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Home / Erectile Dysfunction

Trying to define impotence

Simply put, it is the inability to achieve or maintain an erection for the completion of satisfactory sexual intercourse. This could mean that when you're aroused, you are unable to get an erection, or it could mean that you can't maintain your erection before or after penetration. If this happens several times in a short period, you should seek some form of treatment.

What's going wrong?

Getting an erection is a complicated bodily process, which is why it's so easy to disrupt and for impotence to occur. In your penis there are twin chambers called the corpus cavernosa. When you're aroused, more blood rushes to your penis. The walls of these chambers then expand, allowing this blood to flow in. As the chambers fill, your penis becomes erect.

Problems are often caused by 2 natural bodily elements, called cGMP and PDE-5. cGMP is a nucleotide that tells the walls in your corpus cavernosa to relax and accommodate the increased blood flow. PDE-5 is the enzyme that naturally breaks cGMP down. But if too much of one is produced, or not enough of the other, the erection process can be disrupted and an impotence treatment may be required.

What are the causes of impotence?

Impotence can be caused by physical or psychological issues. Discovering the cause will be paramount to seeking an effective treatment. Psychological reasons tend to be less prolonged, while physical problems tend to be the root of more serious health concerns. But thanks to impotence pills and other modern treatments, the problem is easily manageable.

One easy way to determine if the problem is physical is to check whether you are still getting an erection in the morning. If you are, then the problem is unlikely to be physical. The same is true if you can get an erection while masturbating.

Finding impotence treatment

Don't stay silent; discuss the problem with your partner and a doctor. If you feel self-conscious about seeing your own doctor, you can take a consultation online or we can arrange for you to see a specialist privately.

If the problem is psychological, it's possible that they will recommend therapy or counselling. If your problem is suspected to be physical, they will be able to perform an examination to determine the cause. They may also recommend changes in your lifestyle, if they think that is the root cause leading to erection problems.

Prescription treatment

Oral impotence pills have become the preferred treatment for millions of sufferers. They're suitable for both long term and short term treatment, and carry few side effects. They work by inhibiting the PDE-5 enzyme to allow more blood to flow into your penis.

- Viagra: Over 20 million men have enjoyed a better sex life thanks to Viagra. The first ever medication of its kind, it should be taken 30 minutes before sex and lasts for up to 4 hours.

- Cialis: Cialis remains active for 36 hours after you take it, allowing for greater sexual spontaneity. It get to work within 30 minutes. Cialis is also available in a low dose for daily use.

- Levitra: Levitra is better suited to older men and those suffering from underlying conditions, such as diabetes, high cholesterol and high blood pressure. It can work within 20 minutes and last 5 hours.

View all treatments

  • Review by a qualified doctor
  • Including prescription
  • Free next-day delivery
Fast-acting

All three treatments work quickly after taking them:

  • Viagra works in 30 minutes and lasts 4 hours.
  • Sildenafil is a less expensive, generic version of Viagra. It also takes 30 minutes and lasts 4 hours.
  • Spedra works faster and lasts 6 hours.

If you know what you want, you can start the order process.

If you are still unsure, click the advise me button to discover what best suits you.

Viagra
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Sildenafil
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£29.99
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Spedra
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£39.99
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Longer-lasting

Also known as ‘the weekend pill’, these two treatments work quickly and last for longer:

  • Cialis works in 30 minutes and lasts up to 36 hours.
  • Tadalafil is the generic version of Cialis. It also works in approximately 30 minutes and lasts up to 36 hours.

If you know what you want, you can start the order process.

If you are unsure, click the advise me button to discover what best suits you.

Cialis
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£54.99
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Tadalafil
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£28.99
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Be spontaneous

If you're happy to take a daily pill, then these treatments will allow you to be spontaneous. No need to take a pill just before sex.

  • Cialis Daily
  • Tadalafil Daily (the less expensive, generic version of Cialis Daily)

If you know what you want, you can start the order process.

If you are still unsure, click the advise me button to discover what best suits you.

Cialis Daily
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Minimal side effects

If you're suffering from conditions like diabetes or high blood pressure, there are still solutions available.

Levitra comes in low dosages but is still very effective.

If you know what you want, you can start the order process.

If you are still unsure, click the advise me button to discover what best suits you.

Levitra
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Vardenafil
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FAQs

What is included in the online consultation?
Will a doctor review my consultation?
What happens after I submit my order?
Is the price all-inclusive?
Can I place more than one order at a time?
What are my delivery options?
Is it safe to buy prescription medication online?
How do I know which treatment is best for me?
Is this service discreet?
What is included in the online consultation?

Our consultations include general questions about your health (e.g. blood pressure levels, current and past conditions), as well as specific questions related to your selected treatment. We will also request relevant personal information to complete payment and delivery.

All questions are necessary, and your answers and details will not be shared with any third-parties. Only our doctors have access to your medical information.

Will a doctor review my consultation?

It is a legal and medical requirement that a doctor first reviews all completed consultations. We have a team of in-house doctors and specialists who will ensure your selected treatment is safe for your use. All information is stored securely and confidentially.

Please note, we do not guarantee that our doctors will approve treatment.

What happens after I submit my order?

Your consultation will be sent directly to our medical team, where it will be reviewed by one of our doctors.

If your chosen treatment is deemed suitable for your use, they will issue a prescription. Your prescription is then forwarded to our pharmacy, where your medication will be dispensed and dispatched for courier delivery.

Is the price all-inclusive?

Yes. All 121doc orders include a medical consultation, a prescription and next-day delivery. There are no additional costs. We believe in providing a safe and easy-to-use service.

Can I place more than one order at a time?

Yes. However, certain medications may negatively interact with each other. Our doctors may not approve your order on this basis.

You can place multiple items in one basket, and complete a consultation for all.

If you wish to place a second order for a different medication, you will have to complete a separate consultation.

What are my delivery options?

We offer several delivery options:

  • Next-day delivery
  • UPS Access Point - convenient parcel drop-off and collection near your home or work address
  • Nominated-day delivery - choose the most convenient day for delivery

All these options can be tracked and require a signature on delivery. If you are not available, a friend or relative can sign in your place.

None of these options will incur an additional charge.

Is it safe to buy prescription medication online?

To ensure you are purchasing from a reputable company, you should look to see their country’s regulatory bodies verify them.

In the UK, this is the Care Quality Commission (CQC) and the Medicines and Healthcare products Regulatory Agency (MHRA). Certificates can be viewed here.

How do I know which treatment is best for me?

Some treatments also offer the 'Advise Me' function. You will be asked questions about your lifestyle and needs, plus medical questions. You will then be presented with the advice of our doctors.

Is this service discreet?

Our patients’ privacy is of utmost importance. All your medical information is securely stored and only viewed by our doctors. We do not share your details with third-parties. We are also regularly inspected by various UK regulatory agencies, such as the Information Commissioner's Office (ICO).

All orders will only show on invoices, bank statements, etc. as ‘HHC Ltd’.

Dr. Mahesh Chhaya Medical review by Dr. Mahesh Chhaya Last review 24 November 2020

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