ERECTILE DYSFUNCTION MAY BE A SIGN OF UNDERLYING HEALTH CONDITION
FEB 25, 2019 @3.54 PM
Most men coast on health autopilot until something they really care about takes a hit. This is usually related to their most prized appendage which affects sex life.
Erection problems are very common. It may be due to poor libido caused by stress, tiredness, anxiety, too much alcohol, low testosterone levels, antidepressants and hypertensive medication and ageing.
However, if the problem persist, it may be erectile dysfunction (ED). Pantai Hospital Kuala Lumpur vising consultant urologist Dr Poongkodi Nagappan pointed out that ED means the inability to maintain erection for sexual intercourse. This may happen situationally and not all the time.
“They may not be able to perform, but they would be able to masturbate, or they’d have morning erections.”
“When a patient complains of ED, clinically we would ask if it is situational where most of the time they can, but in certain situations or with certain people, they are unable to. In such cases, it might be psychological and not due to organic reasons such as diseases.”
On the other hand, if it is progressive where a person has the libido, but he is unable to maintain an erection, it may be an underlying health condition such as
• Sedentary lifestyle
• Hyperlipidemia (high cholestrol)
• Family history for heart disease and stroke
“We would look at blood investigations such as male hormone – testosterone, if that’s normal, fasting blood sugar and fasting cholesterol. After these test, treatment would be based on the risk factors that the patient has.”
“Then there are cardiovascular risk factors. If they have low cardiovascular risk, then we can start with treatment. However, if they have moderate or high risk, we would refer them to a cardiologist prior to referring them for treatment,” she said.
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