What is Erectile Dysfunction?

Erectile dysfunction is the repeated inability to achieve or maintain a firm erection over time that allows for satisfactory sexual intercourse.

This, also known as sexual impotence, is a frequent pathology that, if left untreated, can seriously affect a couple's relationships.

It is a Very Common Problem

In fact, it has been calculated that it affects to a greater or lesser degree practically half of the men between 40 and 70 years of age.

Of course, the percentage of men affected by impotence increases proportionally the more advanced the age group. Likewise, men with diabetes , smoking and other conditions are more prone to sexual dysfunction.

And despite being part of the intimate life of individuals and couples, unfortunately, it remains a taboo subject. This social barrier has prevented many men from seeking help for a condition that can be treated, in most cases, with relatively simple hormone replacement therapy.

At Clínicas Doctor T®, experts in male sexual health, we provide a quick and effective solution to the most common cause of sexual dysfunction: hormonal deficiency.

Male Sexual Function

Generally, normal male sexual function begins with sexual desire (libido). This is given thanks to the stimulation of the brain, the nervous system, the blood vessels and the hormones, which leads to the erection of the penis. Subsequently, ejaculation arrives and culminates later with the climax.

Men get an erection when the set of corpora cavernosa relaxes to allow blood flow that results in the expansion and firmness of the male sexual organ. At the end of the erection, the blood comes out and the organ relaxes.

When this process deteriorates or is interrupted, erection problems begin.

These problems begin to appear, in general, progressively. Over time they increase and lead to resignation and/or general discouragement in daily life and as a couple.

When impotence is linked to this or other symptoms of low testosterone, we can conclude that the hormonal deficit is the origin of the dysfunction. And therefore, it is treatable .

Male Sexual Function

MEN OVER THE AGE OF 40 WITH HYPOGONADISM OR LOW TESTOSTERONE
60%
MEN OVER THE AGE OF 40 WHO HAVE HYPOGONADISM WITHOUT KNOWING IT
45%
MEN OVER THE AGE OF 40 WHO SUFFER FROM SEXUAL DYSFUNCTION OR IMPOTENCE
40%
MEN OVER THE AGE OF 40 WHO EXPERIENCE SEXUAL DYSFUNCTION OR IMPOTENCE DUE TO LOW TESTOSTERONE
80%
SUCCESS RATE OF HORMONE REPLACEMENT THERAPY IN CASES OF SEXUAL DYSFUNCTION OR IMPOTENCE CAUSED BY LOW TESTOSTERONE
95%

TYPES OF ERECTILE DYSFUNCTION OR IMPOTENCE

We can talk about erectile dysfunction when the inability to maintain an erection sufficient for intercourse occurs only at least 25% of the times it is attempted. Or what is the same: 1 out of 4 times.

This dysfunction is also known, although it is not the most correct term, as sexual impotence. Within the dysfunction , we can distinguish 4 types:

  • Psychic impotence : Refers to those cases in which impotence is due to emotional and not physical factors.
  • Impotence generating : It is synonymous with sterility. The man can maintain his erections before and during intercourse, but he is not able to procreate.
  • Coeundi impotence : When there is total impossibility to perform intercourse.
  • Impotence erigendi : Inability to achieve an erection.

Men can present different sexual pathologies encompassed within the term:

  • Weak or short-lasting erections
  • premature ejaculation
  • Lack of libido or sexual desire , difficulty becoming aroused
  • delayed ejaculation
  • weak ejaculation

It is estimated that between 30% and 40% of men over the age of forty have some degree of sexual impotence. In a large number of cases, the dysfunction is usually caused by a low testosterone level, and Replacement Treatments are very effective and safe to restore powerful erections and an active and satisfying sexual life again.

If the origin of the dysfunction is hormonal (80% of the cases between 35 and 65 years), acting locally on the male sexual apparatus does not manage to treat the origin, but only the symptom derived from the hormonal deficiency . If the cause is treated instead, the problem can be fixed in a stable way.

