Erectile Dysfunction (ED)

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What Is Erectile Dysfunction?

Erectile dysfunction (ED) is the inability to get or maintain an erection firm enough for sexual intercourse. It can affect men of all ages but is more common as men get older.

ED can have physical or psychological causes, and occasional difficulties are normal, but persistent problems should be assessed.

What Causes Erectile Dysfunction?

ED can result from:

• Cardiovascular disease, high blood pressure, or diabetes
• Hormonal imbalances (low testosterone)
• Medications (e.g., blood pressure, antidepressants)
• Psychological factors (stress, anxiety, depression)
• Lifestyle factors (smoking, alcohol, poor sleep, obesity)
• Nerve or spinal injuries

What Are the Common Symptoms of Erectile Dysfunction?

• Difficulty achieving an erection
• Difficulty maintaining an erection during sex
• Reduced sexual desire in some cases
• Anxiety or stress related to sexual performance

How Is Erectile Dysfunction Diagnosed?

Diagnosis usually involves:

• Detailed medical and sexual history
• Physical examination
• Blood tests to check hormones and cardiovascular risk factors
• Online GP consultations can provide initial assessment, advice, and prescriptions; in-person review may be needed for complex cases

How Long Does Erectile Dysfunction Last?

• Duration depends on underlying causes
• Some men experience temporary ED due to stress or fatigue
• Chronic ED may persist without intervention

Is Erectile Dysfunction Contagious?

No. ED is not contagious.

How to Feel Better and Recover Quickly

Self-Care at Home:

• Maintain a healthy diet, exercise, and weight
• Reduce alcohol and stop smoking
• Improve sleep and manage stress
• Consider therapy for psychological causes

Treatment from a GP:

• PDE5 inhibitors (e.g., sildenafil, tadalafil)
• Address underlying medical conditions
• Counseling or sex therapy if psychological causes

When Referral Is Needed:

• ED associated with heart disease or diabetes complications
• Suspected hormonal deficiencies
• Poor response to first-line treatments

When to Seek Urgent Medical Help

Seek urgent care if:

• Sudden ED with chest pain or cardiovascular symptoms
• Painful or prolonged erections lasting more than 4 hours (priapism)

How Dr.Online UK Can Help

We offer:

• Same-day online GP appointments
• Assessment, advice, and prescription for ED
• Guidance on lifestyle and underlying causes
• Referral to specialists if needed

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