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Erectile Dysfunction

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Fill in our online questionnaire so our medical team can show you eligible erectile dysfunction treatments.

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It takes less than 2 minutes to complete the consultation
Takes less than 2 minutes
Fully confidential and secure service you can trust
Confidential and secure
Quick and easy checkout process with fast delivery
Quick and easy checkout
Provided service to over 1.35 million UK customers
1.35 million customers

Online ED treatments, discreetly delivered

Achieve stronger, long-lasting erections.

HOW IT WORKS

The experience

Day one

Fully online

You'll be assessed by our UK-based clinicians via a simple consultation.

Fully online

Week one

Fully discreet

Your medication will be delivered swiftly in unmarked packaging. Repeat prescriptions keep you topped up, and you can switch any time if you wish to try alternative treatments.

Fully discreet

Ongoing

Fully supported

We're with you throughout your journey. You can access your medical team whenever you need to, via phone and email.

Pause or cancel any time

Do I have erectile dysfunction?

Erectile dysfunction is a very common condition that affects millions of men, at any stage of life.

It's a medical term that means you're not satisfied with your erections when it comes to sex.

The causes are complex and may be physiological, psychological, or both. An assessment from a healthcare professional can help you get to the root of the condition.

How can I treat erectile dysfunction?

Medication can be a first line of treatment and, if appropriate, you can select a tailored plan to suit your needs. We can also provide diagnostics that help you understand your health better, and connect you with one of our specialist doctors who are at hand for further guidance and support.

DOCTORS AND CLINICIANS

Your expert team
Specialists in medicine, nutrition, performance, and sexual health.

THE SCIENCE

How do ED treatments work?

Here's the breakdown of what happens in your body to get the blood flowing again.

Stimulation increases blood flow

When you get aroused, your body produces a molecule called cGMP which helps to stimulate an erection by increasing blood flow to the penis.

Restricted blood flow inhibits an erection

However, for people experiencing erectile difficulties, an enzyme known as PDE5 normally breaks cGMP down, restricting blood flow and causing the erection to subside.

Medication promotes a firmer erection

ED treatments block the action of PDE5, allowing more blood to flow into the penis. The resulting erection is firmer and usually lasts long enough to allow for satisfying sex.

FAQ

Your questions answered

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This is the third item's accordion body. It is hidden by default, until the collapse plugin adds the appropriate classes that we use to style each element. These classes control the overall appearance, as well as the showing and hiding via CSS transitions. You can modify any of this with custom CSS or overriding our default variables. It's also worth noting that just about any HTML can go within the .accordion-body, though the transition does limit overflow.

This is the third item's accordion body. It is hidden by default, until the collapse plugin adds the appropriate classes that we use to style each element. These classes control the overall appearance, as well as the showing and hiding via CSS transitions. You can modify any of this with custom CSS or overriding our default variables. It's also worth noting that just about any HTML can go within the .accordion-body, though the transition does limit overflow.

This is the third item's accordion body. It is hidden by default, until the collapse plugin adds the appropriate classes that we use to style each element. These classes control the overall appearance, as well as the showing and hiding via CSS transitions. You can modify any of this with custom CSS or overriding our default variables. It's also worth noting that just about any HTML can go within the .accordion-body, though the transition does limit overflow.

This is the third item's accordion body. It is hidden by default, until the collapse plugin adds the appropriate classes that we use to style each element. These classes control the overall appearance, as well as the showing and hiding via CSS transitions. You can modify any of this with custom CSS or overriding our default variables. It's also worth noting that just about any HTML can go within the .accordion-body, though the transition does limit overflow.

