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Achieving measurable, lasting results takes time, so every treatment plan begins with an in-depth consultation to discuss your options and ensure you understand what to expect

Test your estrogen metabolites with 24-hour urine or DUTCH testing during your mid-luteal phase to understand exactly how your body is processing estrogen

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NICE-aligned management typically involves: Addressing modifiable risk factors (smoking cessation, weight loss, increased physical activity, alcohol reduction) Optimising management of underlying conditions (diabetes, hypertension, depression) Trial of PDE5 inhibitor therapy Referral to specialist services (urology/andrology) if first-line treatments fail or where structural/neurological/endocrine causes are suspected Consideration of psychosexual therapy where appropriate Men should be reassured that ED is a medical condition with effective treatments, and seeking help through proper channels ensures safety, appropriate investigation of underlying causes, and access to evidence-based therapies