Erectile Dysfunction

Erectile Dysfunction (ED) is a condition where a man is unable to achieve or maintain an erection sufficient for satisfactory sexual performance. This condition can impact sexual satisfaction, relationships, and family life. Erectile Dysfunction can affect men of all ages, but it is more common in older men.

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Causes of Erectile Dysfunction

Erectile Dysfunction often results from a combination of physical and psychological factors. The primary cause is inadequate blood flow to the penis. Several factors contribute to Erectile Dysfunction:

• Physical Factors: Heart disease, diabetes, high blood pressure, or pelvic injuries can lead to Erectile Dysfunction.
• Psychological Factors: Depression, anxiety, and stress are significant contributors to Erectile Dysfunction.
• Combination of Both: Many cases of Erectile Dysfunction involve both physical and psychological components.

Who is at Risk for Erectile Dysfunction?

• Age: The risk of Erectile Dysfunction increases significantly after age 65, with over 25% affected. Erectile Dysfunction can begin as early as age 40, affecting about 2%.
• Chronic Diseases: Conditions like heart disease, high blood pressure, and diabetes increase the risk of Erectile Dysfunction.
• Surgeries or Injuries: Particularly those involving the pelvic area can lead to Erectile Dysfunction.
• Low Testosterone Levels: Hormonal imbalances can result in Erectile Dysfunction.
• Medication Side Effects: Certain blood pressure medications and antidepressants can cause Erectile Dysfunction.
• Unhealthy Lifestyle: Smoking, excessive alcohol consumption, and lack of exercise are risk factors for Erectile Dysfunction.
• Mental Health Issues: Depression and high stress levels are often linked to Erectile Dysfunction.

Preventing Erectile Dysfunction

Maintaining overall physical and mental health is crucial in preventing Erectile Dysfunction. Adequate rest, regular exercise, and avoiding risk factors can help prevent Erectile Dysfunction.

Treating Erectile Dysfunction

There are both non-pharmacological and pharmacological treatments available for Erectile Dysfunction, including:

• Oral Medications (Type 5 Inhibitors): These are first-line treatments for Erectile Dysfunction, with common side effects like headaches, blurred vision, hot flashes, and muscle aches.
• Penile Injections: Drugs injected directly into the penis can cause an erection that lasts 30-60 minutes, helping to manage Erectile Dysfunction.
• Urethral Suppositories: Small pellets inserted into the urethra to induce an erection (not available in Thailand) are another treatment for Erectile Dysfunction.
• Vacuum Erection Devices: These devices draw blood into the penis, creating an erection, and are useful in treating Erectile Dysfunction.
• Low Intensity Shock Wave Therapy: This therapy uses shock waves to stimulate new blood vessel formation in the penis, aiding in the treatment of Erectile Dysfunction.

Addressing the Underlying Causes of Erectile Dysfunction

Two main methods include:

• Hormone Replacement Therapy: For men with low testosterone, either through topical applications or injections, this can help treat Erectile Dysfunction.

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