Get evaluated by a doctor to identify the cause
Review and adjust medications that may contribute
Treat underlying conditions such as diabetes, high blood pressure, obesity, and depression
Stop smoking
Limit alcohol use
Exercise regularly
Maintain a healthy weight
Improve sleep
Reduce stress and anxiety
Consider counseling or sex therapy
Use oral medications such as sildenafil, tadalafil, vardenafil, or avanafil if appropriate
Use vacuum erection devices
Consider penile injections
Consider urethral suppositories
Consider hormone therapy if testosterone is low
Consider penile implants if other treatments fail
Seek urgent care for sudden impotence with pain, injury, or other concerning symptoms