Erectile and Ejaculatory Dysfunctions
Erectile Dysfunctions (ED)
Erectile dysfunctions/ED increasingly affect men who are 40 years of age or older. They occur in about 40 % of men who are around 60 years old. Just 10 to 15 years ago it was widely assumed that the majority of erectile dysfunctions were attributable to psychological causes, but today we know that only a small percentage of the cases (about 10 - 20 %) are of psychogenic nature. Today, when treating erectile dysfunctions, the focus is on organic-related causes - caused by neural (nerve-related) or vascular (blood vessel-related) deficiencies.
A treatment approach that is quite common nowadays is the administration of oral medication. However, the regular medical procedures may not be followed properly as they require a diagnosis (and diagnostics) before starting a treatment. Erectile dysfunctions can have various causes, which should be defined very clearly prior to starting a treatment. Aside from oral medication, there are quite a few other options available, which may work far better depending on the underlying causes of the dysfunction. As erectile dysfunction can have many causes, it should be treated by specialists only.
High blood sugar levels (diabetes mellitus), high blood pressure (hypertony), obesity (adiposity) and high blood fat levels (hyperlipidaemia) are among the most frequent disorders occurring in our society. Patients affected by these disorders are often well aware of the fact that they are also at risk of suffering a heart attack or a stroke. Only a few patients realise though that any of the above mentioned lifestyle diseases can cause erectile dysfunctions.
When treating erectile dysfunctions, our primary aim is to diagnose them early on or to prevent them, possibly altogether, in patients with high blood sugar levels (diabetes mellitus) or high blood pressure (hypertony) and in patients after major pelvic surgeries (e.g. bowel, bladder or prostate removal).
Ejakulatio praecox (premature ejaculation, Ep)
Premature ejaculation is a problem many men still do not regard as a medical disorder but as something they perceive as a personal failure. In fact premature ejaculation (Ep) can have various, both physical and/or psychological, reasons, and may well be treated. It is assumed that premature ejaculation occurs in about 25 to 40 % of all men with varying frequencies. The personal perception may vary considerably and is, thus, a crucial aspect in our physical examination. Some men may already consider an ejaculation premature after extensive sexual activity. Other men may experience this "problem" only occasionally or with certain partners.
Prof Dr Beecken and PD Dr Engl are certified andrologists (medical specialists for men) and have been specialising in this field for many years. We offer extensive, qualified and patient-oriented diagnosis of and treatment for these serious disorders.
For further questions feel free to arrange an Appointment with our Practice.
