Erectile dysfunction, medically known as ED, is the inability to achieve or maintain sufficient firmness for sexual intercourse. This problem can occur in many men and can arise not only from physical but also from psychological factors.
How Does an Erection Occur?
An erection of the penis occurs through:
- Sexual stimulation that begins in the brain,
- Increased blood flow to the penis,
- The blood being retained inside.
In this process the blood vessels, nervous system, hormones and psychology work together. Any disorder can lead to erectile problems.
Why Does Erectile Dysfunction Occur?
1. Organic (Physical) Causes
- Hardening of the arteries and cardiovascular diseases
- Chronic diseases such as diabetes and hypertension
- Hormonal imbalances (especially low testosterone)
- Side effects of certain medications
- Nerve damage or trauma
- Smoking, alcohol and substance use
2. Psychological Causes
- Performance anxiety
- Stress and relationship problems
- Depression and lack of self-confidence
These two main groups of causes are covered in detail in the video.
Prevalence of Erectile Dysfunction
Erectile dysfunction is common, especially in men over 40. According to the literature:
- In Turkey the rate of erectile dysfunction in men over 40 is around 70%. PubMed
- However, this problem can also appear at younger ages (around 20%).
For this reason early diagnosis and treatment become very important as age advances.
🧪 What Are the Symptoms?
- Inability to achieve or maintain an erection
- Reduced sexual desire
- Reduced morning erections
If the symptoms persist, a specialist must be consulted.
Diagnosis and Treatment Methods
1. Lifestyle Changes
- Healthy nutrition
- Regular exercise
- Quitting smoking and alcohol
These natural approaches can make a significant difference in many men.
2. Medication
PDE5 inhibitors (such as sildenafil, tadalafil and vardenafil) are widely used. Wikipedia
3. Psychological Support
Therapy can be helpful for psychogenic causes such as performance anxiety.
4. Advanced Treatments for Serious Cases
- Shockwave therapy (ESWT)
- Penile prostheses
- Hormone therapy
A personalised treatment plan gives the most successful results.
