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[23] [24] You should contact your GP promptly if : Erectile dysfunction develops suddenly or worsens rapidly You experience chest pain, breathlessness, or palpitations during sexual activity ED is accompanied by reduced libido, fatigue, or mood changes (suggesting possible hormonal issues) You have concerns about your diabetes control or medication side effects The condition is causing significant psychological distress or relationship difficulties Remember that erectile dysfunction is a common, treatable condition, and discussing it with healthcare professionals is an important step towards effective management