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What is Erectile Dysfunction?

Erectile Dysfunction (ED) is a medical condition where a man is unable to achieve or maintain an erection sufficient for satisfactory sexual intercourse, or to achieve orgasm.

Erectile Dysfunction is common and affects a wide range of men worldwide, including many men in Europe. It's the most common form of sexual dysfunction, affecting around 5 in 10 men in the UK alone. It is also one of the most common causes of sexual health issues.

While many men don't experience sexual health problems due to erectile dysfunction, some may experience an increase in symptoms, such as reduced interest, difficulty achieving orgasm, and problems with ejaculation.

Erectile Dysfunction can also be treated with medication or counselling and can include lifestyle changes such as reducing smoking and reducing alcohol consumption. Treatment usually requires sexual stimulation and involves an injection of a medication known as a phosphodiesterase 5 inhibitor (PDE5i).

The medication, known as Viagra Connect, works by increasing blood flow to the penis, which leads to an erection. Erectile Dysfunction can be a symptom of underlying health problems such as heart disease, diabetes, high blood pressure, and cholesterol levels.

Men with erectile dysfunction may also experience other medical conditions, such as prostate cancer. However, ED is not an uncommon side effect of medication such as Viagra Connect.

Key Takeaways

  • Erectile Dysfunction is common in men with cardiovascular disease and heart disease, affecting approximately 10 per cent of men.
  • While most men don't experience sexual health problems due to erectile dysfunction, some may experience an increase in symptoms, such as reduced interest, difficulty achieving orgasm, and problems with ejaculation.

For more information about erectile dysfunction, including treatment options, visit our Patient resources page.

Causes

Erectile Dysfunction can occur due to various causes, including psychological, lifestyle, or both.

Psychological Causes

Some psychological causes of erectile dysfunction include:

  1. Relationship problems, which can affect intimacy and relationships, including difficulty achieving an erection.
  2. Stress, which can increase sexual desire and affect sexual performance.
  3. Alcoholism, which can affect the way a man feels and can cause difficulty in achieving an erection.
  4. A history of heart disease or diabetes, which can cause an increased risk of cardiovascular disease.
  5. Diabetes, which can affect how the body handles blood.
  6. Depression, which can affect sexual performance and relationships.
  7. Smoking, which can cause erectile dysfunction and cause sleepiness.

Other psychological causes include:

  • Stress, which can affect intimacy and relationships.
  • A history of diabetes, which can cause erectile dysfunction.
  • Stress, such as being too anxious to have sex, smoking, or alcohol use, which can increase anxiety.
  • Relationship problems, which can affect intimacy and relationships.
  • A history of diabetes, such as when a man has been overweight or underweight.
  • A previous injury or disease such as a stroke, a heart attack, or a heart failure.
  • Elderly men may be more prone to this condition.

For more information about psychological causes of erectile dysfunction, including treatment options, visit our Patient resources page.

Cautions

Before taking any medication, men should consult a healthcare professional to determine the underlying cause of erectile dysfunction.

Interactions

Certain medications may increase the risk of side effects, and it's essential to inform your doctor of all medications you're currently taking.

Pregnancy and Breastfeeding

Erectile Dysfunction can pass into breast milk. Therefore, women who are pregnant or breastfeeding should not handle crushed or broken tablets, capsules, or solutions of any type of medication. If a woman's blood pressure or heart rate changes, it's important to inform her doctor of this.

Driving and using machines

Erectile Dysfunction can affect vision and can cause visual disturbances.

Viagra has been shown to cause some mild side effects. Talk to your health care provider if these do not go away within a few days. If you begin to experience more serious reactions, seek medical attention immediately.

