Encourage a medical evaluation to identify the cause
Review current medications with a clinician
Address stress, anxiety, and relationship concerns
Improve sleep, exercise, and overall health
Reduce alcohol and avoid smoking or recreational drugs
Manage diabetes, blood pressure, cholesterol, and weight
Consider counseling or sex therapy
Use prescription ED treatments only under medical guidance
Try vacuum erection devices if appropriate
Discuss hormone testing if symptoms suggest low testosterone
Avoid unproven supplements or online ED products
Seek urgent care for a painful erection lasting more than 4 hours