Professor Vaibhav Modgil

You need to have a conversation and say, look, here are the potential pros and here are the potential cons of this.

I can't tell you all the time exactly how it's going to go, but what we're going to do is watch it very, very closely.

So provided it's giving you symptomatic benefit and your blood tests are behaving how we want them to behave, by all means take it.

Okay.

So that's probably, well, you're not alone.

Let me put it that way.

So traditionally, the treatment of erectile dysfunction has been lifestyle factor treatment.

So the things that we've talked about, lose weight, get fit, sleep well, eat well.

um if that doesn't work then men will most commonly take viagra you know the blue pill as it's known to many men that results pretty good from that for the vast majority and that is just taken when they want to have some kind of it depends what kind of formulation they take so there are tablets that you can take once daily so some of my patients you know which is to be honest my preferred way of giving the tablet to my patient because life doesn't

work that way and you know you can't always um men like men and women both like a degree of spontaneity um so there are formulations you can take it once in the morning forget about it go about your day as normal

And then hopefully it will kick in just as and when it needs to kick in.

If tablets don't work, there are things like vacuum devices and injectables.

So man can inject their penis as and when they want to be intimate.

Now, again, it doesn't take a rocket scientist to know that for some men, you know, some men might turn around and say, yeah, actually, I will try a vacuum device.

And place a ring at the base of the penis.

If that's what it takes to have intercourse, then yeah, I'll do it.

And if I need to have an injection, you know, 30, 40 minutes before I'm open to have intercourse, I'm happy to do that as well.

Now, there are those men in which that will work and they'll say, this works for me and that's great.

And there are those men that will turn around and say, I'm not doing that doc.

I'm really sorry.