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Erectile dysfunction

Erectile dysfunction (ED) is a very common condition that can significantly affect people’s lives. It is not unusual for men with ED to feel ashamed or insecure, and it can be particularly challenging in relationships. If you are struggling with ED, you are not alone—up to 150 million men worldwide experience this condition.

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Comparison table

Dosage form

Tablet

Onset of action

30-60 minutes

Duration of action

4 hours

Peak effectiveness

1 hour

Maximum dose

One per day

Active ingredient

Sildenafil

Dosage form

Tablet

Onset of action

30-60 minutes

Duration of action

4 hours

Peak effectiveness

1 hour

Maximum dose

One per day

Active ingredient

Sildenafil

Dosage form

Tablet

Onset of action

16-30 minutes

Duration of action

36 hours

Peak effectiveness

2-4 hours

Maximum dose

2-3 per week

Active ingredient

Tadalafil

Dosage form

Tablet

Onset of action

16-30 minutes

Duration of action

36 hours

Peak effectiveness

2-4 hours

Maximum dose

2-3 per week

Active ingredient

Tadalafil

Dosage form

Injection

Onset of action

Immediate

Duration of action

3-4 hours

Peak effectiveness

n/a

Maximum dose

One per day

Active ingredient

Alprostadil

Dosage form

Cream/gel

Onset of action

5-10 minutes

Duration of action

1-2 hours

Peak effectiveness

0.5-1 hour

Maximum dose

One per day

Active ingredient

Alprostadil

What is erectile dysfunction?

In cases of erectile dysfunction, the complex process involved in achieving an erection is disrupted. Normally, sexual stimulation causes the blood vessels in the penis to widen, allowing increased blood flow, which makes the penis rigid and erect. Many instances of ED occur because the blood vessels in the penis do not dilate sufficiently to allow adequate blood flow, or the veins are unable to retain the blood, resulting in difficulties with erections.

Symptoms of ED

The penis may remain partially flaccid, or the erection may fail prematurely, making it difficult to engage in sexual activity. An inability to achieve an erection is also a common sign. Occasional difficulties with erections do not necessarily indicate ED, as most men experience such issues from time to time. However, if the problem persists, it is important to address it seriously.

Effects of ED

Erectile dysfunction can have a significant impact, leading to feelings of shame and insecurity, which can affect quality of life and relationships. If you are dealing with ED, know that you are not alone and that effective treatments are available.

Causes of ED

Physical causes include factors such as age, an unhealthy lifestyle, smoking, medication use, medical conditions, and hormonal imbalances. 

Psychological or emotional causes can involve stress, fatigue, depression, performance anxiety, feelings of insecurity, or traumatic experiences. 

Preventing ED

The risk of ED may increase with age, but you can reduce the likelihood by adopting lifestyle changes. Maintaining a healthy lifestyle, exercising regularly, and managing stress are important steps to help prevent ED.

Solutions for ED

Erectile dysfunction does not have to mean the end of an active sex life. There are various solutions available, including lifestyle changes, exercises, sexual stimulation, medications, and erectile aids. ED medications can be effective, but it is important to consult a doctor for a personalised approach to treatment.

Treating ED

Seek expert advice on ED from one of our affiliated doctors. Many ED treatments are available with a prescription. If you are experiencing ED, Doctoronline can assist you in requesting treatment online through a medical questionnaire, which will be assessed by a doctor.

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