Erectile Dysfunction in Men: Causes, Symptoms and Online Treatment Options in Spain
Learn about erectile dysfunction causes, symptoms and treatment options. Get discreet online consultations with Spanish-licensed doctors and prescription medications.
Dr. James Mitchell
Medical Professional

π©Ί Erectile Dysfunction in Men: Causes, Symptoms and Online Treatment Options in Spain
Erectile dysfunction (ED) affects millions of men worldwide and is one of the most common reasons men seek private medical advice. While it can be embarrassing to discuss, ED is highly treatable, and early consultation with a doctor can make a significant difference.
If you're in Spain and prefer a discreet approach, UrgentDoc offers secure online video consultations with experienced doctors who can assess your symptoms confidentially from home.
πΉ What Is Erectile Dysfunction?
Erectile dysfunction is the inability to achieve or maintain an erection firm enough for satisfactory sexual activity. It can occur occasionally or persistently, and it becomes a medical concern when it happens frequently over several weeks or months.
ED is not the same as low libido (reduced sex drive). A man may have normal desire but still struggle with erections due to physical or psychological factors.
πΉ Common Symptoms of ED
Men experiencing erectile dysfunction may notice:
- Difficulty getting an erection during sexual activity
- Erections that are not firm enough for penetration
- Erections that only last a short time
- Reduced morning or nocturnal erections
These symptoms can worsen over time if the underlying cause is not addressed.
πΉ Common Causes of Erectile Dysfunction
ED often results from a combination of physical, psychological and lifestyle factors. Understanding the root cause is key to effective treatment.
Physical Causes
- Cardiovascular issues: High blood pressure, high cholesterol and atherosclerosis can reduce blood flow to the penis
- Diabetes: Poorly controlled blood sugar damages nerves and blood vessels
- Hormonal imbalances: Low testosterone levels affect libido and erectile function
- Medications: Antidepressants, blood pressure drugs and others can contribute
- Neurological conditions: Parkinson's, multiple sclerosis or prostate surgery
Psychological Causes
- Stress and anxiety: Performance anxiety is particularly common in younger men
- Depression: Affects both desire and the ability to achieve erection
- Relationship problems: Communication issues or unresolved conflicts
Lifestyle Factors
Smoking, excessive alcohol, obesity and lack of exercise all impair vascular health and contribute to ED.
πΉ When Should You See a Doctor for ED?
Consult a doctor promptly if:
- ED persists for more than a few weeks
- It occurs alongside chest pain, shortness of breath or sudden vision/hearing loss (seek emergency care)
- You have diabetes, heart disease or other chronic conditions
- ED causes significant distress or relationship strain
π¬ Book a private online consultation with an UrgentDoc doctor today β no waiting rooms, full confidentiality, available 24/7 across Spain.
πΉ How Online Doctors in Spain Can Help with ED
Telemedicine makes it easy to address ED discreetly. At UrgentDoc, licensed doctors can:
- Take a full medical history via secure video
- Assess symptoms and risk factors
- Order blood tests (testosterone, cholesterol, blood sugar) if needed
- Discuss lifestyle advice and suitable treatments
- Prescribe medication when clinically appropriate under Spanish regulations
πΉ Treatment Options for Erectile Dysfunction
Treatment is tailored to the cause and severity. Most men see improvement with a combination approach.
Lifestyle Changes
- Regular exercise (30 minutes most days) improves blood flow and testosterone
- Healthy diet, weight loss if overweight, quitting smoking and limiting alcohol
- Stress management through mindfulness or therapy
Medications
- PDE5 inhibitors (e.g., sildenafil/Viagra, tadalafil/Cialis): Enhance blood flow to the penis. Effective for 70β80% of men
- Testosterone replacement: If levels are low (confirmed by blood test)
- Always obtain prescriptions from a qualified doctor β never buy online without consultation
Other Medical Options
- Vacuum erection devices: Non-drug option for suitable candidates
- Injections or urethral pellets: For men not responding to pills
- Psychosexual therapy: Addresses anxiety or relationship issues
- Advanced treatments: Penile implants or vascular surgery (rare cases)
π¬ If you're in Spain, UrgentDoc doctors can prescribe ED medications online after assessment, with e-prescriptions sent directly to your chosen pharmacy.
β Frequently Asked Questions
Is ED a normal part of aging?
Occasional ED increases with age, but persistent problems are not "normal" and are often treatable regardless of age.
Can stress alone cause ED?
Yes, especially performance anxiety. However, ongoing ED usually has physical contributors too.
How quickly do ED treatments work?
PDE5 inhibitors work within 30β60 minutes. Lifestyle changes take weeks to months.
Is ED covered by Spanish private health insurance?
Many plans cover consultations and medications β check your policy or ask your UrgentDoc doctor.
Can I get ED treatment online in Spain as a tourist?
Yes, UrgentDoc serves residents and visitors with valid ID. Prescriptions work at local pharmacies.
πΉ Next Steps: Get Help Discreetly Today
Erectile dysfunction is common, treatable and nothing to be ashamed of. Delaying help only makes options more limited.
π Ready to take the first step? Book your confidential UrgentDoc online consultation now. Speak to a doctor within minutes, get personalised advice and start feeling confident again β all from the privacy of your home anywhere in Spain.


