Erection problems

Erectile dysfunction; Impotence; Sexual dysfunction - male

For many men, lifestyle changes can help:

• Cut down on smoking, alcohol, and illegal drugs.
• Get plenty of rest and take time to relax.
• Exercise and eat a healthy diet to maintain good circulation.
• Use safe sex practices, which reduces fear of HIV and STDs.
• Talk openly to your partner about sex and your relationship. If you are unable to do this, counseling can help.

Couples who cannot talk to each other are likely to have problems with sexual intimacy. Men who have trouble communicating their feelings may find it difficult to share with their partner any anxieties about their sexual performance. In these circumstances, counseling can be very helpful for both you and your partner.

Call your doctor if:

• The problem does not go away with self-care measures -- effective treatments are available
• The problem begins after an injury or prostate surgery
• You have other symptoms like low back pain, abdominal pain, or change in urination

If erection problems seem to be caused by a medication you are taking for an unrelated condition, consult your doctor. You may benefit from reducing the dose of the drug or changing to another drug that has the same result but not the same side effects. DO NOT change or stop taking any medications without first talking to your doctor.

Talk to your health care provider if your erection problems are related to fear of recurring heart problems. Sexual intercourse is usually safe in these circumstances.

Call your doctor immediately or go to an emergency room if medication for erection problems give you an unwanted erection that lasts more than 4 hours. Permanent impotence or other lasting damage to your penis may result from this condition.

Your doctor will perform a physical examination, which will likely include:

• Checking your blood flow (circulation)
• Exam of your penis
• Neurological exam
• Rectal exam