How to Tell If You Have Erectile Dysfunction: 4 Key Signs to Watch For

It’s a common question: “Do I have ED?” One disappointing experience in the bedroom can make any man wonder if something more serious is going on. And given how closely our culture links sexual performance to confidence and self-worth, it’s easy to spiral into worry.

The truth? Occasional issues with erections are totally normal—and they don’t always mean you have erectile dysfunction. But if it’s happening regularly, it could be a sign of something more.

So how do you know if it’s ED?

Let’s break it down. Below, we’ll walk through what erectile dysfunction is, the most common signs and symptoms, and what to do next if you think it might be affecting you.

What Is Erectile Dysfunction (ED)?

Erectile dysfunction is the persistent inability to get or maintain an erection that’s firm enough for sex. It affects an estimated 52% of men between ages 40 and 70—but it can happen at any age, especially when stress, anxiety, or health conditions are involved.

ED isn’t just about sex—it can also be a sign of underlying medical or psychological issues. That’s why it’s important not to ignore the symptoms.

4 Common Signs You May Have ED

1. You Struggle to Get Fully Hard

If your erections are weaker than they used to be—or you can't get fully hard at all—it may be an early sign of ED. While arousal begins in the brain, erections rely heavily on blood flow. If the blood vessels or tissues in your penis aren’t working efficiently, achieving a firm erection can be difficult.

This isn’t always due to a serious condition—it could be stress or poor sleep—but if it becomes consistent, it’s worth paying attention.

2. You Lose Your Erection During Sex

Getting hard is one thing, but staying hard is just as important. Losing your erection before or during sex, especially if it’s happening frequently, is a red flag.

Sometimes the cause is physical (like poor circulation). Other times, it’s psychological—stress, anxiety, or fear of performance failure can all interfere with staying erect.

3. You’ve Lost Interest in Sex

A drop in libido can both cause and result from erectile dysfunction. Maybe you're avoiding sex because past attempts have been frustrating. Or maybe you just don’t feel the desire like you used to.

This could be a psychological response—or it might be linked to something physical like low testosterone, depression, or other health issues.

4. Your Erections Are Painful

Painful erections aren’t normal. If you’re experiencing discomfort during arousal or sex, it could point to an underlying condition like Peyronie’s disease, priapism, or a urological issue. In some cases, painful erections may even lead to ED over time by reducing desire and confidence.

When Does ED Usually Start?

ED is more common with age, but it’s not just an “older guy” issue. While many men first experience symptoms in their 40s or 50s, it can happen in your 20s or 30s—especially if you’re dealing with stress, anxiety, or lifestyle factors like poor diet or lack of sleep.

Can ED Come On Suddenly?

Usually, erectile dysfunction develops gradually. But in some cases, it can seem sudden—especially if triggered by:

• High stress or anxiety
  
• New medications
  
• Excessive alcohol or drug use
  
• Relationship issues
  
• Hormonal shifts
  
• Physical injury or illness
  
  

If your symptoms came on quickly, take note of any recent changes in your health, habits, or emotional state.

Do You Have Risk Factors for ED?

Certain health conditions can increase your risk for erectile dysfunction. These include:

• High blood pressure or cholesterol
  
• Diabetes
  
• Obesity or metabolic syndrome
  
• Heart disease or atherosclerosis
  
• Depression or anxiety
  
• Smoking or heavy drinking
  
• Low testosterone
  
  

Your healthcare provider may recommend a physical exam, bloodwork, or lifestyle changes to help identify the cause.

What to Do If You Think You Have ED

If these signs sound familiar, it’s time to talk to a medical provider. The sooner you address the issue, the more options you’ll have—whether that’s medication, therapy, hormone testing, or targeted lifestyle changes.

Remember: ED is common, treatable, and nothing to be embarrassed about. You deserve to feel confident, healthy, and in control of your sex life.

Ready to get answers?

Start with a discreet consultation at Good Life Meds and take the first step toward feeling like yourself again.