Erectile Dysfunction: What’s Going On and What You Can Do

Worried about not getting or keeping erections? You’re not alone. Erectile dysfunction (ED) affects men of all ages, and it often signals something treatable — from simple lifestyle issues to medical conditions like diabetes or heart disease. This page gives clear, practical steps you can try today, what meds and treatments work, and when to get a medical checkup.

Quick steps you can try now

Start with small, concrete changes that often help. Quit smoking or cut back — tobacco narrows blood vessels and reduces blood flow to the penis. Move more: aim for 30 minutes of moderate exercise most days to improve circulation and mood. Lose weight if you’re overweight; even 5–10% bodyweight can make a difference. Watch alcohol — heavy drinking can lower sexual performance. Finally, check the meds you take: some blood pressure drugs, antidepressants, and prostate medicines can cause ED. Don’t stop prescriptions on your own; talk to your doctor about alternatives or dose changes.

If stress or anxiety seems to be the trigger, try simple steps like deep breathing before sex, cutting out performance pressure, and being open with your partner. A session or two with a sex therapist or counselor can change things quickly for some men.

Medical treatments and safety

PDE5 inhibitors — Viagra (sildenafil), Cialis (tadalafil), and similar drugs — are the most common first-line treatments. They help by increasing blood flow to the penis. Important safety note: never take these if you use nitrates (often prescribed for chest pain) — the combo can dangerously lower blood pressure. Also talk to your doctor about side effects like headache, flushing, or back pain.

Other options if pills don’t work: penile injections, vacuum erection devices, urethral suppositories, hormone replacement if low testosterone is confirmed, or surgical implants for long-term solutions. Each option has trade-offs; a urologist can explain what fits your health and goals.

Before starting treatment, get a basic check: blood sugar, cholesterol, blood pressure, and testosterone if symptoms suggest low levels. ED can be an early sign of cardiovascular problems, so don’t delay a checkup if you have other risk factors.

Thinking of buying meds online? Use licensed pharmacies, require a prescription, and avoid sites that sell without one. Our site covers safety tips and trusted pharmacy reviews — read those before you order.

Practical final step: track when ED happens, note medications and alcohol use, and bring that list to your appointment. Bring your partner if you want. Clear facts and simple steps make ED manageable — and many men see real improvement within weeks of making changes or starting proper treatment.