Common side effects reported from Viagra use include:

  • Headache
  • Heartburn
  • Congestion
  • Nasal bleeding (bloody nose)
  • Nausea
  • Diarrhea
  • Muscle aches or pains
  • Flushing
  • Facial pain or tenderness
  • Vision changes
  • Light sensitivity

More severe side effects include:

  • Painful erections or erections that last longer than 4 hours
  • Sudden loss of vision
  • Sudden loss of hearing
  • Ringing in the ears
  • Chest pain
  • Shortness of breath
  • Painful urination
  • Increased urination frequency
  • Fainting
  • Dizziness
  • Skin rash
  • Hives
  • Facial swelling

If you experience any of these side effects, seek medical attention immediately. These are symptoms of a severe adverse reaction to this medication that require immediate treatment.

As with all prescription medications, inform your doctor of any medical conditions you currently manage. Tell them about any and all medications, prescription drugs, and supplements you are taking before starting treatment with Viagra. Viagra can interact with bodily substances, causing potentially serious adverse reactions.

Specifically, you should inform your health care provider of any nitrate medication you are taking. Remember to mention any herbal products you use, especially St. John’s wort.

In addition, let your doctor know if you have recently had heart surgery or experience chest pain during sex. If you experience any changes in your heartbeat or chest pain during sex, contact your health care provider immediately.

as soon as possible

In the US, 1 tablet of Viagra can cause a rare side effect of up to 1 hour duration which is calledsudden erectile dysfunctionor erectile dysfunction that may be treatedomics. This is a rare side effect that can be caused by taking Viagra only once. If Viagra is not effective or if nausea, dizziness, or light sensitivity occur, Viagra could not be taken. If you experience any sudden changes in your vision, stop taking Viagra and contact your doctor immediately.

In the United States, 50mg tablets of Viagra can cost up to $10 per tablet. The average cost is $10 for a tablet and can be reduced to $15 for a month’s supply by taking 1 tablet.

1 tablet of Viagra

Best thing to do when you take Viagra is to consult your doctor or pharmacist. Many people who take Viagra do not experience side effects. If you experience any side effects, talk to your health care provider whether Viagra is the best option for you.

Taking too much

1 tablet of Viagra can increase your chances of having a heart attack or stroke within 14 days of starting treatment. If you experience a heart attack or stroke, seek medical attention immediately.

In the US, 50mg tablets of Viagra can cost up to $10 per tablet.

In the US, take as directed by your doctor.swiftwater 2025 -

Consider starting with a low dose if Viagra is effective.swiftwater 2025 -

If you experience changes in heartbeat or chest pain during sex, stop taking Viagra and contact your doctor immediately.

. This side effect can be mild or severe and may be treatedomics.

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Dosage and Administration

Sildenafil is available in 25mg, 50mg, and 100mg strengths.

  • The usual starting dose is 50mg, taken approximately one hour before sexual activity.
  • Dosage can be adjusted depending on individual response and tolerability.
  • Take only one tablet in 24 hours, with or without food.
  • Avoid grapefruit juice, as it can increase the risk of side effects.
  • A high-fat meal may delay onset of action.

Effectiveness

Sildenafil has been shown to be effective in up to 80% of men with ED, with effects typically noticeable within 30 to 60 minutes, and lasting for up to 4–5 hours.

Side Effects

Common side effects include:

  • Headache
  • Flushing
  • Nasal congestion
  • Indigestion

Less common but serious effects include visual disturbances, hearing changes, or prolonged erections. Seek medical attention if severe or persistent side effects occur.

Contraindications

Sildenafil should not be used by those:

  • Taking nitrates for chest pain
  • With severe heart or liver conditions
  • Under 18 years of age
  • With certain medication interactions (e.g. alpha-blockers, antifungals, antibiotics)

Interactions

Inform your doctor of all medications and supplements before use. Interactions may occur with:

  • Nitrates
  • Alpha-blockers
  • Some antibiotics and antifungal medicines

Alcohol and Heart Conditions

Avoid excessive alcohol while taking sildenafil, as it can lower blood pressure and increase side effect risk. Use with caution if you have any heart-related conditions.

Availability and Cost

Sildenafil is available by prescription only in the UK.

  • Generic versions are more affordable than branded Viagra.
  • Supplied by licensed UK pharmacies such as Online Chemist.
  • Avoid counterfeit products from unregulated websites.

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