Red Flags & When to Go In Person for Erectile Dysfunction (ED) - Evaluation

Audience: pediatric

Erectile Dysfunction (ED) in young people can be concerning and may affect self-esteem and health. Telemedicine can help provide education and initial evaluation for ED by discussing symptoms, lifestyle, and general health. However, some signs mean you should see a healthcare provider in person quickly. These include sudden inability to get erections, pain, injury, or symptoms of other health problems like fever or swelling. Understanding when to seek in-person care helps ensure safety and proper treatment. This guide explains red flags, what telemedicine can and cannot do for ED, and how to prepare for and follow up after a telemedicine visit.

Red flags — go in person / ER

• Sudden inability to get an erection following injury — go to emergency care immediately.
• Pain, swelling, redness, or fever in the genital area — seek urgent in-person evaluation.
• Blood in urine or semen — see a healthcare provider promptly for assessment.

What telemedicine can do

• Initial education about ED causes and symptoms.
• Review of medical history and lifestyle factors.
• Guidance on when to seek in-person care.
• Emotional support and counseling referrals.

What telemedicine cannot do

• Physical examination or diagnostic testing.
• Emergency evaluation of sudden or severe symptoms.
• Prescribing certain medications without prior in-person assessment.
• Treatment of infections or injuries requiring hands-on care.

What Is Erectile Dysfunction in Young People?

Erectile Dysfunction (ED) means having trouble getting or keeping an erection firm enough for sexual activity. In children and teens, ED is less common but can happen due to physical or emotional reasons. It is important to understand that ED can sometimes be a sign of other health issues or stress.

Common Causes of ED in Pediatric Patients

ED in young people may be caused by hormonal changes, stress, anxiety, certain medications, or physical conditions affecting blood flow or nerves. Sometimes, lifestyle factors like poor sleep or substance use can play a role. A healthcare provider can help find the cause.

Red Flags: When to See a Doctor in Person

Seek in-person care if you notice:

These signs may need urgent evaluation and treatment.

What Telemedicine Can Do for ED

Telemedicine can:

What Telemedicine Cannot Do for ED

Telemedicine cannot:

In these cases, an in-person visit is necessary.

Preparing for Your Telemedicine Visit

Before your visit:

How to prepare for your tele-visit

• List your symptoms and when they began.
• Note all current medications and supplements.
• Prepare questions or concerns to discuss.
• Choose a private, quiet place for the tele-visit.
• Have a trusted adult nearby if needed for support.

After your tele-visit

• Follow any lifestyle or behavioral advice given.
• Schedule an in-person visit if recommended.
• Monitor symptoms and note any changes or new red flags.
• Seek emergency care if sudden pain, injury, or severe symptoms occur.
• Keep a record of treatments and follow-up appointments.

FAQs

Can teenagers have erectile dysfunction?

Yes, teenagers can experience erectile dysfunction, often due to stress, anxiety, hormonal changes, or other health issues. It's important to talk to a healthcare provider if symptoms persist.

Is ED always a sign of a serious health problem?

Not always. ED can be caused by temporary factors like stress or fatigue. However, it can sometimes indicate underlying health conditions that need medical attention.

Can telemedicine help me with ED?

Telemedicine can provide education, discuss symptoms, and help decide if you need to see a doctor in person. It cannot replace physical exams or emergency care.

When should I see a doctor in person for ED?

See a doctor promptly if you have sudden inability to get an erection after injury, pain or swelling, fever, blood in urine or semen, or severe emotional distress.

Are there treatments for ED in young people?

Treatment depends on the cause. It may include lifestyle changes, counseling, or medical therapies. A healthcare provider can help determine the best approach.

Sources

1. Erectile Dysfunction — MedlinePlus, U.S. National Library of Medicine.
2. Erectile Dysfunction in Adolescents — American Academy of Pediatrics.
3. Erectile Dysfunction Fact Sheet — Centers for Disease Control and Prevention (CDC).
4. Erectile Dysfunction Overview — Mayo Clinic.

This telemedicine guidance is for educational purposes only and is not a substitute for in-person medical care. If you experience any concerning or severe symptoms, seek prompt evaluation by a healthcare professional.