Erectile Dysfunction: UK Online Doctor & Sildenafil/Tadalafil
Educational information — not medical advice.
This article was prepared by the OnlineDoctor24 editorial team and reviewed for factual accuracy against UK clinical guidance (NHS and NICE). It is not written by a doctor and does not replace personal medical advice. For symptoms specific to you, book an online doctor consultation.
Key points
- ED affects most men at some point — it's common and treatable.
- First line: PDE5 inhibitors (sildenafil, tadalafil, vardenafil).
- Lifestyle changes (exercise, weight, stop smoking) significantly help.
- ED can signal underlying cardiovascular disease — always worth a check.
- An online doctor can prescribe discreetly, often with delivery.
Causes
- Vascular: high BP, diabetes, high cholesterol, smoking
- Hormonal: low testosterone
- Neurological: nerve damage, MS, after pelvic surgery
- Psychological: stress, anxiety, depression, performance anxiety
- Medications: antidepressants, antihypertensives
Treatment
- PDE5 inhibitors: sildenafil 50–100 mg as needed, tadalafil 10–20 mg as needed or 5 mg daily.
- Alprostadil (cream, pellet or injection) for non-responders.
- Vacuum devices, penile rings.
- Couples therapy for relationship/anxiety factors.
- Surgical implants for severe refractory cases.
Frequently asked questions
Common questions UK patients ask about erectile dysfunction.
How an online doctor can help
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This article is for general information only and does not replace personal medical advice from a qualified doctor. Content is reviewed against UK NHS and NICE guidance by the OnlineDoctor24 editorial team and is not authored by a medical doctor. If your symptoms worsen or you are unsure, please book a consultation with a GMC-registered GP.
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