The short answer
What is erectile dysfunction, and what can cause it?
Erectile dysfunction (ED) is trouble getting an erection, keeping it long enough for sex, or getting one reliably. It can sometimes signal another health problem. Possible contributors include diabetes, heart and blood-vessel disease, high blood pressure, hormone or nerve problems, certain medicines, stress or depression, smoking, excess alcohol, and recreational drugs. A health professional usually considers medical, sexual, and mental-health history, then may use a physical examination and laboratory or other tests to help identify possible causes. ED is common and deserves respectful evaluation.
When might more than messages be needed?
An online history may be a useful starting point, but it may not establish the cause of erection problems. NIDDK says evaluation can include a physical examination for blood-vessel, nerve, hormone, penile, or curvature problems, plus blood tests, ultrasound, or other testing when needed. Video may help clarify concerns, while in-person care or testing may be needed when examination or measurements are important.
Overview
Educational information about erectile dysfunction. Online care may or may not be appropriate; a clinician must evaluate your individual circumstances.
Common symptoms
- Difficulty achieving an erection
- Difficulty maintaining an erection
How online care works
Choose your concern and check your current state. If an approved clinical intake pathway is available, a licensed clinician may review your health information and determine the appropriate visit type and next steps.
When virtual care may be appropriate
- Health history and medication review are sufficient for remote evaluation
When to seek urgent or in-person care
- Chest pain
- An erection lasting over four hours
- New severe symptoms
For a possible medical emergency, call 911 or seek immediate emergency care.
Potential treatment options
- Lifestyle and health review
- Further medical evaluation
- Prescription options if safe and appropriate
Frequently asked questions
Can erectile dysfunction be evaluated online?
It depends on your symptoms, location, and the clinician's judgment. Some situations require an in-person examination.
Will I get a prescription?
Not necessarily. A prescription is issued only when medically appropriate.