How to Bring Up ED With a Doctor (Script Included)

September 17, 2026 · 4 min read

Most men wait a long time before raising this, and much of that delay comes down to not knowing how to open the conversation. Providers who see men's health issues have this conversation constantly — the awkwardness is entirely on your side of the desk.

The opening line

Say it early in the appointment, not on the way out the door. Something as plain as: 'Before we finish — I've been having trouble getting or keeping an erection, and I'd like to get it looked at.' That's the whole script. No preamble needed.

What to prepare beforehand

Specifics turn a vague appointment into a diagnostic one.

  • When it started and whether it came on suddenly or gradually
  • Whether you still get morning or spontaneous erections
  • Whether it happens every time or only in certain situations
  • A complete list of medications and supplements
  • Alcohol, tobacco and recreational drug use, honestly
  • Recent blood pressure readings if you have them

Questions worth asking

Could any of my medications be contributing? Should I have bloodwork — glucose, lipids, testosterone, thyroid? Does this suggest anything about my cardiovascular risk? What are the options besides medication? Is treatment safe with my heart history?

If you're brushed off

'It's just age' is not a workup. It's reasonable to ask for bloodwork or a referral to a urologist or men's health clinic. Getting a second opinion for a dismissed symptom is normal, not rude.

The short version

Lead with one plain sentence, bring specifics, and ask for bloodwork. That's a productive appointment.

This article is general health information, not medical advice, and does not create a patient–provider relationship. Prescription treatment is only available after an evaluation by a licensed provider who determines it is appropriate for you. Do not take a PDE5 inhibitor if you use nitrates or riociguat. Seek emergency care for chest pain, sudden vision or hearing loss, or an erection lasting more than 4 hours. See our Important Safety Information.

Read this part sober

Tadalafil and sildenafil are prescription medications. Treatment is only available after an evaluation by a licensed provider who determines it is appropriate for you. A compounded tadalafil/sildenafil rapid-dissolve tablet is prepared by a licensed compounding pharmacy and is not FDA-approved as a combination product; FDA does not review compounded drugs for safety, effectiveness, or quality.

Do not take this medication if you use nitrates (nitroglycerin, isosorbide) or guanylate cyclase stimulators such as riociguat — the combination can cause a sudden, unsafe drop in blood pressure. Seek emergency care for an erection lasting more than 4 hours. Not for use by anyone under 18, and not for women or children.