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Erectile
Dysfunction

Discreet, evidence-based assessment and treatment for erectile dysfunction. ED is often a marker of underlying cardiovascular or hormonal disease — we assess and treat the whole picture.

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Overview

ED is a medical issue, not a lifestyle choice

Erectile dysfunction affects approximately 40% of men over 40 and is significantly under-treated. Critically, ED is a recognised independent risk factor for cardiovascular disease — new-onset ED in a man under 60 should prompt cardiovascular risk assessment, not just a prescription for sildenafil.

At Metovia we assess the underlying causes thoroughly before and alongside any treatment.

📋 Causes we assess

  • Cardiovascular risk (hypertension, dyslipidaemia)
  • Testosterone deficiency
  • Diabetes and insulin resistance
  • Thyroid dysfunction
  • Medication side effects
  • Psychological factors and stress

💉 Treatment options

  • PDE5 inhibitors: sildenafil, tadalafil, vardenafil
  • Daily low-dose tadalafil (on-demand or continuous)
  • Testosterone replacement where deficient
  • Cardiovascular risk factor management
  • Lifestyle optimisation (exercise, diet, sleep)
  • Referral to urology or psychosexual therapy

📚 Clinical guidelines

Assessment follows EAU (European Association of Urology) guidelines on male sexual dysfunction, BSSM recommendations for ED assessment, and NICE CG136. All new patients receive cardiovascular risk stratification — ED without vascular assessment is incomplete medicine.

All consultations are completely confidential. We offer video and telephone consultations as well as face-to-face appointments.

Initial consultation

£150 / consultation

Full assessment including cardiovascular risk review, blood tests and treatment plan

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Ready to get started?

Book a confidential consultation with Dr Qurbain today.

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