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Men’s Health / Sexual Wellness

When Erections Become Less Reliable, What Should You Do?

What can cause erectile dysfunction, when to bring it up with your doctor, and how to start the conversation.

On the left, a man looks down as he sits on the edge of a bed with his partner lying behind him. On the right, the same couple smiles at each other in bed.
Illustration generated with AI. The scenes do not depict treatment results.

It can feel awkward to talk about trouble getting or keeping an erection. If it keeps happening, you can start by telling your primary care provider what has changed and when you first noticed it.

What does erectile dysfunction look like?

Erectile dysfunction (ED) is difficulty getting or keeping an erection firm enough for sex. You might get an erection some of the time, lose it sooner than you want to, or have trouble getting one at all.

What can cause it?

Diabetes, high blood pressure, and other conditions that affect blood vessels can contribute to ED. Stress, anxiety, and certain medications can also play a role. A clinician can help identify what may be contributing in your case. If you suspect a medication is involved, talk with the prescriber before changing how you take it.

What should I say at my appointment?

“I’ve been having trouble getting or keeping an erection, and it keeps happening. Can we talk about what might be causing it?”

Bring a list of the medications and supplements you take. Tell your clinician when the change started and how often it happens.

What are the treatment options?

Treatment depends on your health and what may be causing the symptoms. A clinician may discuss treating an underlying condition, making lifestyle changes, counseling, prescription medicines, or other options such as a vacuum device.

Sources

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