Erectile Dysfunction Symptom Checker

Please help us understand your situation by answering a few questions.

How long have you been experiencing these symptoms?

Less than a week 1 to 4 weeks More than a month

How severe are your symptoms?

Mild Moderate Severe

How often do you experience difficulties achieving or maintaining an erection?

Occasionally Often Always

Have you noticed other symptoms (e.g., reduced libido, fatigue)?

Yes No

If yes, please describe them:

Are you currently taking any medication?

Yes No

Do you have any known allergies?

Yes No

If yes, please specify:

Additional notes for the prescriber: