Urology

Erectile Dysfunction (ED)

Difficulty achieving or maintaining an erection firm enough for sexual activity.

What is Erectile Dysfunction (ED)?

Are you finding it hard to get or keep an erection during sexual activity? Erectile dysfunction may have treatable causes.

Common Symptoms

  • Trouble achieving erection
  • Inability to maintain erection during intercourse
  • Reduced sexual desire

When to see a Urologist

  • Persistent erection difficulties (>3 months)
  • Relationship strain or anxiety due to ED
  • Symptoms accompany other health issues (e.g., diabetes)

Early detection is important for managing the condition and preventing further complications. Schedule a consultation today.

Causes and Risk Factors

  • Atherosclerosis and vascular disease
  • Diabetes mellitus
  • Neurologic disorders (e.g., spinal cord injury)
  • Hypogonadism (low testosterone)
  • Stress, depression, or performance anxiety
  • Medications (e.g., antihypertensives, antidepressants)

Diagnosis and Tests

  • Detailed sexual and medical history
  • Physical exam (genital and neurologic)
  • Serum testosterone and other hormone levels
  • Nocturnal penile tumescence test
  • Penile Doppler ultrasound for vascular assessment

Treatment Options

  • Phosphodiesterase-5 inhibitors (e.g., sildenafil)
  • Testosterone replacement if low T confirmed
  • Vacuum erection devices
  • Intracavernosal injection therapy
  • Penile implants (prosthesis)
  • Psychosexual counseling

Urology

Doral Health & Wellness Urinary Health Department

Doral Health & Wellness Urology provides comprehensive urological care for men and women. Our expert urologists offer a range of services, including diagnosis and treatment of urinary tract infections, kidney stones, prostate problems, and other urological conditions. 

Urology

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