Erectile dysfunction clinic, Manchester

Erectile dysfunction is a medical symptom, and it is worth investigating

Medically reviewed by Dr Mustafa Ganijee, UK GP, 14+ years experience. Last reviewed 2 September 2026.

An erection depends on healthy blood vessels, hormones and nerves. When it stops working reliably, that is a signal, and it is frequently the first sign of a cardiovascular or hormonal issue. We assess the cause first, then treat it. This is a private, doctor-led clinic in Manchester.

Take the self-assessment When tablets stop working

Complete confidentiality. Nothing shared with your own GP without your consent.

Doctor-led
UK GP, 14+ years
Private Manchester clinic
Same-day walk in, walk out

Stop going round in circles

Find out what is likely to be causing it

Six questions, about sixty seconds, completely confidential. You will get an honest answer about which treatment, if any, is worth considering in your case.

Take the self-assessment

What erectile dysfunction actually is

Erectile dysfunction means difficulty achieving or maintaining an erection sufficient for sex. It is common, it becomes more common with age, and in most men it has a physical explanation.

An erection is a vascular event. Blood has to arrive under pressure and stay there, which depends on the health of small blood vessels, on nerve signalling and on hormones. That is why erectile dysfunction is often noticed before any other symptom of cardiovascular or metabolic disease, sometimes years before.

Treating the symptom without asking why it appeared misses that. It is also why an assessment matters more than the treatment you arrive asking for.

Psychological and relationship factors are real and are discussed without judgement. For most men the picture is mixed rather than purely physical or purely psychological.

Erectile dysfunction treatment options explained

Highest intent moment

When tablets stop working

Most men start with sildenafil or tadalafil, and for a while it is enough. Then the response becomes less reliable, or the dose that used to work does not. At that point men usually either increase the dose themselves or give up quietly.

There is a step in between. Apparent failure is often a usage problem: the wrong dose, taken too close to a heavy meal or alcohol, or interacting with other medication. Reviewing that resolves a meaningful number of cases without anything new being prescribed.

Where the tablets genuinely no longer help, it usually means the underlying tissue and vascular health has changed. That is a different problem, and it needs a different approach: addressing cardiovascular factors, considering regenerative treatment with the P-Shot, and discussing further options at consultation for men who no longer respond to standard medication.

If you have been increasing your own dose to get the same result, that is the point to be assessed rather than the point to buy more.

Take the self-assessment Message us on WhatsApp

What the assessment checks

How long the symptoms have been present, and whether they came on gradually or suddenly.
Whether morning erections still occur, which helps separate physical from situational causes.
Blood pressure and cardiovascular risk factors, including smoking, cholesterol and family history.
Signs of diabetes or impaired glucose control.
Hormonal indicators, including symptoms of low testosterone and thyroid dysfunction.
Current medication, since blood pressure tablets, antidepressants and others can contribute.
Alcohol, recreational drug use, sleep and stress.
Relationship and psychological factors, discussed without judgement.

Why this differs from an online prescription service

An online prescription service asks a short questionnaire and posts you tablets. Nothing is examined and no cause is established.
A GP-led assessment looks for the reason behind the symptom, which is what determines whether tablets are the right answer at all.
If a cardiovascular, metabolic or hormonal issue is contributing, you are told and directed appropriately rather than medicated around it.
If tablets are appropriate, dose, timing and interactions are reviewed properly, which is often why they appeared not to work.

What treatment here can and cannot do

What it does

Establishes what is actually causing the symptom rather than masking it.
Reviews existing medication, dose and timing, which resolves more cases than men expect.
Covers lifestyle and cardiovascular factors that directly affect erectile function.
Offers regenerative treatment with the P-Shot for men who would rather not rely on tablets long term.
Discusses advanced options at consultation for men who no longer respond to standard medication.
Handled in a private Manchester clinic, by a doctor, in complete confidence.

What it does not do

It is not an instant fix. Some causes take weeks or months to address properly.
It does not replace care for a serious underlying condition. Where one is suspected, that comes first.
It is not a girth or length treatment. Those are separate procedures.
No treatment can be guaranteed to work for every man.

Treatment options

Which of these applies to you depends on your assessment. They are often combined rather than used in isolation.

Lifestyle and cardiovascular factors

Blood pressure, weight, smoking, alcohol, sleep and activity all affect erectile function directly, because an erection depends on healthy blood vessels. For some men this is where the largest improvement comes from, and it is addressed honestly rather than skipped because it is less profitable.

Medication review

Tablets such as sildenafil and tadalafil work for many men, and often appear to fail because of dose, timing, food or an interaction with other medication. Existing prescriptions are reviewed before anything new is suggested.

Regenerative treatment, the P-Shot

Platelet-rich plasma prepared from your own blood, injected under local anaesthetic to support erection quality, sensitivity and tissue health. Results typically build over weeks rather than appearing immediately, and a course may be recommended.

