Is this a normal part of ageing?

Erectile dysfunction becomes more common with age, but is not an inevitable consequence. Because there are often treatable causes behind it, evaluation is worthwhile at any age.

Is there always a psychological problem behind it?

No. Physical factors such as circulation are often involved. Usually physical and psychological aspects interact, which is why both are assessed.

Why is a medical evaluation important?

Erectile dysfunction can be an early sign of vascular or metabolic issues. The evaluation therefore helps not only sexuality, but overall health.

Erectile Dysfunction — Causes, Assessment & the Right Specialty

Erectile dysfunction is widespread and increases with age – it is not a reason for shame. Often several factors interact, from circulation to hormones to stress and psychological strain. Occasional difficulties are normal; if they persist, a factual evaluation is worthwhile. Sometimes erectile dysfunction is also an early sign of vascular or metabolic issues that can be addressed effectively.

Possible causes

Vascular and circulation issues

A good erection requires good blood flow. High blood pressure, elevated blood lipids or diabetes can impair it.

Psychological factors

Stress, performance pressure, relationship issues or exhaustion have a direct effect on erectile function, particularly in younger men.

Hormones

Low testosterone levels or other hormonal shifts can dampen erection and sexual interest.

Lifestyle and accompanying circumstances

Smoking, excessive alcohol, lack of exercise and certain medications can also play a role.

Typical steps at the doctor's office

1In a confidential consultation, the course, accompanying circumstances and possible psychological factors are carefully explored.
2A blood test checks blood sugar, blood lipids and, if necessary, hormone levels.
3Depending on the findings, cardiovascular risks are also assessed, as erectile dysfunction can be an early indicator of these.

What you can do yourself

Regular exercise and a healthy body weight promote circulation and have a beneficial effect.
Stop smoking if possible and consume alcohol only in moderation.
Consciously reduce stress and ensure sufficient sleep and recovery.
Address the topic openly with your partner – this relieves pressure and is part of the solution.

When a doctor's visit makes sense

If erectile dysfunction persists for several weeks or is causing you distress, an evaluation makes sense. Your general practitioner's surgery or urology will investigate the cause objectively and discuss possible approaches.

Frequently asked questions

Is this a normal part of ageing?: Erectile dysfunction becomes more common with age, but is not an inevitable consequence. Because there are often treatable causes behind it, evaluation is worthwhile at any age.
Is there always a psychological problem behind it?: No. Physical factors such as circulation are often involved. Usually physical and psychological aspects interact, which is why both are assessed.
Why is a medical evaluation important?: Erectile dysfunction can be an early sign of vascular or metabolic issues. The evaluation therefore helps not only sexuality, but overall health.

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