Home » Health » Expert Advice: Causes and Treatment of Erectile Dysfunction – Urologist and Sexual Medicine Specialist Shares Insights

Expert Advice: Causes and Treatment of Erectile Dysfunction – Urologist and Sexual Medicine Specialist Shares Insights

Sex life is important for every individual and can have a significant impact on health. Erectile dysfunction is a problem that can affect the quality of life of any man.

Iurie ARIAN, UROLOGIST-ANDROLOGIST, SPECIALIST IN SEXUAL MEDICINE: “Erectile dysfunction is the situation in which the man cannot obtain or maintain an erection strong enough to continue the sexual act. It can affect men at any age, from the first attempt to have a sexual activity, to men of advanced age. The most prone are young men because the psychological aspect is more predominant”.

Lack of experience or sexual education can cause anxiety and can affect erectile function in young people.

Iurie ARIAN, UROLOGIST-ANDROLOGIST, SPECIALIST IN SEXUAL MEDICINE: “Men over the age of 40 are more prone to erectile dysfunction due to organic causes, when it is a hormonal problem, weight, related to the prostate or urogenital infections. They can also have a psychological problem, because any erectile failure can psychologically influence any man, of any age”.

The erection process is a complex one, and involves the interaction of several factors, including the nervous system, the vascular system, but also psychological factors.

Iurie ARIAN, UROLOGIST-ANDROLOGIST, SPECIALIST IN SEXUAL MEDICINE: “In order to have an erection, it is necessary for the blood vessels to relax, which take the blood to the penis, and for the corpora cavernosa, which are a totality of blood vessels in the penis, to relax, and respectively to allow the blood to enter the penis. If the vessels do not relax, respectively, the erection cannot take place”.

Among the causes are the presence of certain vices such as smoking, alcohol, unhealthy diet, which can affect the elasticity of the vessels.

Iurie ARIAN, UROLOGIST-ANDROLOGIST, SPECIALIST IN SEXUAL MEDICINE: “If we talk about the hormonal background, men who have a low level of testosterone. And we are obviously talking about other concomitant pathologies, which after the age of 40 often overlap, such as diabetes, cardiovascular pathologies”.

Iurie ARIAN, UROLOGIST-ANDROLOGIST, SPECIALIST IN SEXUAL MEDICINE: “Erectile dysfunction can be an early sign of cardiovascular pathologies. A man who is at risk of myocardial infarction or hypertension may have erectile dysfunction 2-3 years before this pathology generates acute events”.

Psychological factors play an important role in the development of erectile dysfunction. Continuous stress affects the blood vessels and does not allow relaxation and an erection.

Iurie ARIAN, UROLOGIST-ANDROLOGIST, SPECIALIST IN SEXUAL MEDICINE: “Psychologically, the man who once had an erectile failure will always be afraid that this failure will repeat itself. Because of this installed performance anxiety, sometimes even preparations and treatments may not help”.

Most men who face erectile dysfunction become anxious, depressed and avoid having sexual relations.

Iurie ARIAN, UROLOGIST-ANDROLOGIST, SPECIALIST IN SEXUAL MEDICINE: “A lot depends on the partner’s support. There are men who do not even get to be consulted by the specialist doctor, considering that the partner provides the necessary support and consultation”.

Most patients are prescribed drug treatments. Surgical interventions can also be performed, including genital organ prosthesis, but this intervention is rarely performed in our country.

Iurie ARIAN, UROLOGIST-ANDROLOGIST, SPECIALIST IN SEXUAL MEDICINE: “What about prophylaxis, if we talk about young patients, obviously this sexual education would be one of the main tools. As for men after the age of 30-40, diet, alcohol abuse, smoking are obviously important”.

The abuse of anabolic substances, but also excessive physical activity, which blocks the production of testosterone, must also be avoided.

Iurie ARIAN, UROLOGIST-ANDROLOGIST, SPECIALIST IN SEXUAL MEDICINE: “Regular sexual activity is a guarantee of a normal erectile function. We always encourage our patients to have regular sexual relations, at least to masturbate, because the production of fluid in the prostate, in the seminal vesicles is continuous, the drainage of the prostate through ejaculation is important to be regular. It will also ensure the health and functionality of the blood vessels”.

Treating concomitant pathologies such as cardiovascular and metabolic diseases is also an important preventive measure for erectile dysfunction.

2024-01-21 12:52:13
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