Erectile Dysfunction

Erectile dysfunction (ED) refers to the persistent inability to develop or maintain an erection adequate for sexual activity. While prevalence increases with age (affecting ~40% of men by age 40), ED can occur at any adult age due to multifaceted causes.

Primary Causes of ED

Physical Factors:

✔ Cardiovascular conditions (atherosclerosis, hypertension)
✔ Endocrine disorders (diabetes, low testosterone)
✔ Neurological issues (MS, Parkinson’s)
✔ Medication side effects (antidepressants, blood pressure drugs)

Psychological Factors:

• Chronic stress or anxiety
• Depression
• Performance anxiety
• Relationship conflicts

Evidence-Based Treatment Options

First-Line Therapies

TreatmentHow It WorksEfficacyDuration
PDE5 Inhibitors (Viagra, Cialis)Enhances blood flow to penis70-85% success4-36 hours
Testosterone TherapyAddresses hormonal deficiencyEffective for hypogonadismRequires ongoing use

Advanced Interventions

• Intracavernosal Injections (Alprostadil) – 80-90% efficacy
• Vacuum Erection Devices – Non-pharmacological option
• Penile Implants – Surgical solution for refractory cases

Holistic Management Approach

  1. Lifestyle Modifications:

    • Regular aerobic exercise

    • Mediterranean diet

    • Smoking cessation

    • Alcohol moderation

  2. Psychological Support:

    • Cognitive behavioral therapy

    • Sex therapy

    • Stress management techniques

When to Seek Medical Help

Consult a urologist or sexual health specialist if:
⚠️ Symptoms persist >3 months
⚠️ Accompanied by other health concerns
⚠️ Affecting relationship quality or mental health

Early intervention improves outcomes – Modern treatments successfully manage ED in 90%+ cases when properly diagnosed. Schedule a confidential consultation to explore personalized solutions.

Filters
5 Results
Mahdi Ghazi

Mahdi Ghazi

Urologist

Dr. Mahdi Ghazi is a highly skilled urologist and surgeon based in Mashhad, Iran, with international training and decades of […]

Iran, Mashhad
Ahmadreza Rafati

Ahmadreza Rafati

Endourologist

Dr. Ahmadreza Rafati is a leading urologist and male infertility specialist in Tehran, recognized for his expertise in endourology, laparoscopy, and reproductive urology. With international […]

Iran, Tehran
Mojtaba Ameli

Mojtaba Ameli

Endourologist

Dr. Mojtaba Ameli is a top-ranked urologist specializing in: Endourology and laparoscopic urologic surgery Kidney stone and urinary tract treatments Prostate surgery […]

Iran, Tehran
Babak Javanmard

Babak Javanmard

Kidney Transplant

Dr. Babak Javanmard is a distinguished urologist and kidney transplant surgeon in Tehran, renowned for his expertise in complex urological surgeries and renal transplantation. […]

Iran, Tehran
Mohammad Hossein Soltani

Mohammad Hossein Soltani

Endourologist

Dr. Mohammad Hossein Soltani is a highly accomplished urologist, recognized for his significant contributions in education and research. He holds […]