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The origins of ED can vary widely, ranging from psychological factors to physiological conditions. Stress, anxiety, and fatigue can contribute to temporary erection problems. However, more intricate issues can stem from arterial blockages hindering the adequate blood flow to the penis or nerve damage that disrupts the signals required for proper erection. Conditions such as diabetes or atherosclerosis, which narrows and hardens arteries, can lead to insufficient blood flow. Additionally, surgical procedures in the pelvic region, like Radical Prostatectomy or bowel resection, can damage the delicate nerves associated with erectile function. Even structural abnormalities, like Peyronie’s disease, scar tissue from previous surgeries, or testosterone deficiency, can contribute to ED.
At Private Medical Clinic, we adhere to a meticulous diagnostic process to ensure accurate evaluation and personalised treatment. Diagnosis primarily relies on assessing the symptoms of erection challenges and sexual intercourse difficulties. A thorough physical examination is conducted to identify any physical abnormalities in the penis and evaluate blood flow and pulsations in the pelvic region and leg arteries. Basic blood tests, including a male sex hormone (Testosterone) assessment, are also performed. While sophisticated scans are rarely necessary for diagnosis, a Doppler scan may be recommended to assess penile blood supply more comprehensively.
Private Medical Clinic offers a range of treatment options to address the diverse causes of ED. Our experts collaborate closely with you to determine the most suitable path forward:
We often initiate treatment with PDE-5 inhibitors, medications that enhance chemicals responsible for erections. These medications, such as Sildenafil (Viagra) and Tadalafil (Cialis), require sexual stimulation to trigger the release of the essential chemicals. Our experts provide detailed information about dosages and usage to ensure optimal results.
For those seeking non-invasive options, vacuum constriction devices offer an effective solution. These external pumps create a vacuum, aiding in achieving and maintaining an erection. Our team recommends devices like those from iMedicare, which provide personalised guidance to ensure proper usage.
For prompt results, injections of Prostaglandin into the penis dilate arteries, allowing increased blood flow and rapid erection. We guide patients through the self-injection process, ensuring comfort and efficacy.
When other options prove ineffective, our specialists offer Penile Prosthesis surgery. This surgical solution involves implanting a prosthetic device in the penis, providing on-demand erections. While reserved as a last resort, our team meticulously discusses the procedure and potential risks.
Addressing the psychological aspects of ED is paramount. Our dedicated experts offer psychosexual counselling, a pivotal approach, especially when physical causes are absent. This option is particularly beneficial for couples dealing with stress, anxiety, or relationship dynamics affecting sexual health.
