Erectile dysfunction and impotence

The causes of erectile dysfunction are varied and can be divided into the following categories:

• Physical causes: Cardiovascular diseases, diabetes, high blood pressure, hormonal disorders such as testosterone deficiency, neurological diseases, chronic prostatitis and side effects of medication.
• Psychological causes: stress, anxiety, depression, relationship problems and psychological strain.
• Lifestyle: Smoking, excessive alcohol consumption, an unhealthy diet and lack of exercise also contribute to the development of erectile dysfunction.

• Decreased rigidity of the penis
• Unsatisfactory sexual intercourse
• Lack of erections in the morning
• Listlessness and reduced filling of the penis

Diagnosis is based on a detailed consultation with a urologist and a physical examination. Blood tests to determine hormone levels and blood sugar levels are also important. Imaging techniques such as ultrasound can be used to check the blood flow in the penis.

• Drug therapy: PDE5 inhibitors such as sildenafil (Viagra), tadalafil (Cialis) and vardenafil (Levitra) are frequently prescribed. Injections of medication directly into the erectile tissue of the penis or testosterone replacement therapy can also be helpful.
• Non-drug methods: Vacuum pumps, which erect the penis with negative pressure, and shock wave therapy (ESWT), which improves blood flow.
• Surgical procedures: Implantation of penile prostheses in severe cases that do not respond to other therapies.
• Psychotherapy: Counseling and therapy for psychological causes of erectile dysfunction. Sex therapy can also be helpful in dealing with relationship problems.

Specific preventive measures include a healthy lifestyle with a balanced diet, regular physical activity, no smoking and moderate alcohol consumption. Stress reduction techniques such as meditation, yoga or professional psychological support can also be helpful. Regular health checks for early detection and treatment of health problems such as diabetes and high blood pressure are important. Early diagnosis and treatment are crucial to improve quality of life and avoid complications. Regular check-ups and working with an experienced urologist are also important.