Erectile Dysfunction

Tips for dealing with erectile dysfunction

Dr Joe Kosterich
MBBS

Erectile dysfunction is a common issue so you are not alone. It is not something you need to be embarrassed about, as it affects as many as 40% of men.

Dr Neil Gordon
MBBS (Melb) FRCS (Glasg) FRCSEd FRACS FICS

Don't seek help from unknown people on the television. Seek advice from your GP who knows you and all your previous and current conditions and medications. Your GP is the best person to direct you to the appropriate specialist and usually would have referred patients there before and have a working relationship with that doctor. No reputable treatment for ED costs more than $100 for a first prescription, so beware if you are "signed up" for any long term agreements, as your requirements may change as time progresses.

Dr Reynold Noronha
MD (Otago) FRCS (Eng) FRACS FACS FRCS (Urol) (Can)

If you have an erection or sexual problem, make sure you ask your doctor for a 30 minute (or longer) appointment. Most erectile dysfunction issues require at least this amount of time for an adequate history and examination, in order for your doctor to make a diagnosis.

Dr Phillip Katelaris
MBBS (Hons) FRACS (Urol)

Erectile dysfunction is extremely common, particularly for men with heart disease, diabetes or who have been treated for prostate cancer. Erectile dysfunction affects relationships and self esteem. You should seek quality medical advice. Go to a urologist with an interest in erectile dysfunction via a referral from your GP. Treatment options include pills, penile injection therapy and the best means of long term normalisation of erectile function, penile prosthetic surgery. This is a fixable problem.

Dr Andrew Dean
MBChB MRCP (UK) FRACP

If you are suffering from erectile dysfunction, DO bring it up with your doctor. You can make a remark such as, "Gee Doc, things don't work quite as well in the bedroom these days" – your doctor will not think you are referring to your electric blanket! Remember it is very common, especially if you are suffering from a long term illness. Your doctor will be disappointed not to know, as there are very good treatments available to help.

Dr Joe Kosterich
MBBS

Today there are a number of treatment options available for erectile dysfunction, so see your GP to discuss the issue. Occasionally it is the first pointer to other health issues, so it may also be time for a general check.

Dr Kew-Kim Chew
MBBS FRCP (Glasg) FRCP (Edin)

Simple, safe and effective treatment is available. It is also an opportunity to review lifestyle issues and cardiovascular health.

Don't delay. Act NOW!

Dr Joe Kosterich
MBBS

Despite what you may have heard, there are treatments that won't break the bank. Talk to your GP about available treatment options.

Video: Sex

Sex is an issue that commonly causes stress. It is a normal human function, but has become complicated in the modern world. Dr Joe Kosterich talks about how to have a good sex life, being comfortable with yourself, and practising safe sex.

Watch a video about sex.

About erectile dysfunction

Erectile dysfunction is the inability to develop or maintain an erection that is rigid enough to allow penetration of the vagina, and therefore functional sexual intercourse.

For more information, see Erectile Dysfunction.

Animation: Impotence

Impotence can be caused by a disruption at any stage of erection. Certain diseases, including diabetes and muscular dystrophy, can cause impotence. Psychological factors can cause impotence, and so can some common medications.

Watch an animation on impotence.

Sexual self-consciousness and dysfunction

Penis size has been a source of male anxiety throughout history and across cultures. The only medical consensus regarding penis enhancement procedures is for the surgical correction of a micropenis. However, most men requesting penile enhancement surgery have a penis of normal size and function.

For more information, see Sexual Self-Consciousness and Dysfunction.

Premature ejaculation

Premature ejaculation is characterised by a man's inability to control ejaculation so that sex can continue long enough for both partners' satisfaction. Typically this means that the male partner will ejaculate shortly after penetration occurs.

For more information, see Premature Ejaculation.

The male urogenital system

The male urogenital system contains both urinary and reproductive systems. It consists of several parts, including the testes, epididymis, vas deferens, ejaculatory ducts, urethra, penis, prostate and accessory glands.

For more information, see the Male Urogenital System.

Sexual difficulties in men after cancer

Between 10 and 88% of patients diagnosed with cancer experience sexual problems following diagnosis and treatment. This varies according to the location and type of cancer, and what kind of treatment is used. Sexual problems following cancer may persist long term.

For more information, see Sexual Difficulties Associated with Cancer in Men.