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You should arrange an appointment if: You experience new or worsening erectile dysfunction Sexual problems are affecting your quality of life or relationship You have concerns about whether your medications might be contributing to ED You notice other symptoms alongside ED, such as reduced libido, fatigue, or mood changes (which might suggest low testosterone) Seek urgent medical attention (call 999) if: You experience severe chest pain, breathlessness, or other symptoms suggesting a heart attack or stroke during or after sexual activity What to expect during your consultation : Your GP will take a comprehensive medical and sexual history, including the onset, duration, and severity of symptoms