Erectile Dysfunction: What It Is and How to Start Fixing It

Having trouble getting or keeping an erection? You’re not alone—ED affects lots of men at different ages. The good news: many causes are treatable and there are safe, effective options that work. This page gives clear steps you can take now, what tests matter, and how to handle medication safely.

Quick causes and useful tests

ED can come from physical or psychological reasons. Physical causes include diabetes, high blood pressure, heart disease, hormonal problems (low testosterone), nerve damage, and certain medicines. Stress, anxiety, and relationship issues also play a big role. A simple starting point is a visit with your doctor for basic tests: blood sugar, cholesterol, blood pressure, and a testosterone level. Those results help target treatment fast.

Have you noticed sudden changes, severe pain, or erections lasting more than 4 hours (priapism)? Seek urgent care—priapism can cause permanent damage.

Treatment options and buying meds safely

First-line medicines are PDE5 inhibitors: sildenafil (Viagra), tadalafil (Cialis), and vardenafil. They are proven to work for many men. Tadalafil lasts longer and is sold as daily or on-demand dosing. Side effects are usually mild—headache, flushing, or upset stomach—but never mix these drugs with nitrates used for chest pain. That combo can dangerously lower blood pressure.

Not everyone needs or wants pills. Lifestyle changes often help: lose weight, move more, stop smoking, cut back on alcohol, and improve sleep. Pelvic floor exercises and counseling for stress or anxiety can also give solid gains, especially when emotional issues are involved. For some men, hormone therapy or devices (vacuum pumps, penile injections, or implants) are appropriate—your doctor will advise.

Thinking about buying ED meds online? Be careful. Read guides like "How to Safely Order Cialis Professional" and our article on online pharmacies. Only use pharmacies that require a valid prescription and show clear contact info, licensing, and secure payment. Avoid sites that sell prescription drugs without asking for a prescription or that offer suspiciously low prices. If you order online, keep the packaging and check pills against known appearances—report anything odd to your pharmacist or doctor.

Want to start a conversation with your doctor but unsure what to ask? Mention when the problem began, any medicines you take, and if you have heart disease or use nitrates. Ask about tests, treatment success rates, side effects, and follow-up. If a prescription is suggested, ask whether you should try on-demand vs daily dosing and what to do if the medicine doesn’t work.

ED is common and often treatable. Small changes plus the right medical approach can make a big difference. For deeper reads, check our guide on safe online pharmacies and the article about Cialis Professional to learn dosing, interactions, and ordering tips.