6 Signs You Are Suffering From Erectile Dysfunction

Erectile Dysfunction also called as impotence is a sexual disorder characterized by the absence of an erect penis during the sexual intercourse with the partner. Suffering from erectile dysfunction leaves a lasting effect on the physical and psychological condition of a man as it is more related to another person being in a relationship with you.


Causes of erectile dysfunction and its treatment:

Erectile dysfunction can be caused by various reasons. Most of them are cardiovascular diseases, neurological problems like trauma after prostate gland surgery, hormonal disorders and drug-related side effects.

Along with physical causes, psychological factors play a major role in erectile dysfunction. Psychological factors involve the thoughts of being impotent or lack of feelings making sex seems to be impossible for the person. Psychological factors can be treated by having a placebo treatment or having a few sessions with the psychologist to pinpoint the basic reason behind this mental failure.

In addition, to treat the underlying disorders such as deficiency of minerals like potassium and arsenic, PDE5 inhibitors are the first line treatment for erectile dysfunction. Various medicines belonging to this class are available in the market and are used by a huge population of men; Viagra (Sildenafil), Cialis, LevitraSpedra, and Viagra (OTC) for example. The differences between these have been discussed previously.

Other treatments include Prostaglandin tablets, penile injections, penile prosthesis, vacuum pump and vascular reconstructive surgery.


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Penile erection is the result of two mechanisms.

  • Reflex erection
  • Psychogenic erection

Reflex erection is caused by the direct touch on the shaft of the penis. It involves the peripheral nervous system and the lower part of the spinal cord.

While the psychogenic erection involves the emotional stimulus from your partner involving the limbic system of the brain .

For successful erection, both the cases require a neural system. Stimulation of the penile shaft by nervous system results in the secretion of nitric oxide. The release of nitric oxide relaxes the smooth muscles of the penile tissues named corpus cavernosum, causing the penile erection.

In addition to the above-discussed mechanism, a healthy pituitary gland and adequate levels of testosterone are also required for a healthy erection.

It is clearly understood by the details of the erection system that all of these systems like hormonal, blood transmission, peripheral and central nervous system are of dire importance for a healthy erectile system.  Any damage or dysfunction in any others systems can lead to a threat of developing erectile dysfunction.

There is nothing to worry about if you are having a single or two episodes of maintaining an erection. However, constant or repeated inability to maintain or gain Diagnosis erectile dysfunction written in the diagnostic form anerection is the real problem.

Whatever may be the underlying cause, a disease or a psychological problem the signs become quite obvious making you aware of the alarming situation. A few frequent signs discussed below show that you are suffering or may suffer in near future.

The symptoms of erectile dysfunction vary in every person. Some men can sustain an erection for a short duration while other are not able to even gain an erection. But by considering the warning signs, the recovery from erectile dysfunction is possible.


Early signs of erectile dysfunction:


1) Difficulty in achieving Erection:

The major symptom of erectile dysfunction is an inability to achieve an erection. A person may not be able to get an erection when in a mood to have sex. This problem may be for a shorter duration or for a long time. Whatever may be the duration inability to get a proper erection can interfere with a healthy sexual relationship. To have irregular and small episodes of erection is a normal part of the routine. However, if a person’s ability to achieve an erection is not certain when he is desiring to have sex then it is a clear sign of erectile dysfunction. Even if he is able to get an erection a few times, still the problem is critical.

Penile erection is a physical process involving complex chemical hormones. A set of hormones is released after getting proper stimulus from your partner. Erection may also fail to occur if you are not having a proper stimulus. Sometimes a physical ailment or underlying disorder can interfere with the normal mechanism of erection. This creates a lot of stress and anxiety in the person due to a sense of guilt or embarrassment.


2) Inability to maintain Erection:

Many men get erections but the problem lies with the duration of erection. Such couples don’t find the pleasure of sex because the erection usually ends before the completion of the sexual act. It is becoming such a common problem that according to the report of NIDDK, in the United States alone 30 million people are suffering from erectile dysfunction.


3) Poor libido or low Sex drive:

A proper sex stimulus is the basic need to develop a sexual desire in your partner. It plays a major role in the proper erection of the penis. If a person is not turning on even after getting sexual stimulus from his partner then chances of erectile dysfunction prevail. This is known as anorgasmia. No matter how much your partner is trying to make up your mood and still you find yourself in no mood of sex then you may develop erectile dysfunction.

There may be various reasons for these like relationship problems or other stress factors of your own daily work or may be your financial matters. Whatever may be the reason you should watch out for the erectile dysfunction issues


4) Painful sensations during sex:

Although it is a rare problem, many men find it very painful to perform intercourse especially to ejaculate during sex.  This is usually diagnosed as the first stage of erectile dysfunction. It may happen due to a physical fracture or the damage of vessels on the penis.

Other common symptoms associated with it are blood in semen, or pain on the penis


5) Priapism:

It is the actually the unwanted erection. The penis gets erectile without even having a stimulus and keeps on erect even after the sexual intercourse is over. It’s a bit surprising but is it also a sign of reversible erectile dysfunction.

A medical disorder impedes the proper functioning of blood vessels that transmits the blood out of the penis after the intercourse. It may also happen due to an injury or damage to the penis


Comparison after teeth whitening

6) Bad dental health:

The periodontal health is found to be associated with most of the men having erectile dysfunction. bad mouth odour, swollen gums, bleeding and other teeth disorders can be the early signs of erectile dysfunction.

Researches have proved that bacteria present in the mouth due to bad dental health enters the blood flow, thus impairing the blood flow in the penis and causing impotence.


