For some men, it has been months or even years since they have had a healthy sexual relationship. It may seem awkward to even think about having sex again, never mind talking to your partner about it. But talking about it is important. Don’t hesitate, just remember that starting up a sexual relationship again needs time and patience, but you can work it out as a team.

Any disorder that interferes with your physical ability to produce an erection may cause ED — particularly any condition that affects the flow of blood to the penis during sexual stimulation. Some of the health conditions commonly associated with ED include high blood pressure, heart disease (sometimes called “cardiovascular” disease) and high cholesterol, diabetes or depression.

Medications that you take for these conditions can cause ED or increase your risk for ED. It is a good idea to talk to your health care professional about all the medicines that you take. Sometimes there are alternatives that will not have the same effects. It is also important to follow your healthcare professional’s advice for managing lifestyle factors that affect these conditions, such as diet and exercise. Many of these conditions can be well controlled.