The causes of ED can be complex, but its solutions don't have to be.

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What are the causes of ED?

The reasons behind ED can be mental, physical, or a bit of both. Some causes – like stress and anxiety – can be effects of ED, too. This can make it hard to identify what's triggering the condition. Which is why it pays to get clued-up on your health down there.

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What are my options?

Whilst the causes of ED can be complex, its solutions are surprisingly simple. Sometimes a small lifestyle change beats a little blue pill. We can help with both.

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4 out of 10 men are affected by ED by the age of 40. But medication almost always works. That’s why we stock these science-backed solutions.

Source: The Journal of Urology Start Consultation

Sildenafil (active ingredient in Viagra®)

While Viagra takes all the plaudits, its key ingredient Sildenafil does all the work, giving you harder, longer lasting erections by increasing blood flow to the penis.

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Viagra Connect® (Sildenafil Citrate)

The ‘little blue pill’ is the most well-known treatment for ED. Identical to Sildenafil because it is Sildenafil. But the tablet is branded.

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Tadalafil (active ingredient in Cialis®)

One pill lasts up to 36 hours. (Don’t worry, that doesn’t mean a two-day erection). It increases blood flow over an extended period so you get hard when you need to.

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Frequently Asked Questions

  • The short answer? There is no difference. Viagra is a brand whereas Sildenafil citrate is the active ingredient. Since launching some 20 years ago, the Viagra name has become synonymous with the product – just like Tupperware and Post-its. In 2013, the original patent expired, allowing other manufacturers to produce generic versions of the drug. Cue, Sildenafil.

  • This is one of the most common myths about ED medication. Whilst they make erections easier, they're neither instant nor everlasting. In order for the drugs to work, you'll need to be sexually aroused. You'll still lose your erection after you orgasm, but you may be able to regain a second erection more easily than without medication, since ED meds can help to shorten your erectile 'refractory period'.

  • With most ED medications, the mechanism is pretty straightforward. They belong to a group of drugs known as PDE5-inhibitors which work by boosting blood flow to your penis, helping you to achieve and maintain harder erections.

  • Yes, ED meds are generally considered to be very safe. Side effects are rare and usually mild. It’s important to only take one pill per day and refer closely to the enclosed information leaflets. If you’re worried about ED, speak to your GP.

  • Most men who take ED medication do not experience any side effects. However common side effects include pain in your back/muscles/head, migraines, flushing, indigestion, feeling and or being sick, getting a congested nose and vision disturbances.
    Please read the provided patient information leaflet for a complete list of side effects.

  • If you're buying from an online pharmacy, make sure to check that they are GPhC-registered, like we are. That way, you'll know the medicines you receive are authentic, approved and safe.

    You should only take medication if it has been prescribed to you by a medical professional. All our consultations are reviewed by our qualified in-house pharmacists before treatment is dispensed. This means you can skip the wait for a GP appointment, but still be prescribed authorised medication for your condition.

    All medication provided by Many is licensed for sale in the UK by the Medicines & Healthcare products Regulatory Agency (MHRA). Buying medicine online from an unlicensed or unregistered website can be potentially dangerous and harmful to your health.

  • We’re GPhC registered and licensed by the MHRA (the UK’s regulator of medicines). You can check their stamps of approval in our website footer, where you’ll see two green cross logos. These confirm that the medicines you’ll received are authentic, approved and safe.

  • No. Unlike prescription medication, herbal supplements do not undergo the same rigorous testing or licensing. At Many we only offer the most effective, tried-and-tested treatments for erectile dysfunction.


Where do I start?

Right here. The good news: most cases of ED are easy to treat. The better news? No appointment is necessary. Just a simple consultation to begin. Things are looking up.

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