What to do about erectile dysfunction? Causes & modern help for men
- Erection
You’re not alone: around one in three men over 40 struggles with erection problems at some point. The good news is that help is available in most cases. In this article, you will find out what causes erectile dysfunction, how it is diagnosed and what modern treatment options are available to you.
What are the most common causes of erectile dysfunction?
Erection problems can have physical, psychological or mixed causes. The most common triggers are
Physical causes:
- Circulatory disorders (e.g. arteriosclerosis)
- Diabetes mellitus, mostly type II in old age
- Testosterone deficiency, whereby the cause must be clarified. There may be disorders at various levels of the hormone control cycle. A testosterone deficiency often occurs as a side effect of the metabolic disorder in type II diabetes.
- Side effects of medication
Psychological causes:
- Stress in everyday life or at work
- Pressure to perform
- Anxiety disorders
- Depression
Lifestyle factors:
- Smoking
- Alcohol abuse
- Lack of exercise (due to poorer blood circulation and oxygen supply)
How does the urologist's diagnosis work?
The first step is a confidential consultation with your urologist. This will not only look at your medical history, but also your current lifestyle.
Typical examinations:
- Blood test (e.g. testosterone, blood sugar, cholesterol)
- Ultrasound of the penile vessels
- Erectile function test (e.g. night swelling measurement, SKAT injection)
Tip: Openness is crucial - the more the doctor knows, the better he can help.
Which medications help with erectile dysfunction?
In many cases, so-called PDE-5 inhibitors, which improve blood flow in the penis, can help. There are various preparations that contain this active ingredient.
It should always be taken in consultation with a doctor, especially in the case of cardiovascular disease or eye problems.
What alternatives are there to tablets?
Not everyone responds to medication or wants to take it permanently. Alternatives are
1. vacuum pump:
Mechanical device that creates a vacuum and thus draws blood into the penis.
2. erectile tissue implant:
Surgical intervention, especially for severe erectile dysfunction.
3. shock wave therapy:
Modern method to promote blood circulation.
4. injection therapy:
Direct introduction of an active ingredient into the erectile tissue using a fine needle.
When is psychological support useful?
If anxiety, blockages or partnership conflicts play a role, sex therapy is very helpful.
Advantages:
- Understanding and solving causes
- Improve partnership
- Strengthen self-confidence
Many men benefit from a combination of medical and psychological therapy.
Conclusion: erection problems are treatable
Erectile dysfunction is not a taboo subject. With the right diagnosis and an individual treatment plan, the quality of life can often be significantly improved. Speak openly with your urologist – help is at hand!
The medical information provided on this website is for general information purposes only and does not replace a personal consultation with our doctors. As a tertiary medical center, we are also available for second opinions.
© Copyright Jörg Hagen, Doctor
About the author
Jörg Hagen, doctor
The author Jörg Hagen has been the medical director of UGRS International Germany since 1995 and has over 30 years of experience in penis enlargement and complex urological issues. He is regarded as one of the leading experts in the interests of patients in Europe. His international activities, excellent diagnostics and legal successes in patient rights make his assessments particularly well-founded. Patients appreciate his scientifically based, discreet and trustworthy care. His articles are based on many years of practice and well-founded information at the highest level.
This content is for general information purposes only and does not constitute medical advice, diagnosis or treatment recommendations. It is in no way a substitute for a professional examination or treatment by a licensed physician. If you have any health complaints or uncertainties, please always consult a medical professional – especially if you have any questions about intimate surgery or sexual health.