WHAT ARE THE CAUSES OF THE DYSFUNCTION?

Knowing the causes of sexual impotence is the first necessary step to discover how to solve this situation.

Any alteration of the parts that participate in an erection (such as: stimulus, sexual desire, vascular or neuronal system, etc.) can cause its alteration, and therefore, cause impotence .

Some health problems that can cause sexual impotence (attributable to physical appearance) are: Hypertension and cardiovascular diseases, cholesterol, diabetes, obesity, blood flow problems or metabolic syndrome (closely related to hormonal deficiency) or drug use.

Up to 40% of dysfunction cases are caused by a hormonal deficit , which can be classified as: mild, moderate or severe.

The mechanism considered responsible for erectile dysfunction, in the majority of endocrine causes, is the decrease in testosterone levels in the blood, which is generally accompanied by loss of sexual desire or libido.

On some occasions, despite suffering from sexual dysfunction, a man is capable of having an erection spontaneously or outside of the sexual act, but when he tries to maintain sexual activity with a partner, he is unable to have or maintain an erection.

The problem is that, as different epidemiological studies point out, it is an underdiagnosed and undertreated pathology .

Erection problems can be temporary or permanent. An excess of other hormones such as prolactin, cortisol or thyroid hormones, among others, can also cause a decrease in male sex hormones. One symptom that triggers the feedback of sexual dysfunction is the loss of male libido.

DYSFUNCTION DUE TO LACK OF SEXUAL APPETITE OR LOSS OF LIBIDO

A lack of libido could be a symptom of more serious underlying health problems. It is important to keep in mind that your situation is not rare nor should it be embarrassing, since a lack of sexual appetite or low libido affects 20% of men, and erectile dysfunction affects half of men over 40 years of age. On many occasions, the loss of sexual appetite or libido is the first of the symptoms to appear, and ends up leading to erection problems due to this lack of "mood", but it is by going to the origin of the problem when it can be diagnosed clinically and it can be treat properly. A very simple way to detect when there is an erectile dysfunction problemIt is observing the nocturnal erections or when waking up in the morning, if they have disappeared or diminished, there is a real problem of dysfunction due to physical causes in most of the cases.

Loss of libido or sexual desire is a very common sexual dysfunction in men. One of the main causes of decreased libido is TDS (Testosterone Deficiency Syndrome). The T hormone is key in maintaining sexual function in men, which is why the most frequent symptoms of TDS are decreased sexual desire and impotence .

It is known that men with lower sexual desire have lower testosterone values.

SEXUAL DYSFUNCTION CAUSED BY HORMONAL DEFICIENCY

Testosterone is the male hormone par excellence, it is the one that allows a man to have sexual appetite and increases or decreases his libido. Without testosterone, the man would be impotent. Therefore, a low level of male hormone leads to sexual dysfunction. To truly diagnose the dysfunction, a physical examination and laboratory tests are recommended to evaluate data on glycemia, lipid profile, and free testosterone.

WHAT ARE THE SYMPTOMS OF ERECTILE DYSFUNCTION?

  • Difficulty getting an erection
  • Weak or less rigid erections
  • Spontaneous morning erections occur less frequently
  • You climax in less time or with an incomplete erection
  • The erection is lost by changing position during sexual intercourse.

We consider that there is male sexual dysfunction when all or some of the indicated symptoms are present. They are all interrelated, and acting on one of them does not achieve the solution. You have to go to the real cause, which is usually common to all.

TREATMENTS FOR IMPOTENCE

EFFECTIVE TREATMENTS AGAINST DYSFUNCTION

From the age of 40, a frequent cause of these male sexual problems is low testosterone. An easily correctable imbalance that causes sexual disorders that can become chronic.

The treatment for male erection is within your reach and it is simpler than it seems.

With a previous blood analysis and its interpretation by a specialist doctor, we can find out what the origin of the dysfunction is and propose the most appropriate treatment for each case.

