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.
Common symptoms
- Difficulty getting an erection
- Difficulty keeping an erection during sex
- Reduced sexual desire
- Occasional issues during particularly stressful periods
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.
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)
How a private GP can help
A confidential consultation with one of our GPs typically covers:
- 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
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.
See the full pricing breakdown for what's included with each appointment type.