Start with the symptom
Sexual health concerns can involve erections, desire, ejaculation, pain, or changes in shape. These are different problems, and a treatment that helps one may not address another. Tell your clinician what changed, how long it has been present, and whether it happens consistently or in particular situations.
Look beyond performance
Erectile difficulties may be associated with blood vessel disease, diabetes, medications, stress, sleep problems, or hormone disorders. Evaluation can include medical and sexual history, an examination, and selected tests. A new symptom deserves attention even if an online product temporarily masks it.
Choosing care
Treatment depends on the cause, your preferences, and your medical history. Tell your clinician about heart medicines, supplements, fertility plans, and previous treatment. Testosterone is not a universal treatment for erectile symptoms. Low-intensity shockwave treatment for ED remains investigational in the AUA guideline; ask how any proposed procedure compares with established options.
When to seek prompt care
An erection lasting four hours, a serious penile injury, or sudden severe pain requires urgent medical assessment. Call 911 for chest pain or other emergency symptoms. For nonurgent concerns, request a confidential consultation at our single Roswell Road office.