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How to Know If You Have ED: Signs and Symptoms

Written by Sexual Health Team

Published 03/09/2025

Updated 06/19/2025

Erectile dysfunction (ED) is one of the most common sexual health concerns for men, but many still hesitate to talk about it. While occasional difficulties in achieving or maintaining an erection can be a normal part of life, persistent issues can indicate a deeper problem that needs to be addressed. In fact, ED is more common than most men realize, and seeking help early can make a significant difference in both treatment and quality of life.

At Andyou, we believe that understanding ED, its signs, and potential causes is the first step toward better sexual health. In this article, we'll guide you through the signs of ED, the causes, and the best ways to seek treatment.

What Is Erectile Dysfunction (ED)?

Erectile dysfunction (ED) refers to the inability to achieve or maintain an erection firm enough for sexual intercourse. While occasional erectile difficulty is common—especially in times of stress or fatigue—frequent or persistent issues may indicate the presence of ED. It’s important to remember that ED is a medical condition, not a sign of weakness or failure. In fact, it’s estimated that nearly 1 in 4 men will experience ED at some point in their lives.

The good news is that ED is treatable. Recognizing the signs early and seeking treatment can significantly improve sexual health and confidence. At Andyou, we provide expert guidance and support for Filipino men dealing with ED. If you’re noticing changes in your erections, sexual desire, or overall performance, this guide can help you identify if you’re experiencing ED.

Common Signs and Symptoms of ED

The signs of erectile dysfunction can vary from person to person. While some men may only experience one or two symptoms, others may notice a combination. Here are the most common signs to look for:

1. Difficulty Getting an Erection

The most obvious symptom of ED is difficulty getting an erection. For many men, this starts as an occasional issue but may become more frequent over time. If you’re regularly struggling to achieve an erection that’s firm enough for penetration, it’s time to take notice.

Erections occur when blood flow increases to the penis, filling two chambers called the corpora cavernosa. If blood flow is restricted due to underlying health problems, you may find it difficult to achieve or maintain an erection. Stress, anxiety, and fatigue can also interfere with the process.

2. Trouble Maintaining an Erection

Another common symptom of ED is difficulty maintaining an erection during sexual intercourse. Men may be able to achieve an erection, but it may soften or go away too quickly before they can complete intercourse.

This symptom can be particularly frustrating, as it often leads to embarrassment and anxiety. It’s essential to recognize that stress, anxiety, and mental pressure can all cause erections to fade, particularly if you're preoccupied with performance.

3. Reduced Interest in Sexual Activity

ED can also lead to a decrease in sexual desire, or libido. Men with ED often find themselves avoiding sex due to anxiety or fear of disappointing their partner. This drop in libido can be frustrating for both partners and is commonly linked to psychological stress.

Several factors contribute to a decreased libido, including:

Hormonal imbalances, like low testosterone
Psychological factors, such as depression, anxiety, or stress
Relationship issues, such as lack of communication or intimacy

If you’re noticing a reduced interest in sex alongside difficulties with erections, it’s important to talk to a healthcare provider to rule out underlying causes.

4. Painful Erections

Erections should not cause pain. If you experience discomfort during an erection, this could indicate an underlying health issue. Conditions like Peyronie’s disease, which causes curvature in the penis, or priapism (a prolonged, painful erection) can lead to ED.

If you’re experiencing pain or discomfort with erections, it’s important to seek medical advice. Conditions like this can cause permanent damage if left untreated.

5. Changes in Morning Erections

Morning erections are a normal part of male physiology. However, men with ED may notice a reduction or absence of these spontaneous erections. Morning erections are a sign of healthy blood flow and testosterone levels, so changes in this pattern could be an early indication of erectile dysfunction.

Causes of Erectile Dysfunction

Erectile dysfunction can be caused by a variety of factors, both physical and psychological. In many cases, ED is the result of one or more underlying health conditions.

1. Physical Causes

Several health conditions and lifestyle factors can contribute to ED:

Cardiovascular issues like high blood pressure or heart disease can restrict blood flow to the penis, making it difficult to get an erection.
Diabetes can damage blood vessels and nerves, which are critical for sexual function.
Obesity is linked to poor circulation and can lead to low testosterone, both of which increase the risk of ED.
Hormonal imbalances, including low testosterone or high prolactin levels, can interfere with sexual function.
Medications for other health conditions can also interfere with erections.

2. Psychological Causes

Stress, anxiety, and depression are significant psychological factors contributing to ED. Performance anxiety, worry about past experiences, or relationship issues can cause erectile problems. If you’re feeling anxious or self-conscious about your performance, this mental stress can prevent you from becoming aroused or maintaining an erection.

3. Lifestyle Causes

Certain lifestyle choices can also contribute to ED, including:

Smoking restricts blood flow and damages blood vessels, leading to difficulty in getting an erection.
Alcohol consumption in excess can interfere with sexual performance and lead to temporary or chronic ED.
Lack of exercise can reduce blood circulation, which impacts the ability to achieve and maintain an erection.

Risk Factors for ED

Several factors increase the risk of ED, including:

Age: ED is more common in men over 40, although it can affect younger men as well.
Chronic health conditions: Diabetes, heart disease, and high blood pressure are all linked to ED.
Obesity: Being overweight can contribute to poor circulation and hormonal imbalances, both of which affect erectile function.
Family history: If your father or grandfather had ED, you may be more likely to develop it.
Lifestyle choices: Smoking, alcohol, and lack of exercise are all major risk factors for ED.

When Should You See a Doctor?

If you’re experiencing any of the symptoms of ED, it’s essential to consult with a healthcare provider. Your doctor will assess your overall health, review your medical history, and conduct tests to determine the cause of your ED.

At Andyou, we offer private consultations with licensed Filipino doctors who specialize in sexual health. If you're concerned about ED, schedule your consultation today. We’ll guide you toward the most effective treatment options for your situation.

Treatment Options for ED

There are several treatment options available to help men with ED, ranging from oral medications to lifestyle changes.

1. Oral Medications (Sildenafil, Tadalafil, Vardenafil)

These medications are the most common and effective treatment for ED. They work by relaxing the blood vessels in the penis and increasing blood flow, helping you achieve and maintain an erection. Common medications include sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra).

To learn more about ED medications, check out our guide on Sildenafil and Tadalafil.

2. Psychological Counseling

If your ED is caused by stress, anxiety, or depression, speaking with a therapist or counselor can help you manage these underlying issues. Therapy can help you overcome emotional barriers and restore your confidence.

3. Lifestyle Changes

Incorporating healthier habits into your lifestyle—such as exercising regularly, eating a balanced diet, quitting smoking, and reducing alcohol consumption—can improve erectile function and overall health.

4. Testosterone Therapy

For men whose ED is linked to low testosterone levels, hormone replacement therapy may help restore normal function.

Conclusion

Erectile dysfunction doesn’t have to be a lifelong issue. By recognizing the signs early and seeking the right treatment, you can regain confidence and improve your sexual health. Whether through oral medications, lifestyle changes, or psychological counseling, there are many options available.

If you're experiencing any of the symptoms mentioned in this blog, don’t wait to take action. The sooner you get help, the better your chances of restoring healthy erectile function and enhancing your quality of life. At Andyou, we’re here to support you every step of the way.

Take control of your health today by scheduling a consultation with us.

Sexual Health Team

The &you Sexual Health Team provides private, science-backed care for issues like ED and low libido. With licensed doctors and pharmacists guiding every step, we offer trusted treatments, holistic support, and a judgment-free path toward confidence and sexual well-being.