Back to Sexual health. This is when a man cannot get, or keep, an erection that allows him to take part in sexual intercourse or other types of sexual activity. Most men experience it at some time in their life, and the causes can be physical or psychological. Alcohol, smoking and illegal drugs, as well as some prescription medicines, can also cause erectile problems. Worries about work, money, your relationship, family and not getting an erection can all be factors.
Whatever the cause or treatment of their ED, many men could benefit from counselling or therapy. It is important that underlying diseases and causative conditions do not go undetected. In a small number of cases, tests to check the way the blood circulates through the penis, using scans or drug injections, may be done in hospital clinics. Professional Reference articles are designed for health professionals to use. It is important to make sure you are sitting in the correct position Erectyle dysfunction uk a properly fitted, Older and pregnant seat — some Erectyle dysfunction uk specifically designed to relieve pressure on the blood vessels and nerves supplying the penis. Vacuum erection assistance devices VEDs. Junior Curator's Room. This is because combining alpha-blocking medication with a PDE5 inhibitor can cause a sudden blood pressure drop. What's the outlook? You should not use a vacuum pump if you have a bleeding disorder or if you are taking anticoagulant medicineswhich reduce the ability of your blood to clot.
Durometer for sex toys. When to see your GP
Likewise, stress and mental health concerns can cause or worsen erectile dysfunction. Leave Erectyle dysfunction uk Reply Cancel reply Your email address will not be published. University of Chicago Press. Pelvic Floor Muscle Exercises The pelvic floor muscles are grouped under the bladder, around the rectum and at the base of ddysfunction penis. Fast delivery. Drug-induced erectile dysfunction can be cured if a clear temporal relationship is established between starting a drug and onset of erectile dysfunction within dywfunction weeks of drug introduction. Journal of Pharmaceutical and Biomedical Analysis. Learn how to ddysfunction these disorders and ease your symptoms. These lie underneath the bladder and back passage, and at the base of the penis. Show references Montague DK, et al. There are several causes which tend to be grouped into those that are mainly physical and those that are mainly due to mental health issues. In some particular cases, the simple search for a previously undetected groin hernia can prove useful since it can affect sexual functions in Erectyle dysfunction uk and is relatively easily curable. The following sources Dripping springs pediatrics used by CKS pharmacists and are not necessarily searched by CKS information uuk for all topics.
Erectile dysfunction ED , also known as impotence, is the inability to get and maintain an erection.
- This CKS topic does not cover the management of sexual dysfunction in women.
- Erectile dysfunction ED is when you are unable to get or keep an erection suitable for sexual intercourse or another chosen sexual activity.
- Erectile dysfunction ED , also known as impotence, is the inability to get and maintain an erection.
- Erectile dysfunction ED is commonly called impotence.
- Not sure?
- Erectile dysfunction ED , also known as impotence , is a type of sexual dysfunction characterized by the inability to develop or maintain an erection of the penis during sexual activity.
Using this site sets cookies - our Cookies Policy. Continued use indicates your consent. ED can affect men of all ages, but needn't impact your quality of life.
We'll help you find the right treatment and strength to help support a fulfilling sex life. ED is when a man is unable to gain or maintain an erection, making penetrative sex difficult or impossible. It can affect relationships and confidence, but ED is treatable. ED can have both physical and psychological causes. In most cases it is due to a reduced blood flow to the penis.
Anxiety, stress and depression can also cause erectile problems. Side effects vary, but may include nausea, back pain or indigestion. Complete your consultation questionnaire and we will recommend a treatment and dose suitable for you. These are available for either discreet collection or delivery. Delivered by Royal Mail.
Delivered in working days Saturday included. Must be signed for by someone at the address. Order before 4pm Monday-Friday to collect in pharmacy the same day. Collect from one of our 1, LloydsPharmacy stores, including selected Sainsbury's. Contact us. Home Erectile dysfunction. Erectile dysfunction ED ED can affect men of all ages, but needn't impact your quality of life. Help me choose a treatment Select a treatment option Reorder. What is erectile dysfunction? What are the symptoms of erectile dysfunction?
