I have many years experience in helping men and their partners
with this distressing condition. It must be said that all men who
have sex have at some time in their lives experienced erectile
dysfunction. So, you are not alone!
Below you will find brief and generalised information however
individual advice is very important.
The penis is regularly not hard enough to penetrate (vagina,
anus etc according to preference.)
The penis loses its erection once you are in but have not
When ejaculation happens regularly under a minute after
An individual assessment is really
important in order to successfully manage ED.
Blocked arteries from things such as cholesterol, smoking and
Damaged nerves from prostate and bowel surgery and from the
effects of diabetes.
Thoughts such as:
A range of common drugs can interfere with performance and cause
There are a range of medical treatments available. The
best treatment for you can only be determined after an
Taken prior to expected sexual activity these cause erection
with appropriate sexual stimulation.
If you take the drug then get distracted with other activities,
you will not get an erection. Which of these drugs is better
for you will depend on your circumstances and expectations.
Marketed as Caverject, this is an injection into the penis
itself, usually used after a poor response to PDG-5 Inhibitor
drugs. It is a different drug to the PDG-5 inhibitor drugs.
Only one side needs injecting as the drug spreads rapidly
through the penis.
An erection is usually achieved without stimulation and
detumescence only occurs only when the drug has been metabolised so
if the phone goes, the neighbours turn up or your partner has a
headache, the erection stays.
It is a medical emergency if the erection lasts 3 to 4 hours as
the penis tissue looses oxygen supply and can become damaged.
Before seeking medical help, it is worth trying running up
and down stairs or applying cold compresses. A drug is
available to reverse the erection should medical help be
Marketed as Apokyn, Ixense, Spontane and Uprima, this drug is
not registered for use in New Zealand. It is not related to
morphine or its derivatives.
It is available online or at some Men's Health Clinics. It is
taken as a nasal spray or dissolved under the tongue.
It works by stimulating dopamine in the brain so enhancing the
sexual response, but works poorly when used alone
compared with the other medications.
I would like to see it made available here as I see it useful to
possibly increase libido and desire so be a useful adjunct with the
oral medications, should this be needed.
The chamber is applied to the penis and the apparatus is hand
pumped. A band is placed over the base of the penis and the
pump removed once an erection has been achieved.
When all else has failed, a surgical implant can placed in the
penis with a pump placed inside the scrotum. This is a
specialist urological surgery procedure only. I can refer you
to a specialist surgeon if this surgery is required.
The most important things to maintain erectile function
An initial individual assessment is up to $71.
Please phone reception at Broadway Medical Centre to enquire about
Phone: 03 477 4335
Fax: 03 477 4337