Question 1

What usually causes erectile dysfunction?

Accepted Answer

Erectile dysfunction can develop for a number of reasons, including physical health conditions, psychological factors, and the use of certain medications. In younger men, ED is often linked to stress, anxiety, or performance pressure, which can interfere with normal blood flow during sexual activity. When erectile problems are consistent across all situations, issues with blood vessels, nerves, or hormone balance may be contributing. At Totiva, our clinicians assess all potential causes before recommending treatment.

Question 2

How do erectile dysfunction tablets work?

Accepted Answer

ED tablets support the body’s natural response to sexual stimulation. When you are aroused, chemical signals relax the blood vessels in the penis, allowing increased blood flow and an erection. An enzyme known as PDE5 normally ends this process. ED medications block this enzyme, helping blood flow last longer and making erections easier to achieve and maintain.

Question 3

Which erectile dysfunction treatment is right for me?

Accepted Answer

The best ED treatment depends on how you want to use it and what suits your lifestyle. Sildenafil is typically taken when needed and works for several hours. Tadalafil works more quickly and lasts much longer, which some men prefer for flexibility. Daily tadalafil provides continuous support for spontaneous sex. A Totiva prescriber will help you choose the option that fits your needs and preferences.

Question 4

What is the safest treatment for erectile dysfunction?

Accepted Answer

When prescribed appropriately, licensed ED medications are considered safe for most men in the UK. Safety depends on your individual health, medical history, and current medications. That is why Totiva consultations include a detailed health review, allowing our clinicians to prescribe safely or advise if treatment is not suitable.

Question 5

Which ED pill works best?

Accepted Answer

There is no single ED medication that is best for everyone. All PDE5 inhibitors are proven to be effective, but they differ in how quickly they work, how long they last, and how they fit around meals or alcohol. The most effective option is the one that aligns with your body, lifestyle, and expectations, which a Totiva clinician can help determine.

Question 6

What side effects can ED medications cause?

Accepted Answer

Most side effects are mild and short-lived. These may include headache, facial flushing, nasal congestion, indigestion, or back pain. Every medication comes with a Patient Information Leaflet that lists possible side effects, and you should read this carefully before starting treatment.

Question 7

Can ED treatments be used if I have heart problems?

Accepted Answer

Men with heart conditions such as previous heart attacks, strokes, or certain rhythm disorders should use ED treatments cautiously. Some heart medicines, particularly nitrates, must never be combined with ED drugs. Totiva clinicians assess cardiovascular risk carefully and will only prescribe treatment if it is safe to do so.

Question 8

Can blood pressure tablets cause erectile dysfunction?

Accepted Answer

Some blood pressure medicines, including certain diuretics and beta blockers, can contribute to erectile dysfunction. However, poorly controlled blood pressure itself can also affect erections. If ED develops after starting blood pressure treatment, you should speak to your prescriber rather than stopping medication on your own.

Question 9

How can I improve erectile dysfunction naturally?

Accepted Answer

Managing erectile dysfunction often involves more than medication alone. Regular exercise, maintaining a healthy weight, stopping smoking, and reducing alcohol intake can all improve erectile function. If anxiety or stress is involved, psychological support may also help. ED treatments tend to work best when combined with positive lifestyle changes.

Question 10

Does an enlarged prostate cause erectile dysfunction?

Accepted Answer

An enlarged prostate does not directly cause erectile dysfunction, but both conditions are more common as men get older. Some treatments, such as daily tadalafil, can improve both erections and urinary symptoms linked to prostate enlargement. A clinician can advise whether this option is suitable for you.

Question 11

Can low testosterone lead to erectile dysfunction?

Accepted Answer

Low testosterone can contribute to ED in some men, but it is rarely the only cause. Testosterone levels required for normal erections are relatively low, and most men with deficiency also experience symptoms such as low energy, reduced sex drive, or loss of muscle strength. Testosterone deficiency is unlikely to be responsible for ED in men who otherwise feel well.

Erectile dysfunction treatments
personalised for you

Access clinically proven erectile dysfunction treatments

Sildenafil

As-Needed Tadalafil

Viagra Connect®

Cialis Together®

Daily Tadalafil

How ED treatments work

Stimulation increases blood flow

Limited blood flow stops an erection

Medication promotes a firmer erection

Treatment

How Totiva works

Online health consultation

Clinical review & prescribing

Ongoing clinical support

Our expert team

Callum Armstrong

Jane Armstrong

Chris Armstrong

Frequently asked questions about
ed treatments

Latest articles

Erectile Dysfunction in Young Men: Rising Rates and What's Behind Them

Blue Balls (Epididymal Hypertension): Causes, Symptoms & Treatment

How Long Does Cialis Last? Duration, Timing, and What to Expect

We also treat

Start your weight loss journey

Thinning or losing hair?

Erectile dysfunction treatments personalised for you