INFO & BLOG
About diagnosis, treatment and recovery
What causes erectile dysfunction, and when is it considered a sign of a disease?
An erection needs nerves, vessels, hormones and psychology working together. A break in this chain can cause ED; if vascular, it may signal an underlying condition.
Can erectile dysfunction be an early warning of cardiovascular disease?
Yes; especially when vascular, erectile dysfunction can be an early warning of cardiovascular disease. We treat it as a general health matter and evaluate the cause.
Which tests are done before starting treatment (penile Doppler, hormonal, blood)?
Where needed, hormone/blood panels and a penile color Doppler ultrasound are done; these clarify whether the cause is vascular, hormonal or psychological.
Are oral medications suitable for everyone, and what are their side effects?
PDE5 inhibitors help many patients but may not suit everyone; suitability is set by physician assessment, given factors like use with certain heart drugs.
Does shock wave therapy (Li-ESWT) really work, and who is it suitable for?
Li-ESWT is a current, non-invasive option considered in selected mild-to-moderate vascular cases. Evidence is still evolving and benefit cannot be guaranteed.
How are vacuum devices and injection therapies applied?
A vacuum device creates an erection via negative pressure boosting blood flow. Injection therapy delivers drug by fine needle or urethrally; both need proper training.
When does a penile implant come into consideration, and is it permanent?
A penile implant is the last-resort step when other methods fall short. It is permanent; being surgical and irreversible, it is planned only in suitable patients after detailed counseling.
How do stress, anxiety and relationship issues affect erections?
Stress, anxiety and relationship issues can affect erections, and ED may have a psychological component reviewed at assessment, with support planned if needed.
What is the effect of smoking, alcohol, weight and diabetes on erections?
Smoking, alcohol, excess weight and diabetes are common ED causes. Addressing them can improve things alone or enhance other treatments' effect.
How do assessment, privacy and follow-up work for international patients?
The whole process, from appointment to follow-up, runs on a separate, discreet, privacy-respecting path. For international patients follow-up continues remotely with visa, transfer and interpreter support.