Doctor consultation, prescription issued if suitable
Varies by regimen; your doctor will explain timing for your prescription
None
Erectile dysfunction, inconsistent erections, wanting a more reliable or spontaneous sex life
Men who want a fast-acting, well-established option – either as their main treatment or alongside ESWT Shockwave Therapy
Prescription oral medication remains one of the most conventional ways to manage erectile difficulties. At SL Aesthetic Clinic, medication is one part of our approach to treating men’s wellness, alongside ESWT Shockwave Therapy.
Oral erectile dysfunction (ED) medications work by supporting the body’s natural erection process.
During arousal, nerve signals trigger the release of a chemical that relaxes smooth muscle in the penis, allowing more blood to flow in and fill the erectile tissue. ED medications help this signal last longer, making it easier to achieve and maintain an erection.
Used appropriately, oral medication is effective for a large majority of men with mild to moderate erectile difficulties. Studies show clinical improvement of 54.3% and 74.8% of men with mild ED, 51.3% and 63.1% with moderate ED, and 33.7% and 44.5% with severe ED, respectively.
At SL Aesthetic Clinic, two broad regimens of oral ED medication dosing are available:
Oral medication isn’t only for men with a formal ED diagnosis.
Many of our patients are otherwise healthy but want more consistent, confident performance – be it before an important date, during a stressful period at work, or simply as part of looking after their sexual wellness as they get older.
If this is your goal, tell our doctors during consultation; the approach (and whether medication, shockwave, or both make sense) will look different for enhancement-focused goals versus a diagnosed condition.
Like any prescription medication, oral ED medication carries possible side effects. Our doctors will go through the full profile relevant to your specific prescription, but the common and serious effects across this category of medication generally include:
(usually mild and temporary):
(seek medical attention immediately):
If you notice anything unusual after starting the medication, contact your doctor.
Most healthy adult men are suitable candidates for oral ED medication, our doctors will check a few key factors before prescribing to make sure it’s the right and safe choice for you, including if you are on certain medications or have high blood pressure.
Suitability may also depend on whether you have certain heart, liver, or kidney conditions, a recent stroke or heart attack, uncontrolled blood pressure, or specific inherited eye conditions.
Where oral medication turns out not to be suitable, ESWT Shockwave Therapy is often a suitable alternative or complement instead.
Some men start on medication for immediate confidence while beginning a course of shockwave therapy, then find they’re able to reduce or stop the medication as their natural erectile function improves.
Others simply prefer having both options in their toolkit: medication for spontaneity, shockwave for the longer-term, medication-free foundation.
Our doctors will map out which sequence suits your goals, health profile, and timeline. All consultations are private and judgement-free.
There isn’t a single “strongest” option. Effectiveness depends on the underlying cause and severity of your ED. Oral medication has success rates around 70–80% for mild-to-moderate ED, while ESWT Shockwave Therapy has been shown in clinical studies to meaningfully improve even more severe cases. A combined approach is often the most comprehensive.
Yes, in most cases. PDE5 inhibitors are generally considered safe for men with controlled hypertension or stable cardiovascular disease, and evidence even suggests they modestly lower blood pressure and improve vascular function.
However, safety depends heavily on the specific cardiac condition and concurrent medications, and there are important situations where they should not be used. Please speak to a doctor before use.
Our doctor will advise when it’s suitable based on your skin, so it’s best to check at your appointment rather than book anything immediately after.
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