Difficulty getting an erection
Even when you feel interested in sex.
Men’s health · PJ Old Town
Erectile dysfunction can raise a lot of questions. Start by understanding what has changed. A doctor can assess the possible causes, explain your options and help you decide the next step.
You can ask about availability and fees before deciding to visit.
What has changed, and when?
Your health, history and relevant tests.
Options, expectations and follow-up.
01 / Understanding ED
Erectile dysfunction, or ED, means difficulty getting or keeping an erection firm enough for sex. An occasional difficulty can happen. A recurring change is a reason to speak with a doctor.
Even when you feel interested in sex.
An erection fades before or during sex.
Things feel different from your usual pattern.
You do not need to know the cause before speaking to a doctor. Describing what has changed is a useful place to start.
A fuller picture
Physical health, emotional wellbeing and everyday habits can overlap. Assessment helps make sense of that picture.
See what a doctor checksDiabetes, blood pressure and other conditions affecting blood vessels or nerves can contribute.
Hormonal conditions, including low testosterone, may play a part. Symptoms alone do not establish a hormone diagnosis.
Anxiety, low mood and concerns around sex can affect erections, sometimes alongside physical factors.
Some medicines, smoking, alcohol and low physical activity can contribute. Do not stop prescribed medicine on your own.
02 / Diagnosis
A conversation, relevant health checks and a plan for any tests needed. Your symptoms and medical history guide the assessment.
Open each step to learn more.
The doctor asks about when the difficulty started, how often it happens, morning erections and sexual desire. Your medical history, medicines and emotional wellbeing help complete the picture.
Assessment may include blood pressure and a focused physical examination. The doctor should explain any intimate examination and seek your consent.
Blood glucose, cholesterol and morning testosterone testing may form part of the assessment. Existing results and your history help determine what is needed. Additional tests or specialist investigations depend on the findings.
The doctor explains likely contributing factors, any further assessment and the treatment options to consider. Sometimes a clear diagnosis needs more than one visit.
Investigations are recommended for a clinical reason. Ask what each test will tell you and what it costs before proceeding.
03 / Treatment
The options below explain how ED can be managed. Your doctor can discuss suitability, benefits, possible side effects and whether referral is needed.
Managing underlying health conditions, stopping smoking, reducing excess alcohol and building regular physical activity can be part of care.
Medication may be considered after assessment. The choice depends on your health, other medicines and potential interactions. It is not suitable for everyone.
Counselling or psychological support may help when emotional or relationship factors contribute. This can sit alongside medical care.
If initial treatment is unsuitable or does not help enough, further assessment or a specialist opinion may be appropriate.
Discuss when to review your response, what side effects to report and when the plan may need to change. Improvement and timing vary from person to person.
04 / Planning your visit
Start with an enquiry to the PJ Old Town team. You can ask about the doctor, appointment availability and consultation fee.
Confirm availability for an ED consultation before travelling.
Discuss your concern and any relevant medical history.
Understand the recommendation and costs before deciding.
Common questions
You can keep personal details for your consultation with the doctor.
An occasional difficulty can happen with tiredness, stress or alcohol. If it keeps happening or worries you, a medical assessment can help clarify what is going on.
No. Blood flow, nerve health, medicines and psychological factors can also contribute. Hormone treatment requires an appropriate diagnosis, rather than assuming testosterone is the cause.
Blood tests can help assess contributing conditions. The doctor will consider your history and recent results, then explain which tests are appropriate and why.
It depends on the assessment. Some people need test results or further checks before a treatment decision. Ask the doctor what is appropriate in your case.
Bring your medicine and supplement list and any recent reports. It can help to note when the change began and the questions you want to ask.
Please confirm an ED consultation time with the PJ Old Town team before coming. General clinic opening hours do not guarantee availability for a particular service.
Your next step
Ask the PJ Old Town team about a private consultation. Confirm the fee and an available time before making your visit.
WhatsApp opens with an editable appointment enquiry. You choose what to share.