What are the treatment options for erectile dysfunction?

Erectile dysfunction means difficulty getting or keeping an erection firm enough for sex. It can occur with diabetes, high blood pressure, vascular disease, hormone problems, medication effects, stress, low mood, or relationship concerns. A [GP Consultation](/treatments/consultations-and-assessment/gp-consultation/) can review your symptoms, general health, medicines, and sexual history confidentially.

A clinician may suggest regular physical activity, stopping smoking, moderating alcohol, improving sleep, and managing conditions that affect blood flow or nerves. Do not stop prescribed medicine without advice; an alternative may be considered if a medicine contributes to the problem. A prescribed erection medicine may help some people, but it must be checked against your other medicines and health conditions. Counselling or sex therapy can help when anxiety, low mood, or relationship strain is part of the picture. A [Blood Test](/treatments/diagnostics-and-screening/blood-test/) may investigate relevant health or hormone concerns, while [Diabetes Screening](/treatments/diagnostics-and-screening/diabetes-screening/) may be considered when symptoms or risk factors suggest it.

Book an appointment if erection problems persist, recur, or are affecting your wellbeing, because they can accompany treatable health problems. Seek urgent care for an erection that is painful or does not settle, or for chest pain or severe breathlessness during sexual activity. Never combine prescribed erection medicines with nitrate medicines unless a clinician has specifically confirmed that it is safe.

Ask what may be contributing to the problem, whether any current medicine needs review, which checks are appropriate, and whether a prescribed treatment is safe with your heart health and other medicines. Mention any changes in desire, ejaculation, urination, mood, or erections during sleep.