Erectile Dysfunction

What is erectile dysfunction?

Erectile dysfunction is the difficulty in achieving or maintaining a firm erection during sexual intercourse. It can happen occasionally, but if it occurs frequently, it is important to have it evaluated. This problem not only affects sexual life, but also self-esteem, the relationship with your partner, and emotional health.

Main causes of erectile dysfunction

There are multiple causes, including:

• Circulation problems (diabetes, high blood pressure, high cholesterol)
• Hormonal imbalances such as low testosterone
• Use of medications (antidepressants, antihypertensives)
• Stress, anxiety, or depression
• Consumption of alcohol, tobacco, or drugs

During the consultation, we analyze your medical history, habits, and possible causes to find the right solution. If you also have urinary problems, we can perform a prostate check-up in the same appointment.

What is the evaluation like?

During the consultation, I will ask you specific questions about your symptoms, habits, and general health. Depending on the case, we may request:

• Blood tests to check hormone and metabolic levels
• Penile ultrasound or Doppler if vascular problems are suspected

The entire process is confidential, professional, and non-judgmental. My goal is to make you feel comfortable discussing this topic.

Treatments for Erectile Dysfunction

The treatment depends on the cause but may include:

• Lifestyle changes: diet, exercise, and stress management
• Oral medications that improve blood flow
• Hormone therapy if there is a testosterone deficiency
• Shockwave treatments in selected cases
• Vacuum devices or penile injections if medications do not work
• Urological surgery in advanced cases

In my practice, we create a personalized plan based on your age, health status, and preferences.

Can Erectile Dysfunction Be Cured?

In most cases, yes. If the cause is reversible, such as stress, being overweight, or a medication, the problem improves with changes and adjustments. If it is a vascular problem, we can use medications or advanced medical treatments. The important thing is not to ignore it or self-medicate. A professional evaluation is key to treating the root of the problem and not just the symptom.