Private erectile dysfunction clinic in London, same-day men's health.
Erectile dysfunction is common, treatable, and worth raising rather than working around. It is also one of the earliest warning signs of cardiovascular disease — the arteries supplying the penis are narrower than the coronary arteries and show trouble first, often years before any chest symptoms. Our private men's health clinic in East London offers same-day erectile dysfunction assessment with a private men's health specialist, diagnosis and a clear treatment plan — usually without a referral and often the same day.
The condition
What is erectile dysfunction?
Erectile dysfunction is common, treatable, and worth raising rather than working around. It is also one of the earliest warning signs of cardiovascular disease — the arteries supplying the penis are narrower than the coronary arteries and show trouble first, often years before any chest symptoms.
- What erectile dysfunction is
- Symptoms to look for
- Causes & risk factors
- Tests & diagnosis
- Treatment options
- When to see a specialist
Understanding erectile dysfunction
Erectile dysfunction: symptoms, causes, tests & treatment
Seek urgent medical help if you have
- an erection lasting more than four hours, which is painful — this is a medical emergency and delay causes permanent damage
- sudden loss of vision or hearing after taking a tablet
- chest pain during sex, or breathlessness on mild exertion
- a sudden bend or lump developing in the penis, with pain
- erectile dysfunction with numbness in the saddle area or leg weakness
Priapism — a prolonged painful erection — needs treating within hours to avoid permanent tissue damage. Go to an emergency department, do not wait. In an emergency call 999, or go to the Royal London Hospital Emergency Department, Whitechapel Road, London E1 1FR.
Do not take these tablets with nitrates
PDE5 inhibitors — sildenafil, tadalafil and similar — must never be taken with nitrate medicines for angina, including GTN spray or tablets, isosorbide, or with nicorandil. The combination can cause a catastrophic drop in blood pressure. Recreational nitrites (poppers) carry the same danger. If you use any of these, tell us. This is also why buying these tablets online without assessment is genuinely risky.
The cardiovascular link
Erectile dysfunction of gradual onset, without an obvious psychological trigger, is an independent predictor of heart disease. It typically precedes cardiac symptoms by three to five years. That makes it an opportunity rather than merely a problem: it is a reason to check blood pressure, cholesterol, blood glucose and weight now, while there is time to change the trajectory.
Anyone presenting with erectile dysfunction should have those checks and a testosterone level. If you have been given tablets without any of that, the assessment was incomplete.
Common contributors
- cardiovascular disease, high blood pressure, high cholesterol, diabetes
- smoking, excess alcohol, being overweight, physical inactivity
- medicines — some blood pressure tablets, antidepressants, finasteride, and others
- low testosterone, thyroid problems
- prostate surgery, pelvic radiotherapy, spinal problems
- stress, anxiety, depression, relationship difficulties, and performance anxiety
- sleep apnoea, which is under-recognised and very relevant
Physical or psychological?
Morning erections and erections during masturbation that are normal, with difficulty only in certain situations or with a partner, point towards a psychological or situational component. A gradual, consistent decline in all circumstances, including overnight, points towards a physical cause. Most men have some of both, and treating one does not exclude treating the other.
Getting the most from tablets
- They do not work without sexual arousal. They amplify the normal response; they do not create one.
- Sildenafil works best on an empty stomach, around an hour before, and a heavy or fatty meal substantially delays it. Tadalafil is much less affected by food and lasts up to 36 hours.
- Try each dose at least four to eight times, at an adequate dose, before concluding it does not work. Most apparent failures are too low a dose, too few attempts, or taking it after a large dinner and a lot of alcohol.
- Alcohol worsens the response — a couple of drinks may relax you, more will not help.
- Headache, flushing, indigestion and a blocked nose are common and usually settle with continued use.
If tablets are not enough
- a different tablet, or a daily low dose rather than on demand
- vacuum devices, which are effective and drug-free
- injection or urethral treatments, which work when tablets do not
- testosterone replacement where levels are genuinely low
- psychosexual therapy, alone or alongside — particularly effective where anxiety has become self-perpetuating
- surgical options for selected men
What helps regardless
Stopping smoking, losing weight, regular aerobic exercise and reducing alcohol all measurably improve erectile function — exercise in particular has an effect size comparable to medication in some studies. None of it is quick, and all of it also improves the cardiovascular risk that sits underneath.
