2nd May 2024

A 52-year-old man with hypertension and type 2 diabetes presents to his general practitioner with complaints of erectile dysfunction (ED) for the past six months.

A 52-year-old man with hypertension and type 2 diabetes presents to his general practitioner with complaints of erectile dysfunction (ED) for the past six months. He is currently on metformin and amlodipine. He reports a good relationship with his partner but admits to feeling stressed due to work. Physical examination and routine blood tests are unremarkable. He is keen on discussing treatment options.

Which is the most appropriate initial treatment for his erectile dysfunction?