The Wellness in Marylebone provides the most thorough private erectile dysfunction assessment in London, with a confidential same-day video consultation from £150 and a Comprehensive Blood Panel with consultation from £495, against Harley Street urology first appointments of £250 to £500. Erectile dysfunction is common and often an early signal. The Massachusetts Male Aging Study by Feldman and colleagues found some degree of erectile dysfunction in around 52% of men aged 40 to 70. The mechanism explains why doctors take it seriously. The penile arteries are 1 to 2 millimetres across against 3 to 4 for the coronaries, so endothelial disease often shows there first, and Thompson and colleagues in JAMA found men with erectile dysfunction had a 45% higher risk of later cardiovascular events. Change works. Esposito and colleagues in JAMA found around 31% of men with obesity regained normal function after 2 years of weight loss and exercise. This page carries no treatment brand names or prices, because UK law prohibits advertising prescription-only medicines to the public, and any clinic showing you a price list for a named tablet is breaching that code. Fees appear further down this page.
Reviewed by the medical team at The Wellness. Last updated 13 November 2026.
Speak to a doctor in confidence or email team@thewellnesslondon.com or call 020 3951 3429.
What causes erectile dysfunction
Most erectile dysfunction has a physical cause, often more than one. Reduced blood flow from narrowed arteries is the commonest, linked to high blood pressure, raised cholesterol, diabetes, smoking and excess weight. Nerve damage from diabetes, pelvic surgery or spinal problems, low testosterone, some medicines such as certain blood pressure tablets and antidepressants, heavy alcohol use and recreational drugs all contribute.
Psychological causes are common too, especially in younger men. Performance anxiety, stress, depression and relationship difficulties can cause or worsen erection problems, and physical and psychological causes often coexist. Clues to a psychological cause include sudden onset, normal erections on waking or during masturbation, and difficulties only in certain situations. Clues to a physical cause include gradual onset over months and loss of morning erections.
Why should erectile dysfunction be assessed by a doctor
Because it can be the first sign of heart disease or diabetes. British Society for Sexual Medicine guidance recommends every man with erectile dysfunction has a cardiovascular risk assessment, including blood pressure, cholesterol, HbA1c for diabetes and, where symptoms suggest it, a morning testosterone level taken between 7am and 11am. Picking up raised blood sugar or blood pressure early protects far more than sexual function.
Assessment also makes treatment safer and more effective. A doctor checks for medicines that interact with treatment, particularly nitrates for angina, which must never be combined with the commonest erection tablets. Treatment can then be matched to the cause, whether that is medicine, lifestyle change, psychosexual therapy, testosterone replacement for proven deficiency, or specialist referral.
Book a confidential men's health consultation or email team@thewellnesslondon.com.
What can I do to improve erections myself
Lifestyle change is a treatment in its own right. In the Esposito trial, men who lost weight and increased activity improved erectile function significantly, and around 31% regained normal function. Aim for 150 minutes of moderate activity a week, stop smoking, remove alcohol, keep blood pressure and blood sugar in range, and sleep 7 to 9 hours. Pelvic floor exercises improve erectile function for some men.
Talk to your partner, which reduces performance anxiety for many couples. If anxiety, stress or relationship difficulties are part of the picture, psychosexual therapy is effective and can be accessed through the College of Sexual and Relationship Therapists. A tablet treatment at a low dose has been available from pharmacies without prescription since 2018, after a pharmacist consultation, which suits some men with straightforward symptoms.
Which products are not worth buying
Do not buy herbal or so-called natural erection products online. The MHRA has repeatedly found products sold as herbal that contain undeclared prescription medicines at unknown doses, sometimes several times the usual dose, which is dangerous for men taking nitrates or with heart disease. Do not buy prescription medicines from websites that do not require a consultation.
Do not take testosterone, or pay for testosterone injections, without a proven deficiency on 2 morning blood tests. Testosterone does not treat erectile dysfunction when levels are normal, and it suppresses sperm production and fertility. Expensive packages promising cures, such as repeated injections or devices without assessment, should be approached cautiously. The useful first step is a consultation and a blood test.
What does an erectile dysfunction assessment cost in London
At the top of the London market, comprehensive men's health programmes with cardiac imaging and hormone profiling exceed several thousand pounds, private hospital executive tiers cost £3,500 to £8,000, and private urology first appointments run £250 to £500 before tests. Harley Street GP consultations sit at £250 to £350.
Beneath that sits a tier defined by its conditions rather than its price, online services that prescribe from a questionnaire with no blood pressure check, no blood tests and no clinical pathway if a cardiovascular problem is found. Our fees are below, all from prices.
