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Erectile Dysfunction

Expert, doctor-led erectile dysfunction assessment in Newcastle. Understand the cause, explore your options

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Dr Mike Fabricius of Northern Medical Practitioners smiling warmly whilst speaking with a male patient during a clinic consultation.

Erectile Dysfunction Treatment in Newcastle

Erectile dysfunction (ED) is a common condition that can affect men at any age. It is often caused by a combination of vascular, hormonal, neurological, and psychological factors, and may be an early indicator of underlying health conditions.

At Newcastle Men’s Health Clinic, we provide a comprehensive erectile dysfunction assessment and treatment service, focused on identifying the underlying cause and offering targeted, evidence-based treatment options.

Our approach combines medical assessment, appropriate investigations, and access to a full range of treatments, tailored to the individual.

Clinical Signs Erectile Dysfunction Assessment May Be Appropriate

Erectile dysfunction can present in different ways and may have multiple contributing factors. Assessment may be helpful if you experience:

 

  • Difficulty Achieving or Maintaining Erections
    Persistent difficulty obtaining or maintaining an erection sufficient for sexual activity.
  • Reduced Erectile Quality
    Erections that are less firm or less reliable than previously.
  • Loss of Morning Erections
    Reduction in spontaneous erections, which may suggest a physical cause.
  • Symptoms Suggestive of Low Testosterone
    Reduced libido, fatigue, or reduced energy levels.
  • Erectile Dysfunction with Cardiovascular Risk Factors
    Men with diabetes, high blood pressure, high cholesterol, or other vascular risk factors.

A structured assessment helps identify the underlying cause and guide appropriate treatment.

Mid-shot focusing on the torso and hands of a male patient wearing a maroon polo shirt and jeans, sitting comfortably in a blue clinic chair during a consultation.
Dr Mike Fabricius of Northern Medical Practitioners, wearing blue scrubs and glasses, speaking with a male patient during a consultation in a brightly lit clinic room.

Evidence-Based Clinical Approach

Erectile dysfunction is frequently associated with cardiovascular disease, metabolic conditions, and hormonal imbalance. Clinical guidance recommends a structured assessment that may include:

  • evaluation of cardiovascular risk factors
  • measurement of testosterone levels where indicated
  • screening for diabetes and lipid abnormalities

At Newcastle Men’s Health Clinic, blood tests typically include testosterone, HbA1c, and lipid profile, in line with recognised clinical guidance.

Where appropriate, patients may also choose to undergo a more detailed health assessment, including advanced cardiovascular risk markers such as ApoB and Lipoprotein(a), alongside a comprehensive clinical review.

This allows a broader assessment of cardiovascular health, which is often closely linked to erectile dysfunction.

Who We Help

We support men from across Newcastle and the North East who are experiencing a wide range of erectile difficulties, including:

Men with Recent or Gradual Onset Erectile Dysfunction:

Symptoms that have developed over time or more recently.

Men with Vascular Risk Factors:

Erectile dysfunction associated with cardiovascular or metabolic conditions.

Men with Suspected Hormonal Causes:

Symptoms suggestive of testosterone deficiency.

Men Who Have Not Responded to Initial Treatment:

Patients who have not achieved satisfactory results with first-line therapies.

Men Seeking a Comprehensive Assessment:

Patients who want a structured evaluation and access to a full range of treatment options.

Treatment Options

Treatment is based on the underlying cause of erectile dysfunction and individual patient preference.

Oral Medication (PDE5 Inhibitors):

Medications such as sildenafil or tadalafil are typically first-line treatment and improve blood flow during sexual activity.

Vacuum Erection Devices:

Mechanical devices that help achieve and maintain erections without medication.

 

Injection Therapy (Invicorp):

A second-line option for men who do not respond to oral medication. A small injection of prescribed medication is used to improve blood flow before sexual activity. Where this is appropriate, the specific medication is selected and prescribed by the clinician following assessment, and you will be shown how to use it safely.

