Symptoms & causes • Why ED matters • Assessment • Treatment options • FAQs • Next steps
You’re not alone
ED affects men of all ages, but becomes more common with age.
It can be situational (performance anxiety, stress) or consistent (vascular, medication-related, hormonal, nerve-related).
A confidential discussion is often the most important first step.
*Medical note: If you have chest pain, severe shortness of breath, or you’re on nitrate medications, don’t start ED tablets without medical advice.
Erectile Dysfunction (ED) Treatment in Brisbane
Erectile dysfunction is common - and in most cases, there are effective, practical options. My approach is to identify why ED is happening, then match treatment to your goals: reliable erections, minimal side effects, and a plan that fits your health and lifestyle.
Symptoms & causes
ED means difficulty getting or keeping an erection firm enough for sex. It may look like:
Reduced rigidity
Difficulty maintaining an erection
Fewer spontaneous erections
Reduced confidence and increasing performance anxiety
Common contributors include:
Blood flow / vascular factors: high blood pressure, cholesterol, diabetes, smoking, obesity
Medications: some antidepressants, blood pressure meds, opioids (and others)
Hormonal factors: low testosterone (sometimes), thyroid issues
Nerve-related causes: after pelvic surgery, spinal issues, diabetes-related nerve changes
Pelvic health factors: Peyronie’s disease (curvature), pelvic pain
Psychological & relationship factors: stress, anxiety, depression, sleep deprivation
If you’re not sure what category you fit, that’s normal — the assessment is designed to clarify it.
Why ED matters
For some men, ED can be an early sign of broader health issues — especially cardiovascular risk. Addressing ED can therefore be a chance to improve:
general health and fitness
sleep quality
metabolic health (weight, blood sugar)
medication optimisation
confidence and wellbeing
ED assessment: what to expect
A good ED plan starts with diagnosing the drivers. Your appointment typically includes:
1) A focused history
onset and pattern
morning/nocturnal erections
libido, ejaculation, orgasm
medical history and medications
fertility goals
2) Targeted exam
genital exam
3) Tests
May include blood tests such as:
fasting glucose / HbA1c, lipids
kidney function
hormone panel (testosterone ± related markers), when indicated
Outcome: You leave with a stepwise plan and clear next steps.
Treatment options
Most men do best with a stepwise approach: start with the simplest effective option, then escalate if needed. You can jump straight to definitive solutions if that suits your circumstances.
ED Tablets
Best for: many men with mild–moderate ED and stable cardiovascular status.
What it does: improves blood flow response to sexual stimulation.
Vacuum Erection Device
Best for: men wanting a non-drug option, or penile rehabilitation after prostate treatment.
What it does: draws blood into the penis mechanically; ring can help maintain firmness.
Penile Injections (ICI)
Best for: men who don’t respond to tablets or can’t take them.
What it does: produces a reliable erection by acting directly on penile blood vessels.
Testosterone & Hormone Optimisation (when appropriate)
Best for: men with symptoms of low testosterone and confirmed biochemical deficiency.
What it does: can improve libido and wellbeing; may help erections in selected men.
Penile Implant Surgery
Best for: men wanting the most reliable option when other treatments fail or don’t suit.
What it does: provides predictable rigidity; high satisfaction for appropriately selected men.
How we choose the right option
The “best” ED treatment is the one that fits:
your health and medications
severity and cause of ED
your preference for spontaneity vs planning
side-effect tolerance
relationship and psychological factors
fertility goals
Next steps
If ED is affecting your confidence, intimacy, or quality of life, you don’t have to “just live with it”. A structured assessment can clarify what’s driving it and what will work best for you.
Discreet, respectful care. Clear options. Practical follow-up.