Answer:

Erectile dysfunction is a common sexual dysfunction in men. It can occur at any age, but the frequency increases with age.

This condition stems from various causes. Common ones include medical conditions such as cardiovascular disease, high blood pressure, diabetes, blood lipid disorders, or nerve damage, which reduce blood flow or nerve signals to the genitals. Decreased testosterone, thyroid disorders, or side effects from certain medications for cardiovascular issues, depression, or diuretics can also directly affect erectile function. Psychological factors, such as chronic stress, work pressure, relationship conflicts, or feelings of inadequacy about sexual performance, often worsen the condition.

Most cases can be effectively treated and even completely cured if detected early and the underlying cause is addressed. Several treatment methods exist. The most common is using phosphodiesterase-5 (PDE-5) inhibitor drugs, which increase blood flow to the penis and are effective in most patients.

If oral medication is ineffective, doctors may recommend vacuum erection devices, constriction rings, hormone therapy if there's a testosterone deficiency, or, in severe cases, penile implant surgery. Psychological therapy or couples counseling plays an important role when the cause of erectile dysfunction is related to stress, anxiety, or relationship problems.

Lifestyle changes are essential for long-term effectiveness: maintaining a healthy weight, regular exercise, a balanced diet, sufficient sleep, limiting alcohol, and quitting smoking. Seeking early medical attention when unusual symptoms appear not only helps improve erectile function but also allows for the timely detection of potentially dangerous underlying conditions.

Master, Doctor Dinh Quang Huy

Department of Urology - Andrology

Tam Anh General Hospital Hanoi