Erectile Dysfunction Treatments Online

What is erectile dysfunction?

Erectile dysfunction is when you regularly can’t get or keep a firm erection that’s hard enough for satisfying sex. It can happen occasionally or become a persistent problem, affecting self-esteem, relationships, and overall wellbeing.

ED is very common: around half of men aged 40–70 experience it at some point. But it can affect younger men, too. While it can be frustrating, ED is treatable and often reversible. Learn more about the causes, diagnosis, and treatment options in the NHS Erectile Dysfunction Guide.

Why does erectile dysfunction happen?

ED can result from physical or psychological factors — or both:

• Physical causes: Conditions like diabetes, high blood pressure, high cholesterol, obesity, nerve or blood vessel damage, hormone imbalances, or certain medications can reduce blood flow or nerve signals needed for erections.

• Psychological causes: Stress, anxiety, depression, low self-esteem, or relationship issues can all interfere with sexual arousal and performance.

For a detailed overview, see the British Association of Urological Surgeons ED Leaflet.

Erectile dysfunction symptoms and diagnosis

You may have ED if you:

• Struggle to get an erection when you want to have sex

• Get an erection, but lose it quickly

• Have a reduced interest in sex along with erection issues

If these problems persist for more than a few weeks, speak with your GP. Diagnosis typically includes questions about your symptoms, medical history, lifestyle, and sometimes tests like blood pressure, blood sugar, hormone levels, or a penile ultrasound.

How do erectile dysfunction treatments work?

Most ED tablets are PDE5 inhibitors. They work by relaxing blood vessels, increasing blood flow to the penis when sexually aroused. These treatments don’t cause spontaneous erections — sexual stimulation is still needed.

Alternative and natural approaches

In addition to medication, you might benefit from:

• Counselling or sex therapy (for anxiety-related ED)

• Healthy diet and regular exercise

• Limiting alcohol and stopping smoking

• Managing stress through relaxation techniques

Some men try natural supplements, but these should be discussed with your doctor first — many herbal remedies lack evidence or interact with other medicines.

Can erectile dysfunction be prevented?

While not all causes are preventable, you can reduce your risk by:

• Maintaining a healthy weight

• Exercising regularly

• Eating a balanced diet

• Managing chronic conditions like diabetes or hypertension

• Avoiding tobacco and excessive alcohol

Lifestyle changes to improve erectile dysfunction

While medication can help, many men can improve or even reverse erectile dysfunction by making positive changes to their lifestyle. Consider adopting these habits alongside your treatment plan:

• Maintain a healthy weight – Being overweight increases the risk of ED. Aim for a balanced diet and regular exercise.
• Exercise regularly – Cardiovascular workouts like walking, swimming, or cycling improve circulation and blood flow to the penis.
• Stop smoking – Smoking damages blood vessels and can worsen or cause ED.
• Limit alcohol intake – Excessive drinking can affect sexual performance. Stick to recommended guidelines.
• Reduce stress – Stress and anxiety are common psychological causes of ED. Mindfulness, therapy, or relaxation techniques can help.
• Improve sleep quality – Poor sleep can lower testosterone levels and contribute to ED.
• Manage existing health conditions – Conditions like high blood pressure, diabetes, or high cholesterol should be treated, as they are common causes of erectile dysfunction.

When to see your doctor about erectile dysfunction

If you experience:

• Erectile problems lasting longer than a few weeks

• Loss of libido

• Pain during sex

• Curvature of the penis during erections

• Erectile problems accompanied by other health symptoms (chest pain, weakness, difficulty speaking)

You should seek medical advice as these could be signs of more serious health issues.

Frequently Asked Questions

How quickly do ED treatments work?

Depending on the medication, effects start in 15–60 minutes.

How long do the effects last?

From 4 hours (Sildenafil) up to 36 hours (Tadalafil).

Can you buy erectile dysfunction pills over-the-counter?

Most ED pills need a prescription, but Viagra Connect is available over the counter after a brief pharmacy consultation.

Can ED be a sign of another health issue?

Yes — ED can sometimes signal underlying health problems like heart disease or diabetes. Don’t ignore it.

Is there an alternative to Viagra?

Generic sildenafil contains the same active ingredient as Viagra and offers the same results at a lower price.