Symptoms
- Difficulty getting an erection
- Difficulty maintaining an erection
- Reduced sexual desire
- Performance anxiety
Causes and risk factors
- Reduced blood flow from vascular disease
- Diabetes-related nerve damage
- Low testosterone
- Psychological stress and depression
- Side effects of medicines
Diagnosis
- Detailed history including medication
- Blood sugar, HbA1c and lipid profile
- Testosterone and thyroid tests
- Penile Doppler in selected cases
Treatment
- Lifestyle and metabolic correction
- PDE5 inhibitor medication under supervision
- Testosterone therapy when clearly deficient
- Counselling for psychological factors
- Vacuum devices or injections in resistant cases
Prevention
- Exercise 30 minutes most days
- Stop smoking and limit alcohol
- Keep diabetes and blood pressure controlled
- Sleep seven to eight hours
Recovery
Many men improve within weeks of treating the underlying cause. Results vary between individuals and no outcome can be guaranteed.
Information on this website is for patient education only and does not replace an in-person consultation. Treatment results vary between individuals and no outcome is guaranteed.