Erectile dysfunction
Difficulty getting or keeping an erection. Common, treatable, often physical.

In short
Erectile dysfunction (ED) affects around half of UK men aged 40-70 at some point. Most cases respond well to treatment. A GP can help identify whether the cause is physical, psychological, or both, and prescribe medication where appropriate.
Overview
What is erectile dysfunction?
Erectile dysfunction is when you can't get or keep an erection firm enough for sex. It's very common, especially in men over 40. Causes are usually a mix of physical (heart, blood pressure, diabetes, hormones) and psychological (stress, anxiety, relationship issues). Importantly, ED can be an early warning sign of cardiovascular disease, which is why a proper assessment matters.
Symptoms
Common symptoms
- Difficulty getting an erection
- Difficulty keeping an erection during sex
- Reduced sexual desire
- Occasional issues during particularly stressful periods
When to act
When to see a doctor
Book a private GP if symptoms have lasted more than a few weeks, are affecting your relationship or wellbeing, or you want to rule out an underlying cause. ED can be the first sign of conditions like cardiovascular disease or undiagnosed diabetes, so most cases benefit from medical assessment.
When to seek urgent help
Seek urgent help if
- Chest pain during sex or physical exertion
- Sudden severe headache during sex (call 999)
- A prolonged painful erection lasting over 4 hours (priapism, go to A&E immediately)
Call 999 for life-threatening emergencies or NHS 111 for urgent non-emergency advice.
Treatment
How a private GP can help
- Discussion of your symptoms and lifestyle
- Review of medical history and any medications you take
- Blood pressure check (in-person appointments)
- Where appropriate, prescription of a PDE5 inhibitor such as sildenafil, tadalafil, or vardenafil
- Lifestyle advice on factors that can affect erections (smoking, alcohol, weight, sleep)
- Onward referral if specialist input is needed
What we don't do
- Provide controlled drugs
- Diagnose or treat conditions outside the scope of primary care
Pricing
What it costs
An online consultation about erectile dysfunction starts at £79 for a 20-minute video appointment. In-pharmacy consultations are £129 and home visits are £189. Your consultation includes one private prescription if appropriate, and a sick note for work if needed. You pay the pharmacy separately for any medication.
FAQ
Common questions about erectile dysfunction
Is erectile dysfunction treatable?
Will the GP need to examine me?
How long does an ED prescription last?
Can I take ED medication if I have heart problems?
Ready to talk to a GP about erectile dysfunction?
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