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The practice, which involved inspection of the complainants by court experts, was declared obscene in Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical conditions. Retrieved 15 April For instance, heart disease or high cholesterol could cause ED symptoms. Request an Appointment at Mayo Clinic. 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. The study of ED within medicine is covered by andrology , a sub-field within urology.
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Erectile dysfunction (impotence) - NHS
Erectile dysfunction ED , also known as impotence, is the inability to get and maintain an erection. See your GP if you have erectile dysfunction for more than a few weeks.
Physical causes include:. Sometimes erectile dysfunction only occurs in certain situations. For example, you may be able to get an erection during masturbation, or you may find that you sometimes wake up with an erection but you are unable to get an erection with your sexual partner.
If this is the case, it is likely the underlying cause of erectile dysfunction is psychological stress related. If you are unable to get an erection under any circumstances, it is likely that the underlying cause is physical.
Read more about the causes of erectile dysfunction. Your GP can usually diagnose erectile dysfunction. This will involve answering questions about your symptoms, as well as a physical examination and some simple tests. Read more about diagnosing erectile dysfunction. Erectile dysfunction is primarily treated by tackling the cause of the problem, whether this is physical or psychological.
The narrowing of the arteries called atherosclerosis is one of the most common causes of ED. Most men are eventually able to have sex again.
Read more about treating erectile dysfunction. The main symptom of erectile dysfunction ED is the inability to get and maintain an erection for satisfactory intercourse. Sometimes ED only occurs in certain situations. In these circumstances, it is likely that the underlying cause of ED is primarily psychological stress related.
However, if you are unable to get an erection under any circumstances, it is likely that the underlying cause is primarily physical. See your GP if ED persists for more than a few weeks. Many websites offer treatments for ED but their use is not recommended. The medications that are offered by these sites could be fake and may be dangerous. Even if the medications are genuine, they may not be suitable for you. Erectile dysfunction ED can have many causes, such as certain medical conditions, medications and stress.
The nerves increase the blood flow to the penis, causing the tissue to expand and harden. Psychological conditions, such as depression , can reduce libido, as can changes in hormone levels chemicals produced by the body. These are:. Penis injuries or surgical treatment of the penis, pelvis or surrounding areas can sometimes lead to erectile dysfunction.
Speak to your GP if you are concerned that a prescribed medicine is causing erectile dysfunction. Alternative medication may be available. Erectile dysfunction can often have both physical and psychological causes. For example, if you have diabetes, it may be difficult for you to get an erection, which may cause you to become anxious about the situation.
The combination of diabetes and anxiety may lead to an episode of erectile dysfunction. These include:. Men who cycle for more than three hours per week may be recommended to try a period without cycling to see if this helps improve erectile dysfunction. Riding in the correct position with a properly fitted seat may also help to prevent regular cycling from leading to erectile dysfunction. Erectile dysfunction ED can often be diagnosed by your GP.
They will talk to you about your situation and may carry out a physical examination. If you do not want to talk to your GP about erectile dysfunction, you can visit a genitourinary medicine GUM clinic. You can request a male GP at your surgery if you prefer.
Your GP may assess your cardiovascular health. Narrowed blood vessels are a common cause of erectile dysfunction and linked with cardiovascular disease conditions that affect the heart and blood flow.
For example, measuring the levels of hormones such as testosterone can rule out hormonal conditions, such as hypogonadism an abnormally low level of testosterone. In some cases you may be referred to a specialist for further testing.
An intracavernous injection test involves injecting a man-made synthetic hormone into your penis to increase the blood flow. In some cases, you may also need an ultrasound scan. These specialised tests involve injecting dye into the blood vessels of your penis and studying the dye on a scanner. These are likely to be used if you are being considered for surgery or if a problem has been detected with your blood vessels. If you have erectile dysfunction ED , treatment will depend on what's causing it.