Knowledge

Erectile Dysfunction: what you need to know

Erection

3 minutes read

How to use tadalafil tablets safely

To ensure you’re getting the best results from tadalafil, you should make sure that you’re using it correctly and safely. Below we have detailed the answers to some of the most commonly asked questions about taking tadalafil correctly. If you want to find out about the possible side effects of tadalafil, you can find a separate article about that on our blog.   What is tadalafil? Tadalafil is a medication used to treat erectile dysfunction. It has been shown to be very effective, and is generally safe to use. But, like any other medication, it needs to be taken as your doctor or pharmacist has instructed.   How does it work? For an erection to take place, cells in your arteries normally release nitric oxide, which, via molecular messengers including cGMP, sends instructions to blood vessels to relax and open wide. This causes blood to flow into your penis, which causes an erection. It’s that arterial blood flow that causes the erection. After ejaculation, an enzyme called PDE-5 normally breaks down cGMP, which reverses that relaxation, allowing your erection to subside. Tadalafil, a PDE-5 inhibitor, helps maintain that erection instead.   Tadalafil does not cause an erection without sexual stimulation, and it does not increase your interest in sex. To get an erection, even having taken tadalafil, you still need to be sexually aroused.     Can anyone take tadalafil? There are some situations where you should not take tadalafil. Check with your doctor first if … You’re taking medications known as nitrates You’re taking alkyl nitrites (also known as “poppers”) You’re taking medications known as protease inhibitors You’re taking medications known as alpha-blockers You’re taking medication for benign enlargement of the prostate You’re taking medication for fungal infection, like ketoconazole tablets You’re taking anticonvulsant medication, like phenobarbital, phenytoin, or carbamazepine You’re taking rifampicin, erythromycin, clarithromycin, or itraconazole You’re already taking tadalafil or any other PDE5 inhibitor in another form You have any heart, liver or kidney problems You have low blood pressure You have uncontrolled high blood pressure You are on any treatment for high blood pressure, such as with riociguat You have any eye disease You have any blood disease You have a penile deformity You have a stomach ulcer You are taking medications for pulmonary arterial hypertension You’re lactose-intolerant   Tadalafil is not used for women or for men under the age of 18.   The recommended dose We offer tadalafil at two doses. The 10mg dose is taken 30 minutes before sexual intercourse, as needed, and the effects last around 36 hours. You should not take this every day. The 2.5mg dose is taken once daily. After taking it for three to five days, there is a constant level of tadalafil in your system which means you can have sex as spontaneously as you like. Taking tadalafil should not result in an erection for longer than you’d expect - a prolonged and painful erection (priapism) is a surgical emergency, and you should seek urgent medical attention should this happen.   If you would like to find out whether tadalafil is suitable for you, you can start a consultation, right here.   You should stop taking tadalafil if … you experience any sudden decrease or loss of vision; you experience any sudden loss of hearing; you experience any allergic reaction, such as wheezing, breathing difficulties, or swelling around the eyes or airways; you experience severe dizziness; you experience chest pains. you experience an erection for longer than 4 hours, or an erection that is painful. Common side effects, affecting up to 1 in 10 people, include … headache back pain muscle aches flushing congestion indigestion Uncommon side effects include … dizziness stomach ache nausea blurred vision eye pain breathing trouble blood pressure changes hearing problems swelling in the hands or ankles

Erection

5 minutes read

Tadalafil side effects: how common...

