Same Day Appointments
Usually available across all ten clinics, and by video nationwide.
Often the first sign of cardiovascular disease or diabetes, sometimes years before anything else appears. Treating it without asking why it started means missing that warning. We treat the symptom and we check what is behind it.
Erectile dysfunction affects a large proportion of men at some point, and it becomes more common with age. It is also one of the most under-discussed problems in medicine, because men put off the conversation for years.
Treatment works well for most men. But handing over tablets without asking why is a missed opportunity, and this is the part most online services skip. An erection is a vascular event, dependent on healthy blood vessels and their lining. When that stops working properly, it frequently reflects a problem with blood vessels generally, and the penile arteries are small enough to show it first. Research consistently finds that new ED precedes cardiovascular disease by several years in a substantial number of men.
So erectile dysfunction can be an early warning of undiagnosed type 2 diabetes, raised cholesterol, high blood pressure, low testosterone, thyroid problems, or a side effect of medication you are already taking. All are worth finding, and all are treatable. We assess you properly, run the relevant blood tests, and treat the ED as well.

Usually available across all ten clinics, and by video nationwide.
Many men find a first conversation about this easier by video, and a video consultation covers the history and can arrange the bloods.
Clinics are open Monday to Friday 8am to 7pm, and Saturday mornings.
You have a painful erection lasting more than four hours. That is priapism and it is a medical emergency needing immediate hospital assessment to avoid permanent damage. Go to A and E.
Step 1
In clinic or by video, usually the same day. Nothing is shared outside the clinic.
Step 2
When it started, whether it is situational or constant, morning erections, your medication, alcohol, smoking, sleep, stress and mood. Blood pressure and examination where appropriate.
Step 3
glucose, cholesterol, testosterone and thyroid where indicated. Results in 24 to 48 hours.
Step 4
Treatment for the ED where clinically appropriate, treatment for anything the bloods found, and a review to check both are working.

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Vascular and metabolic are the commonest group and the reason investigation matters: - Atherosclerosis and cardiovascular disease. - Type 2 diabetes, frequently undiagnosed at the point ED appears. - High blood pressure. - Raised cholesterol. - Obesity and metabolic syndrome. - Smoking.
Hormonal: - Low testosterone. - Thyroid disorders, both over and underactive. - Raised prolactin.
Medication, an often overlooked cause: - Antidepressants, particularly SSRIs. - Beta blockers and thiazide diuretics. - Finasteride. - Some antipsychotics. - Recreational drugs and heavy alcohol use.
Neurological and structural: - Diabetic neuropathy. - Multiple sclerosis, spinal cord injury. - After prostate or pelvic surgery. - Peyronie’s disease.
Psychological, which is real and treatable rather than a diagnosis of exclusion: - Performance anxiety, which becomes self sustaining. - Depression and anxiety. - Relationship difficulties. - Stress and poor sleep, including undiagnosed sleep apnoea.
A useful distinction your doctor will ask about: if erections are absent in all situations, including on waking, a physical cause is more likely. If they occur sometimes but not with a partner, psychological factors are more likely to be prominent. Most men have some of both.
| Erectile Dysfunction | NHS GP | |
|---|---|---|
| Cost | From £195 | Free at point of use |
| Typical Wait | Same day | Depends on availability |
| Assessment | Full history, examination, bloods | Full history, bloods, examination |
| Cardiovascular risk assessed | Yes, in the same appointment | Yes |
| Bloods included | Available in-house | Available |
| Medication review | Yes | Yes |
Your NHS GP will do this properly and free of charge, including the bloods, and ED is a completely routine consultation for them. Private care is worth paying for when you want to be seen this week, want an unhurried appointment, or would find it easier to raise privately. The option we would genuinely caution against is a questionnaire only online prescriber, not because the medication is wrong, but because it skips the part of this that could matter most to your health.
Close: private care complements, never replaces, NHS entitlement.
Very. It affects a large proportion of men at some point and becomes more common with age. It is one of the most routine things a GP deals with.
Yes, and this is the most important thing on this page. ED shares a mechanism with cardiovascular disease and frequently appears several years before it. That is a warning worth acting on.
First line is a PDE5 inhibitor tablet, effective for most men. Where those do not suit, other options include vacuum devices, injections and specialist referral.
No. These medications assist the physical response; they do not create arousal. If desire itself has gone, that points more to hormonal or psychological causes, both of which are assessable.
They are worth having. ED is commonly the first sign of diabetes, raised cholesterol, high blood pressure or low testosterone, all of which are treatable and all of which matter beyond the ED itself.
Yes for the initial consultation.
For most men, yes, but not for everyone. They must not be taken with nitrates for angina, and your full medication list and cardiac history need reviewing first. This is why a prescriber should ask.
Quite possibly. Antidepressants, beta blockers, diuretics and finasteride are common contributors. Do not stop anything yourself, bring the list and we will review it.
Book a consultation in clinic or by video. A full assessment, including blood tests, treatment where appropriate, and answers to any underlying questions.