Erectile Dysfunction (ED) is a commonly encountered medical condition characterized by an inability to achieve or sustain an erection for sexual engagement.

Issues surrounding sexual health can manifest themselves through various symptoms; understanding these markers is key for identifying and treating any problems related to your sexual health.

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There are times when it’s obvious you should see a doctor. A dangerous fever, constant vomiting or excruciating pain are all clear indicators that it’s time to call for help.

But some symptoms are more difficult to identify, or may be easier to ignore. Erectile dysfunction (ED) is one such symptom that needs to be taken seriously.

1. Reduced Sexual Desire or Libido

The desire to engage in sexual activity varies from one person to the next, but if you find yourself having a low libido, it could be a warning sign. Libido can decrease due to many factors, including medical conditions, hormone changes and medications. If you're concerned, talk to your doctor about how often you're feeling this way and if it started recently or gradually.

Men who experience a loss of libido should also talk to their doctor about whether they may be suffering from erectile dysfunction, or ED. The condition isn't a reflection of their health or masculinity, but it can affect their self-esteem and relationships.

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If a loss of libido is due to medication, your doctor will help you adjust the dosage or switch medications. Depression and anxiety medications can lower libido, as can hormonal contraceptives. Medications used to treat chronic pain and certain illnesses can also reduce libido.

If you're experiencing a low libido due to stress, your doctor can recommend relaxation techniques such as deep breathing or yoga. Similarly, therapy or sex education can help you regain your confidence and desire to be intimate with your partner. It's important to be honest with your doctor about how you feel and any other problems you're having in your relationship. This will help them provide the best care for you.

2. Difficulty Achieving Orgasms

Orgasms and ejaculation (the release of semen) typically happen during sexual climax, which can be difficult to reach for some people. When a person has trouble reaching orgasms, it can be a warning sign that something could be wrong with the body's reproductive organs.

Men who have difficulty achieving orgasms should see their doctor, especially if the problem is a recent symptom. During a visit, the doctor will likely ask questions about sex history and relationships, and may want to perform some tests. This might include blood or urine testing for hormones, or a physical exam.

If the doctor isn't sure what's causing the problems, they may refer the patient to a specialist. This might be a urologist, who is like a gynecologist but deals with issues related to the penis, testes and prostate.

A number of different factors can contribute to orgasm difficulties, including:

3. Reduced Force or Volume of Ejaculation

Ejaculation is a two-step process that occurs during sexual climax to expel sperm from the body. If you're noticing that the force or volume of your ejaculation has been reduced, it's important to talk to your doctor. This can also be a warning sign of other underlying health issues, such as heart disease or diabetes.

It's important to be honest with your doctor about your sexual problems so they can evaluate and treat any underlying conditions. Your doctor may ask you to describe your symptoms, do a physical exam and run blood or urine tests to rule out other causes. They'll also want to know if you take any medications, including over-the-counter supplements and herbs.

If you're experiencing a reduction in the force or volume of your ejaculation, it's likely due to age-related changes. Research shows that as men get older, their ejaculation volume and quality decreases. This decline can actually start in your 20s or 30s, but most men don't notice it until they're older.

Other things that can cause a decreased ejaculation volume include smoking, certain medications and a poor diet. Your doctor may prescribe medications such as sildenafil (brand name Viagra), tadalafil (brand name Cialis) or vardenafil (brand name Levitra). These medications work to relax muscles around the penis, helping you produce more semen.

4. Anxiety or Depression

Depression is a serious mental health condition that can cause changes in mood and behaviors. For men with depression, these changes can affect their sex drive and sexual satisfaction. In fact, a study published in 2018 found that more severe episodes of depression were associated with sexual dysfunction and lower orgasms. Depression can also increase a man's risk of heart disease and other health problems that can lead to erectile dysfunction, so it's important to talk to your doctor about your concerns.

Signs of anxiety or depression can include a persistent feeling of fear or tension, difficulty sleeping or an inability to enjoy activities that usually make you happy. People with these conditions may also experience feelings of sadness or hopelessness. Fortunately, both anxiety and depression are treatable. Talk to a trusted friend, partner or GP about how you're feeling and how your symptoms are impacting your daily life. You can also seek help from a psychologist or counselor who can teach you strategies to cope and manage your emotions.

Treatment for erectile dysfunction (ED) often starts with taking care of any underlying health issues, such as diabetes and heart disease. Your doctor may also suggest lifestyle changes, such as a healthier diet, exercise and stress management, and may prescribe medication, such as SSRIs, SNRIs or TCAs depending on your symptoms.