The various treatments for erectile dysfunction are outlined below. In some cases, treating the underlying cause may also resolve the problem. If you are taking medication that can cause erectile dysfunction, there may be an alternative. It is important never to stop taking a prescribed medication unless you are advised to do so by your GP or another qualified healthcare professional responsible for your care.
Phosphodiesterase-5 PDE-5 inhibitors are one of the most widely used and effective types of medication for treating erectile dysfunction. They work by temporarily increasing the blood flow to your penis. Sildenafil, vardenafil and avanafil work for about eight hours and they are designed to work 'on demand'. Tadalafil lasts for up to 36 hours and is more suitable if you require treatment for a longer period of time, for example, over a weekend.
Depending on the type of PDE-5 inhibitor you are taking and the dose, it should take about minutes before it starts to work. With sildenafil, vardenafil and avanafil, you should be able to have sex from one to 10 hours after taking the medicine.
After taking tadalafil, the effects will last for up to 36 hours. It may take longer to notice the effects if the tablet is taken with food, so it's best to take it on an empty stomach.
You can then eat after an hour without affecting the medicine. Your GP should explain the benefits of each medication and how it works. The choice may depend on:.
There have been many studies to test the effectiveness of these medications. These medications are triggered by sexual stimulation, so you also need to be aroused for it to work. However, sexual activity is also likely to be beneficial for your cardiovascular health. You should discuss the risks and benefits with your GP.
PDE-5 inhibitors should also be used with caution in men who have anatomical problems with their penis, such as Peyronie's disease a condition that affects the tissue of the penis. Do not take PDE-5 inhibitors if you are also taking medicines or recreational drugs that contain nitrates. The combination of the two substances can have a dangerous effect on your heart. Organic nitrates are often used to treat angina, and butyl nitrate is a recreational drug that is more commonly known as 'poppers'.
A vacuum pump consists of a clear plastic tube that is connected to a pump, which is either hand or battery operated. You place your penis in the tube and pump out all of the air. This creates a vacuum that causes the blood to fill your penis, making it erect. You then place a rubber ring around the base of your penis to keep the blood in place, allowing you to maintain an erection for around 30 minutes. It may take several attempts to learn how to use the pump correctly, but they are usually effective.
You should not use a vacuum pump if you have a bleeding disorder or if you are taking anticoagulant medicines , which reduce the ability of your blood to clot. Side effects of vacuum pumps include pain or bruising, although these occur in less than a third of men. Men who qualify for NHS prescriptions for erectile dysfunction treatments may be able to get a vacuum pump on the NHS see above for more details.
This is a synthetic man-made hormone that helps to stimulate blood flow to the penis. You may be trained to correctly inject or insert alprostadil. Alprostadil will usually produce an erection after five to 15 minutes. How long the erection lasts will depend on the dose. In men who did not respond to PDE-5 inhibitors, alprostadil injections were successful in 85 out of men. Alprostadil inserted into the urethra is successful for up to two-thirds of men.
Hormones are chemicals produced by the body. Many hormonal conditions can be treated using injections of synthetic man-made hormones to restore normal hormone levels. It may also be considered in:.
In the past, surgery was used if there was clear evidence of a blockage to the blood supply of the penis. The surgeon could unblock the blood vessels to restore a normal supply of blood. However, research now suggests that the long-term results of this type of surgery are poor, so it's unlikely to be used. Penile implants are not usually available on the NHS and inflatable implants may be very expensive. However, around three-quarters of men report being satisfied with the results of this type of surgery.
Sensate focus is a type of sex therapy that you and your partner complete together. The idea is to explore your bodies knowing that you will not have sex.
You can also begin to use your mouth to touch your partner, for example, licking or kissing, them. This can build up to include penetrative sex. CBT is based on the principle that the way you feel is partly dependent on the way you think about things.