Sexual Health – Erectile Dysfunction & Premature Ejaculation

Evidence-based, confidential support for common male sexual health concerns

What is Erectile Dysfunction (ED)?

Erectile dysfunction refers to the persistent difficulty achieving or maintaining an erection firm enough for satisfactory sexual activity. It is a common condition that can affect men at any age but becomes more prevalent with age or certain health conditions.

What causes Erectile Dysfunction?

ED can be caused by a variety of factors, including:

  • Reduced blood flow to the penis (e.g. due to high blood pressure or diabetes)

  • Hormonal imbalances (e.g. low testosterone)

  • Psychological factors (e.g. performance anxiety, depression, stress)

  • Side effects of certain medications

  • Lifestyle factors (e.g. smoking, excessive alcohol use)

How is Erectile Dysfunction diagnosed?

Your clinician will take a detailed medical, sexual, and psychosocial history. Investigations may include:

  • Blood tests (e.g. hormone levels, glucose, lipids)

  • Cardiovascular screening

  • Review of medications or substance use

A private and judgment-free consultation is essential to tailor the treatment appropriately.

What treatment options are available for ED?

Management may include:

  • Lifestyle changes: Improving sleep, diet, physical activity, and reducing alcohol or smoking

  • Counselling or psychological therapy

  • Pharmacological therapy: Oral medications may assist in increasing blood flow

  • Hormonal therapy: In cases of confirmed low testosterone

  • Referral: For complex or treatment-resistant cases

All treatment options are discussed thoroughly during consultation to ensure safety and suitability.

What is Premature Ejaculation (PE)?

PE is defined as ejaculation that occurs too quickly during sexual activity—often within one minute of penetration—despite the desire to delay, causing distress or interpersonal difficulty. It can be lifelong or acquired later in life.

What causes Premature Ejaculation?

Causes may include:

  • Heightened sensitivity

  • Performance anxiety

  • Relationship factors

  • Hormonal or neurological contributors

  • Sometimes, no clear cause is identified

How is PE managed?

Treatment is highly individualised and may include:

  • Behavioural techniques (e.g. stop-start or squeeze techniques)

  • Counselling or sex therapy

  • Pharmacological treatment: Certain medications may help improve control and delay ejaculation

  • Lifestyle support: Addressing stress, sleep, and other contributing factors

Is medication always required?

Not always. Some men benefit from education, counselling, and behavioural interventions alone. Medication may be helpful for those who do not respond to non-pharmacological approaches or where faster results are desired.

Are the treatments safe?

Any treatment prescribed will follow Therapeutic Goods Administration (TGA) guidelines and be clinically justified in line with Australian medical standards. Side effects and risks will be discussed with your clinician during your consultation, and informed consent is always obtained before starting treatment.

Is this a private and confidential service?

Yes. All consultations are confidential and comply with Australian Privacy Principles. We provide a professional and non-judgmental environment whether your consultation is via Telehealth or in person.

How do I start treatment?

  1. Book a consultation with a qualified medical practitioner

  2. Complete a confidential intake questionnaire

  3. Undergo medical assessment and blood testing if required

  4. Discuss treatment options tailored to your individual needs

  5. Start a personalised management plan with ongoing support

Important Compliance Notice

All treatments offered by our clinic are provided in accordance with:

  • Therapeutic Goods Administration (TGA) regulations

  • AHPRA advertising and prescribing standards

  • Evidence-based clinical guidelines

We do not promote specific brands or offer unproven therapies. Any off-label prescribing is based on clinical need and supported by peer-reviewed evidence.