Collection: Erectile dysfunction

What Is Erectile Dysfunction (ED)?

Erectile dysfunction (ED) is the persistent difficulty in getting or keeping an erection firm enough for satisfactory sexual activity. It can happen occasionally to many men, especially during stress or tiredness, but when it occurs repeatedly it may indicate an underlying physical or psychological issue. ED is a common condition and can affect confidence, relationships and overall quality of life. Because ED may sometimes be an early sign of cardiovascular or metabolic problems, it is worth discussing with a healthcare professional.

Common Causes and Risk Factors

ED can have multiple causes, including reduced blood flow, nerve problems, hormone imbalances or side effects from certain medicines. Common risk factors include high blood pressure, diabetes, high cholesterol, obesity, smoking, heavy alcohol use and lack of physical activity. Stress, anxiety, depression and relationship difficulties can also contribute, either on their own or together with physical factors. Some prescription medications (for example certain blood pressure medicines or antidepressants) may affect sexual function, so it’s important to review your medication list with a doctor if symptoms appear.

Evidence-Based Treatment Options

ED is often treatable, and the best option depends on the cause. Common medical approaches include prescription medicines (such as PDE5 inhibitors), which improve blood flow and help support erections when sexual stimulation occurs. Other options may include vacuum erection devices, counseling or sex therapy (especially when stress or performance anxiety plays a role), and treating underlying conditions like diabetes or high blood pressure. In some cases, hormone testing may be recommended, and testosterone treatment is considered only when clinically indicated. A doctor can help choose a safe approach and check for contraindications and drug interactions.

Lifestyle and Daily Support

Healthy lifestyle habits can make a meaningful difference for many people. Regular physical activity, weight management, balanced nutrition and good sleep support cardiovascular health and circulation, which are closely linked to erectile function. Reducing smoking and limiting alcohol can also help. Managing stress through relaxation techniques, therapy or improving relationship communication may improve both sexual performance and overall well-being. Some people also use general wellness supplements, but these should not replace medical evaluation or evidence-based treatment.

Safety, Side Effects and When to Seek Help

Because ED treatments can affect the cardiovascular system, safety matters. Prescription ED medicines can cause side effects such as headache, flushing, nasal congestion, dizziness or stomach discomfort, and they may be dangerous if combined with nitrates (used for chest pain) or certain other medications. Seek urgent medical care for chest pain, severe shortness of breath, fainting, or an erection lasting longer than 4 hours. If ED is new, worsening, or accompanied by symptoms like reduced libido, pelvic pain or signs of heart disease, it is important to consult a healthcare professional for proper assessment.

Where to Get Help in Estonia?

In Estonia, the safest first step is to speak with a family doctor or a urologist, who can assess possible causes and recommend appropriate treatment. Prescription ED medications should be obtained through licensed pharmacies and used only under medical guidance. For general wellness products and supplements that support a healthy lifestyle, you can explore options in our e-shop fits.ee, but they are not a substitute for medical care for erectile dysfunction.