ED can be more than a performance issue
Persistent erectile dysfunction can be associated with vascular disease, diabetes, medication effects, neurologic conditions, hormones, mental health, sleep problems, and relationship factors.
Seek broader evaluation when appropriate
New, persistent, painful, injury-related, or rapidly worsening symptoms deserve medical assessment. Chest pain, severe shortness of breath, or neurologic symptoms require urgent care.
Emergency medication events
Seek urgent care for an erection lasting four hours or longer, sudden vision or hearing loss, or severe symptoms after taking medication.