if there are no health issues our online GP will issue a prescription valid in the UK and you will receive your order within only a few days. Avoid the stress and unnecessary waiting times for a follow-up prescription thanks to our safe and discrete service.

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