In short
Sexual problems are common, mostly treatable, and rarely asked about. This part of the clinic exists because the last part is the reason for the other two.
- Common. In the Massachusetts Male Aging Study, 40 percent of men at the age of 40 reported some degree of impaired sexual function, rising with each decade. Around 40 percent of women report a sexual concern.
- The cause is identified first. In men, erections, desire and ejaculation are three different problems. In women, desire, arousal, orgasm and pain are four.
- Erectile dysfunction is assessed as a cardiovascular problem too, because it usually arrives before the heart diagnosis.
Who This Service Is For
Who is this for?
- Men with erectile difficulties, whether sudden or gradual, and whether or not tablets have been tried
- Men with low desire, which is a separate problem from erections and is treated differently
- Men with ejaculation problems, too soon, too late or absent
- Women with low desire, arousal or orgasm difficulties, or with pain during sex
- Couples, where one partner’s difficulty is affecting the other, which the evidence shows it does
- Anyone already on treatment that has not worked or was prescribed without an assessment
Why so many people never ask
Sexual problems in women in particular remain largely unrecognised and untreated, often because clinicians feel they do not have the time or the knowledge. Patients are usually grateful to be asked.
Interpersonal conflict is one of the more common and least acknowledged causes of male sexual difficulty, and it will never appear on a blood test. What actually predicts satisfaction.
Sexual health care in the UAE
There is an unusually clear local picture here, because a panel of UAE specialists wrote one. In May 2023 ten experts from urology, psychiatry, interventional cardiology and clinical pharmacy convened in Dubai and produced the first UAE recommendations for erectile dysfunction, published in 2025.
The table gives what they found, because each finding changes how this clinic works.
| Finding | What follows |
|---|---|
| There were no UAE-specific guidelines and there is no dedicated sexual health society in the country | The coordination has to be done deliberately by whoever sees you first |
| Reluctance to seek treatment is a central obstacle, with a strong social stigma around mental health visits, and 28 percent of men in one regional survey unwilling to raise it with a doctor | Referral to a therapist is explained rather than simply issued |
| Men presenting in the UAE tend to be younger than in most published series | Cardiovascular risk gets assessed early rather than assumed away |
| In a regional survey 84.1 percent of men using PDE5 inhibitors had bought them without a prescription, and only 38.1 percent of users had erectile dysfunction | The consultation exists to do the checks that purchase skipped |
| 84 percent of widely viewed Arabic-language social media content about erectile dysfunction was not evidence based | Every number on these pages carries its source |
| ED should be treated as an indicator of other conditions, with a cardiovascular event possible within two to three years | The heart question comes before the prescription |
The panel is published in the Journal of Multidisciplinary Healthcare and the full text is open access. It based its recommendations on the European Association of Urology guidelines, and stated openly that it could not grade them because the UAE data are too thin.
What this clinic does not do
Prescriptions without assessment. Treatment before the cardiac question is settled in men with erectile dysfunction. Testosterone on a single borderline result. Compounded hormone mixtures or saliva hormone testing. Shockwave and platelet based therapies marketed as regenerative.
Between a third and a half of supplements sold for sexual performance have been found to contain undeclared prescription drugs, which is dangerous for anyone taking nitrates. What the testing found.
Treatment Programs Under This Pillar
ED Consultation
Start here for erection problems: the cause, the heart check and the right tablet, in one consultation.
View TreatmentErectile Dysfunction Treatment
The overview of every ED treatment: tablets, correct use, second-line options and what is not offered.
View TreatmentSildenafil (Viagra) in Dubai
Sildenafil (Viagra): taken about 1 hour before sex, works for about 4 hours, the longest safety record.
View TreatmentTadalafil (Cialis) in Dubai
Tadalafil (Cialis): works for up to 36 hours or as a 5 mg daily tablet, also for prostate symptoms.
View TreatmentWhy Physician-Led Care Matters
Why the assessment comes first
Because these problems are frequently mislabelled, and treating the wrong one wastes months.
In men
Most men presenting with erectile difficulty do not report low desire. When both are present, the one that came first is usually the one to treat. Sudden onset in a previously unaffected man is almost always psychological, apart from after pelvic surgery or trauma. The three categories.
In women
Pain is the problem most often relabelled as low desire. Treating sexual pain often improves interest, arousal and orgasm at the same time, so it is treated first and the desire reassessed afterwards. Why order matters.
The cardiovascular point
Erectile dysfunction shares its mechanism with cardiovascular disease and usually arrives first. In an umbrella review of five meta-analyses and two systematic reviews, men with erectile dysfunction had a higher risk of cardiovascular disease, coronary heart disease, heart attack and stroke.
Erectile difficulty often arrives two to three years before a cardiovascular event, so the heart question comes before the prescription rather than after it. Why the cardiac check comes first.
The honest position on hormones
- Testosterone is measured in all men with erectile dysfunction, and a low level is confirmed on a repeat morning sample before treatment
- It improves desire more reliably than erections, and is usually given alongside a tablet rather than instead of one. The trial evidence
- In women, androgen levels do not correlate with sexual function in most studies, and routine testosterone is not recommended. Where it does have a place
- Oral oestrogen lowers free testosterone. Transdermal does not, and improved sexual function in trials where oral did not
What is offered before medication
Sex therapy and couples counselling are effective and safe, and a consultation with a sex therapist is generally considered a prerequisite before drug treatment for sexual dysfunction. What the sessions actually involve.
Where should you start?
