[« Doctor, I have a little erection problem ! »].

Erectile dysfunction (ED) is a common condition that affects nearly one in three men age 50 and more than one in two after 70 years. It is often multifactorial and shares risk factors with coronary heart disease, which is an early marker. Its management involves an etiological research, a modifiable risk factors correction and often a treatment with phosphodiesterase type 5 inhibitors (IPDE-5). Follow-up should ensure the effectiveness of treatment and the presence of side effects that could affect medication compliance. Specialized expertise (mainly the urologist, psychiatrist, endocrinologist and cardiologist) is required on a case by case depending on comorbidities, the need for further investigations or no satisfactory IPDE-5 treatment response.