Erection problems — a physician's guide to get hard. And stay hard

Renew your erectile dysfunction medication in 3 minutes

Although erectile dysfunction is joint and can be embarrassing at times, there are numerous treatment options.


  • Between the ages of 40 and 70, more than half of men will experience erectile dysfunction (ED)

  • 90% of men suffer from at least one physical condition.

  • These could include heart disease, diabetes, and hormonal imbalances.

At some point in their lives, the majority of men have difficulty obtaining or maintaining an erection. This condition is frequently referred to as erectile dysfunction, abbreviated as ED. According to the British Association of Urological Surgeons, ED affects more than half of men between 40 and 70.

However, a recent survey commissioned by the European Association of Urology (EAU) discovered that ED awareness is low among men and women aged 20 to 70. The majority of respondents were unaware of what ED was, and one in four had never heard of any of the most commonly prescribed treatments.

Why you should consult a physician about erectile dysfunction

It's counterproductive that our culture frequently refers to men as 'performers' in bed. This can result in excessive pressure and anxiety, compounding the problem.

However, while many people will suffer in silence, too embarrassed or ashamed to discuss it with their doctors, they must do so.

That is because ED is not solely a sexual dysfunction. This condition can also be a harbinger of undiagnosed underlying medical illnesses, like cardiac problems or type 2 diabetes.

Additionally, ED can impair self-esteem and result in frustration, anger, and mental health problems.

The good news is that sometimes simple lifestyle changes can reverse ED. Where they do not, a Mobi doctor can provide a variety of medical and psychological services.

What is the best way to approach a partner about erectile dysfunction (ED)?

Whether you are experiencing ED or have a partner who is, it can be a complex subject to discuss. While it is distressing when ED strikes, do not panic and assume your sexual life is over.

Any man can struggle to obtain or maintain an erection at times, and there are a variety of possible reasons for this, most notably psychological factors,

'So, give your partner time, gently encourage him to seek help without putting him under duress, listen non-judgmentally if he is stressed or struggling with mental health, and try not to take his erection difficulties personally.'

And keep in mind that sex does not have to end with penetration. 'As a couple, you can adjust your sexual activity to find other ways to please one another while remaining intimate.'

What causes erectile dysfunction?

Numerous factors can contribute to erectile dysfunction, and 90% of men have at least one underlying physical cause.

These frequently include undiagnosed or untreated cardiovascular disease or diabetes, which is why it is critical to speak with your doctor about it.

Additionally, ED can result from hormonal imbalances, neurological disorders, pelvic surgery, or physical trauma.

Around 10% of men suffer from erection problems due to psychological factors such as stress, anxiety, depression, or 'performance anxiety.'

Although uncommon, approximately 1-3 percent of men may have an anatomical abnormality such as a constricted foreskin, penile inflammation, or curvature.

Who is prone to develop ED?

Erectile dysfunction can occur at any age in a man

On the other hand, Persistent difficulties with erections are more prevalent in men over the age of 40 when risk factors like cardiac problems, hypertension, diabetes, or neurological conditions are more prevalent.

A healthy supply of blood to the penis is required for obtaining and maintaining an erection. However, common circulatory problems such as atherosclerosis (a narrowing of the arteries caused by fatty deposits of substances such as cholesterol) can obstruct this process, resulting in erection problems.

As a side effect of various medications, ED can also occur. These include commonly prescribed medications for depression, hypertension, and prostate enlargement.

Can a lifestyle change be beneficial?

By increasing your physical activity, you can reduce your risk of erectile dysfunction by up to 70%.

Indeed, a review of studies discovered that engaging in 40 minutes of moderate to vigorous cardiovascular activity (the kind that makes you sweat) four times a week can significantly reduce ED within six months.

Stopping smoking, losing weight, reducing alcohol consumption, reducing stress, and abstaining from illicit drugs can help alleviate erectile dysfunction.

Stress and excessive alcohol consumption are frequent ED triggers. So, if a man occasionally struggles to obtain or maintain an erection, perhaps because he has had a little too much to drink or is under extreme work pressure, he need not be concerned.

A break from cycling may be recommended by your doctor if you ride your bike more than three hours per week to see if it helps your condition. Having a properly fitted and comfortable seat is essential if you plan on cycling; some saddles are specifically designed to relieve pressure on the blood vessels and nerves that supply the penis.

When should you consult a physician?

According to research, many men find this issue so embarrassing that they wait more than two years before consulting a medical professional — even though physicians are trained to deal with ED.

If you've been experiencing erection difficulties for several weeks, schedule an appointment with a Mobi doctor.

'If your partner is affected and is hesitant to seek help, encourage him to do so because his doctor may need to run additional tests to rule out a physical cause.

How can a general practitioner treat erectile dysfunction?

Fortunately, the majority of cases of ED are treatable. A doctor will first obtain a complete medical history from you and order blood and urine tests to detect any underlying medical conditions.

Your physician may then suggest lifestyle changes. If these do not work, additional ED treatments include the following:


At the moment, four different tablets are available: avanafil (Spedra), vardenafil (Levitra), tadalafil (Cialis), and sildenafil (brand name Viagra). These medications are classified as phosphodiesterase inhibitors (PDE5i).

Viagra is now available without a prescription in the United Kingdom, and at least two-thirds of men report improved erections after using it.

However, you should always consult a physician or pharmacist before taking such medications — and never purchase them online, as they may be counterfeit.

The medications used to treat ED may cause side effects such as headache, stuffy nose, flushing, or upset stomach. If this occurs — or ineffective — a GP may prescribe additional treatments to support erectile function. These may include penile injections or if the condition is caused by physical trauma, surgery.

Viagra-like medications can sometimes cause serious side effects such as chest pains, seizures, painful erections, and sudden vision loss. Always seek medical attention immediately if you experience any of these symptoms.

If your ED is caused by atherosclerosis, your doctor may also prescribe statins to control your cholesterol levels and blood pressure-lowering medications.

Vacuum pumps

You've probably read articles online about alternative treatment methods such as vacuum pumps. These stimulate blood flow to the penis, resulting in an erection. They can be used in the absence of drugs and are effective for the majority of men. Consult your physician about the most effective method of obtaining a pump.

Testosterone treatment

Your doctor may discover that your hormone levels are a factor in your ED. They may prescribe Testosterone Replacement Therapy (TRT) or refer you to a specialist who is qualified to do so. TFT is available as a gel that is rubbed into the skin daily or as a long-acting injection that is given every 6-12 weeks.

Is depression a factor in ED?

This can be accomplished in one of two ways. Depression can result in erectile dysfunction 'and some of the medications used to treat depression can also cause erection problems. On the other hand, many men who develop persistent erectile dysfunction due to another condition, such as heart disease or diabetes, discover that having ED has a detrimental effect on their mental health, with men experiencing feelings of anger, sadness, and frustration.'

Counseling or Cognitive Behavioural Therapy (CBT) may be beneficial in both cases. A Mobi doctor can assist you in obtaining a referral for a course of psychological therapies to assist you in coping with ED.


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