How the P-Shot works

Advanced options, discussed at consultation

For men who no longer respond to standard medication, further options exist. These are discussed in person, because they depend on your assessment findings and are not appropriate to promote on a public page.

How the process works

1
First step
Complete the assessment or message us on WhatsApp.
2
Assessment
A private GP-led consultation covering symptoms, history, medication and the likely underlying cause.
3
Plan
A written plan setting out the options, what each involves and what each costs.
4
Treatment and review
Treatment where appropriate, with a follow-up review to check how you are responding.

Confidentiality

Your assessment answers go directly to the clinical team. They are not shared with anyone else, including your own GP, without your explicit consent.

Appointments are private, in a private clinic, under your name only. If a finding should be passed on for your own safety, we explain why and ask you first rather than doing it quietly.

Your data is handled in line with UK GDPR. Consent is never assumed and never pre-ticked.

From the start the WhatsApp communications were top notch and friendly. I got all the information I needed fast. The pain was non existent during the procedure, the cost is by far the best and as for results, wow. I have so much more confidence. I would 100% recommend.

Mr TVerified patient

Risks, side effects and what happens if treatment does not work

Risks

Treating the symptom without establishing the cause can leave a cardiovascular, metabolic or hormonal problem undiagnosed. Assessment always comes first.
Medication such as sildenafil and tadalafil is not suitable for men taking nitrates or with certain heart conditions.
Infection is the main risk with any injectable treatment, including PRP.
No treatment can be guaranteed. Some men respond well, some modestly, and some do not respond.

Common side effects

Headache, flushing and indigestion are the common effects of oral ED medication.
Bruising, swelling and tenderness after PRP injections, usually settling within a day or two.
Temporary discomfort during injection, reduced by local anaesthetic.

Correction and reversal

Oral medication can be stopped at any time, and its effect wears off. Platelet-rich plasma comes from your own blood and is absorbed naturally, so there is nothing to dissolve or remove. Where a treatment does not help you, that is discussed openly at review and the plan is changed rather than repeated.

The same standard of care, without the Harley Street journey

Alpha Male Clinic, Manchester

Doctor-led by a UK GP with 14+ years of experience.
Assessment, treatment and follow-up with the same doctor.
Free parking, five minutes from Manchester Airport, with direct rail and flight access from across the North, Scotland and Ireland.
No pressure to decide on the day, and no time-limited discounts.

Travelling to London

Consultation and procedure often fall on separate trips.
Travel and accommodation sit on top of the treatment cost.
Longer waits for a follow-up appointment.

Dr Mustafa Ganijee

A UK GP with more than 14 years of medical experience. He carries out your assessment, agrees the plan with you and handles your follow-up, so the person who advised you is the person who treats you.

Questions men ask first

Is erectile dysfunction common?

Yes. It affects a large proportion of men at some point, and it becomes more common with age. It is a medical symptom, not a character flaw, and it is treatable in most cases.

Can erectile dysfunction be a sign of something more serious?

It can. Erections depend on healthy blood vessels, so ED is frequently the first sign of a cardiovascular or hormonal problem. That is the main reason a proper assessment matters before treatment is chosen.

My tablets have stopped working. What now?

That is one of the most common reasons men come to us. Dose, timing, food and other medication are reviewed first, since apparent failure is often a usage issue. Where the tablets genuinely no longer help, regenerative treatment and further options are discussed at consultation.

How is this different from an online prescription service?

An online service posts you tablets after a short questionnaire. A GP-led assessment establishes why the symptom is there, which determines whether tablets are the right answer at all.

Will my own GP be told?

No. Nothing is shared with your GP or anyone else without your explicit consent. If we believe a finding should be passed on for your safety, we explain why and ask you first.

Do I need blood tests?

Sometimes. Where the assessment suggests a hormonal or metabolic cause, tests are recommended so treatment is based on findings rather than assumption.

How long does an assessment take?

Allow around 30 to 45 minutes for the consultation. You leave with a clear plan, the options available to you and what each one costs.

Is the P-Shot better than tablets?

It is different rather than better. Tablets act on blood flow at the time of use. The P-Shot is designed to support tissue health over time, and typically takes weeks to show an effect. Which suits you depends on your assessment.

What does treatment cost?

The consultation and any recommended treatment are quoted in writing before anything is booked. A £100 deposit secures an appointment, and it is not refundable if the appointment is cancelled less than 24 hours beforehand.

Is the clinic discreet?

Yes. It is a private clinic with private consultation rooms, and appointments are booked under your name only. Most men attend, are treated and leave the same day.

Next step

Get an honest answer about what is causing it

Six questions, about sixty seconds, completely confidential. Reviewed by a doctor before any appointment is offered.