Consider lifestyle changes. Regular exercise, a balanced diet, and weight management significantly improve erectile function. Quitting smoking and reducing alcohol intake are also crucial steps.
Counselling and Therapy
Psychological factors often contribute to ED. Cognitive behavioural therapy (CBT) helps address anxiety and stress that may impact sexual performance. Relationship counselling can improve communication and intimacy, benefiting sexual health.
Medical Treatments Beyond Viagra
Your GP can discuss alternative medications. These include PDE5 inhibitors besides Viagra, such as Tadalafil or Vardenafil. They work similarly but have different durations of action. Another option is alprostadil, available as injections or suppositories.
Vacuum Erection Devices
Vacuum erection devices (VEDs) are non-invasive. A cylinder placed over the penis creates a vacuum, drawing blood in and producing an erection. They’re often used alongside other treatments.
Surgical Options
Surgery is a last resort, usually for specific underlying conditions. Penile implants are a surgical option providing a permanent solution for some men. Vascular surgery might address blood flow issues.
| Lifestyle Changes | Exercise, diet, smoking cessation | Non-invasive, long-term benefits | Requires commitment, may not be sufficient alone |
| CBT | Therapy addressing psychological factors | Addresses root causes, improves overall well-being | Requires sessions, may take time to see results |
| PDE5 Inhibitors (Tadalafil, Vardenafil) | Oral medications improving blood flow | Generally well-tolerated, effective for many | Potential side effects, not suitable for all |
| Alprostadil | Injections or suppositories | Effective for some | Can cause side effects, requires self-administration |
| VEDs | Vacuum devices | Non-invasive, relatively easy to use | May be uncomfortable, not a long-term solution for all |
| Surgery | Penile implants, vascular surgery | Can provide a permanent solution | Invasive, carries surgical risks |
Further Information
Always consult your doctor before starting any new treatment. They can assess your individual needs and recommend the most appropriate approach for your situation.


