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Erectile dysfunction is one of the most sensitive health issues that is not commonly discussed among men in Malaysia. In Malaysia, a published study among men aged 40-70 years old in the primary care setting revealed that the prevalence of erectile dysfunction is 69.5%. It also illustrated that erectile dysfunction is not just a disease among elderly man as it had a prevalence of 49.7% among men in their 40s and this increases with age.
FACTORS CONTRIBUTING TO ERECTILE DYSFUNCTION
SMOKING
DRUG AND ALCOHOL USE
OBESITY
TRAUMA
MEDICATION
HORMONES
Treatment options for Erectile dysfunction (ED)
Quite often, treatment for ED would begin with extensive health screening. Doctors would first exclude severe conditions like heart disease or diabetes.Any treatment of ED would include lifestyle changes like weight loss, quitting smoking, cutting down alcohol consumption, and even changes in some medications.
Oral medications
These days, doctors start ED treatment with PDE5 inhibitors. These medications causes the muscles in the penile blood vessels to relax and thus increasing penile blood flow on sexual arousal. Nowadays, there are many other similar mode of action. There are even PDE5 inhibitors that are approved for daily use.
Extracorporeal Shockwave Therapy (ESWT)
It is a non-invasive therapy that enables the formation of new penile blood vessels and hence increased blood supply to the penis. We have seen many patients who no longer need to take ED pills after completing ESWT treatment. One would generally require 6 to 12 sessions of ESWT to see its effectiveness. It has been shown to be effective in men of all ages and especially in men below the age of 45 years of age who is suffering from mild to moderate erectile dysfunction. Moreover, it has also been shown to be effective in treating ED in men who don’t respond to ED pills or who are suffering from Diabetes. Its effectiveness after the completion of treatment may last for years but in some cases may require regular sessions every 6 to 12 months to maintain its effect.
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