Tadalafil is a medicine used to treat erectile dysfunction that has been available for a long time and has been well studied. Overall, it’s shown itself to be an effective and generally well-tolerated erectile dysfunction treatment.    However, like most medications, tadalafil can cause side effects - although not everyone gets them. The most common tadalafil side effects are usually mild and usually go away if you stop taking the tablets. But before we explore those in more detail, let’s quickly dive into what tadalafil is and how it helps to treat erectile dysfunction symptoms.    What is tadalafil? Tadalafil is a type of erectile dysfunction treatment known as a PDE5 inhibitor (phosphodiesterase type 5 inhibitor).    How does tadalafil work?   Tadalafil works by relaxing and opening up the blood vessels in your penis, which, in turn, allows more blood to flow in when you’re sexually aroused. This helps to induce a stronger and longer-lasting erection when it’s time to get intimate in the bedroom (or wherever else you decide to do some “horizontal cardio”).    Other well-known PDE5 inhibitors such as sildenafil and Tadalafil Daily also work in a similar fashion. They too can increase blood flow to your penis when you get aroused, stimulating a more rigid erection.    It’s worth noting that tadalafil (as well as other PDE5 inhibitors) won’t give you an instant erection as soon as you take it. You have to wait for it to kick in and you have to be sexually aroused for it to work.    Tadalafil usually takes about 30 minutes to take effect and remains active in your system for up to 36 hours. Don’t panic, though - this doesn’t mean you’ll have a constant erection for 36 hours. It just means that you should be able to get an erection whenever one is needed within the 36 hours it’s active in your system.   Tadalafil side effects Before taking any medication for the first time, it’s important that you’re aware of any potential adverse reactions. Like most medicines, tadalafil can sometimes cause side effects. Not everybody will experience them, but if they do, tadalafil side effects are usually mild to moderate in nature.  Common tadalafil side effects (affect up to 1 in 10 people) Headache, back pain, muscle aches, pain in arms and legs, facial flushing, nasal congestion, and indigestion. Uncommon tadalafil side effects (affect up to 1 in 100 people) Dizziness, stomach ache, feeling sick, being sick (vomiting), reflux, blurred vision, eye pain, difficulty in breathing, presence of blood in urine, prolonged erection, pounding heartbeat sensation, a fast heart rate, high blood pressure, low blood pressure, nose bleeds, ringing in the ears, swelling of the hands, feet or ankles and feeling tired. If you are prescribed tadalafil tablets, a full list of tadalafil side effects will be provided in the Patient Information Leaflet that comes with your medication. You should read this before taking tadalafil for the first time to help you take it safely.   Sildenafil vs tadalafil: which has a lower chance of side effects?   A recent large-scale analysis of 16 different clinical trials showed that sildenafil and tadalafil have similar efficacy and safety profiles, meaning they are just about as safe and effective as each other.  Interestingly, the meta-analysis also found that “both men and women preferred tadalafil to sildenafil for the treatment of ED”. It discovered that tadalafil not only improved erections but also improved men’s sexual confidence and relationships more than sildenafil. Despite having similar safety and effectiveness the analysis concluded that tadalafil may be “a better choice for ED treatment” than sildenafil. However, it’s worth remembering that they’re both highly effective erectile dysfunction treatments and the type of ED treatment you prefer will depend on your lifestyle and preferences.     Can I take tadalafil with other medications?   Taking certain medications at the same time as tadalafil can cause them to interact with each other. It’s important to talk to a doctor before taking tadalafil to make sure that it’s safe for you to take and won’t clash with any medications you’re taking.    You should not take tadalafil if you are:   Taking medicines called nitrates (which are often given for relief of angina pectoris [or “chest pain”]). Combining these may lead to a dangerous fall in blood pressure.  Using any of the medicines known as nitric oxide donors such as amyl nitrite (“poppers”). Taking these at the same time as sildenafil may also lead to a dangerous fall in blood pressure. Taking riociguat.   Is there anything else to know before taking tadalafil?   It’s always best to read the Patient Information Leaflet (PIL) that comes with your tadalafil tablets before taking them. In addition, we at Numan also provide a link to a Safety Information Page for easy reference, so you can check important safety information with greater convenience.    Some conditions can make it unsafe to take tadalafil. You should not take tadalafil if you have:    A severe heart or liver problem. Recently had a stroke or a heart attack, or if you have low blood pressure.  Certain rare inherited eye diseases (such as retinitis pigmentosa). Ever had loss of vision due to non-arteritic anterior ischaemic optic neuropathy (NAION).   If you have (or have ever had) any of these conditions, tadalafil and other PDE5 inhibitors are unlikely to be suitable for you. If this is the case, you may have to explore other erectile dysfunction treatment options such as penis pumps or topical creams.    This is not an exhaustive list of conditions that make tadalafil unsafe to take. It’s highly recommended that you consult a clinician before taking tadalafil tablets so that you know if they’re safe for you to take.

Erection

4 minutes read

The recommended tadalafil dosage fo...

