Your treatment is based on your diagnosis. Erectile dysfunction can arise from a multitude of factors, including physical conditions like cardiovascular issues, diabetes, and hormonal imbalances, as well as psychological factors such as stress and anxiety. The interplay between mental and physical well-being is crucial in understanding erectile dysfunction, as psychological issues can exacerbate physical conditions that affect sexual performance.
Your tailored treatment plan may include oral medications, lifestyle changes, support with quitting smoking, a healthy diet, exercise advice, review of certain medications, hormone assessment, or referral for psychosexual counselling. Psychological factors such as stress, anxiety, and depression can significantly contribute to erectile dysfunction by creating barriers to sexual desire and performance.
Psychosexual counselling is integrated into treatments for psychogenic erectile dysfunction driven by performance anxiety or relationship issues. We also provide ongoing monitoring, treatment adjustments, and follow-up with the same doctor wherever possible.
Step 1: Initial Consultation
Your first appointment is a confidential discussion with Dr Bik about your symptoms, medical history, sexual function, sexual desire, lifestyle, relationship issues, any previous erectile dysfunction treatment, and related men’s health concerns. We review prescription medications, other medications, recreational drugs, stress, diabetes, high blood pressure, cardiovascular issues, and other symptoms that may affect erectile function.
This appointment is non-judgemental and discreet. Many men, especially those who have put off asking for help, feel reassured once they understand that erectile difficulties are common, treatable, and often linked to identifiable physical causes or psychological causes.
Step 2: Comprehensive Evaluation
Your evaluation may include a physical examination, blood pressure check, neurological exam, and targeted diagnostic tests. Blood work may assess testosterone, blood sugar, cholesterol, thyroid function, liver and kidney health, and blood count.
These tests help us identify hormonal imbalances, diabetes, high cholesterol, cardiovascular issues, low testosterone, and other health conditions that may reduce blood supply to the penis or affect the blood vessels involved in erection quality.
Step 3: Treatment Planning
Once we understand the cause of your erectile dysfunction, we create a personalised treatment strategy. This may include oral medications, lifestyle changes, hormone assessment, penile injections, vacuum devices, psychosexual counselling, or onward referral for specialist care.
We explain likely benefits, common side effects, expected outcomes, safety considerations, and how each treatment may support satisfactory sexual performance. Your treatment plan is built around your health, comfort, relationship needs, and preferred approach.
Step 4: Ongoing Care and Support
Erectile dysfunction treatment often needs review and adjustment. We offer follow-up appointments to monitor progress, side effects, confidence, sexual activity, and treatment response.
If a medication is not effective, we can adjust the dose, review timing, assess whether sexual stimulation is sufficient, consider other treatments, or investigate further. Ongoing support helps improve long-term erectile function, sex life, and overall wellbeing.