Erectile Dysfunction
Erectile dysfunction means trouble getting or keeping an erection firm enough for sex. It is common. It can be an early sign of blood vessel disease, diabetes, hormone problems, medication effects, or stress. NIDDK defines ED this way and notes that it often has treatable causes.
When to Book
Book a visit if symptoms are new, persistent, getting worse, or affecting daily life. Early evaluation often prevents complications.
Symptoms
Trouble getting an erection, trouble keeping an erection, reduced firmness, lower sexual confidence, and relationship stress around sex.
Causes & Risk Factors
Diabetes, high blood pressure, high cholesterol, smoking, obesity, low testosterone, anxiety or depression, medication side effects, poor sleep, and sleep apnea.
How We Evaluate
Evaluation often includes a medical history, sexual history, mental health review, physical exam, and lab work. NIDDK says diagnosis commonly uses history, exam, and testing based on the cause being considered.
Treatment Options
Treatment depends on the cause. Common options include lifestyle changes, medication, treatment of low testosterone when appropriate, counseling, and management of diabetes or blood pressure.
When It Is Urgent
Get checked if erectile issues happen more than once or start to affect confidence, relationships, or quality of life.
Frequently Asked Questions
Is ED a normal part of aging?
No. Risk rises with age, but ED is not something to simply accept. Many causes are treatable.
Can stress cause ED?
Yes. Stress and anxiety can make erections harder to get or keep.
Can ED be a sign of heart problems?
Yes. It can reflect blood vessel problems that affect the heart as well.
Get a Clear Plan for Erectile Dysfunction
Our team evaluates you as an individual and builds a treatment plan that fits your life — not a template.