Erectile dysfunction can have physical, medication-related and psychological contributors. It does not establish low testosterone, and it is not a measure of masculinity or personal worth.

A clinician can review symptoms, medical history, medications and cardiovascular risk factors, then decide whether testing is indicated. Testosterone is not an appropriate treatment for everyone with erectile difficulties.

Treatment options depend on the cause and may include established medications, counseling, lifestyle measures or specialist referral. Discuss contraindications, interactions and realistic expectations before treatment. No outcome is guaranteed.

Do not stop prescribed medicines or buy unverified sexual-enhancement products online. A qualified clinician can help determine an appropriate next step without shame or assumptions about your health.