FAQ hub
Erectile Dysfunction: Your Questions Answered
Where can I find quick answers about erectile dysfunction?
This page collects short answers to the questions patients ask most about ED causes, assessment, tablets, P-Shot, shockwave therapy, stem cells, exosomes, cost and travel, with links to the full guides. Suitability and expected benefit vary between patients and are decided after medical assessment.
Private & confidential enquiry. You do not need to call.
Go straight to a guide
Causes and assessment
Why ED happens and what a urologist checks.
Learn more →Tablets not working
What to check and what comes next.
Learn more →Treatment options compared
All options side by side.
Learn more →P-Shot
Procedure, evidence and risks.
Learn more →Shockwave therapy
Protocol and patient selection.
Learn more →Travelling to Antalya
Remote review and planning.
Learn more →Frequently asked questions
What causes erectile dysfunction?
Reduced blood flow, nerve damage, hormonal problems, medicines, psychological factors and pelvic surgery, often in combination.
Can ED be an early sign of heart disease?
Yes. ED shares risk factors with heart disease and diabetes, so a health review is sensible, especially if ED is new or worsening.
Do I need tests for ED?
Not always. The doctor decides after history and examination. Blood tests are common, and penile Doppler ultrasound is used in selected men.
What is a penile Doppler ultrasound?
A scan that measures blood flow into and out of the penis, used in selected men to help find the cause of ED.
What is vasculogenic ED?
ED caused by problems with blood flow into the penis or its ability to hold blood.
What is a venous leak?
The penis cannot hold blood well enough to keep an erection. It is assessed by a urologist, often with Doppler ultrasound.
Why is Viagra not working?
Common reasons are incorrect timing or dose, a heavy meal with sildenafil, too little stimulation, counterfeit tablets, interactions or an untreated cause.
Can I take Viagra or Cialis with nitrates?
No. PDE5 inhibitors must not be combined with nitrates or nitric-oxide donors because of dangerous blood-pressure effects.
What are the first-line ED treatments?
Lifestyle and cardiovascular risk management, and PDE5 inhibitors for many men unless contraindicated.
What if tablets do not work?
A urologist may discuss treating the cause, vacuum devices, penile injections, shockwave therapy for selected men, regenerative options in selected cases or an implant for severe ED.
Does TRT help ED?
It can help sexual symptoms in men with confirmed testosterone deficiency but is not a general ED treatment.
Does diabetes cause ED?
Diabetes can damage blood vessels and nerves and is a well-established risk factor for ED.
Is ED common after prostate surgery?
Yes. Nerve recovery can take many months, and nerve-sparing surgery does not guarantee preserved erections.
What is a P-Shot?
A penile PRP procedure in which platelet-rich plasma from your own blood is injected into penile tissue. It is experimental for ED.
Is the P-Shot proven?
No. Trials are mixed, and the 2026 EAU guideline says intracavernosal PRP for ED should be used only in clinical trials.
Is the P-Shot safe?
Reported side effects in studies have mostly been minor, such as pain, bruising and swelling, but trials are small and long-term data are limited.
Does the P-Shot enlarge the penis?
No. The clinic does not claim that it does.
How much does a P-Shot cost?
UK prices vary by clinic and by what the quote includes. UZ Clinic Antalya's advertised fee is £300, €300 or $300 depending on billing currency; the written plan confirms what it covers.
What is shockwave therapy for ED?
Low-intensity shockwaves applied to the penis, mainly for vasculogenic ED, with no injection. The EAU recommendation is weak and for selected men.
How many shockwave sessions are needed?
The clinic protocol is 12 sessions: 6, a 3-week interval, then 6 more, with 1,500 shocks per session.
Is stem cell therapy proven for ED?
No. It is experimental, and the EAU considers the evidence insufficient for routine use.
What is exosome therapy for ED?
An investigational approach using cell-released vesicles. Human evidence is very limited and no protocol or approved indication for ED is established.
Can I be assessed before travelling to Antalya?
Yes. You can send your case for a confidential remote review. An in-person assessment is needed before treatment.
Is my enquiry confidential?
Yes. Your information is used to review your enquiry and contact you, as described in the privacy notice.
Do I need to know which treatment I want?
No. Send your case and the clinic can advise which options may be relevant.
When should I seek urgent help?
For chest pain, an erection lasting more than four hours, new neurological symptoms or penile injury.
Sources
- EAU Guidelines on Sexual and Reproductive Health: Management of Erectile DysfunctionEuropean Association of Urology, 2026 · Guideline
- Erectile Dysfunction: AUA GuidelineAmerican Urological Association, 2018 · Guideline
Related guides
Send your case for confidential review
You do not need to know which treatment you need. Share a few details and the clinic can advise which options may be relevant to your case.
- 1. Send your caseAbout 2 minutes, private.
- 2. Coordinator contacts youBy WhatsApp, phone or email.
- 3. Doctor assessmentThe urologist decides suitability.
Private & confidential enquiry. You do not need to call.
This page provides general information and does not diagnose ED or decide whether a treatment is suitable for you. Suitability and expected benefit vary between patients and are decided after medical assessment. Treatments described as experimental or investigational are discussed with full informed consent. Seek urgent care for chest pain, new neurological symptoms, penile injury or an erection lasting more than four hours.