THOUGH it might leave you feeling deflated, trouble getting an erection is usually just caused by the stress of expectation or having a few too many drinks.

Most men will experience it at some point or another and it’s usually nothing to worry about.

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If you’re quite often unable to get an erection or can’t keep one for long enough to be intimate, then you might be suffering from erectile dysfunction (ED).

It can feel embarrassing to speak about but the condition is in fact extremely common.

Dr Donald Grant, GP and senior clinical advisor at The Independent Pharmacy says: “Erectile dysfunction affects millions of men around the world.

“Overall, it is estimated that around 50 per cent of men between the ages of 40 and 70 will experience ED at some point.

“That’s why locating potential causes is vital.”

ED may be caused by health conditions such as high blood pressure and cholesterol or diabetes, as well as depression and anxiety.

But sometimes, the culprit may in fact be inside your medicine cabinet.

“Medication can play a massive role in causing this limiting condition,” Dr Grant explained.

This can include drugs geared towards treating specific conditions, or pills as common as painkillers and anti-histamines.

Here are four medicines that could increase your risk of ED.

1. Beta Blockers

Beta blockers are drugs that lower blood pressure.

“Blood pressure medications, also known as antihypertensives or beta blockers, list erectile dysfunction as a common side effect for many medications – including popular treatments such as atenolol and propranolol,” Dr Grant says.

“These medications can lower testosterone while also impacting blood flow – both are requirements for achieving and maintaining a healthy erection.”

Don’t stop taking the drugs if you’re experiencing problems with ED, but you can speak to your GP about it if it’s bothering you.

2. Antidepressants

Medications to treat depression often list reduced sex drive and sexual dysfunction as a side effect.

According to Dr Grant: “Popular antidepressants such as Citalopram, Sertraline and Fluoxetine could also be contributing to men’s ED risk.

“Antidepressants have a direct impact on hormones, increasing serotonin which can influence testosterone and dopamine levels – affecting libido and the ability to become sexually stimulated.

“It’s often listed as a side effect of antidepressant medication.

“However, it’s important to stay in dialogue with your GP to assess the best treatments available.”

3. Painkillers

A common class of painkillers called non-steroidal anti-inflammatory drugs (NSAIDs) can be another cause of ED, according to Dr Grant.

“NSAIDs are some of the most commonly used medications, with Aspirin and Ibuprofen falling under this category,” the GP says.

“Erectile dysfunction is a potential side effect as these tablets can negatively impact blood flow and the ability to maintain erections.

“While these tablets are available over-the-counter, managing intake and abiding by recommended dosages is so important.”

The GP also recommends taking a look at potential side effects of the drugs on their leaflets before taking.

4. Antihistamines

At certain times of the year when pollen levels reach their peak, many people will pop an antihistamine to cope with allergy symptoms.

They’re also used to relieve hives, conjunctivitis and reactions to insect bites or stings.

They work by blocking the effects of a substance called histamine in your body.

Histamine is normally released when your body detects something harmful, such as an infection, helping protect the body by causing blood vessels to expand and the skin to swell.

In people with allergies, histamines can cause uncomfortable and sometimes dangerous reactions.

But the substance can also play a role in erections, Dr Grant says.

“Histamine is crucial for developing an erection as the chemical helps dilute blood vessels, improving blood flow and allowing men to become erect.

“Therefore, it’s no surprise to learn that antihistamines can drastically increase men’s risk of developing ED.

“It highlights the importance of monitoring dosage and speaking openly with medical professionals about the harmful side effects common medications could have on an individual basis.”

Tips to deal with ED

“Overall, it’s intriguing to uncover so many over-the-counter medications that can escalate men’s ED risk,” Dr Grant concludes.

But maintaining a healthy lifestyle and making sure you’re not over consuming these medicines can help protect you against this common condition.

Having regular GP visits and check-ups is also key to preventing and treating ED, the GP adds.

“Aside from medication, I recommend incorporating foods into your diet that boost blood flow – this includes apples, walnuts and dark leafy greens.

“I also suggest managing a healthy alcohol intake as drinking can play a massive role in the development of erectile dysfunction.”

WHEN Daniela found out she was expecting twin girls, she could not have been happier.

She never could have imagined the tragedy to come, which would see her give birth to one while also grieving for the loss of the other.

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Just one year earlier, Daniela Stockmann and her fiancé Dave Ward lost their first baby to a miscarriage.

In December 2021, the parents were overjoyed to find out they were pregnant again.

But this happy news soon turned to sadness once more, when they found out one of their daughters Daisy, had died in the womb due to a condition called twin-to-twin transfusion syndrome (TTTS).

“The heartbreak and the pain was horrendous,” Daniela said, recalling the day she found out about Daisy.

