What characterizes Erectile Dysfunction?

Erectile Dysfunction (ED) is primarily characterized by the repeated inability to maintain an erection during sexual activity, which may lead to distress or interpersonal difficulties. This definition aligns with the diagnostic criteria outlined in the DSM-5-TR, where ED is not solely about the inability to achieve an erection but specifically about the inability to maintain one throughout the course of sexual activity, typically occurring most of the time over a duration of several months.

The term 'most of the time' is significant in this context, as it indicates that while a person may sometimes achieve an erection, the ongoing issue lies in the inability to sustain it during sexual encounters, which is crucial for fulfilling sexual activity. The distress that frequently accompanies this difficulty can lead to significant anxiety, further compounding the issue.

Other options describe symptoms or concerns that are not consistent with the diagnostic criteria for Erectile Dysfunction. For instance, the first choice suggests an inability to achieve sexual arousal irrespective of context, which pertains more to general sexual arousal disorders. The third option describes exaggerated sexual responses, which relates to different sexual dysfunctions rather than ED. Lastly, delayed ejaculation involves a separate issue with the timing of ejaculation rather than the ability to achieve or maintain an erection, further distinguishing it from the symptoms of