Erectile dysfunction affects one in ten men and increases with age, with half of all men suffering between the ages of forty to seventy. ED or impotence is when the man has problems getting or maintaining an erection during sexual intercourse. It may be caused by stress, depression or health problems including diabetes, high blood pressure and high cholesterol.

All of us should cut down on fatty foots and increase the amount of exercise. Look to exercise two and a half hours per week. For example try to take brisk half hour walks five times per week.

There are several options to counter impotence. The most popular and easy option is tablets which increase the blood supply to the penis. There are three main brands, all prescription only, which work in the same way, but have different charecteristics. All require sexual stimulation to work and two of them last 4-5 hours, whilst one lasts around 36 hours. For more information including a comparison table, please click here.

The drug Alprostadil can be used as an alternative to tablets. Alprostadil works by relaxing blood vessels to improve blood flow. It can be used in the form of an injection, which is injected into the base of the penis or a pellet which is inserted into the hole in the penis for those who do not like needles. Alprostadil can work without sexual stimulation. This treatment requires a prescription and you can take a free online consultation with our GMC or European registered doctor for Alprostadil or tablets.

There are some remedies, which do not require medication. A vacuum pump can be used. The penis is placed in a cylinder and air is sucked out to create an erection. A ring is then placed around the base of the penis to maintain the erection and removed after sex.

Treatment involving a blast of soundwaves can be administered to allow the regrowth of blood vessels to improve blood flow. This private treatment is currently somewhat expensive and may be used if tablets have failed.

Finally, tiny balloons or bendable rods can be surgically implanted into the penis. However, this is unlikely to be available on the NHS.