Penile erection is a complex physiological process, dependent on various factors, such as neurological, vascular, muscular and psychological, and fundamental to a man’s sex life and consequent well-being. Erectile dysfunction is defined as the persistent inability to achieve and/or maintain an erection sufficient to allow satisfactory sexual performance. This symptom can significantly affect a man’s quality of life, as well as that of his sexual partners, and is strongly related to modifiable risk factors and cardiovascular disease. Primary health care is the most likely setting to address this issue, and family doctors must be prepared to act appropriately. With this in mind, using the guidelines of the European Association of Urology as the main bibliographic basis and adapting them to clinical practice, this protocol was drawn up to be used in all aspects associated with sexual dysfunction and the patient’s biopsychosocial context. In a practical and organized way, it is intended that, in SOAP record format, it will be possible to assess the patient and offer a therapeutic plan that suits their needs and expectations in order to improve their quality of life and prevent worsening of their individual state of health, without fear of medication or lack of guidance, with the appropriate scientific knowledge.

Francisco Matias completed his residency in Family Medicine at the age of 31 on Madeira Island, Portugal, after earning his Master’s Degree in Medicine from the University of Coimbra, Portugal. During his residency, he developed and implemented a regional protocol for the management of Erectile Dysfunction, which was later published in Acta Urologica Portuguesa. Since completing his training, he has been practicing as a Family Physician with a strong emphasis on preventive medicine. His clinical interests center on men’s health, and he has pioneered an innovative initiative known as the “Fathers’ Appointment.” This specialized consultation aims to support men through the journey of fatherhood—promoting both paternal involvement and personal health awareness.