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Erectile dysfunction treatments

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.

Medical review byDr. Caroline FontanaLast review 10 October 2025
Dr. Caroline Fontana

FAQs

What is included in the online consultation?
Will a doctor review my consultation?
What happens after I submit my order?
What services are included with my order?
Is the price all-inclusive?
What are my delivery options?
Is it safe to buy prescription medication online?
Is this service discreet?
What is included in the online consultation?

Our online consultations are in the format of short medical questionnaires. You will be asked general questions about your health and medical history, as well as specific medical questions relevant to the treatment you have chosen. We will also ask you for your payment and delivery details to complete the order.

Online consultations take no longer than 5 minutes to complete. All questions are necessary when issuing prescription medicines. It means that our doctors can make sure the treatment is safe and right for you.

Will a doctor review my consultation?

Yes, it is a legal requirement that all online consultations are reviewed by a registered doctor. This is to make sure the chosen treatment is safe and right for you to take. All personal information is stored securely and confidentially.

Please note, all orders are subject to doctor approval, and we cannot guarantee that your order will be approved.

What happens after I submit my order?

Your online consultation will be sent directly to our medical team, where it will be reviewed by on of our in-house doctors.

If a doctor approves you for treatment, they will issue a prescription. Your prescription will then be forwarded to our pharmacist, where you medication will be dispensed and dispatched for delivery.

What services are included with my order?

Every order includes:

  • Free consultation - your consultation will be personally reviewed by one of our registered doctors.
  • Free prescription - a doctor will issue you a prescription if approved for treatment.
  • Free delivery - we provide free express delivery across Europe, you should receive your order in 1-2 working days.
Is the price all-inclusive?

Yes, our service is all-inclusive and there are no hidden fees. All 121doc orders include a free online consultation, a free prescription and free express delivery.

What are my delivery options?

We offer several delivery options at no extra charge:

  • 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 in, a friend or relative can sign in your place.

Is it safe to buy prescription medication online?

It is safe to buy prescription medications online from genuine and reputable healthcare providers, like 121doc.

Our medical staff and facilities are registered with the relevant medical governing bodies. We also ensure your data is protected by adhering to European data privacy laws.

You can learn more about our certifications here.

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 closely adhere to data privacy laws.

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