Occasional erection difficulties are normal, but when they persist, they may signal an underlying medical problem.
As a vascular surgeon, I often meet men who have delayed consulting a doctor — sometimes for years — out of embarrassment or uncertainty.
Understanding when to seek help can make a real difference in both treatment success and overall health.
When It’s Normal — and When It’s Not
If erection issues happen occasionally after fatigue, stress, or alcohol, there’s usually no cause for concern.
But if the problem has persisted for more than three months, occurs frequently, or leads to anxiety or avoidance of intimacy, it’s time to seek medical evaluation.
Ignoring these signs can delay the detection of cardiovascular, hormonal, or neurological conditions that are both treatable and preventable.
Why You Should See a Specialist
Erectile dysfunction can result from multiple factors — vascular, hormonal, neurological, or psychological.
Only a proper medical assessment can identify the true cause.
That’s why seeing a specialist is so important.
In my consultations, I perform a complete vascular and clinical evaluation to distinguish between physical and psychological factors.
Many men discover that their problem has a clear biological origin — one we can treat effectively.
You can start by taking the self-assessment test or booking a consultation.
What Happens During a Consultation
A typical evaluation includes:
- A discussion about your symptoms and lifestyle
- An examination of vascular and hormonal parameters
- Imaging tests such as penile duplex sonography or Caverno-CT, when necessary
These steps help us determine whether your erectile dysfunction is primarily vascular — such as a venous leak — or related to another cause.
The earlier this process begins, the more successful the treatment will be.
What I Tell My Patients
I always remind my patients that erectile dysfunction is not a sign of weakness or failure.
It’s often a health signal, not a limitation.
The earlier we identify the cause, the more effectively we can treat it — and sometimes even prevent future complications like heart disease.
You can learn more about available options in the treatments section of my website.
Conclusion
If your erection problems have persisted for several months, don’t wait.
A simple evaluation can reveal the cause and open the path to recovery.
Addressing erectile dysfunction early is not just about sexual health — it’s about overall well-being.
Taking that first step toward medical evaluation is often the beginning of renewed confidence, health, and peace of mind.




