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You should consult your GP if: Erectile difficulties persist for more than a few weeks or are worsening ED is causing distress, anxiety, or affecting your relationship You experience sudden onset of erectile problems You have other symptoms such as reduced libido, fatigue, or mood changes You're taking medications and suspect they may be contributing to the problem Seek urgent medical attention if: You experience erectile dysfunction alongside chest pain, breathlessness, or other cardiovascular symptoms, as ED can be an early warning sign of heart disease You have an erection lasting more than 4 hours (priapism) this is a medical emergency [22] You develop sudden penile pain or curvature which may indicate Peyronie's disease During your consultation, your GP will typically: Take a comprehensive medical and sexual history Review current medications and lifestyle factors Perform a physical examination including blood pressure and genital examination Arrange blood tests to check for diabetes, cholesterol, and thyroid function Consider a morning testosterone test if you have symptoms of hypogonadism or if you don't respond to initial treatments (this may need to be repeated if borderline) Assess cardiovascular risk factors NICE recommends that men presenting with ED should have their cardiovascular risk assessed using tools such as QRISK3, as the conditions share common risk factors

Now there is concern about whether GLP-1s may interact with birth control pills

For most patients, these symptoms are temporary and manageable, but anything persistent or severe - such as abdominal pain, bladder issues, or constant insomnia - warrants medical review

[1] [2] This temperature range is critical because semaglutide is a peptide molecule susceptible to denaturation and aggregation when exposed to temperature extremes