ED is a symptom, not one diagnosis
Occasional erection difficulty is common. Persistent problems can relate to blood vessels, diabetes, blood pressure, hormones, nerves, medicines, alcohol, smoking, stress or relationship factors. More than one factor may be present.
Assessment can reveal wider health issues
A clinician may review cardiovascular risk, medicines, sexual and morning erections, mental wellbeing and selected blood tests. Sudden onset, penile pain or curvature, loss of libido, or other symptoms can change the assessment.
Treatment is individual
Options can include addressing contributing conditions, psychological or relationship support, tablets such as PDE5 inhibitors, vacuum devices or specialist treatment. PDE5 inhibitors must not be combined with nitrate medicines because blood pressure can fall dangerously.
Useful information to track
- When difficulties occur and whether morning erections remain
- Relevant medicines, alcohol, smoking and stress
- Blood pressure or diabetes review when requested
- Treatment response and adverse effects
When to seek help
Chest pain during sexual activity, a prolonged painful erection, or severe sudden symptoms require urgent medical help.
Sources
Reviewed against the following official guidance and primary evidence. Product information and clinical guidance can change.