Why Men's Clinic International?
Men's Clinic International specialises in helping men regain sexual satisfaction and provides a comprehensive range of highly effective and price competitive treatments options. We can help you regain control of your sex life.

What is Erectile Dysfunction?
Erectile Dysfunction is 'the persistent inability to achieve and/or maintain an erection sufficient for satisfactory sexual activity', meaning that a man's erection either isn't hard enough for penetration or doesn't stay hard until climax is achieved.

How common is Erectile Dysfunction?
Erectile Dysfunction or ED is more common than you may think. Statistics show that only 20% of 80 year-old men will have the ability to achieve normal erections: for men over the age of 50 there's a 50% chance of losing erectile strength, and even 40 year olds have a 40% chance of losing erectile strength. There are also a lot of younger men from ages 20-30 who suffer from this concern. You are not alone!

What are the causes of Erectile Dysfunction?
A huge range of things can cause erectile dysfunction. Remember that it's not in your age, or your head. The answer lies in speaking about it: we recommend discussing it with your partner and then contacting us so that we can work together in helping you overcome this concern. Studies have shown that the majority of causes of erectile dysfunction are physical. There are three main types: initiation (i.e. not enough neurological stimulation to the penis); vascular insufficiency (i.e. not enough blood flowing into the penis); or venous leakage (i.e. not enough blood staying in the penis). Reduction in blood flow to the penis can cause erection problems and can be caused by lifestyle choices or medical history, including Diabetes, high blood cholesterol, smoking, excessive alcohol intake and stress. However, some people are just predisposed to Erectile Dysfunction, just as some of us are to poor eyesight, or varicose veins. See also Lifestyle Choices

What are the chances of your erections returning to normal?
The sooner you start a treatment programme, the better your chances of rehabilitating the tissue in the penis by virtue of getting it that all-important blood flow.

What are psychological factors?
The psychological factors affecting erection failure might be fear of failure, depression, stress, low sexual drive, avoidance of sexual interaction, anxiety, frustration, and relationship disharmony. However, psychological factors only account for a small percentage of Erectile Dysfunction, with most psychological factors being caused by physical unreliability. We can provide treatment to help you overcome the physical issues and refer you on to professionals for further treatment as necessary.

How do I know if it's psychological or physical?
This is a complicated part of the diagnosis - it depends on the age and speed of onset, the severity of the problem, your social situation, and other risk factors. Generally speaking a rapid onset might indicate psychological causes: likewise if your erections are strong when you're by yourself, or going through a major life change. Often it can be a mixture.

What is Premature Ejaculation?
By definition, PREMATURE EJACULATION means ejaculating before you or your partner want you to.

Who does Premature Ejaculation affect?
Over 30% of all men suffer severe premature ejaculation, and almost all men will occasionally ejaculate too quickly for their own or their partner's satisfaction. Men who have experienced Premature Ejaculation earlier in life are likely to re-experience it again, if they start to experience any Erectile Dysfunction.

What are the causes of Premature Ejaculation?
Premature Ejaculation has physical and psychological causes. The physical cause has to do with the nerves in the skin of the penis being super sensitive; psychological causes of Premature Ejaculation can include performance anxiety, stress, feeling inadequate, anxiety and/or humiliation. The majority of men who suffer from Premature Ejaculation have both physical and psychological factors.

How is Premature Ejaculation treated?
Nowadays there are several methods available, including medication to help patients manage their erections and their sensitivity. We also provide a series of exercises to overcome Premature Ejaculation. Used together, these can put you back in control of one of life's ultimate pleasures.

How serious is this problem? For most men, PE is not a serious problem in that there are usually no underlying medical conditions. However it needs to be treated, as patients who suffer from this condition tend to shy away from sexual intimacy and/or relationships generally. For some men it can be a lifelong problem and can result in a very lonely existence. Since the treatment is simple and highly successful it should be tackled immediately so that sexual intimacy can be restored.

Am I too old or young to have this problem?
There are no age restrictions when it comes to premature ejaculation. Men of all ages can be affected and treated. We are able to offer you treatment provided you are over 16 and interested in exploring your erection management and sexual intimacy.

My partner doesn't know about my problem - can I keep it that way?
We respect your desire for privacy and confidentiality: it is your choice who you would like to share it with. We will not overstep any privacy boundaries and you can trust us with your personal information.

What is Andropause?
The ageing process in men is accompanied by a significant decrease in available androgen (male hormone) levels, probably as a result of decreased activity of androgen producing cells in the testes and a reduced blood supply in the testes. Androgen deficiency in men may lead to loss of strength and energy, a decrease in muscle mass, osteoporosis, a decrease in sexual activity, and, in some cases, changes in mood and cognitive function, This combination of factors often results in impaired quality of life in these men.

Why should I use Testosterone?
Low levels of testosterone in the blood may indicate the need for testosterone replacement, especially if there is decreased libido, or impotence. Replacement may also improve general sense of well-being and physical stamina. The testosterone level is low if the testes fail to produce sufficient testosterone (hypogonadism). The underproduction by the testes may be due to poor functioning of the testes or due to disease of the pituitary gland (hypopituitarism) which ceases to stimulate the testes to produce testosterone. If testosterone levels in the blood remain low for many years, osteoporosis (brittle bones) may develop. Testosterone replacement can help prevent this from occurring.

How to go about receiving Testosterone Replacement Therapy (TRT)?
Treatment with TRT is undertaken when men present with clinical features of reduced testosterone, in conjunction with biochemical evidence that testosterone production is decreased or that is reduced activity of the cells in the testes. Before we will start you on therapy, a baseline assessment of your symptomatology, clinical and biochemical status is undertaken. This is done as a means to both pick up irregularities as well as a baseline against which future comparisons can be made. A thorough assessment of your prostate should be done by your general practitioner to exclude prostate cancer. There is no evidence to suggest that testosterone supplementation induces the development of new prostatic cancer. However, if cancer in the prostate is present, testosterone does promote growth. Therefore, the presence of prostate cancer is an absolute contraindication to the use of supplement Testosterone.