{"id":8810149,"date":"2026-09-09T15:37:39","date_gmt":"2026-09-09T15:37:39","guid":{"rendered":"https:\/\/www.costamedicalservices.com\/portugal\/medical-library\/erectile-dysfunction-health\/"},"modified":"2026-09-09T15:37:39","modified_gmt":"2026-09-09T15:37:39","slug":"erectile-dysfunction-health","status":"publish","type":"page","link":"https:\/\/www.costamedicalservices.com\/sv\/portugal\/medical-library\/erectile-dysfunction-health\/","title":{"rendered":"Erectile dysfunction: what it may reveal about your health \u2014 Portugal"},"content":{"rendered":"\n<style>.entry-title{display:none!important}.cmsarticle{--ink:#103d56;--muted:#647d8b;--blue:#2d78da;--cyan:#1baec5;--green:#16856f;--line:#d9e7ed;--soft:#f3f8fa;--warn:#fff7e8;--rose:#fff3f3;--shadow:0 18px 44px rgba(16,61,86,.11)}\n.cmsarticle,.cmsarticle *{box-sizing:border-box}.cmsarticle 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a{border-radius:13px;background:var(--soft);padding:14px;text-decoration:none;font-size:13px;font-weight:800}.cmsarticle .related a span{display:block;font-size:11px;color:var(--muted);font-weight:600;margin-top:3px}.cmsarticle .reviewer{display:grid;grid-template-columns:70px 1fr;gap:17px;padding:22px;border:1px solid var(--line);border-radius:18px;margin:30px 0 22px;background:#fff}.cmsarticle .avatar{width:70px;height:70px;border-radius:50%;display:grid;place-items:center;background:linear-gradient(145deg,#daf4f7,#e8eefb);font-size:22px;font-weight:900}.cmsarticle .reviewer h3{margin:0 0 3px}.cmsarticle .reviewer p{font-size:14px;color:var(--muted);margin:0}.cmsarticle .seal{display:inline-block;margin-top:8px;color:var(--green);font-size:12px;font-weight:850}.cmsarticle .sources{font-size:14px;color:var(--muted);border-top:1px solid var(--line);padding-top:24px}.cmsarticle .sources h2{font-size:25px;margin-top:0}.cmsarticle .sources li{margin-bottom:9px}.cmsarticle 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21px;background-image:linear-gradient(0deg,rgba(255,255,255,.99) 0%,rgba(255,255,255,.95) 51%,rgba(255,255,255,.06) 75%),var(--hero);background-position:68% center}.cmsarticle .hero h1{font-size:40px}.cmsarticle .dek{font-size:17px}.cmsarticle .layout{gap:26px}.cmsarticle .summary{padding:22px 20px}.cmsarticle article{font-size:16px}.cmsarticle article h2{font-size:28px}.cmsarticle .cards,.cmsarticle .checklist{grid-template-columns:1fr}.cmsarticle .reviewer{grid-template-columns:56px 1fr}.cmsarticle .avatar{width:56px;height:56px;font-size:18px}}\n<\/style>\n<div class=\"cmsarticle\" lang=\"en-GB\"><div class=\"page\"><a class=\"back\" href=\"https:\/\/www.costamedicalservices.com\/portugal\/medical-library\/\">\u2190 Return to the Medical Library<\/a><header class=\"hero\" style=\"--hero:url(&quot;https:\/\/www.costamedicalservices.com\/wp-content\/uploads\/2026\/04\/Consulta-medica-virtual-en-casa-1.png&quot;)\"><div class=\"hero-copy\"><div class=\"eyebrow\">Men&#8217;s health \u00b7 medical guide<\/div><h1>Erectile dysfunction: what it may reveal about your health<\/h1><p class=\"dek\">Medical guide on causes, assessment, treatments and warning signs of erectile dysfunction.<\/p><div class=\"tags\"><span>erectile dysfunction<\/span><span>sildenafil<\/span><span>tadalafil<\/span><span>cardiovascular health<\/span><\/div><div class=\"byline\"><span><strong>Reading:<\/strong> 12 minutes<\/span><span><strong>Updated:<\/strong> August 30, 2026<\/span><span><strong>Medical review:<\/strong> Dr Paulo<\/span><\/div><\/div><\/header><div class=\"layout\"><nav class=\"toc\" aria-label=\"Content\"><b>In this article<\/b><a href=\"\/#resumen\">Summary and conclusions<\/a><a href=\"\/#s1\">What is it and when does it stop being something specific?<\/a><a href=\"\/#s2\">What the doctor checks<\/a><a href=\"\/#s3\">Treatments: there is no universal option<\/a><a href=\"\/#s4\">When to ask for help<\/a><a href=\"\/#fuentes\">Official sources<\/a><\/nav><article><section class=\"summary\" id=\"resumen\"><div class=\"summary-label\">Summary and conclusions<\/div><h2>The essentials in less than a minute<\/h2><ul><li>Erectile dysfunction is common and can have vascular, metabolic, hormonal, neurological, pharmacological or psychological causes.