Intimacy matters whether it’s Valentine’s Day or any other day. Unfortunately, a condition like erectile dysfunction (ED) can put a damper on even the most intimate moments. While ED may be awkward to discuss, top hospital in the Philippines Makati Medical Center (MakatiMed) explains that more than just disrupting a couple’s time together, ED can also be a warning sign of underlying health woes.
ED is defined as difficulty getting and/or keeping an erection. This includes the inability to get a firm enough erection to have penetration and complete sexual intercourse, despite the desire to engage in sexual activity. According to Hermenegildo Jose B. Zialcita, MD of the hospital’s Section Head of Urology, ED is typically found in older men, but it can happen to anyone.
“It is not normal to have erection issues, and it is best to see a doctor if it has come to a point where it affects your self-esteem and your relationship,” shares Dr. Zialcita. “A physical exam along with a detailed medical and psychological history is typically all that’s needed for a doctor to diagnose erectile dysfunction and recommend treatment.”
According to John Hopkins Medicine, ED may affect approximately 322 million men worldwide in 2025, and with over 75% percent of them not seeking treatment according to the Philippine Urological Association, Inc., Dr. Zialcita is encouraging men to change those numbers by consulting with qualified medical experts if they notice signs of ED.
MakatiMed shares the doctor’s sentiment that ED may be a sign of underlying issues related to blood circulation to the penis, which may be related to Cardiovascular, Neurologic, and Endocrine issues.
This condition has also been considered as an early sign of a circulatory problem. “For instance, conditions like atherosclerosis or blocked arteries may impact overall blood flow, which results in erection issues,” explains Dr. Zialcita.
Similarly, conditions that affect the nerves and neurological functions can disrupt the brain’s ability to communicate with the reproductive system, causing ED. “Stroke, spinal and brain tumors, Alzheimer’s disease, and multiple sclerosis can also lead to ED,” shares Dr. Zialcita.
Still, Dr. Zialcita reassures men with ED that they don’t have to say goodbye to intimate moments forever. Treatments will depend on what is causing the dysfunction. This may include medications to control blood pressure, cholesterol, or blood sugar, hormone therapy for testosterone or thyroid function, adjusting medications if ED is a side effect, or counseling to address mental health issues. Oral medications are also used to treat ED by improving blood flow to the penis to achieve and maintain an erection.
“Making certain lifestyle changes also makes a huge difference. I often recommend patients to maintain a healthy weight and begin some type of regular exercise, especially aerobic activities such as walking, jogging, or swimming, to improve circulation and overall health,” stresses Dr. Zialcita.
“Men shouldn’t be embarrassed to seek help,” emphasizes Dr. Zialcita. “If ED is constantly getting in the way of the best moments with your partner, talk to your doctor. Because addressing ED isn’t just about restoring intimacy—it’s also about improving your quality of life and preventing more serious complications.”