During a holiday to the Maldives, Dave surprised Daniela by proposing.

A couple of days later, Daniela was delighted when she had a positive pregnancy test.

“We had a private scan at eight-and-a-half weeks,” she said.

“They said there were definitely two babies. Dave was gobsmacked,” she added.

At 12 weeks, the couple were “over the moon” to discover they were expecting twin girls.

During a later scan, the happy parents were told the twins were growing well, but that there was a bit more fluid around one baby, compared to the other.

“They wrote on my notes TTTS with a question mark but nothing more was said,” Daniela said.

Scans later revealed that Daniela did have TTTS at 22 weeks.

TTTS is a rare but life-threatening condition that affects 10 to 15 per cent of identical twins that share a placenta (monochorionic twins).

TTTS can also occur in triplet or higher-order pregnancies with monochorionic twins.

Specialist laser surgery carried out on the babies in the womb is offered to help save the babies’ lives.

Daniela added: “It was awful that day, that was probably when we were grieving the most.

“We just couldn’t believe it was all fine and then such a sudden change.

“Dave fell to pieces in the car park.”

The couple were told that Daniela needed specialist laser surgery straightaway.

“I remember just clinging onto the wall,” the mum said.

‘Stay strong for your other baby’

“I couldn’t process anything. We wanted to go ahead with the surgery so we could give the babies the best chance of survival,” she explained.

The surgery went ahead and both babies survived the operation.

But just hours later, Daniela started experiencing painful muscle spasms and doctors were worried she had gone into labour or was bleeding internally.

They feared amniotic fluid had leaked into her body and caused the attacks.

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Heartbreakingly, at 22-and-a-half weeks, doctors said there was only one heartbeat and one of the twins, who the couple named Daisy, had passed away.

Daniela said: “I just burst into tears. I knew we had to carry on, I said to Dave, ‘Let’s not collapse now’, we knew we couldn’t do that.

“Our surgeon said to us: ‘You have lost a baby so you need to grieve for this baby but right now you need to stay strong for the surviving one to get through. So you must grieve later.’

“Those words just stayed with me. The heartbreak and the pain was horrendous.

“I felt great comfort knowing I was still carrying them both and they were safe with me and still together.

“But as time was moving on closer to birthing them, it hurt so much knowing she was going to be gone forever.”

Naming ceremony

Daniela had to be transferred to a hospital in Grimsby for the birth.

At 34 weeks, Daniela had an emergency C-section and baby Daisy was born sleeping alongside her sister Orla on July 11 2022.

She said: “Orla came out crying and as soon as we heard that cry, our shoulders dropped.

“The pregnancy was such a worry and to know she was alright was just amazing.

“She did have a stay in NICU. This was because she was born prematurely and needed light therapy and help with establishing feeding.

“We had photos taken with Daisy and she stayed in my room for a couple of days in a special cold cot.

“We had a naming ceremony and they let us push Daisy in the pram to the mortuary.”

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‘She should be playing with her sister’

Daniela said despite support from bereavement counsellors, it’s still very hard to come to terms with the grief of losing a baby.

“It’s not been until now, two years later, that I have processed it all. Because you have a newborn.

“You’ve got this beautiful baby but you’re grieving for another one. That balance is so hard to navigate.

“Obviously it gets easier but then it also hits you like a tonne of bricks.

“There’s a huge grief when Orla is looking in the mirror as I see them both and always think what should have been.

“Or when she is playing with a friend, we get such mixed emotions, we love seeing her happy but the pain comes as we know she should be playing with her sister.”

When Daniela found out about Twins Trust Bereavement Service, she was able to find a community of people who understood what had happened to her.

“I joined the Twins Trust Bereavement Service social channels and found others who had been through a similar situation.

“You know they’re on the same page and understand you. Just reading other people’s comments on the pages made me feel less alone,” she said.

Daniela and Dave, plus their gym members at FBC Harrogate, have ploughed their time into helping others and fundraising for Twins Trust, to support other bereaved families.

From fundraising runs to family events and mountain climbs, they have raised more than £6,000 for the charity.

Daniela is currently training for the London Landmarks Half Marathon in April 2025.

They will mark Baby Loss Awareness Week by joining in the Wave of Light and lighting a candle in Daisy’s memory.

She added: “BLAW gives us a chance to remember all the babies. It’s so important to recognise any loss.”

Louise Bowman, Head of Family Services at Twins Trust, said: “Baby Loss Awareness Week is an important week that gives bereaved families a chance to have their voices heard and share their stories.

“At Twins Trust Bereavement Service, we offer a lifeline to parents and families coping with the unique challenges of loss from a multiple birth. We are here to support them through their bereavement journey and help them feel less alone.”