{"id":3916,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/erectiledysfunctionnonurological\/"},"modified":"2025-05-09T10:36:34","modified_gmt":"2025-05-09T09:36:34","slug":"erectiledysfunctionnonurological","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/sexualreprohealth\/sexual-dysfunctions\/erectiledysfunctionnonurological\/","title":{"rendered":"Erectile Dysfunction &#8211; Non Urological"},"content":{"rendered":"\n<p>The Scottish Government has recently changed the prescribing regulations in relation to the treatment of erectile dysfunction (ED) removing the need for SLS endorsement.<\/p>\n\n\n\n<p>GPs can now prescribe GENERIC 5-PDEIs (eg sildenafil) on NHS prescription on the grounds of distress. Scottish Government has also changed the criteria for those with primary penile disease, so that they are also routinely entitled to an NHS prescription for ED medicines if they are suffering from distress. In either case there is no longer a requirement for SLS endorsement.<\/p>\n\n\n\n<p>The ED Severe Distress mailbox (<a href=\"mailto:EDclinc@nhslothian.scot.nhs.uk\" target=\"_blank\" rel=\"noreferrer noopener\">EDclinc@nhslothian.scot.nhs.uk<\/a> ) which has been operated by the Psychosexual Therapy Clinic will be closed in due course.<\/p>\n\n\n\n<p>Please see the <a href=\"https:\/\/formulary.nhs.scot\/east\/obstetrics-gynaecology-and-urinary-tract-disorders\/genito-urinary\/erectile-dysfunction\/?m=treatment-of-erectile-dysfunction\" target=\"_blank\" rel=\"noreferrer noopener\">East Region Formulary<\/a> for prescribing details and the <a href=\"https:\/\/www.publications.scot.nhs.uk\/files\/pca2024-m-02.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">2024 NHS Circular<\/a> gives further background.<\/p>\n\n\n\n<p>Specific advice about ED treatment, medications and protocols can be found here:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/urology\/erectiledysfunctionurol\/\" target=\"_blank\" rel=\"noreferrer noopener\">Erectile Dysfunction<\/a><\/li>\n\n\n\n<li>or for psychogenic causes \u2013 <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/sexualreprohealth\/sexual-dysfunctions\/psychosexual-therapy\/\" target=\"_blank\" rel=\"noreferrer noopener\">Psychosexual Therapy<\/a>.<\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p>NHS Circular: PCA(M)(2024)02: <a href=\"https:\/\/www.publications.scot.nhs.uk\/files\/pca2024-m-02.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Treatment of Erectile Dysfunction (ED): Patients with Severe Distress: Gonadotrophin releasing hormone (GnRH) analogues when used to suppress puberty as part of treating gender incongruence or gender dysphoria in children and young people who are under 18 years of age<\/a><\/p>\n<\/div><\/div>\n<\/div>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The Scottish Government has recently changed the prescribing regulations in relation to the treatment of erectile dysfunction (ED) removing the need for SLS endorsement. GPs can now prescribe GENERIC 5-PDEIs (eg sildenafil) on NHS prescription on the grounds of distress. Scottish Government has also changed the criteria for those with primary penile disease, so that<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":22936,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[634],"class_list":["post-3916","page","type-page","status-publish","hentry","category-erectiledysfunction"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/sexualreprohealth\/erectiledysfunction\/\" rel=\"tag\">Erectile Dysfunction<\/a>","rttpg_excerpt":"The Scottish Government has recently changed the prescribing regulations in relation to the treatment of erectile dysfunction (ED) removing the need for SLS endorsement. GPs can now prescribe GENERIC 5-PDEIs (eg sildenafil) on NHS prescription on the grounds of distress. Scottish Government has also changed the criteria for those with primary penile disease, so that","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3916","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=3916"}],"version-history":[{"count":10,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3916\/revisions"}],"predecessor-version":[{"id":23983,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3916\/revisions\/23983"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/22936"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=3916"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=3916"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}