Brief Answer:
Possible treatment and needed further steps explained below

Detailed Answer:
Hello and welcome to 'Ask A Doctor' service,

I carefully read your query and understand your concern.

Erectile disfunction may be due to a range of conditions from physiological to heart problems, diabetes, low testosterone levels, etc.

There are treatments such as Sildenafil that can be used to enhance erection and many times this is what patients get to help with erectile dysfunction.

On the other hand, it is important to rule out treatable conditions such as heart ischemia, diabetes, and low testosterone to definitely treat erectile dysfunction.

Also, ruling out heart ischemia is important before taking Sildenafil as it may cause a heart attack in patients with heart problems.

To conclude, I would recommend to you:
- a heart ultrasound, ECG
- fasting blood glucose levels
- testosterone level in the blood
- if any of the above tests are abnormal specific treatment should be taken to treat the underlying co diction
- if the tests come out normal, you may use Sildenafil for the erectile dysfunction.

I hope this answers your query. I remain at your disposal in case further medical assistance is needed.

Regards,
Dr. Antoneta Zotaj
General and Family Physician

---