Erectile dysfunction (ED) is the inability to achieve an erection, or dissatisfaction with the size, rigidity or duration of erections. You might also hear it referred to as impotence. If you have symptoms of erectile dysfunction, you may have trouble getting an erection, get an erection that doesn’t last long enough for sexual activity, or get an erection sometimes, but not every time you would like to have sex.
Other sexual disorders related to, but different than, ED include premature ejaculation, delayed ejaculation and anorgasmia (the inability to have an orgasm even after sufficient stimulation).
Many men occasionally have problems with erections. But with ED, problems occur more often or become more frequent. It’s a condition many men deal with, even though they may not want to discuss it. Untreated, ED can lead to low self-esteem, depression or relationship problems. But by talking to your doctor, you can get the treatment you need. Here’s what to know about erectile dysfunction.
ED often happens when blood flow to the penis is reduced or nerves in the area aren’t working properly. Many physical and emotional factors can lead to ED.
If ED is affecting your quality of life, talk to your doctor. Most often, your primary care provider can diagnose and begin treatment for ED.
Your doctor may refer you to a urologist, a specialist in urinary and sexual health, for additional care.
Treatment starts by addressing the underlying causes. Your doctor may suggest:
If prescription drugs are a potential cause of ED, your doctor can talk to you about the pros and cons of changing or stopping your medication. Don’t stop taking any medication without talking to your doctor first.
You may also want to see a mental health professional to treat stress, depression, anxiety, relationship issues or performance anxiety related to sexual intercourse.
Prescription ED pills improve blood flow to the penis. These include:
Your doctor can help you choose the best one based on your needs and medical history.
If pills don’t work, other options may help:
Surgical implants can be an option if other treatments don’t work. These devices allow you to control when and how you get an erection.
Many men consider over-the-counter supplements for ED. But some products may contain hidden ingredients or unsafe drug levels. The FDA warns against using these supplements without talking to a doctor. It’s safer to speak with a health care provider about proven treatment options.
If you’re regularly having trouble with erections, it’s time to talk to a doctor. ED is a common and treatable condition. Getting care can improve your health, confidence and relationships.
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