Health advice

When to see a GP about your erectile dysfunction

A man talking to his GP.

Knowing when to see your GP with erectile dysfunction is important

Getting a diagnossis for erectile dysfunction can be important for your health and wellbeing. You GP will be able to advise you on the best treatment approaches and lifestyle changes you can make to see a difference.

Reviewed by: Connie Whewall, Pharmacist

Published: March 2024

Next review: March 2027

What is erectile dysfunction?

Erectile dysfunction is a medical condition that can affect your ability to get or maintain an erection. It affects more than half of men aged between 40 and 70. 1, 2

Even though it typically affects older people, it can affect those under the age of 40.1

What are the symptoms of erectile dysfunction?

Erectile dysfunction can affect you in a variety of ways. You may notice symptoms including:

  • Being able to get erect sometimes but not every time you want to have sex
  • Not being able to maintain an erection during sex
  • Being unable to get an erection at all. 1, 2

If your symptoms have lasted more than a few weeks, you should arrange to see your GP about them.

Why should I see a GP?

Seeing a GP about any of your health concerns is always important. They can help you understand whether you have erectile dysfunction as well as the potential causes of the condition.

Erectile dysfunction is a condition that can have both physical and psychological triggers. It can also have a long-term impact on your self-esteem and confidence. 3,4 It’s important to understand the underlying reasons for it. Your GP can help you with this.

You can discuss the effect it’s having on your life and get support in a private and confidential environment. Your GP may also be able to refer you to specialists like sex therapists if they think it might be useful to you.

What are the causes of erectile dysfunction?

Erectile dysfunction can be triggered by lifestyle, medical or mental health issues. It can also be a sign of a serious health condition like heart disease or diabetes. Speaking to your GP can help you understand whether an underlying condition is the reason for your erectile dysfunction.

Several medical conditions can cause erectile dysfunction. These include:

Type 2 diabetes

Having high blood sugar levels for long periods of time can damage your blood vessels and lead to erectile dysfunction.

Being overweight

Obesity is linked to variety of diseases that can trigger erectile dysfunction. It can also cause damage to your blood vessels and lower your testosterone levels.

Mental health conditions

Some mental health conditions like anxiety and depression can make you feel like avoiding sex and stop you from getting or keeping an erection.

Conditions that affect blood flow around the body

If you have a condition like heart disease that affects blood flow to your penis, you might have trouble getting erections.

Damaged or impaired brain and nerve function

Head injuries, Parkinson’s disease and strokes are all examples of conditions that can causes erectile dysfunction.

Hormonal conditions

Conditions like like hypothyroidism (underactive thyroid gland) or Cushing’s syndrome can reduce your sex drive and trigger erectile dysfunction.

Health conditions that affect your penis

Injuries to the area, surgery or Peyronie’s disease (a condition that causes scar tissue to form under the skin of the penis)can impact your ability to get and maintain an erection.

Other health conditions

Cancer, multiple sclerosis among other medical conditions can result in a reduce ability to get an erection.

Some medicines can also trigger erectile dysfunction. If you are taking a medicine to treat an existing condition, speak to your GP about it. You should not stop taking a medicine without discussing it with them first.

Some lifestyle choices can also cause erectile dysfunction. Drinking more than the recommended amount of alcohol, using recreational drugs, feeling tired and cycling are some triggers that can impact your ability to get an erection.1, 2

Your GP will talk to you about these symptoms and help you find a treatment. They may also suggest lifestyle changes to help see an improvement in your ability to get an erection.

How is erectile dysfunction diagnosed?

To diagnose you with erectile dysfunction, your GP will ask you about your symptoms as well as your general health and wellbeing. They’ll also want to know whether you’re taking any medication or using any recreational substances like drugs or alcohol.

Your GP will also ask you about your sexual history and may also check your:

  • Heart rate
  • Blood pressure
  • Blood sugar
  • Penis to understand whether you have a physical condition like Peyronie’s disease (scar tissue on the penis)
  • Mental health. 1,6

These are normal parts of a consultation and will help your GP understand the reasons why you may be experiencing erectile dysfunction. If you would prefer a male GP to assess you, you can request this when you book your appointment.

