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By the term erectile dysfunction we mean the inability to achieve or maintain an erection, in order to have a successful sexual intercourse, while there is a desire. It can be transient, recurring or permanent.
An erection is achieved when the blood flow increases and the penis fills with blood. This process can be hindered by various factors that we divide into two categories: organic and psychological. Sometimes, erectile dysfunction is the result of wrong surgical manipulations in pelvic procedures or medication that a patient may be taking.
The most common organic causes are:
The most common psychogenic causes are:
For most patients, taking a good history (medical and sexual) is sufficient to establish a diagnosis. Based on this, we usually have an estimate of whether the problem is psychological or organic. The doctor should therefore know any health problems, the medication you follow, operations you have undergone, as well as if there is a history of drugs, alcohol or smoking. He should also know the description of the problem, if other sexual problems coexist, if it is periodic or permanent, if an erection is achieved through masturbation, and if aggravating factors have been observed.
If the doctor deems it appropriate, you will undergo more specific tests, such as: blood tests (sugar, cholesterol, testosterone), vascular-penile triplex or recording of nocturnal erections.
The treatment will be determined by the type of erectile dysfunction. If the cause is psychological or there are problems in the relationship, a specialized sexologist will be able to help you overcome the problem. Often, when the problem is mixed, a combination of psychotherapy and medication is used.
For erectile dysfunction, which is due to organic causes, the options available are:
You can also book your next appointment online. Just fill out the form and we will contact you.
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