As featured by:

  • 15 April 2025
  • Mr. Leon Almashan

Last updated on May 14, 2026

For many men, the idea of speaking to someone about erectile dysfunction can feel like a significant step. It is not unusual for questions to build up beforehand, particularly around what will be asked, what the process involves, and how the conversation might feel.

At MansMatters, we understand these concerns, so our consultation is designed to feel clear, discreet, and handled with respect. In many instances, once the process is explained, your experience is often more straightforward than you may have expected.

An erectile dysfunction consultation is a structured and confidential process that aims to understand your symptoms and identify appropriate next steps. The focus is on building a clear picture of your situation, rather than making assumptions or rushing decisions.

The process often begins with a telephone conversation with one of our clinical advisors. This initial discussion helps establish basic information such as age, symptom history, and general concerns, and it allows you to understand how the clinic works before attending in person.

How do you prepare for an erectile dysfunction consultation?

Preparation is usually simple, and most men do not need extensive planning before attending.

Before being seen, you will typically complete a short form at the clinic. This helps structure the consultation and allows the specialist to focus on the most relevant aspects of your situation.

It helps in advance if you have a general awareness of:

  • Your medical history
  • Any medication or supplements you may be taking
  • When symptoms began
  • How often difficulties tend to occur

Patients are usually expected to attend in a clean and prepared state (clean-shaven where possible) as a physical assessment forms part of the consultation process. 

The answers to the above will likely be necessary to help with the consultation process and inform the consultant to establish a good understanding beforehand.

At MansMatters, partners often attend in some cases, which can support with any open discussions where appropriate.

What questions are asked during an erectile dysfunction consultation?

During an erectile dysfunction consultation, questions are structured to build a clear understanding of how symptoms present and how they have developed over time.

You will usually be asked about:

  • Frequency and consistency of erection difficulties
  • Changes in firmness or reliability
  • Libido and confidence
  • Stress, sleep, and recent life changes
  • Alcohol use, smoking, and activity levels
  • The impact on your sex life and relationships

This part of the consultation tends to follow a logical sequence, moving from general patterns into more specific detail. In many instances, this structured approach helps separate short-term changes from longer-standing patterns.

Why is your medical history important in an ED consultation?

Medical history helps identify factors that may influence erectile function and treatment suitability.

At MansMatters, the focus is on relevant considerations rather than unnecessary detail. In some cases, this includes checking for specific conditions (such as cancer or other impacting medical conditions around the lower abdomen/groin region) or devices (such as pacemakers) that may affect which treatments can be used safely.

Erectile dysfunction can sometimes relate to broader health factors. Understanding how symptoms have developed, and whether they occur in different situations, may help guide the next step.

Is a physical examination part of an erectile dysfunction consultation?

A physical assessment forms a routine part of the consultation at MansMatters and is carried out in a controlled and professional environment.

This step allows the specialist to observe physical factors that may contribute to erectile dysfunction. It is handled with discretion, and the process is explained clearly so you know what to expect.

For many men, knowing that this is a standard part of the consultation can reduce uncertainty before attending.

What tests might be recommended during an ED consultation?

Additional tests may be suggested where they are likely to provide useful information.

These can include:

  • Blood tests
  • Hormone checks
  • Circulation assessments

Testing is selective rather than routine. Each step is explained so you understand how it relates to your situation.

How do lifestyle factors affect erectile dysfunction?

Lifestyle factors can influence erectile function and are considered as part of a wider picture.

This may include:

  • Sleep patterns
  • Stress levels
  • Diet and general health
  • Alcohol use
  • Smoking
  • Activity levels

These factors are discussed without judgement. In many instances, they contribute to overall patterns rather than acting as a single cause.

What treatment options are discussed during an erectile dysfunction consultation?

Treatment options are explained once a clear understanding of your situation has been established.

At MansMatters, this discussion may include, but are not limited to:

  • Low-intensity focused shockwave therapy
  • Electromagnetic Transduction Therapy (EMTT)
  • Tesla Chair pelvic floor stimulation
  • NESA neuromodulation
  • NanoVi Exo and photoactivation therapies
  • Lifestyle support strategies

These approaches are discussed in a structured way, so you understand how each option works, what it involves, and how it may fit your situation.

You can explore more about erectile dysfunction treatment options if you would like to review these approaches in advance and in more detail.

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Gain clarity and solutions through a confidential erectile dysfunction consultation.

What happens after an erectile dysfunction consultation?

After your consultation, the next step depends on your decision and suitability for treatment.

For men who choose to proceed, treatment planning can often move forward without delay. In many instances, appointments are arranged at the time of consultation or shortly afterwards.

For those who are still considering their options, there is no obligation to continue. The consultation is designed to provide clarity so you can decide what feels appropriate.

In some cases, follow-up communication may take place where it is appropriate to provide further information or support decision-making.

How quickly can treatment begin after a consultation?

Treatment may begin on the same day or within a short timeframe after your consultation, depending on your situation.

In some cases, additional information may be needed before starting. This can influence timing slightly, and it is explained during your appointment, so expectations remain clear.

Are follow-up appointments part of erectile dysfunction care?

Follow-up appointments are typically only arranged for men who begin treatment with us at MansMatters and are used to review progress over time.

Follow-up may include:

  • Monitoring changes in symptoms
  • Reviewing response to treatment
  • Adjusting the approach where needed
  • Discussing any concerns

This allows care to be adapted in line with how your situation develops.

Taking the first step

For many men, the first conversation is where uncertainty begins to shift. Speaking to someone who understands the process can help clarify what may be happening and what options could be considered.

If you would prefer to speak with one of our clinical advisors before attending, or arrange a confidential appointment, you can book a consultation today at MansMatters – we’re here to help give you the next steps forward toward a new lease of life.

FAQs

What happens during an erectile dysfunction consultation?

Your consultation begins with a confidential discussion about your symptoms, lifestyle and medical history. A specialist then carries out a detailed assessment, possibly including discreet, non-invasive diagnostic tests, to identify underlying causes. You’ll finish the consultation with a clear understanding of personalised treatment options suited to your needs.

How long does an erectile dysfunction consultation last?

A standard erectile dysfunction consultation typically lasts around 45 minutes to an hour, allowing ample time for a comprehensive assessment while fitting conveniently into a busy schedule.

Do I need to prepare anything before an ED consultation?

You don’t need extensive preparation, but it’s helpful to have relevant medical details on hand, including medications, health conditions and notes on the frequency and nature of your symptoms. This ensures your consultation is efficient and productive.

Will an erectile dysfunction consultation include a physical examination?

A physical examination may be recommended depending on your specific symptoms and medical history. If required, it’s brief, professional and conducted with absolute discretion, ensuring your comfort throughout.

Can erectile dysfunction be diagnosed during the first consultation?

In many cases, an initial consultation provides sufficient information for a preliminary diagnosis. However, further diagnostic tests may sometimes be required to confirm specific underlying causes or contributing factors.

What questions should I ask my ED specialist during the consultation?

It’s beneficial to ask about available treatment options, their effectiveness, how quickly you can expect results and whether treatments might affect your daily routine. Additionally, ask about potential lifestyle adjustments that could support treatment outcomes.

Mr. Leon Almashan

About the Author

Mr. Leon Almashan

Mr. Almashan is a recognised specialist in advanced, non-surgical treatments for men’s health conditions, including Erectile Dysfunction and Peyronie’s Disease.

A graduate of St. George’s Medical School, he has developed innovative treatment protocols that have supported improved quality of life for 1000’s of patients worldwide.

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