Book an appointment if this has been going on more than a few months, you have not had a cardiovascular and hormone assessment, tablets are not working, or you are buying them online. We offer discreet men's health consultations, full bloods and cardiology assessment on site, 7 days a week.
Men's health services we offer
Expert care under one roof
From same-day GP assessment to specialist care, scans and tests — with a clear plan the same visit.
Men's Health Clinic
Private men's health & urology.
Erectile Dysfunction
ED assessment & treatment.
PSA & Prostate Test
Prostate checks & PSA test.
Private Urology
Urology assessment & scans.
Private Blood Tests
Diagnostic blood tests, explained.
Private GP
Same-day GP to start your care.
Simple & reassuring
Seen today, in three easy steps
Book in a minute
Book online any time or call reception — no GP referral needed for most appointments.
Seen quickly
A GMC-registered clinician assesses you, with tests and scans arranged in-house where possible.
Diagnosis & plan
You leave with a clear diagnosis, treatment, and any specialist care or scan arranged.
Private assessment
See a private men's health specialist for erectile dysfunction in London
At our private men's health clinic on Whitechapel Road in East London, you can see a private men's health specialist or erectile dysfunction doctor without a referral — most days, often the same day. A private GP in East London or consultant men's health specialist will assess you, arrange the right tests and explain your diagnosis and treatment options clearly. We help patients across East London, Canary Wharf, the City, Docklands and Aldgate who want fast, private answers about erectile dysfunction.
Local, private, fast
A private men's health clinic for East London & Canary Wharf
Tower Bridge Hospital is on Whitechapel Road in the heart of East London — minutes from Canary Wharf, the City of London, Docklands and Aldgate. Patients across Tower Hamlets, Wapping, Limehouse and Bethnal Green choose us for a fast, private erectile dysfunction appointment with a men's health specialist, without the wait or the referral.
Why choose us
Why choose our East London private men's health clinic
- Same-day, no referral — private GP and men's health under one roof
- Specialist-led care with GMC-registered clinicians
- Tests & scans on site, results explained the same visit
- Minutes from Canary Wharf & the City of London
- A named clinician who explains your results clearly
- Transparent pricing and a plan you can act on
Ready when you are
See a private men's health specialist for erectile dysfunction — the same day.
Book a private erectile dysfunction assessment in East London: same-day appointments, men's health specialist-led care and a clear plan. No referral needed.
Common questions
Erectile dysfunction in London: your questions answered
Where can I find a private erectile dysfunction specialist near me in East London?
Our private men's health clinic is on Whitechapel Road in East London, minutes from Canary Wharf and the City. You can see a private men's health specialist or erectile dysfunction doctor for assessment and treatment, usually the same day and without a referral.
Can I see a private men's health specialist for erectile dysfunction the same day?
Yes. We hold same-day private appointments most days, including Saturdays, so you can be assessed by a men's health specialist or GP quickly, with tests done in-house where possible.
How much does a private erectile dysfunction appointment cost in London?
We keep pricing transparent — see our fees page or call 020 7916 0029, and we will explain the cost of the erectile dysfunction assessment and any tests before you book.
Do I need a referral to see a private men's health specialist for erectile dysfunction?
No. You can book directly with our clinic. If you are unsure whether to start with a private GP or a men's health specialist, we will guide you.
Which areas do you serve for private erectile dysfunction care?
We see private patients from across East London, Canary Wharf, the City of London, Docklands, Aldgate, Wapping, Limehouse and Tower Hamlets.
Medically reviewed by Dr Haydar Bolat — Clinical Director, GMC 7138332. Last reviewed August 2026 · next review August 2027. Written in line with our editorial & content-review policy, using guidance from the NHS, NICE and the relevant royal colleges. This information is general and does not replace personal medical advice.