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Erectile dysfunction means not being able to get and keep an erection firm enough for sexual activity It also is called impotence. Diagnosing erectile dysfunction involves having a physical exam and answering questions about your medical and sexual history If you have ongoing health conditions that. Advanced diagnosis and treatment mayo clinic's approach to men's sexual health is to screen for cardiovascular diseases and endocrine conditions, such as low testosterone, that. Medicines that you take by mouth are called oral medicines They're often the first line of treatment for trouble getting or keeping an erection, called erectile dysfunction (ed) If your ed is impacting your mental health or your relationship, your doctor may also recommend that you and your partner visit a psychologist or a sexual therapist But oral medicines aren't safe or effective for everyone with ed If that's the case for you, your doctor or other health care professional might recommend nonoral treatments Erectile dysfunction โ€” the inability to get and keep an erection firm enough for sex โ€” can be an early warning sign of current or future heart problems Likewise, if you have heart disease,. Penile implants are devices placed inside the penis to allow men with erectile dysfunction (ed) to get an erection Penile implants are typically recommended after other. Erectile dysfunction also can be caused by high blood pressure and heart disease These conditions are common in men with diabetes Although age can contribute to ed, erectile.