Focused Shockwave Therapy:

A non-invasive treatment that may be considered in selected men with vasculogenic erectile dysfunction, aimed at improving underlying blood vessel function.

Psychosexual Therapy:

Referral for psychological support where performance anxiety or other psychological factors are contributing.

Our Clinical Team

For complex cases, patients have access to Miss Judith Dockray Consultant Urological Surgeon and Andrologist.

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Getting to Our Newcastle Clinic

Newcastle Men’s Health Clinic is located within Blaydon Primary Care Centre, Shibdon Road, Blaydon-on-Tyne (NE21 5NW), just minutes from the A1 and the Metrocentre.

Our clinic is easily accessible for patients travelling from Newcastle, Gateshead, Sunderland, Middlesbrough, Durham, and across the wider North East. Free onsite parking is available at the centre.

Pricing and Insurance

We maintain transparent pricing for our specialist ED assessments and treatments.

  • ED Assessment (Including Bloods) £295
  • ED Assessment with Advanced Health Assessment: £775

    (Includes comprehensive blood panel, 60-minute consultation and 30 minute results appointment)

  • Focused Shockwave Therapy: £275 per session

    Block packages available (6, 9, or 12 sessions)

Please note: As a private, specialised clinic, we do not currently accept health insurance.

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Specialist ED Clinical Care vs Standard Primary Care

Feature

Standard Primary Care Approach

Newcastle Men’s Health Clinic

Assessment

Initial consultation and trial of medication

Structured assessment of vascular, hormonal, and psychological factors

Investigations

Limited testing if indicated

Targeted blood tests including testosterone, HbA1c, and lipid profile

Treatment options

Medication (e.g. PDE5 inhibitors)

Range of options including medication, devices, injection therapy, and shockwave therapy where appropriate

Specialist access

Referral if required

Access to GP-led care with consultant urology input where needed

Follow-up

Managed in primary care

Ongoing review and adjustment of treatment plan

Frequently Asked Questions

In many cases, yes. Blood tests can help identify underlying causes such as low testosterone, diabetes, or cholesterol abnormalities.

First-line treatment is usually oral medication (PDE5 inhibitors), alongside addressing underlying health factors.

If medication is not effective, other options include vacuum devices, injection therapy, or shockwave therapy, depending on the underlying cause.

Yes. Erectile dysfunction can sometimes be an early indicator of cardiovascular or metabolic conditions, which is why assessment is important.

Erectile dysfunction can often be managed effectively, and in some men the underlying cause can be improved. The right approach depends on the cause identified during assessment.

Focused shockwave therapy is an emerging treatment that some studies suggest may improve erectile function in selected men with vascular-related ED, though the evidence base is still developing and results vary between individuals. We discuss realistic expectations with every patient before starting any treatment.

Absolutely. Hormonal balance is a key pillar of erectile function. Our comprehensive assessments always consider your testosterone levels and general metabolic health.

Focused shockwave therapy uses low-intensity sound waves applied to the tissue. It is thought to work by stimulating local blood-vessel function, though the precise mechanism is not fully established. It is an emerging treatment and is considered in selected men following assessment

No. You can book an appointment directly with us for a private assessment at our Blaydon clinic.

Focused and radial shockwave are different technologies. Focused shockwave delivers energy to a targeted depth and is the type used in studies of erectile dysfunction. We use focused shockwave for this reason. We are happy to discuss the equipment and approach at your consultation

Medically Reviewed by Dr Mike Fabricius
Clinical Director, Newcastle Men’s Health Clinic
Last reviewed: July 30, 2026

Glossary of Terms

  • Vascular ED: Erectile dysfunction caused by poor blood flow or blood vessel disease.
  • Angiogenesis: The physiological process of forming new blood vessels.
  • EAU: The European Association of Urology, the governing body for urological standards.
  • BSSM: The British Society for Sexual Medicine.
A smiling male patient sitting relaxed in a blue armchair during a health consultation with a female practitioner holding a clipboard.
What We Treat

Treating the Root Causes of Men’s Health Issues