Diagnosis and treatment for ED

Young couple outdoors

Medical Diagnosis of Erectile Dysfunction

No formal tests exist to diagnose erectile dysfunction. A number of bloods tests are usually performed to rule out underlying disease, such as diabetes, hypogonadism and prolactinoma.

A useful and simple way to distinguish between physiological and psychological Erectile Dysfunction is to determine whether the patient ever has an erection. If the patient has never had an erection the problem is likely to be physiological, if sometimes (however rarely), it is more likely to be psychological. Psychological Erectile Dysfunction is, however, the rarer of the two causes. 80-90 percent of problems have an underlying physiological reason.

What are the medical treatments for ED?

The treatment prescribed for a man suffering from erectile dysfunction will, of course, depend on the cause. The most common cause is a lack of blood to the penis itself as a result of damaged blood vessels within the organ. This type of damage is more common in older men and is often the result of disease, most often diabetes.

The majority of treatments for erectile dysfunction work on a temporary basis; they treat the erectile dysfunction itself rather than the actual cause of the problem that need to be addressed separately. The only exception to this is testosterone treatment that may prove to be a permanent solution to ED in certain cases.

The drugs used to treat ED may be taken in a variety of ways, either orally, as an injection or as a suppository into the penis. When tablets or suppositories fail, the next step is normally an injection that is administered into the tissue of the penile shaft.

When drugs fail to work a vacuum pump may be used to achieve erection. A compression ring that is fitted directly to the penis is then used to maintain it. These should not be mistaken for vacuum pumps that claim to increase the length of the girth of the penis or masturbatory aids. Some men find that these vacuum pumps are sufficient to achieve an erection and though they are generally quite reliable they do have disadvantages and very low rates of satisfaction.

In some cases the reason for the erectile dysfunction may be a problem that needs to be treated surgically, though these cares are reasonably rare.


The medicines that are used to treat Erectile Dysfunction are only available on the NHS if the patient has a medical condition that is causing the problem. These conditions include diabetes, MS and Parkinson’s disease. The drugs may also be prescribed if the ED is as a result of kidney failure, injury to the spine or surgery in the pelvic area.

The most commonly prescribed drugs fall into a category known as phosphodiesterase type-5 (PDE5) inhibitors. The most commonly prescribed and well known of these is sildenafil, which is marketed under the name Viagra. There are two other drugs that work in a similar way to Viagra. These are tadalafil and vardenafil, which are marketed under the names Cialis and Levitra respectively. All of these drugs work by allowing more blood to flow into the penis. The increased supply of blood means that it is possible to achieve an erection. These drugs, however, do not increase a man’s sexual dive. He will still need stimulation to achieve an erection. The medication allows the patient to achieve an erection for several hours after the drug is taken.

As with any medicine there is the possibility of side effects, though these are usually minor. They include headache, nausea, minor digestive problems and facial flushing. There have been cases of more serious side effects, including heart problems though these are rare. These three drugs mentioned above are only licensed to be used by men.

You should be extremely cautious about buying these drugs on the Internet. Most websites offering these drugs are not regulated and are selling generic anti-impotence treatments that have not been clinically tested. They might, at best, not work and at worst put your health in danger. If you are going to buy medication over the internet then we recommend that you use The Online Clinic as they are regulated and use proper doctors and dispense from a UK registered pharmacy.