cialis, levitra, uprima, viagra, intrinsa, testosterone patch for women, muse, caverject, sexual intercourseMany treatments for impotence have been used over the years. Some are effective, some bizarre and some completely ineffective. All treatments that the Leger Clinic recommends or prescribes are ethical and supported by properly conducted scientific research.

Many patients will only need one appointment if their treatment responds to a drug treatment - for example Viagra for impotency.

If a course of psychosexual therapy is chosen, a standard treatment program normally consists of six to eight sessions, for more complex cases further appointments may be necessary. You will be fully involved in the decision. If you ever have concerns or are unclear about any aspect of your treatment program, please feel free to ask your therapist.

Other well established treatments include:

Psychosexual Therapy

Injection Treatment (Rare)

Vacuum Tumescence Devices

Muse (a small pellet inserted into the male urine pipe (urethra) about 10 minutes before lovemaking)

For Premature Ejaculation, available treatments include being taught techniques to delay ejaculation and the use of drugs to achieve the same.

Clomiphene Citrate

Very effective in increasing levels of testosterone in the younger patient without reducing sperm production or causing shrinkage of the testicles.

How does it work?

Clomid is a weak oestrogen receptor antagonist, it clocks the normal negative feedback mechanism of circulating oestradiol on the hypothalamus, preventing oestrogen from limiting the production of GnRH. The increase in GnRH level then stimulates the pituitary gland to release more FSH and LH, resulting in an increase in sperm and testosterone production by the testes.


Most patients respond to the treatment. Recent study from Brazil showed a response rate of 68% with the only side effect being nipple tenderness in 5% of patients. In this study the average age of the patient was 62. It is clear that the best responses occur in the younger patients.

Side effects

Occasionally nipple tenderness.

Very rarely visual changes may occur which are reversible with discontinuation.


The most popular treatment for impotence.

Highly effective treatment.

Simple to use and well tolerated.


Very similar to Viagra but has 2 useful differences.

The tablet can be taken with or after food without reducing its effectiveness

The ability to produce an erection can occur for up to 36 hours after taking the medication.

Now available in a daily dose to enhance spontaneity


The tablet can be taken with or after food without reducing its effectiveness

May be more potent than Viagra or Cialis in some patients


A new Treatment for erectile dysfunction.

Vitaros is a small drop of cream used to treat erectile dysfunction (ED).



It has been known for many years that giving testosterone to women with low sexual desire may effectively treat the condition. For many years implants were the treatment used, then in latter years a testosterone patch called Intrinsa, however unfortunately neither of these treatments are available in the UK – they have been withdrawn for commercial reasons, not because of any concern about safety.