Erectile dysfunction (ED) is a common issue that affects many men worldwide. It can be caused by physical factors, psychological issues, or underlying diseases such as cardiovascular disorders. While occasional episodes might not be a cause for concern, persistent ED often requires medical consultation to determine the cause and receive appropriate treatment. Warning signs include frequent erectile problems, symptoms related to other health issues, or an impact on psychological well-being. Kano.care offers online consultations with professionals for discreet diagnosis and treatment.

Erectile Dysfunction: When to See a Doctor?

Dr. Sam Ward - Urologue et Andrologue

Medically reviewed by Dr. Sam Ward

Written by Anne-Sophie Laignel

Last updated 9/23/2024 - 5 min read

Erectile dysfunction (ED), commonly known as impotence, is a frequent disorder that affects millions of men around the world. It is the inability to achieve or maintain an erection sufficient for satisfactory sexual intercourse. Although this problem can be occasional, persistent erectile dysfunction can have significant repercussions on the quality of life, both physically and psychologically. The question many men ask is the following: when should one consult a doctor for erectile dysfunction?

In this article, we will explore the causes of erectile dysfunction, the times when it is important to consult a doctor, and the available treatment options, including through online services like Kano.care, where you can get advice from specialists discreetly and quickly.

Understanding erectile dysfunction

Erectile dysfunction can be caused by a combination of physical and psychological factors. Physical causes include vascular, neurological, hormonal, or age-related disorders. Psychological factors, such as stress, anxiety, or depression, can also contribute to the onset of this disorder.

Among the most common causes, we find:

  • Cardiovascular diseases: High blood pressure, atherosclerosis (hardening of the arteries), and other cardiovascular diseases can limit blood flow to the penis, making it difficult to achieve an erection.
  • Diabetes: This disease affects the nerves and blood vessels, which can lead to erectile dysfunction.
  • Hormonal imbalances: Low testosterone levels can be a cause of erectile dysfunction, as can hormonal imbalances related to the thyroid or prolactin production.
  • Neurological disorders: Conditions such as multiple sclerosis, strokes, or spinal cord injuries can interfere with the brain's ability to communicate with the reproductive system.
  • Psychological factors: Performance anxiety, work-related or personal life stress, as well as depression, can affect a man's ability to maintain an erection.

When to consult a doctor?

It is essential to know when to consult a doctor for erectile dysfunction. Occasional ED is not necessarily a cause for concern, especially if it is associated with temporary factors such as fatigue, anxiety, or excessive alcohol consumption. However, if you find that this problem becomes frequent or persistent, it may indicate a more serious underlying condition requiring medical attention.

Here are some warning signs that should prompt you to see a doctor:

1. Frequent or persistent erectile dysfunction

If you are having trouble getting or maintaining an erection more than 25% of the time, it is time to talk to a healthcare professional. Erectile dysfunction that persists beyond a few weeks or months is not just a sexual problem, but can be a sign of an underlying illness.

2. Symptoms associated with other health problems

ED can be an indicator of cardiovascular problems, especially if it is accompanied by other symptoms such as chest pain, excessive fatigue, or shortness of breath. It is therefore essential to consult a doctor promptly if you experience these symptoms concurrently.

3. Impact on the couple's relationship or psychological well-being

If your erectile dysfunction is starting to negatively affect your relationship or if it's causing anxiety, stress, or even depression, it's important to talk to a healthcare professional. Do not let ED affect your emotional and mental well-being.

4. Hormonal changes or decreased libido

A decrease in libido or a lack of interest in sex can also indicate a hormonal imbalance. For instance, low testosterone levels may be associated with erectile dysfunction. A doctor can prescribe hormonal tests to determine if this is the cause of your symptoms.

If you experience any of these symptoms, do not wait. Consult a doctor online today through Kano.care for professional and discreet advice.

Kano, the most affordable urological teleconsultation service.

The treatments available for erectile dysfunction

The treatment of erectile dysfunction depends on the underlying cause. In some cases, lifestyle changes may be enough to improve the situation. Here are some common treatments:

1. Oral medications

Medications such as Viagra(r) (sildenafil), Cialis(r) (tadalafil), or Levitra(r) (vardenafil) are often prescribed to treat ED. They work by increasing blood flow to the penis, thus making it easier to achieve an erection. These medications are effective, but require a medical prescription.

2. Hormonal therapies

If ED is due to a low testosterone level, hormone therapy may be considered. The doctor can prescribe testosterone supplements to restore hormonal balance and improve symptoms.

3. Psychological therapy

In cases where erectile dysfunction is related to psychological factors, consulting with a psychologist or sexologist can help. Cognitive-behavioral therapies (CBT) can be particularly effective in overcoming psychological barriers.

4. Medical devices

There are also devices such as vacuum pumps or penile implants for men whose drug treatments have not worked. These devices allow for a mechanical erection.

5. Changes in lifestyle

In many cases, erectile dysfunction can be improved by changing certain aspects of your lifestyle. Adopting a healthy diet, exercising regularly, quitting smoking, and reducing alcohol consumption are all changes that can have a positive impact on your sexual life.

Need help choosing the right treatment for you? Consult a doctor via Kano.care and get a prescription suited to your situation, all from the comfort of your home.

In short: Why consult a specialist?

Erectile dysfunction can be a warning sign of more serious health issues and should not be ignored. If you have any doubts, consulting a doctor is the best way to identify the underlying cause of your problem and receive appropriate treatment. Thanks to online services like Kano.care, you can access discreet and quick consultations with sexual health specialists, all without having to leave your home. Do not let erectile dysfunction impact your quality of life – solutions are available, and it is essential to address this issue proactively.

Dr. Sam Ward - Urologue et Andrologue

Révision médicale par le Dr. Sam Ward

Directeur médical, Urologue et Andrologue

Le Docteur Sam Ward, urologue et andrologue, dirige le service d'urologie à la Clinique Saint-Jean de Bruxelles depuis octobre 2024. Membre du Comité exécutif de la Chaire UNESCO Santé sexuelle & Droits humains et cofondateur de Kano.care, il est spécialise en santé masculine et médecine sexuelle.

En savoir plus sur notre équipe médicale

Reviewed on 4/7/2025

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Treatments for erectile dysfunction, such as Viagra®, Cialis®, Levitra®, and Spedra®, carry potential risks that vary depending on the patient's health condition. They may cause serious side effects, including cardiovascular issues, dangerous drug interactions, or prolonged erections (priapism), which require immediate medical attention. It is essential never to take these medications without the advice of a qualified healthcare professional. A thorough medical consultation is necessary to determine the appropriate treatment for each individual, taking into account medical history and contraindications. Additionally, it is crucial to ensure that the medications are obtained from reliable and authorized sources. Medications purchased outside legal channels or without a prescription may be counterfeit, ineffective, or even harmful to health. Always consult a doctor before using these treatments and obtain medications from a licensed pharmacy.

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