The right starting page depends on your question: what you have, a specific treatment or your personal situation. Each page covers one subject in depth.
- A first check: the 1-minute erection self-check, based on the IIEF-5 score.
- What you have: erectile dysfunction, premature ejaculation, low libido in men, low libido in women, hormonal sexual dysfunction and relationship strain from libido changes.
- The treatment: ED consultation, erectile dysfunction treatment as the overview, sildenafil (Viagra) and tadalafil (Cialis).
- Your situation: men’s sexual health, women’s sexual health, premature ejaculation treatment, low libido treatment for men, ED treatment for diabetics, ED treatment with high blood pressure, ED treatment for young men and low libido after menopause.
- Ongoing care: the Sexual Health Membership, one plan and fixed reviews for more than one problem or for couples.
- Single questions: sildenafil vs tadalafil, ED tablets not working and ED doctor vs online ED medication.
Care for your situation
The same medical approach, planned around where you are in life.
ED Treatment for Diabetics
Treatment matched to your diabetes, with a heart check and a testosterone test first.
Read more →After menopauseLow Libido After Menopause
The causes checked one by one, with vaginal and hormone treatment where it fits.
Read more →Men under 40ED Treatment for Young Men
The cause found first, anxiety taken seriously and tablets only when they fit.
Read more →High blood pressureED Treatment with High Blood Pressure
Erection treatment checked against your blood pressure medicines, with the heart in view.
Read more →Premature ejaculationPremature Ejaculation Treatment
Daily or on-demand treatment with a technique that works, after a check of erections.
Read more →Low libido in menLow Libido Treatment for Men
Cause found first, testosterone only when two morning tests confirm it.
Read more →Men’s sexual healthMen’s Sexual Health Clinic Dubai
Erections, desire and ejaculation in one appointment, with the heart checked.
Read more →Women’s sexual healthWomen’s Sexual Health Clinic Dubai
Desire, arousal and pain, treated in a clear order: pain first, medicine last.
Read more →
How the Consultation Works
-
1
The history, in private and without rush
In men: how it started, whether morning erections persist, whether desire changed, and ejaculation. In women: which of desire, arousal, orgasm or pain, when it changed and what changed with it. Medication, mood, alcohol and the relationship are asked about directly.
-
2
Examination and targeted tests
In men: pulses, penile examination, testicular size, plus glucose, blood count, liver and kidney function, thyroid, lipids and testosterone. In women: examination where pain is involved, since pain is a tissue problem until proven otherwise.
-
3
Cardiac risk graded before treatment in men
Low, intermediate or high. Sexual activity is exertion and the standard tablets are absolutely contraindicated with nitrates, so this is settled before anything is prescribed rather than after.
-
4
A plan in the right order, with a baseline
Pain first in women. The primary problem first in men. Non drug options before drug ones. A validated baseline score so improvement is a defined change, and referral where a therapist or physiotherapist is the right treatment.
Frequently Asked Questions
In the Massachusetts Male Aging Study 40 percent of men at the age of 40 reported some degree of impaired sexual function, rising by roughly 10 percentage points per decade. Reduced desire affects an estimated 5 to 10 percent of men. Around 40 percent of women report a sexual concern.
Not before the cardiac question is settled. Sexual activity is exertion, these drugs are absolutely contraindicated with nitrates in any form, and erectile dysfunction is itself an early warning sign of cardiovascular disease. In a regional survey 84.1 percent of men using them had bought them without a prescription, so none of that was checked.
Well. Successful intercourse in 68 to 69 percent of men against 33 to 35 percent on placebo, and proper instruction on how to take them rescues about 25 to 30 percent of men previously labelled as non-responders.
Less often than expected. It is measured in every man presenting with erectile difficulty and prescribed in very few of them, and it improves desire more reliably than it improves erections.
It is treated first. Pain is a tissue problem until proven otherwise, and treating it often improves interest, arousal and orgasm at the same time. It is the problem most often mislabelled as low desire.
It usually helps and it is entirely your choice. A partner's own sexual difficulty measurably affects yours, and men whose partners have no difficulty recover erectile function more often.
Because it works, and it is generally considered a prerequisite before trying drug treatment for sexual dysfunction. The UAE expert panel specifically identified stigma around mental health visits as an obstacle to effective treatment here, which is why the reason for a referral is explained rather than assumed.
There are now. A panel of ten specialists convened in Dubai in May 2023 and published the first UAE recommendations for erectile dysfunction in 2025, based on the European Association of Urology guidelines. The panel stated openly that it could not grade its recommendations because there is too little UAE data.
Dubai Healthcare City, in English and German. Entirely confidential, with nothing shared with an employer, insurer or anyone else without your explicit instruction.
Evidence
Where this information comes from
Every figure on this page is taken from the sources below. All of them are free to read, so you can check them yourself.
- Erectile dysfunction: expert panel recommendations for evaluation and management in the United Arab Emirates
- Erectile dysfunction: expert panel recommendations for the UAE, full text
- EAU guidelines on sexual and reproductive health
- Association of erectile dysfunction and cardiovascular disease: an umbrella review of systematic reviews and meta-analyses
- Impotence and its medical and psychosocial correlates: results of the Massachusetts Male Aging Study
- Sildenafil for male erectile dysfunction: a systematic review and meta-analysis
- Do not consume sexual enhancement pills, warns UAE health ministry
This page is general medical information and does not replace a personal consultation. Trial results are averages across large groups, not a prediction for any one person.