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Erectile dysfunction: assessment and treatment options

Finding the cause first, then treatment built around it, from medication to surgical options.

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Dr. Ahmed S. Zugail
Medically reviewed by Dr. Ahmed Zugail
Consultant Urologist, Andrology & Male Infertility

Erectile dysfunction means difficulty getting or keeping an erection firm enough for intercourse. It is one of the most common reasons men see an andrologist, and most cases have an identifiable cause and effective treatment options.

It can also be an early sign of another health problem such as diabetes, vascular disease or a hormonal imbalance, which is why an assessment matters, not only a prescription.

First step

How is it assessed?

  1. 1History and examinationTo understand when it started and any related conditions or medication
  2. 2Blood testsSuch as blood sugar, lipids and testosterone when needed
  3. 3Penile Doppler ultrasoundIn selected cases, to assess blood flow

After the diagnosis

Treatment options

01

Treating causes and lifestyle

Controlling sugar and blood pressure, stopping smoking and reviewing medication that may contribute

02

Medication

Prescription tablets, once they are confirmed to be safe for you

03

Local injections

An option for some men who do not respond to tablets

04

Penile prosthesis

A surgical solution when other treatments have not worked

Procedures are often advertised under marketing names such as the “golden shot”. Before any procedure, ask about the evidence, the expected results and their limits.

Videos

The doctor explains it himself

Frequently asked questions

Questions about Erectile dysfunction

Need an assessment?

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Is erectile dysfunction only psychological?

No. Psychological factors exist, but many cases have a physical cause such as blood vessels, diabetes or hormones. An assessment tells them apart.

Can I buy medication without seeing a doctor?

It is not advisable. Some medicines are unsafe with heart conditions or certain other drugs, and the assessment may reveal a cause that needs different treatment.

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This information is educational and does not replace a medical consultation. In an emergency go to the nearest emergency department

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