Second opinion | Private and judgement-free
ED pills not working, or tired of relying on them?
If Viagra, Cialis or over-the-counter boosters have stopped working, or never really worked for you, something underneath usually has not been addressed. George Mulaudzi, Naturopath looks for the root cause and builds a natural, personal plan with you.
Erection tablets work by helping blood flow into the penis when you are aroused. They can be very useful, but they do not change what caused the problem in the first place. When circulation, hormones, stress or lifestyle keep moving in the wrong direction, the same tablet often starts to feel weaker, and many men end up taking more, changing brands or buying stronger products online.
If that sounds familiar, you are not alone, and it does not mean nothing can be done. It usually means it is time to look at the whole picture. Not sure how your erections compare? Take the one-minute erection health check first.
Why ED pills stop working, or never worked
How they are taken
Many men try a tablet once or twice, too soon before sex, after a heavy meal, or expecting it to work without arousal. Small changes in timing and expectations matter. How ED medicines work.
Circulation and blood vessels
Blood sugar, blood pressure and cholesterol slowly affect the small vessels in the penis, so tablets have less to work with. Diabetes and blood pressure are common drivers.
Lower testosterone
Low testosterone can reduce desire and make erections less reliable, even with tablets. Signs of low testosterone.
Stress and performance anxiety
Worry about performing switches on the stress response, which works against an erection. Performance anxiety.
Alcohol, sleep and weight
Regular drinking, poor sleep and extra weight around the middle all affect hormones and blood flow. Alcohol and erections.
Fake or unregistered products
Tablets and “instant” boosters bought online or at the till are often counterfeit or contain undeclared ingredients. What is really in instant erection pills.
Tablets compared with a root-cause plan
| ED tablets | A natural root-cause plan | |
|---|---|---|
| What it works on | Blood flow at the time you take it | Circulation, hormones, sleep, stress and lifestyle |
| Timing | Planned around sex | Builds over weeks, part of everyday life |
| What it changes long term | Not the underlying cause | Aims at the factors driving the problem |
| Who guides it | Your prescribing doctor | George Mulaudzi, Naturopath, with regular follow-ups |
What a second-opinion consultation looks at
1
Your story
What you have tried, how and when you took it, what happened, and what you would like to change. No judgement and nothing off-limits.
2
The full picture
Circulation, blood sugar, hormones, sleep, stress, medication, alcohol, weight and your relationship, all together.
3
Your personal plan
Natural remedies, nutrition, movement, sleep and stress support, with clear, realistic steps that fit your week.
4
Follow-ups
Regular reviews to track progress and adjust the plan, or the structured 12-week programme if you want more support.
How we work with your doctor
George works alongside your GP or specialist. If a test would help, he’ll tell you exactly which one to ask for and help you understand the results.
If you take any prescribed medication, including ED tablets, keep taking it as prescribed. Your natural plan is built around it.
Related support
Private one-minute self-assessment Erectile dysfunction ›
Our full natural approach Weak erections ›
Firmness that comes and goes 12-week programme ›
Structured support with reviews Fixing ED without medication ›
What the evidence supports Natural or pharmaceutical? ›
How the approaches differ ED pills in South Africa ›
What is available and what to avoid For partners ›
How to help him take the first stepMedication side effects ›
When medicine affects your sex life
Questions men ask about ED pills
Why has Viagra or Cialis stopped working for me?
The most common reasons are the way the tablet is taken (timing, food, or expecting it to work without arousal), changes in circulation from blood sugar, blood pressure or cholesterol, lower testosterone, stress and performance anxiety, and alcohol, sleep or weight. Fake or unregistered products bought online are another frequent cause. A consultation looks at all of these together.
Can I come to you while I am still taking ED tablets?
Yes. Keep taking anything you have been prescribed exactly as prescribed. George asks what you take, how and when, and builds your natural plan around it.
Do you prescribe Viagra, Cialis or injections?
No. Sandton Men’s Clinic is a naturopathic practice. We focus on the causes behind erection problems, using natural remedies, nutrition, movement, sleep and stress support, with follow-ups to track your progress.
How long does a natural plan take to make a difference?
Every man is different. Changes to circulation, hormones, sleep and stress build over weeks rather than hours, so plans are usually reviewed over 6 to 12 weeks. George will be honest with you about what to expect in your situation.
I have already been to other clinics. Is a second opinion worth it?
Many men who see George have tried tablets, boosters or other clinics first. A 30 to 60 minute one-on-one consultation is a chance to look at the full picture with fresh eyes, and booking does not commit you to any treatment.
Ready for a fresh look?
Private, one-on-one, open 24/7 in Sandton. Booking does not commit you to any treatment.
Sources
- Burnett AL et al. Erectile Dysfunction: AUA Guideline. Journal of Urology, 2018.
- Salonia A et al. EAU Guidelines on Sexual and Reproductive Health, 2023 (management of PDE5 inhibitor non-responders).
Written and reviewed by George Mulaudzi, Naturopath, Sandton Men’s Clinic, 199 Vanessa Street, Buccleuch, Sandton, Gauteng 2090 | +27 10 205 9208. This page is general information, not a diagnosis, and results differ from man to man.