What if I don't want to speak to my GP about my erectile dysfunction?

If you think you have erectile dysfunction and don’t want to speak to a GP about it, you can visit your local sexual health clinic or speak to a counsellor or sex therapist. The staff there will be able to talk to you about your concerns and recommend treatment approaches to help you. 1, 3

Your local pharmacist may also be able to advise you and recommend treatments.

What treatments are available for erectile dysfunction?

There are many treatments available for erectile dysfunction. Depending on your lifestyle and preferences, you may want to take a medicine to treat your symptoms.

Your pharmacist or GP can advise you on what can work for your needs.

Some commonly prescribed erectile dysfunction medicines include sildenafil (this is commonly referred to as Viagra), tadalafil (Cialis), vardenafil (Levitra) and avanafil (Spedra).3

Some erectile dysfunction medicines like Viagra are available without a prescription. You can ask your local pharmacist about the erectile dysfunction treatment options available over the counter.

If you decide to purchase an erectile dysfunction treatment online, make sure that it comes from a reputable source like a registered online pharmacy. There are counterfeit products online that are unsafe and unregulated, so buying from a trusted source will ensure that you don’t put your health at risk.

Can I improve my erectile dysfunction symptoms with lifestyle changes?

You might also want to make lifestyle changes to improve your erectile dysfunction. The condition can be caused by medical, physical or mental health triggers, so there are a variety of steps that you can take to help improve your symptoms. You can:

  • Get active.If you are overweight or have a high BMI (25 or more), you might want to add more physical activity to your weekly routine. Adults need around 2.5 hours of exercise each week. Losing weight can also help you improve your confidence, feel better and see an improvement in your erectile dysfunction symptoms.
  • Cut back on your alcohol intake.Alcohol can impact your ability to get and maintain an erection. If you reduce the amount of alcohol you drink, it may help you sustain erections during sex. You should drink no more than 14 units of alcohol per week. That’s 6 pints or 10 small glasses of wine.
  • Stop smoking.Like alcohol, smoking can have negative effects on your health and wellbeing. Quitting may help you get rid of your erectile dysfunction symptoms and see improvements to your overall wellbeing.
  • Avoid illegal drug use. If a drug hasn’t been prescribed to you, taking it could have damaging effects on your health.
  • Manage and reduce stress.Your mental health is just as important as your physical health. Avoiding stressful situations when you can or using techniques to reduce stress like exercise, meditation or therapy might be useful to you. 1, 3
Can erectile dysfunction go away on its own?

It’s always important to seek medical advice for your health concerns. Your GP, pharmacist or local sexual health clinic will be able to provide you with advice and support in ways that are safe and clinically proven.

References
  1. Erectile dysfunction. NHS inform. Accessed February 12, 2024. https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/erectile-dysfunction-impotence/
  2. 1. Erectile dysfunction. NHS inform. Accessed February 12, 2024. https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/erectile-dysfunction-impotence/
  3. Erectile dysfunction (impotence). nhs.uk. Published November 13, 2017. Accessed February 12, 2024. https://www.nhs.uk/conditions/erection-problems-erectile-dysfunction/
  4. Velurajah R, Brunckhorst O, Waqar M, McMullen I, Ahmed K. Erectile dysfunction in patients with anxiety disorders: a systematic review. Int J Impot Res. 2022;34(2):177-186. doi:10.1038/s41443-020-00405-4
  5. Causes | Background information | Erectile dysfunction | CKS | NICE. Accessed February 15, 2024. https://cks.nice.org.uk/topics/erectile-dysfunction/background-information/causes/
  6. Assessment | Diagnosis | Erectile dysfunction | CKS | NICE. Accessed February 15, 2024. https://cks.nice.org.uk/topics/erectile-dysfunction/diagnosis/assessment/
Where can I get more support?

NHS Website

Information and support for people living with erectile dysfunction.

NHS Inform

Information for people with erectile dysfunction who live in Scotland.

Relate

Organisation helping connect people with therapists. Get help for a range of issues relating to erectile dysfunction.

Mind

Mental health charity designed to help people going through mental health challenges.

SIDE BAR