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Sexual dysfunctions

Erectile disorder

Persistent difficulty getting or maintaining an erection sufficient for sexual activity, for at least six months and with discomfort.

Common signs

Difficulty getting or keeping an erectionAnxiety about sexual encountersAvoiding intimacy

Tips

For you

  1. Medical check-up: there may be physical causes
  2. Take the pressure off performance
  3. Sex and couples therapy helps

For family and friends

  1. Take the pressure off: sex isn't only penetration
  2. Talk without blame or reproach

When to ask for help

  1. See a doctor: there may be physical causes
  2. If there is diabetes, high blood pressure or smoking

Guidance test

Answer thinking about the last few weeks. There are 8 questions and you get your result straight away. Your answers are not saved or sent.

0 of 8
1. I find it hard to get an erection
2. I find it hard to keep it
3. I worry about not performing during sex
4. I avoid sexual encounters
5. I think about performance during sex
6. It has been happening for months
7. It causes me distress or relationship problems
8. In the morning I sometimes do have erections
Also take the full relationship test →

Free resources

Downloadable PDF sheetSigns, tips and resources to print or saveFree guide: CouplesFree resource from Clínica Vivaldi

Related disorders

Premature ejaculationSexual dysfunctionsDelayed ejaculationSexual dysfunctionsFemale orgasmic disorderSexual dysfunctionsSexual interest or arousal disorderSexual dysfunctions

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Reviewed by María Teresa Fernández Vicente, health psychologist and neuropsychologist (registration no. CV17304), in November 2026. Educational information prepared by the Clínica Vivaldi team based on the DSM-5-TR classification. It does not replace a professional assessment and cannot be used to diagnose.