WHEN IT COMES TO TREATMENT OF ERECTILE DYSFUNCTION – AMERICAN AESTHETIC MEDICAL CENTER IS A STEP AHEAD. BETTER SCIENCE MEANS BETTER CARE. THE CAUSES OF ERECTILE DYSFUNCTION OR IMPOTENCE ARE COMPLEX. PROBLEMS WITH OBTAINING OR MAINTAINING AN ERECTION THAT IS SUFFICIENTLY HARD FOR SEX CAN AFFECT MEN OF ALL AGES. BUT REST ASSURE, MODERN MEDICINE CAN GIVE YOU A 100% CHANCE TO HAVE A NORMAL INTIMATE LIFE. AT THE AMERICAN AESTHETIC MEDICAL CENTER, WE OFFER THE BEST TREATMENT OPTION SUITED PERSONALLY WITH FOCUS ON PROFESSIONALISM AND DISCRETION.
ERECTILE DYSFUNCTION (ED) DIAGNOSIS AND TREATMENTS

What is Erectile Dysfunction?

Erectile functioning is just another bodily function like eating, breathing, walking, etc… Due to its unfortunate stigma, it is very difficult to go to a doctor and ask for medical assistance. It is an unfortunate disease since modern Andrology provides 100% cure from this condition, but people are too ashamed to ask for help. There is common misinformation about this condition. In definition, it is the inability to have enough hardness to have intercourse or not being able to keep it during the intercourse which causes dissatisfaction for both yourself and your partner. Many treatment options are aiming a personalized focused treatment for you.

What are the treatment options offered?

  • Lifestyle changes and coaching
  • Shock-wave therapies
  • Stem-cell treatments (in conjunction with ESWT if necessary)
  • İntracavernosal injection therapies
  • Oral medical therapies
  • Hormonal therapies
  • Arterial re-vascularization
  • Dorsal vein ligation
  • Penile implant surgery

Causes

There are four main causes of erectile dysfunction, but most of the time some of these problems co-exist necessitating multi-modality approach:

Vascular: This is the major cause of ED Blood must be able to move into the penis and stay there to maintain an erection. Arteries are the vehicles that bring blood into the penis. Any process that damages the arteries would make a man more likely to have ED. History of arterial disease (e.g. heart attacks, strokes or peripheral vascular disease) indicates that the penile arteries are also at risk. Anything that would make a man more likely to have a heart attack or stroke will make him more likely to have ED. This includes smoking, diabetes, hypertension, high cholesterol, and sub-optimal exercise and diet. ED usually appears before any of these more severe manifestations of vessel disease. One of the main reasons for this is that the artery to the penis is smaller than the heart or limb arteries and gets clogged first. The development of ED is often the first sign that a man is at a significantly increased risk of a heart attack or stroke. There is also what is called “ veno occlusive dysfunction”. This condition refers to an inability to keep the hardness. Once the blood fills the erectile chambers, a check-valve mechanism prevents the blood return to circulation and keep the hardness all through the intercourse. Think about a flat car tire; you can pump air as much as you want but it will lose the air because of the leak.

Neurological: The neurological system must be intact to achieve an erection. The most common cause of neurologic ED is diabetes, which usually affects both nerves and blood flow. Other causes include previous surgeries, spinal cord injury, strokes, multiple sclerosis or other systemic neurological diseases.

Hormonal: Significantly low testosterone and thyroid hormones, or very high prolactin (another pituitary hormone) may cause problems with erections.

Psychological: ED can often occur for psychological reasons, even when any related physical problems are minimal. However, many men have a significant psychological response (or secondary reaction) to what is, at least at first, primarily a physical problem. Once a man loses confidence in his erections, his anxiety levels may increase. This can make it even harder to achieve and maintain an erection. Thus, a vicious cycle is created. Our job is to break this cycle.

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