Signals

Medical warning signs (time to check in with a clinician)

• New or persistent ED, especially if sudden or paired with other health changes
• Pain with sex, bleeding, or ongoing discomfort
• Genital sores, unusual discharge, burning, lumps, or symptoms suggesting infection
• Sudden major libido change plus fatigue, mood changes, or other systemic symptoms

Relationship warning signs (time to protect dignity and trust)

• Sex becomes a scoreboard ("You never..." "You always...")
• A partner uses ED/low desire as a weapon (jokes, threats, humiliation)
• Avoidance and secrecy replace teamwork
• Pressure, coercion, or entitlement enters the relationship

Red flag reminder

If coercion, intimidation, threats, isolation, or violence are present, sexual health becomes a safety issue first. Seek support.