The hallmark symptom of erectile dysfunction is the inability to achieve or maintain an erection during sexual activity. This primary symptom can manifest in various forms:

Total Inability to Achieve Erection: Some men may report an absolute inability to achieve an erection, even with sufficient sexual arousal and stimulation.

Inconsistent Ability: In other cases, men may experience erections inconsistently, often unable to maintain an erection throughout sexual intercourse.

Reduced Rigidity: Some men with ED may achieve an erection that lacks the necessary rigidity for penetration or sustained sexual activity.

In addition to these primary symptoms, patients may report decreased sexual desire (libido), premature ejaculation, or delayed ejaculation .

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