The main symptoms of erectile dysfunction include difficulty getting an erection, difficulty maintaining an erection during sex, or reduced confidence in sexual performance due to erection problems. Some men may also notice a reduced interest in sexual activity or anxiety related to sexual performance.

Erectile dysfunction can have physical, psychological, or lifestyle-related causes. Common causes include high blood pressure, diabetes, obesity, high cholesterol, smoking, excessive alcohol consumption, stress, anxiety, depression, relationship difficulties, and certain medications. In many cases, multiple factors contribute to ED.

The time it takes for ED medication to work depends on the treatment prescribed:
Sildenafil usually works within 30–60 minutes.
Tadalafil may take up to 2 hours to reach its full effect.
Spedra® (avanafil) can work within 15–30 minutes.
Levitra® (vardenafil) typically works within 30–60 minutes.
Our clinicians will help you select a treatment that matches your lifestyle and expectations.

If your initial treatment is not effective, our clinicians may recommend a different medication, a dose adjustment, or further medical assessment. Many men find success after trying an alternative ED treatment or optimising how the medication is taken.

Yes. Although erectile dysfunction becomes more common with age, younger men can also experience ED. Stress, anxiety, lifestyle factors, relationship concerns, and certain medical conditions can contribute to erectile dysfunction in younger adults.

You can complete a confidential online consultation via our form, which will be reviewed by one of our clinicians. If treatment is suitable, your medication can be supplied quickly and discreetly, with delivery directly to your chosen address or collection from our pharmacy. If any follow up up is required our clinicians will contact you for the next steps.

Common side effects may include headache, facial flushing, indigestion, dizziness, nasal congestion, and mild visual disturbances. Most side effects are temporary and resolve without treatment. Our clinicians will review your form to assess any potential side effects before prescribing.

There is no difference in effectiveness between sildenafil and Viagra®. Viagra® is the original branded version, while sildenafil is the generic equivalent. Both contain the same active ingredient and work in exactly the same way to treat erectile dysfunction. Generic sildenafil is typically more affordable.

Tadalafil and Cialis® contain the same active ingredient and work in the same way. Cialis® is the branded version, while tadalafil is the generic equivalent. Both are equally effective, but generic tadalafil is usually available at a lower cost.

Neither medication is universally better. Sildenafil is often preferred by men who want treatment for occasional use before sex, while tadalafil is popular because its effects can last for up to 36 hours. The right choice depends on your lifestyle, relationship circumstances, and personal preferences.