If you’ve been searching for effective erectile dysfunction (ED) treatments, it’s highly likely you’ve come across tadalafil. Tadalafil is a clinically proven ED medication that many men have been using for years to treat their erectile dysfunction symptoms.   It’s highly effective and some men use it as an alternative to sildenafil (another popular ED treatment) if it didn’t help them achieve the results they wanted. In many cases, it’s preferred over sildenafil because its effect lasts longer and takes a shorter amount of time to kick in.  But, to use tadalafil tablets as safely and effectively as possible, it’s important that you know the recommended starting dose.  Tadalafil is one of the most versatile erectile dysfunction tablets out there and it comes in a variety of doses. Each has its own benefits for treating erectile dysfunction, and we’ll highlight what those are in just a second. For now, though, let’s learn a bit more about what tadalafil is and how it works.  What is tadalafil used for? Tadalafil is an erectile dysfunction treatment that stimulates harder, longer-lasting erections by allowing the blood vessels in the penis to stay relaxed and open. It achieves this by gently blocking the action of an enzyme called PDE5, which is why tadalafil is known as a PDE5 inhibitor. Other well known PDE5 inhibitors include Cialis, Viagra, sildenafil, Viagra Connect, and Tadalafil Daily.  The recommended tadalafil dosage The recommended starting tadalafil dosage you take to treat your ED will depend on the type of tadalafil tablet you’re taking. It will also depend on your current health as well as your history with erectile dysfunction tablets.  There are two main types of tadalafil tablets, tadalafil and Tadalafil Daily. Tadalafil Daily usually comes in milder doses because it’s taken every day to keep your system continually supplied with tadalafil. This allows you to get erections when you need them without needing to take a tablet right before sex.  On the other hand, standard tadalafil tablets are usually available in stronger doses because they are taken on a “when needed” basis rather than every day. Tadalafil is taken about 30 minutes before sex (because it takes around 30 minutes to kick in) and once it takes effect, it works to encourage stronger erections for up to 36 hours. Below are the recommended tadalafil dosages for tadalafil and Tadalafil Daily.  Tadalafil Daily typically comes in two doses: Tadalafil Daily 2.5mg Tadalafil Daily 5mg (recommended starting dose) Tadalafil is usually available in two doses:  Tadalafil 10mg (recommended starting dose) Tadalafil 20 mg To make it as easy as possible to get the right tadalafil dosage for you, we at Numan offer a free online consultation for tadalafil and Tadalafil Daily (as well as other our other erectile dysfunction treatments). Our clinicians can assess your health and ED treatment history to prescribe the correct dosage for your needs. This takes the guesswork out of wondering which tadalafil dosage might be best for you while allowing you to benefit from the expertise of our clinicians at the same time. How long does tadalafil last? Tadalafil remains active in the body for up to 36 hours, meaning you should be able to successfully get an erection whenever you’re aroused during this period. Tadalafil Daily stays active continually so that you can achieve erections without needing to worry about when its effects will run out. If you’ve never taken ED tablets before, you may be thinking “does that mean I’ll have an erection for 36 hours/continually?” No. Thankfully, tadalafil’s effects only work when you’re sexually aroused, meaning that you will be able to control when you get an erection.  As far as erectile dysfunction tablets go, many men prefer tadalafil over sildenafil due to its long-lasting effects. In fact, tadalafil lasts nine times longer than sildenafil, giving you plenty of time to enjoy proper intimacy with your partner without feeling like you need to rush.  What’s the difference between tadalafil and Tadalafil Daily? Tadalafil and Tadalafil Daily are both able to encourage stronger erections and they are both clinically proven to be safe and effective treatments for erectile dysfunction. There are a few differences between the two, however, that might influence your decision to choose one over the other. As they are both effective, your decision is likely to boil down to which suits your preferences and lifestyle more.  Tadalafil: Takes effect in 30 minutes Effects last for up to 36 hours  Taken when needed (before you have sex) Comes in doses of 10mg and 20mg Effective in most men with ED Clinically proven Tadalafil Daily:  Effects last continually (keeps your system topped up with a small but steady stream of tadalafil) Taken every day Comes in doses of 2.5mg and 5mg Effective in most men with ED Clinically proven

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