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How is erectile dysfunction evaluated?

Added: 26 October 2026

Erectile dysfunction is persistent or recurrent difficulty achieving or maintaining an erection sufficient for sexual activity. Symptoms vary and overlap other conditions, so internet information alone should not be used for diagnosis.

Features, causes and evaluation

1. Features, causes and risks Vascular, nerve, hormonal, medication, sleep, mental-health and relationship factors may interact. It can sometimes be an early cardiovascular risk marker. A risk factor does not guarantee disease, and its absence does not exclude disease. Onset, duration, triggers, medicines and coexisting conditions change the assessment. 2. Clinical evaluation A health professional starts with history and examination and selects laboratory or imaging tests according to the likely possibilities. One out-of-range result does not always prove disease, and a normal result may not exclude every possibility. Age, pregnancy, medicines and clinical context matter.

Follow-up, prevention and when to seek help

1. Follow-up, prevention and safety History, blood pressure, examination and selected labs investigate cause. Unregulated online products can be dangerous, and a painful erection lasting over four hours is an emergency. Treatment depends on diagnosis, severity, other conditions, pregnancy, medicines and personal preferences. Starting, stopping or changing a prescription without professional advice can be unsafe. 2. When to seek help Seek care for new, persistent, worsening or function-limiting symptoms. Sudden breathlessness, chest pain, fainting, new weakness or speech difficulty, uncontrolled bleeding, severe dehydration, confusion or risk of self-harm requires emergency help. This is general information and not a personal medical assessment.

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Revision history

26 October 2026 — Article added.