Erectile Dysfunction – Causes, Signs & Treatment

Erectile Dysfunction (ED), a very common condition. It is also known as impotence, and it is estimated that as many as 50% of men between the ages of 40 to 70 will experience it to a certain degree. There are many potential causes of ED and they can be categorised under:

Medical conditions
Stress and emotional issues
In order to treat Erectile Dysfunction it is necessary to first identify the cause. If you live and or work in London, the private Well Man Clinic operated by Broadgate GP in London Wall can offer both diagnosis and treatment.

Types of physical causes of Erectile Dysfunction

The penis becomes erect through an increased supply of blood to the penis which is triggered by the brain subject to external sexual stimuli. Mental issues such as depression can interfere with the mental triggering process.

The types of physical causes that can lead to Erectile Dysfunction include:

  • Anotomical – conditions that affect the physical structure of a penis
  • Hormonal – conditions which interfere with the production of hormones
  • Neurogenic – conditions that affect the nervous system which is made up of the brain, the nerve network and the spinal column
  • Vasculogenic – conditions that affect the flow of blood to the penis

Other physical conditions that may be responsible for Erectile Dysfunction include injuries to:

  • The penis
  • The pelvis
  • The area surrounding the genitals

Surgical procedures performed in any of these areas can also result in Erectile Dysfunction. In addition, between 15% and 25% of men who suffer a serious head injury can develop ED.

The symptoms of Erectile Dysfunction

The main symptom of Erectile Dysfunction is of course failure to be able get and maintain an erection which prevents a man from taking part in sexual intercourse. Other side effects of ED, although not symptomatic of the condition in themselves, are a reduction of male libido, depression, loss of self esteem, and in some men, loss of confidence.

Diagnosing Erectile Dysfunction

Having Erectile Dysfunction is not something that should be assumed. It should be properly diagnosed by your GP, a GUM clinic or a private clinic like the Well Man clinic at Broadgate Clinic London Wall. To issue a diagnosis the physician will ask a number of personal questions relating to:

  • The symptoms you experience
  • Your general mental and physical health
  • How much alcohol you consume
  • Whether you are taking drugs
  • What medication (if any) you are on

You will also be asked about your sexual history, and although embarrassing for many men, these questions should be answered openly and honestly.

Medical examinations and tests

There are a number of other tests that can be performed to arrive at a comprehensive diagnosis. These include:

  • Testing for an enlarged prostate
  • Blood tests – to establish any hormonal issues
  • An intracavernous injection test – the injection of synthetic hormone into the penis to increase blood flow
  • An ultrasound scan
  • Arteriography – the injection of a dye to examine any circulatory issues
  • A psychological assessment

Treatment for Erectile Dysfunction

The treatment needed will depend upon isolating the cause, which can then be addressed. The examining physician, once a diagnosis is confirmed, may suggest certain lifestyle changes such as:

  • Abstaining from taking drugs
  • Cutting down on alcohol consumption if you drink too much
  • Giving-up smoking tobacco
  • Reducing stress levels
  • Regular physical exercise
  • Weight loss if you are overweight


There are a number of medications that are commonly used to combat Erectile Dysfunction. They are categorised as Phosphodiesterase-5 (PDE-5) inhibitors which are prescribed or sold under the following trade names:

  • Cialis (Tadalafil)
  • Levitra (Vardenafil)
  • Spedra (Avanafil)
  • Viagra (Sildenafil)

Phosphodiesterase-5 (PDE-5) inhibitors should only be taken after a consultation with a medical professional at a Well Man clinic.

Other treatments

There are a number of other treatments that can be applied if all others fail and these include:

  • Cognitive Behavioural Therapy
  • Hormone therapy
  • Psychosexual counselling
  • Surgery

For a full briefing of any other treatments talk to the doctor who gives you your diagnosis

Erectile Dysfunction diagnosis and treatment – Broadgate Well Man Clinic London Wall

If you live and/or work in London you can be diagnosed and treated at the Broadgate GPs private Well Man Clinic London Wall. As no prior appointment is necessary, many men find this the perfect solution to fit in with a busy work schedule.

Opening hours for Broadgate Well Man Clinic London are:

  • 08:00 to 18:30 Monday to Thursday
  • 08:00 to 17:30 on Fridays

Although no prior appointment is necessary, if you prefer to make appointment in order to minimise any potential waiting time, the number to call is 020 7638 4330.