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Conditions · Erectile Dysfunction Erectile dysfunction? A common problem, with effective treatment.

ED affects around 1 in 10 men in the UK - physical, psychological and lifestyle factors can all play a part, and a clear diagnosis points to the right treatment. No GP referral needed.

Mr Maneesh Ghei Treated personally by Mr Maneesh GheiConsultant Urological Surgeon · GMC 5208045 BupaPlatinum Consultant
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In short

Erectile dysfunction is the persistent difficulty achieving or maintaining an erection sufficient for satisfactory sexual performance - it affects around 1 in 10 men in the UK and can also be an early warning sign of cardiovascular disease.

Medically reviewed by Mr Maneesh Ghei·GMC 5208045·September 2026

Recognise It

How ED typically presents

Difficulty achieving an erection

Struggling to get an erection despite being sexually aroused.

Losing an erection

Difficulty maintaining an erection during sexual activity.

Reduced desire

A noticeable decline in libido alongside the physical symptoms.

Your Options

Treatment options for erectile dysfunction

Oral medication

PDE5 inhibitors such as sildenafil, tadalafil and vardenafil increase blood flow to the penis and are effective for many men.

Injections and vacuum devices

Alprostadil injections or a vacuum erection device for men who prefer not to take tablets, or where they are not suitable.

Counselling and therapy

Psychotherapy or sex therapy where anxiety, depression or relationship factors play a part.

Surgical options

A penile implant for men who do not respond to other treatments.

Simple, Fast, Clear

Your path to the right treatment in 3 steps

1

Book confidentially

A private, discreet consultation to talk through your symptoms - seen within days.

2

Find the cause

Medical history, examination and blood tests identify physical, hormonal or psychological factors.

3

Treatment that fits you

From tablets to injections or counselling, matched to the underlying cause.

Mr Maneesh Ghei, Consultant Urological Surgeon
GMC 5208045 · FRCS (Urol)
Your Consultant

Mr Maneesh Ghei

MBBS, MS, MRCSEd, MD (UCL), FRCS (Urol)

Mr Ghei is a consultant urological surgeon with a specialist focus on prostate diagnosis and treatment. He holds a Research MD from University College London and is a Fellow of the Royal College of Surgeons.

In his NHS role he is Cancer Lead and Academic Lead at Whittington Hospital London - one of a small number of consultant urologists in the UK to hold both positions. Every private patient is cared for by Mr Ghei personally, from first appointment through to any treatment that follows.

Cancer Lead · Whittington Hospital BupaPlatinum recognised consultant English · Hindi · Punjabi · Urdu
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Common Questions

Before you book

Is erectile dysfunction a normal part of ageing?
It is more common in older men, but it is not an inevitable part of ageing. Many men maintain healthy sexual function well into later years, and addressing underlying health issues often helps.
Are there any side effects to ED medications?
Common side effects of PDE5 inhibitors include headaches, flushing, indigestion, nasal congestion and dizziness. Mr Ghei discusses potential side effects and the best option for your circumstances.
How quickly do ED treatments work?
PDE5 inhibitors typically take 30 to 60 minutes to work and require sexual stimulation to be effective. Injections and vacuum devices can produce an erection within minutes.
Can psychological counselling alone treat ED?
Where ED has a psychological cause, counselling or sex therapy can be highly effective. Often, a combination of psychological and medical treatment gives the best results.
Take the First Step

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