Overview
Erectile dysfunction is difficulty getting or keeping an erection firm enough for satisfying sex. It is very common, especially with age, and is often surrounded by shame and quack remedies, but it is a genuine medical issue with effective, safe treatment. Importantly, it can be an early warning sign of heart disease or diabetes, since it often reflects the health of blood vessels. Seeing a doctor helps both the problem and the underlying health.
Symptoms
- Difficulty getting an erection
- Difficulty keeping an erection during sex
- Reduced sexual desire in some men
- Anxiety or low confidence around sex
- Often occurring alongside diabetes, heart disease or stress
When to see a doctor
See a doctor for ongoing difficulty — treatment is safe and effective, and it also lets underlying heart or diabetes risk be checked. Avoid unproven remedies.
Causes
Reduced blood flow from diabetes, high blood pressure and heart disease; also stress, anxiety, depression, smoking, alcohol, some medicines and low hormones.