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So did alcohol-related problems

If you experience any of the following, call emergency services or go to the nearest emergency room: Severe, Crushing Chest Pain : Severe pain that feels like a heavy weight on your chest and does not go away with rest is an emergency

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NICE-aligned management typically involves: Addressing modifiable risk factors (smoking cessation, weight loss, increased physical activity, alcohol reduction) Optimising management of underlying conditions (diabetes, hypertension, depression) Trial of PDE5 inhibitor therapy Referral to specialist services (urology/andrology) if first-line treatments fail or where structural/neurological/endocrine causes are suspected Consideration of psychosexual therapy where appropriate Men should be reassured that ED is a medical condition with effective treatments, and seeking help through proper channels ensures safety, appropriate investigation of underlying causes, and access to evidence-based therapies

The medical reasoning is based on three priorities: confirming that the medication works as intended, protecting organ systems that handle metabolic changes, and catching Side Effects early when they are easiest to manage