Complications associated with Erectile Dysfunction:

Erectile dysfunction does not have effects just on the sex life of a person. It can pose some serious threats to the psychological and relationship status of a man leading to low self-esteem.

Some of the major complications include

  • Lack of intimacy in your relation
  • Low chances of having a pregnancy with your partner
  • Stress, depression and Anxiety issues
  • Decreased self-confidence and shaken personality
  • Feeling of guilt of not satisfying your partner regarding sex life.


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Product Description

How does Viagra and Sildenafil work?

Viagra (Sildenafil) helps men to get and maintain an erection when sexually stimulated and/or excited. The medicine relaxes the blood vessels in the penis which results in more blood flowing to the penis when you are sexually excited.

How do I take it?

You should take Viagra (Sildenafil) approximately 1 hour before planning to have intercourse. Within a window of between 30 minutes and 4 hours after you take the medicine, it will be easier to keep and maintain an erection when you are sexually excited. If you take this medicine after a meal with a high fat content it may take a little longer to start working. This medicine will only work when you are sexually excited. You won’t get an erection just by taking Viagra (Sildenafil).


The standard recommended dose for Viagra (Sildenafil) is 50mg and this will be suitable for most people.  If this dose is not effective, you can try 100mg and if 50mg gives you side effects you can also reduce the dose to 25mg tablets.

You must not take more than 100mg daily of Sildenafil/ Viagra. Clinical trials have been conducted in patients taking up to 200mg sildenafil and it was found that ‘doses of 200mg did not result in increased efficacy but did increase the incidence of adverse reactions (headache, flushing, dizziness, dyspepsia, nasal congestion, and altered vision).’

In addition, in patients taking more than 100mg daily, there have been reports of rhabdomyolysis (a breakdown in skeletal muscle tissue the byproducts of which can lead to kidney failure), visual perception changes, vertebral artery dissection (a tear in the artery supplying blood to the brain), heart attacks and aggressive behaviour.

If the 100mg strength doesn’t work for you, there may be alternatives you can try and we recommend that you call us for a free consultation with our pharmacist or doctor to discuss any underlying conditions you may have. We recommend that all men taking medicine for erectile dysfunction have regular tests for blood pressure, cholesterol, diabetes and hormone imbalances. For instance, it may be that by fixing a hormone imbalance such as testosterone, your Viagra medication will be even more effective.

In addition, drug manufacturers do not advise patients to split tablets in half to get the correct dosage as they cannot guarantee that the active ingredient will be distributed evenly throughout the tablet.  For instance, if you cut a 100mg tablet in two, you may find that you get 80mg in one half of the tablet and 20mg in the other half leading to either an overdose (increased risk of side effects) or a suboptimal dose (the medication may not work).

It is important that you choose the correct dose for you. If you wish to talk to our pharmacist or doctor about this, please contact us in the pharmacy on 01625 460621 or email [email protected]

Side Effects

Viagra (Sildenafil) is normally well tolerated, however, side effects can include:

  • Headache
  • Dizziness
  • Nausea

Side effects normally subside after a few hours, however, if you experience a prolonged or painful erection (longer than 4 hours), then you must contact your doctor immediately.

Drug interactions

There are a number of medicines which interact with Sildenafil/ Viagra. For an exhaustive list please see the patient information leaflet (see section below) or call us in the pharmacy to discuss your specific situation. The main drug interactions are listed here:

Recreational drugs such as ‘poppers’ or amyl nitrate
Alpha blockers used for urinary retention or blood pressure problems (eg Flomax or Cardura)
Anti- arrhythmic drugs such as disopyramide
Antibiotics such as erythromycin
Antifungals such as itraconazole
Antivirals such as drugs used to treat HIV
Calcium channel blockers to treat blood pressure and angina such as amlodipine
Dapoxetine (Priligy – used to treat premature ejaculation)
Grapefruit juice**
Cimetidine (to treat stomach ulcers)

Please do not take Sildenafil/Viagra if you have taken any of the above drugs within the last 60 days without first consulting with either us in the Pharmacy ([email protected] / 01625 460621) or via email with our doctor [email protected]

**We advise not to take Sildenafil/Viagra with grapefruit juice as the blood concentration of Sildenafil will possibly be increased resulting in side effects.

Patient Information Leaflets

Please click here for the patient information leaflet for Viagra.

For Actavis Sildenafil please see the following leaflets: 100mg, 50mg, 25mg.

Storing Medicines Safely

Please keep your medicine out of the reach of children and store at room temperature.  Unwanted medicine can be disposed of by returning it to any local pharmacy or indeed to us here for us to dispose of it for you.

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All of the above-mentioned situations have a cyclic effect regarding erectile dysfunction. These are the effects of ED on a person’s life and at the same time, these are aggravating the situation from bad to worse.

Conclusively, in many men, life style is supposed to be the basic reason behind erectile dysfunction. Too much alcohol, work stress, lack of exercise etc. are seriously impacting your ability to have a satisfactory sex life.

Well, to some extent it is true that discussing the sex issue with your doctor is quite awkward for people at times but it is also true that sex is a mandatory part of a healthy relationship.


The primary reason for seeking out the advice of a qualified healthcare professional is because there are a variety of options available to treat ED. There’s no need for you to suffer in silence, and your doctor can help you determine which treatment option is right for you. So, it is wise to consult a doctor if you are suffering from any of the above discussed signs. An early diagnosis can help the doctor to rule out the symptoms and eradicate the underlying causes much more effectively.

Every single day is evolving new treatments for the erectile dysfunction so go ahead and do not suffer any more by staying quiet.


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Assured Pharmacy is not liable for the currency or accuracy of the information contained in this blog post. For specific information about your personal medical condition, please contact our doctors or pharmacists for advice on [email protected].