Erectile dysfunction means that a man cannot achieve an erection adequate for sexual intercourse.

A man can become impotent for a short time when he is upset or when he has had too much alcohol. In fact, that kind of temporary impotence is common. But about 1 out of every 10 men suffers from a continuing or chronic impotence.

If you  are one of these men you should be aware you are not alone and that recent advances in the treatment of erectile dysfunction may solve your problem.

Premature Ejaculation is an inability of the man to delay the time of ejaculation to his and his partners satisfaction.

In simple terms there are two sets of valves in the penis. When the brain sends the appropriate signals, one set closes and the other set opens, blood is pumped in and when full, both sets are closed and the penis is erect. When something interferes with this hydraulic system, the valves become floppy and inefficient, erection does not occur and the condition is called erectile dysfunction.

There are two basic types - physical and psychological, but more often than not, a combination of the two. The most common causes of physical erectile dysfunction are the aging process - even men in their 30's and 40's - diabetes and sometimes surgery such as prostate surgery. This can be compounded by stress, worry, anger and frustration. Performance anxiety develops and worry about whether you will perform or not often results in no performance at all.

After asking questions about your general health, lifestyle, and how your erectile dysfunction developed, the doctor will then perform a thorough physical examination. He will then discuss the various options for treatment with you and depending on what you decide - be it tablets, injections or other treatments - the consultation will then proceed along the appropriate lines. Dr Clarke will spend all the time you need to explain every aspect of the treatment you choose. No patient is ever rushed through.

All options are available at Central City Men's Clinic and Dr Clarke will discuss each one as appropriate.

•  Tablets such as Viagra, Levitra or Cialis
•  Self Injection Therapy
•  Urethral Pellets
•  Vacuum Erection Devices
•  Hormone Therapy
•  Sex Therapy
•  Surgery

Other treatments such as nasal sprays are in general regarded as a commercial gimick and are available though not recommended.

Several options are available for the treatment of premature ejaculation.  Dr Clarke will discuss all treatment options with you.