Erectile Dysfunction

Erectile dysfunction (also known as Impotence) is a common issue that, if left untreated, can affect relations with partners, family, work, as well as the social environment. All men can have problems getting an erection in their life, especially if they are tired, stressed, have a serious illness or are under the influence of alcohol and/or drugs. Fortunately, there are various forms of erectile dysfunction treatment available to those who suffer from this.

Erectile Dysfunction Treatments

Active ingredient:
Sildenafil citrate

Time to take effect:
30-60 mins

Duration:
4-6 hours

Strenghts:
25, 50, 100 mg

From £29.95

Viagra

Active ingredient:
Sildenafil citrate

Time to take effect:
30-60 mins

Duration:
4-6 hours

Strenghts:
25, 50, 100 mg

From £15.95

Sildenafil

Active ingredient:
Tadalafil

Time to take effect:
15-60 mins

Duration:
up to 36 hours

Strenghts:
2.5, 5, 10, 20 mg

From £44.95

Cialis

Active ingredient:
Vardenafil

Time to take effect:
30-60 mins

Duration:
4-6 hours

Strenghts:
5, 10, 20 mg

From £35.95

Levitra

Active ingredient:
Avanafil

Time to take effect:
15-30 mins

Duration:
4-6 hours

Strenghts:
50, 100, 200 mg

From £25.95

Spedra

Active ingredient:
Alprostadil

Time to take effect:
5-30 mins

Duration:
4 hours

Strenghts:
3mg/g

From £79.45

Vitaros

Available treatments

Many doctors suggest that the choice of treatments for impotence or erectile dysfunction to be followed should go from less to more invasive. First, the abandonment of drugs; second, psychotherapy and behaviour modification; then vacuum devices or drugs; and finally surgery.

Counselling is recommended for men under 40 years, since in these cases the cause of the disease is usually within the mind. Even in cases of impotence due to physical problems, many men need psychological help to overcome self-esteem issues arising from this disease.

According to guidelines the following agents to consider for proper treatment for erectile dysfunction are:

Sildenafil

Known as Viagra, acts by enhancing blood flow to the penis, thus facilitating erection. It has proven its positive effect in 40-80 percent of men. It should be taken one hour before sexual activity and has no undesirable effect on sexual desire. However, it may cause side effects such as headache, flushing, gastrointestinal or visual disturbances. It cannot be taken by men who suffer from retinitis pigmentosa or who are taking nitrates. In any case, before you start taking this pill for treatment for erectile dysfunction, you should always seek medical advice.

Tadalafil

Marketed as Cialis, works by increasing blood flow to the penis in the presence of sexual stimulation. You have to ingest the drug 30 minutes before a sexual relationship and its effectiveness can reach 24 hours after administration. Food intake does not affect the drug absorption. Side effects are generally mild or moderate: headache , rhinitis, flushing or muscle aches.

Vardenafil

Marketed as Levitra, works by increasing blood flow to the penis always in the presence of sexual stimulation. The administration should be between 25 and 60 minutes before intercourse and its effect lasts up to 12 hours. The side effects of this medication are mild and range from headaches and nausea to dizziness or rhinitis. Keep in mind that the drug concentration in blood is delayed if taken with a meal high in fat.

Avanafilo

known as Stendra, acts to improve vasodilation, responsible for blood to reach the penis so appropriate in order to produce an erection. It is a drug that can maintain an erection in just 15 minutes after ingestion. This is one of the pluses of avanafilo versus Viagra, yet despite its effectiveness, Stendra has shown similar side effects from other PDE5 inhibitors, such as: Headaches, nausea, dizziness, and blurred vision. These side effects are comparatively rare, but they do happen. Furthermore, you can’t take Stendra if you take nitrates.

Currently, some experts established the following classification to distinguish different types of impotence:

  • Coeundi Impotence: The inability to maintain intercourse.
  • Erigerandi Impotence: Inability to achieve penile erection.
  • Generandi Impotence: Inability to procreate although penetration occurs.
  • Psychic Impotence: When the erection depends on mental problems and nonphysical.
  • Diagnosis
Impotence or erectile dysfunction can be caused by:

Psychological causes

In these cases, the penis presents no physical alterations, however, diseases such as anxiety (often caused by the fear of not getting an erection or defrauding the women), depression, problems with the couple and even stress can affect sex.

Also excessive concern for work, social or family problems mean that the necessary attention to the sexual act is not engaged. Fatigue, loss of appetite, lack of exercise, insomnia or job failure can also imbalance sexual reflexes.

Vascular causes

This type is very common. The penis cannot accumulate the blood needed for an erection to occur, usually because not sufficient. Smoking, hypertension, diabetes, a heart condition and increased levels of cholesterol in the blood can cause vascular disorders that hinder erection.

Neurological causes

In these cases an interruption occurs in the transfer of messages from the brain to the penis because there is an injury to the nerves involved. This occurs with lesions of the spinal cord, the MS or after some surgical procedures in the pelvis.

Hormonal causes

They are rare. Usually due to a lack of male sex hormones.

Drug causes

There are several medications that have side effects diminish as the ability to have an erection. Among them are some drugs to treat hypertension, heart disease and psychiatric disorders.

The main symptom of erectile dysfunction is a change in the quality of erection, both in terms of rigidity, and the ability to maintain an erection.

If impotence is caused by physical causes, one of the main indicators in the inability to have or maintain an erection is upon waking in the morning.

However, if it is caused by psychological causes, impotence usually occurs during a specific period of time (the duration of a stressful situation, for example). If it persists for more than three months, the patient should seek a urologist specialising in impotence.

The main measure that men should keep in mind to avoid the appearance of erectile dysfunction is the modification of lifestyle to avoid any habits that negatively impact the arteries and veins, such as smoking, alcohol and saturated fats, sedentary lifestyle and stress.

Medical Articles

Please refer to the articles below to find out more information, medical guidance and advice from our doctors on how to best treat the condition.
Learn about available treatments, symptoms, side effects and what you can do to prevent it.

Erectile dysfunction causes
There always comes a time in life when our body begins to deteriorate naturally. From 20 years old, some of our areas begin a slow decline. In a correct and healthy development descent…
Read more
Symptoms of erectile dysfunction
Erectile dysfunction or impotence is defined as the inability of a man to achieve or maintain an erection. However, it is not an inevitable consequence of ageing; it can be prevented and treated…
Read more