Can’t Get It Up?

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If you suffer from erectile dysfunction, chances are there may be underlying health conditions such as diabetes or heart disease that need to be addressed before moving on to your manhood.

If you are taking medication that is known to cause erectile dysfunction, you may have the option of choosing an alternative. However, it is vital that you do not stop taking any medication that is prescribed to you by your GP or your healthcare professional.

Changing Your Lifestyle

There are a number of lifestyle changes you can make to help alleviate your erectile dysfunction issues including:

  1. losing weight
  2. stopping smoking
  3. stopping drinking alcohol
  4. stopping taking illegal drugs
  5. reducing stress
  6. taking regular exercise

These changes will not only help to improve your erectile dysfunction issues, they are also good for your overall health and can also help to reduce the risk of cardiovascular disease.

Phosphodiesterase-5 = Big Problem!

Phosphodiesterase-5 can be inhibited by taking Phosphodiesterase-5 inhibitors. These work by increasing the blood flow to your penis. In England and Wales, these inhibitors are available for treating erectile dysfunction and they are typically:

  • Viagra
  • Cialis
  • Levitra
  • Spedra

These drugs work for around eight hours and designed to provide on demand effectiveness. Cialis tends to last for up to 36 hours.

It depends on which type of inhibitor you are taking, but typically it is recommended that you take one around 60 minutes before you need it. These inhibitors allow a person to have sex for up to 10 hours after taking the medication.

Sometimes they may take even longer to notice any effects when taken with food, so experts recommend taking them on an empty stomach.

Your doctor should be able to advise you on how each medication works and how it is affected by what factors, including:

  • the length of time you have been sexually active
  • and whether you have experimented with these drugs before

There are a number of studies that have shown to illustrate the effectiveness of these medications and the general consensus is that around two thirds of men notice massive improvements.

If you find that you have taken one of these drugs and it is not effective, this may be attributed to:

  • not waiting long enough after taking your dose
  • you have waited too long
  • under dosed
  • not enough sexual stimulation has taken place

All these medications are triggered by sexual stimulation in order for them to work.

Important Warnings

These inhibitors should be taken cautiously especially by men suffering from coronary heart disease or cardiovascular disease. Although sexual activity is beneficial for the cardiovascular system, the risks and benefits that should be weighed up by discussing these with your doctor.

These inhibitors should also be taken in caution by men with anatomical problems such as Peyronie’s disease.

They inhibitors should also be taken with caution if you:

  • are at risk of a priapism
  • or you are taking long lasting Alpha blockers

You should not be taking these inhibitors if you’re taking medicines or recreational drugs that contain nitrates. The combination of these two can have devastating consequences on your heart.

Organic nitrates are usually prescribed to patients suffering from angina. Patients are also warned not to take inhibitors if they:

  • have the urge not to take part in sexual activity
  • suffer from low blood pressure
  • have recently experienced/
  • suffer from unstable angina
  • recently suffered a heart attack

The Side-Effects

Some of the side-effects caused by these inhibitors include:

  1. indigestion
  2. Flushing
  3. headaches
  4. nausea
  5. blocked or runny nose
  6. vomiting
  7. muscle pain
  8. vision disturbances
  9. back pain

Vacuum Pumps

Penis and vacuum pumps consist of plastic tubes that are connected to pumps which are either operated by a battery or hand. The penis is placed inside the tube and all the air is pumped out. This creates a vacuum the effect that causes the blood to fill the penis making it erect. The rubber ring that sits on the base of the penis helps to keep the blood in place allowing for a healthy erection lasting for around 30 minutes.

Sometimes it may take a few attempts to try and learn how to use a pump properly. 9/10 men who’ve used vacuum pumps have been able to have satisfying sex.


If you do not want to use the inhibitors mentioned above in this article or penis pumps, there is a medicine called Alprostadil that can help.

This works by:

  1. injecting directly into the penis
  2. or having a small pellet placed inside the urethra

You have to be trained properly to insert Alprostadil yourself. If your partner is pregnant, it is recommended that you use condom during sex when using Alprostadil.

Alprostadil can help to produce an erection for up to 15 minutes but this is largely dependent on the dose.

Hormone Therapy

If your erectile dysfunction is caused by hormonal conditions, you may be referred to an endocrinologist who is a specialist in hormones.


If all else fails, there is surgery available that can help to treat your erectile dysfunction. There are certain considerations that need to be taken on board first:

  • significant anatomical problems with penis
  • if experienced serious injury to pelvic area from an accident

In previous years, when surgery was required for this purpose, and if there was a clear evidence of a blockage to the supply of blood to the penis, then surgery was performed. The surgeons are able to unblock blood vessels to allow for normal supply of blood.

There are other options available for erectile dysfunction including psychological treatments such as counseling, psychosexual counseling, cognitive behavioral therapy, pelvic floor muscle exercises, complementary therapies, and more, but many of these are outside the scope of this article.

3 Replies to “Can’t Get It Up?”

  1. I know a friend who’s been using viagra for months now even though he doesn’t suffer from ED. Apparently, he performs better. Is this safe?

  2. The problem with the drugs mentioned about is the after-sex effects. I like to pee after having sex because it clears the pipes so to say. The issue I have is that even after climaxing, I stay hard for upto 10 minutes for no reason whatsoever. Is there a way around this?

  3. I get nothing but a headache using ED drugs. I’ve started using a pump even though it’s not as good.

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