<\/li><li>It is not advisable to choose sildenafil or tadalafil only for duration: you must first review medication, cardiovascular health and possible contraindications.<\/li><li>PDE5 inhibitors are first-line treatment in many people, but should not be combined with nitrates.<\/li><li>A persistent problem deserves evaluation; There is no need to wait for it to seriously affect your relationship or self-esteem.<\/li><\/ul><\/section><section id=\"s1\"><h2>What is it and when does it stop being something specific?<\/h2><p>Having isolated difficulty getting or maintaining an erection does not necessarily equate to a disease. Tiredness, stress, alcohol, a new situation or concern about \u201cperforming\u201d can play a role. We speak of erectile dysfunction when the difficulty is repeated and affects satisfactory sexual activity.<\/p><p>Erection depends on blood vessels, nerves, hormones, sexual stimulation and emotional context. That is why the consultation should not be limited to asking for a pill: a good assessment tries to understand what part of the system may be failing.<\/p><div class=\"answer\"><strong>Key idea<\/strong>Erectile dysfunction can be a sexual symptom and, at the same time, an opportunity to detect cardiovascular or metabolic risk factors.<\/div><\/section>\n<section id=\"s2\"><h2>What the doctor checks<\/h2><p>The clinical history usually includes onset and progression, spontaneous erections, sexual desire, pain or curvature, usual treatments, alcohol or tobacco consumption, and relationship with stress or mood. Hypertension, diabetes, cholesterol, obesity, sleep apnea and cardiovascular history also matter.<\/p><div class=\"table-wrap\"><table><caption>Questions that guide the assessment<\/caption><thead><tr><th>Area<\/th><th>Why it matters<\/th><\/tr><\/thead><tbody><tr><td>Gradual or sudden onset<\/td><td>Helps distinguish organic, situational or mixed patterns.<\/td><\/tr><tr><td>Medication<\/td><td>Some antihypertensive drugs, psychotropic drugs and other treatments can influence.<\/td><\/tr><tr><td>Physical exertion and cardiac symptoms<\/td><td>It allows us to assess whether sexual activity and treatment are safe.<\/td><\/tr><tr><td>Craving and hormonal symptoms<\/td><td>A decrease in desire is not always explained by the erection mechanism.<\/td><\/tr><\/tbody><\/table><\/div><\/section>\n<section id=\"s3\"><h2>Treatments: there is no universal option<\/h2><p>European guidelines recommend addressing habits and risk factors along with treatment. PDE5 inhibitors\u2014including sildenafil and tadalafil\u2014are a first-line option for many people. They need sexual stimulation and their response depends on the pattern, the moment, the food in some cases and the cause of the problem.<\/p><div class=\"cards\"><div class=\"mini\"><b>1<\/b><strong>Sildenafil<\/strong><span>Shorter action option; The pattern must be individualised.<\/span><\/div><div class=\"mini\"><b>2<\/b><strong>Tadalafil<\/strong><span>Longer duration and options for use according to prescription.<\/span><\/div><div class=\"mini\"><b>3<\/b><strong>Treat the cause<\/strong><span>Vascular risk, medication, mental health, sleep and relationship.<\/span><\/div><\/div><div class=\"warning red\"><h3>Dangerous combination<\/h3><p>Erection medications should not be combined with nitrates used for angina. If there is chest pain, fainting or shortness of breath, seek urgent care and explain what medication has been taken.<\/p><\/div><\/section>\n<section id=\"s4\"><h2>When to ask for help<\/h2><p>It is advisable to consult if the problem persists, appears with less effort than before, is associated with loss of desire, curvature, pain or urinary symptoms, or if diabetes or cardiovascular disease exists. A painful erection that lasts several hours requires urgent attention.