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Whilst there is no face to face contact, you will have to complete an online consultation, to ensure that medication is safe to take. Rarely does one problem have a single solution that won t benefit from other treatments or actions. An erection is achieved when the penis fills with blood, so damage or narrowing of these blood vessels can cause erectile dysfunction. A medical history and physical examination should be undertaken to diagnose erectile dysfunction and determine potential underlying causes, before pharmacological treatment is considered.