Low sex drive and erectile dysfunction

Low sex drive means reduced interest in sexual activity. Erectile dysfunction means difficulty getting or keeping an erection suitable for sex. One symptom can affect confidence and desire, while stress about the other can reinforce the pattern.

Depression, hypertension, obesity and type 2 diabetes may be relevant, as can hormonal changes, alcohol, smoking, relationship strain or medicines. A [Loss of Libido](/symptoms/loss-of-libido/) page covers reduced desire; symptoms do not by themselves identify one cause.

Book a GP consultation if the change persists, recurs or is affecting your wellbeing or relationship. The clinician may ask about erections during sleep or on waking, desire, mood, medicines, alcohol, smoking and cardiovascular health. A physical examination and blood tests may be considered.

Do not stop prescribed medicines without advice. Regular movement, sleep, reducing alcohol and managing conditions such as diabetes or hypertension can support sexual health. Depending on the findings, treatment may address an underlying condition, medication effects, relationship factors or erection difficulty.

Seek urgent help for sudden genital injury, severe pain, or an erection that is prolonged and painful. Arrange prompt medical review when sexual symptoms begin with chest symptoms, marked breathlessness, fainting, or new neurological changes. Otherwise, a GP can assess the pattern safely and privately.

Ask whether your medicines or health conditions could contribute, which tests are appropriate, and which treatment options fit your health and personal circumstances.