<\/p><p>The online consultation can be useful for a first assessment and to decide if the treatment is appropriate or if an examination, blood tests or an in-person review is necessary. A prescription should never be automatic.<\/p><\/section><section class=\"related\"><h2>Continue on the right route<\/h2><p>Related medical guides and service pages. This article provides general information; treatment and prescribing decisions require an individual medical assessment.<\/p><div class=\"related-grid\"><a href=\"https:\/\/www.costamedicalservices.com\/portugal\/telehealth\/online-doctor\/\">Erectile dysfunction<span>Clinical information and consultation<\/span><\/a><a href=\"https:\/\/www.costamedicalservices.com\/portugal\/telehealth\/online-doctor\/\">Online medical consultation<span>Clinical information and consultation<\/span><\/a><a href=\"https:\/\/www.costamedicalservices.com\/portugal\/repeat-prescription\/\">Drug Directory<span>Clinical information and consultation<\/span><\/a><\/div><\/section><section class=\"reviewer\"><div class=\"avatar\">P.<\/div><div><h3>Medically reviewed by Dr Paulo<\/h3><p>Medical reviewer for Costa Medical Services. Clinical coherence, safety and source quality reviewed.<\/p><span class=\"seal\">\u2713 Ordem dos M\u00e9dicos Portugal 69376 \u00b7 Review August 30, 2026<\/span><\/div><\/section><section class=\"sources\" id=\"fuentes\"><h2>Official and clinical sources<\/h2><ol><li><a href=\"https:\/\/uroweb.org\/guidelines\/sexual-and-reproductivehealth\/chapter\/management-of-erectile-dysfunction\">EAU Guidelines: Management of Erectile Dysfunction<\/a><\/li><li><a href=\"https:\/\/cima.aemps.es\/cima\/publico\/home.html\">AEMPS \u00b7 CIMA, official information on medications<\/a><\/li><\/ol><p>Regulatory information may change. Before publishing in WordPress, you should double-check the current version of the SmPC and leaflet.<\/p><\/section><section class=\"cta\"><h2>Do you need a medical evaluation?<\/h2><p>The consultation is used to review symptoms, history, medication and decide if online management is appropriate or if you need in-person care.<\/p><a href=\"https:\/\/www.costamedicalservices.com\/portugal\/telehealth\/online-doctor\/\">See medical consultation<\/a><\/section><aside class=\"disclaimer portugal-note\"><strong>Information for patients in Portugal<\/strong><p>Medicine availability, approved indications and dispensing requirements may differ by country. For Portugal, current regulatory information should be checked with <a href=\"https:\/\/www.infarmed.pt\/\">INFARMED<\/a>, and treatment must be assessed individually.<\/p><\/aside><aside class=\"disclaimer\"><strong>Notice about AI and medical information<\/strong><p>This article has been prepared with the help of artificial intelligence tools and may contain errors, inaccuracies or omissions. It is provided for general guidance only and is never a substitute for medical advice, examination, diagnosis or the instructions in the package leaflet. Do not start, stop, or modify a medication or delay urgent care based on this content alone.<\/p><\/aside><\/article><\/div><\/div><\/div>\n\n\n\n<script type=\"application\/ld+json\" id=\"cms-confirmed-medical-review\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"MedicalWebPage\",\"@id\":\"https:\/\/www.costamedicalservices.com\/portugal\/medical-library\/erectile-dysfunction-health\/\",\"url\":\"https:\/\/www.costamedicalservices.com\/portugal\/medical-library\/erectile-dysfunction-health\/\",\"inLanguage\":\"en-GB\",\"reviewedBy\":{\"@type\":\"Physician\",\"name\":\"Dr Paulo\",\"identifier\":\"Ordem dos M\u00e9dicos Portugal 69376\"},\"lastReviewed\":\"2026-08-30\",\"name\":\"Erectile dysfunction: what it may reveal about your health\",\"description\":\"Medical guide on causes, assessment, treatments and warning signs of erectile 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