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ED is a multifactorial disease – involving biological, psychological and social factors.
In some cases, ED can even be the first sign of a more serious underlying medical problem such as:
Other causes of erectile dysfunction include:
Our comprehensive approach begins with expert diagnosis to determine the exact cause of the problem and subsequently, the treatment option that is best suited. Your doctor will first obtain a detailed sexual history and general medical history, then perform a physical examination and the appropriate blood tests (e.g. male hormone profile including testosterone levels, blood sugar level). Occasionally, more specialised tests to assess blood flow to the penis may be required as well.
ED treatment is tailored to the cause of the problem. Conservative lifestyle modifications such as weight loss, smoking cessation, and reducing alcohol intake can be trialed initially.
Failing which, there are a few different oral medications that can be prescribed. Some side effects from these medications include:
If you are on certain heart medications (e.g. nitrates), you may not be able to take these medications. Always ask your doctor for more information regarding drug interactions before starting any new medication.
Testosterone injections are available if the cause of ED is low male hormone levels. There are also other alternatives such as extra-corporeal shockwave therapy (ESWT), vacuum-assisted devices, penile injections, or even penile implant surgery.
In addition, psychological treatment is an important adjunct to managing ED. If our diagnosis suggests a psychological association with your ED, we may recommend that you pursue counselling with a qualified psychologist.