What is erectile dysfunction?

You have erection problems if you can't get or keep an erection that is firm enough for you to have sex. Erection problems are also called erectile dysfunction or impotence.

It's common to have erection problems every now and then. This is normal. These problems can occur at any age. But they are more common as you get older, when you are more likely to have other health problems. Treatment can help if you are older or younger.

The only symptom of an erection problem is being unable to get and keep an erection that is firm enough or lasts long enough to have sex. But even with an erection problem, you may still have sexual desire and be able to have an orgasm and to ejaculate.

To diagnose an erection problem, your doctor may:

• Review your risk factors. This includes things like any medicines you take and how much you drink.
• Ask questions about your sexual function, including how often you have erection problems.
• Do a complete physical exam of the belly, penis, prostate, rectum, and testicles.
• Do lab tests for testosterone and other hormones and for blood sugar.

Your doctor may start treatment with pills. But you may get more tests if pills don't work or your doctor thinks that testing is needed.

Tests can help your doctor find out whether physical factors are causing your erection problem. These may include lab tests for:

• Testosterone. A low level may reduce sexual desire.
• Thyroid hormone.
• Blood sugar. A high level may indicate diabetes. This can cause erection problems.

If your doctor thinks you have a mental health issue, a mental health evaluation may be recommended.

Treatment for an erection problem depends on the cause of the problem. The cause may be mental, physical, or a combination. Treatment can include talking about the issue with your partner, taking pills that can help you get an erection, and finding and then stopping medicines that may be causing the problem.

Sometimes you can treat occasional erection problems at home. Look at relationships and events that may be causing sexual problems. Talk with your partner outside of the bedroom about your sex life. Sensual exercises may help. Not smoking and drinking less alcohol may also help. Seek professional help if you keep having problems.