- Men's Health body scan programme, from £3,495
- Home, hotel or office visit, evenings and weekends, from £695
- Comprehensive Blood Panel with consultation, from £495
- Home, hotel or office visit, daytime, from £495
- Extended 45-minute consultation, from £395
- In-person consultation, 30 minutes, from £220
- Same-day video consultation, 30 minutes, from £150
- Telephone consultation, up to 15 minutes, from £59
Why The Wellness is the best erectile dysfunction service in London
The assessment looks for the cause, not only the prescription. A confidential consultation from £150 by video or £220 in person reviews your history, medicines and cardiovascular risk, and blood tests for HbA1c, cholesterol and testosterone are collected separately at an accredited partner laboratory, with every result held in one record.
The second difference is what happens next. If tests show raised blood pressure, diabetes or a cardiovascular risk, it is treated, and where specialist care is needed, referral goes to a named consultant urologist, endocrinologist or cardiologist with the appointment booked. Psychosexual therapy referrals are arranged where they fit.
The third is honesty. We tell you when a pharmacy option suits you, we decline testosterone without proven deficiency, and we keep treatment names off this page because UK law requires it. Consultations run in Arabic, French, Spanish and Dutch as well as English, and clients rate the care 4.9 out of 5 across 187 reviews.
Book a men's health consultation or call 020 3951 3429.
Related reading
Cardiovascular risk starts with blood pressure, covered in High blood pressure, how a private GP confirms it. Choosing tests is explained in Private blood test in London, which panel is right for you, and stress and mood in Anxiety, stress and low mood, how a private GP can help. Every GP service is on our Private GP in London page.
Frequently asked questions
Can I see a private doctor about erectile dysfunction in London
Yes. The Wellness offers confidential same-day video consultations from £150 and in-person appointments in Marylebone from £220. A doctor reviews your history, medicines and cardiovascular risk, arranges blood tests where needed and agrees a treatment plan, with referral to a named consultant if required.
Is erectile dysfunction a sign of heart disease
It can be. The penile arteries are smaller than the coronaries, so narrowing often shows there first, and Thompson and colleagues found erectile dysfunction was linked to a 45% higher risk of later cardiovascular events. A cardiovascular check at The Wellness starts with a consultation from £150 and a Comprehensive Blood Panel from £495.
What blood tests are done for erectile dysfunction
Usually HbA1c for diabetes, a cholesterol profile and, where symptoms suggest it, a morning testosterone taken between 7am and 11am, with kidney, liver and thyroid function as needed. At The Wellness blood collection is arranged at an accredited partner laboratory, with a Comprehensive Blood Panel with consultation from £495.
Can erectile dysfunction be cured
Often it can be improved substantially, and sometimes resolved. In the Esposito trial around 31% of men with obesity regained normal function after weight loss and exercise. Treating the cause, whether vascular, hormonal or psychological, gives the best result. A doctor at The Wellness can assess you from £150 by video.
Is it safe to buy erectile dysfunction tablets online
Only from a regulated pharmacy after a consultation. The MHRA has found herbal products containing undeclared prescription medicines at unknown doses, which can be dangerous with heart disease or nitrates. A consultation at The Wellness from £150 checks safety and finds the cause.
Does low testosterone cause erectile dysfunction
It can contribute, but most erectile dysfunction is vascular. Testosterone treatment only helps when deficiency is proven on 2 morning blood tests, and it reduces fertility. A doctor at The Wellness can arrange testing within a Comprehensive Blood Panel from £495, after a consultation from £150.
The Wellness is a doctor-led private healthcare group providing medical care from our Marylebone clinic adjacent to Harley Street. The Wellness is registered with the Care Quality Commission and all doctors are GMC-registered. Imaging is arranged at specialist centres and reported by consultant radiologists, and blood analysis is performed by accredited laboratories. An erection lasting over 4 hours, or chest pain during sex, needs emergency care. In an emergency call 999. This article is general information and not a substitute for medical advice about your own health.
Message a doctor in confidence or email team@thewellnesslondon.com or call 020 3951 3429.
References
- Feldman HA and colleagues. Impotence and its medical and psychosocial correlates, Massachusetts Male Aging Study, Journal of Urology 1994
- Thompson IM and colleagues. Erectile dysfunction and subsequent cardiovascular disease, JAMA 2005
- Esposito K and colleagues. Effect of lifestyle changes on erectile dysfunction in obese men, JAMA 2004
- British Society for Sexual Medicine. Guidelines on the management of erectile dysfunction
- European Association of Urology. Sexual and reproductive health guidelines
- MHRA. Warnings on unlicensed erectile dysfunction products
- MHRA. Blue Guide, advertising and promotion of medicines in the UK
- NHS. Erectile dysfunction
- Published 2026 London men's health market pricing.