WE ACT ON THE CAUSE OF THE DYSFUNCTION, NOT ON THE SYMPTOM.

SAFE TREATMENTS AGAINST DYSFUNCTION

Combining therapy based on the male hormone , with all the specific ones that could be complementary (estrogen control, for example, the female hormone that causes a decrease in male sexual potency), and taking into account your complete health picture, as well as a 34-point analysis , and controlled by medical specialists, we achieve truly satisfactory and long-lasting results.

In the analytics, we take into account:

  • Your male and female hormonal profile.
  • The levels that could be causing problems.
  • All the parameters to recommend a SAFE and EFFECTIVE treatment.

INCREASING TESTOSTERONE TO ELIMINATE ERECTILE DYSFUNCTION IS POSSIBLE

Many men turn to erection enhancement pills, homeopathy or shock wave treatments, but these "remedies" almost never work long term. If the problem is a hormonal deficit (hypogonadism), only hormone replacement therapy will improve the erection problem , premature ejaculation problem, or other sexual dysfunction problems.

Testosterone is a hormone that is produced in the testicles and that, in addition to keeping bones and muscles strong, is responsible for producing sperm and maintaining sexual desire .

If you have sexual problems, talk to our doctors, they are specialists in men's health and hypogonadism . They will examine you, perform a series of medical tests, and give you an accurate diagnosis. If applicable, you will be prescribed a TRT treatment to bring your hormone levels back to their optimal state.

Remember: you no longer have to resign yourself to suffering dysfunction in silence anymore. Why not book an appointment ?

If you prefer, you can take our free male health test , which will offer us an indicative result on your symptoms and state of health, our doctors will study it and we will contact you to give you the result as soon as possible.

ED RISK FACTOR'S

In addition to everything mentioned above, there are a number of risk factors associated with impotence or erectile dysfunction .

The fact that you are within one or more of these risk groups does not necessarily mean that you suffer or will suffer from sexual dysfunction.

But be that as it may, if you identify any of these pathologies, you should see a specialist in men's health as soon as possible to check your general state of health.

Age

Although sexual dysfunctions are not an inevitable consequence of having a birthday, it is true that as age increases, the risk of suffering from erectile dysfunction increases.

Cardiovascular Diseases

Heart disease, peripheral vascular disease, and high blood pressure have been shown to be risk factors for impotence.

Diabetes

This endocrine disease (one of the most common in Europe and the US) is the ailment most associated with sexual dysfunction.

Obesity and Sedentarism

Both obesity and an unhealthy lifestyle are risk factors for sexual dysfunction caused by hormonal deficiency, cardiovascular disease, and others.

Use of Drug and Other Drugs

Drug use (cocaine, heroin, cannabis, etc.) is not only harmful at a neuronal level, but it has also been shown to be harmful at all levels, including sexual. On the other hand, it is estimated that around 20% of diagnosed cases of dysfunction or impotence are caused by drugs that cause hyperprolactinemia (psychotropics, beta-blockers, etc.) which, in turn, decrease testosterone levels.

Do you think you could suffer from erectile dysfunction caused by hormonal deficiency?

Check it out now for free with our interactive test.

HOW DO I KNOW IF I HAVE ERECTILE DYSFUNCTION?

To find out if you suffer from impotence or erectile dysfunction, the simplest recommendation is to pay attention to your symptoms, writing them down and dating them even if necessary:

  • lack of libido
  • Lack of selfesteem
  • Little firmness in erections
  • Inability to maintain erections
  • Dissatisfaction in sexual relations
  • PUT YOURSELF IN THE HANDS OF A SPECIALIST

The international medical community insists on the importance of remaining vigilant and detecting any symptoms or problems related to erection , since this is the most common first sign of suffering from a major disease that affects our health.

To achieve an early diagnosis it is essential, firstly, to know yourself and your own body and, secondly, to put yourself in the hands of an expert in men's health . This specialist will be able to analyze the symptoms, find the origin, study it and indicate the most suitable treatment for each case.