Because “erectile dysfunction” (ED) is a complex disorder that may result from a number of physical and (possibly) psychological causes, the American Urological Association (AUA) recommends a more detailed assessment of ED than many men currently undergo. It’s not unusual for some ED patients to be asked about their sexual function, then to be prescribed a medication, without further evaluation. Instead, the AUA prefers that ED patients be counseled about other health conditions that may be related to ED, such as undiagnosed cardiovascular disease, high blood pressure, and diabetes. ED could also be indicative of a testosterone deficiency (hypogonadism) or be linked to depression, stress, or performance anxiety, in which case a referral to a mental health professional is needed.
P.S. The American Urological Association’s guidelines on erectile dysfunction assessment and treatment encourage patients’ partners to be involved in the process of managing ED.