Erectile Dysfunction Erection Problems Impotence and Erectile Dysfunction Treatment

Erectile dysfunction is the condition that the penis does not reach sufficient hardness for sexual intercourse or cannot maintain its hardness until the end of the intercourse. According to studies, erectile dysfunction is a very common sexual health problem, as seen in one out of every two male individuals over the age of 40. In this article, valuable information about erectile dysfunction and treatment methods are mentioned.


Erectile Dysfunction

Sertleşme sorunu

Erectile dysfunction is defined as the inability of the penis to reach the required hardness for sexual intercourse or the inability to maintain the hardness.

When men are sexually aroused, hormones, muscles, nerves, and blood vessels all work together to create an erection. Signals sent from the brain to the penis via nerves allow the muscles to relax. In this case, blood begins to flow towards the tissue in the penis. When blood fills the penis and an erection is achieved, the blood vessels to the penis close to maintain an erection. After sexual stimulation, the blood vessels to the penis open again, allowing blood to escape. The inability to experience or maintain this condition in a healthy way is called erectile dysfunction.

An erection occurs when two cylindrical structures filled with blood vessel islets in the penis, called the corpus cavernosum, fill with blood. Any physical discomfort that prevents this blood filling causes the penis not to be erect or to maintain the hardness.

What is Erectile Dysfunction?

All men may experience erectile dysfunction from time to time for various reasons. It is normal to have problems with both getting an erection and maintaining an erection from time to time. Stress, alcohol use, and incompatibility with a partner can sometimes cause men to have problems getting or maintaining an erection. However, in some men, the inability to get and maintain an erection becomes a constant state of affairs. In this case, a hardening problem can be mentioned. Erectile dysfunction refers to the problem that men have a long-lasting erection or maintaining an erection. In other words, in order for an erection problem to occur, it must be in a frequently repeated condition.

What Causes Erectile Dysfunction?

Erectile dysfunction can be caused by different stressors usually experienced during sexual intercourse. However, erection problems caused by stress are usually temporary. In order to be able to talk about an erection problem medically, this problem must be experienced constantly. In addition, long-term erection problems are usually caused by some problems arising from the vascular pathways that provide blood flow in the penis area. Insufficient amount of blood entering the penis or not trapping the blood here prevents the penis from getting hard. Damage to the nerves in the penile region due to certain traumas is also one of the factors that can cause erectile dysfunction. In addition, other conditions such as atherosclerosis (hardening or blockage of the arteries), heart disease, high blood pressure or high blood sugar from diabetes can also be among the causes of erectile dysfunction.

Men have both physical and psychological aspects of erectile dysfunction. In some cases, these two factors can trigger each other, so it can be both. Some risk factors that can prevent penile erection can be listed as follows:

  • The most common age group for erectile dysfunction is over 50 years of age. For this reason, being over 50 is a risk factor for erectile dysfunction.
  • Diseases such as diabetes, high blood pressure, high cholesterol, cardiovascular diseases and prostatitis can cause erectile dysfunction.
  • Smoking, excessive alcohol consumption and drug use are also risk factors for all sexual dysfunctions.
  • Being overweight and not exercising.

At What Ages Are Erectile Dysfunctions Occur?

Erectile dysfunction in men can occur at any age. However, with increasing age, the incidence of erectile dysfunction also increases. It is most common after the age of 50. However, some men who exercise regularly and do not smoke or drink alcohol can maintain healthy sexual functionality even at the age of 80.

Which doctor should I go to when I have an erection problem?

It is seen that some men with erectile dysfunction go in search of food, vitamins or medicine, thinking that it will be good for their erection problems, without sharing this situation with anyone. For this reason, many malicious people abuse this situation and sell vitamins, medicines and foods that have no scientific validity on the internet. Men should be careful in this regard. Otherwise, it is possible to encounter much more negative results.

Men should first know that erectile dysfunction is not something to be ashamed of. This ailment is a very common health problem in the world. For this reason, men who have ongoing problems with erection should definitely see a specialist doctor. In hospitals, the department that men can go to about sexual dysfunctions and erection problems is urology.

Erectile Dysfunction Diagnosis

There are many reasons for having erectile dysfunction. These reasons can be purely psychological reasons, as well as physical problems or another disease. Therefore, it requires a detailed examination. Specialist physicians first listen to the patient's history in order to understand how long the patient has had problems with erection and whether he has any other chronic disease. Then, the physical control of the penile region is performed. After this stage, the patient's blood and urine tests and hormone tests are performed. Along with these assays, color Doppler ultrasound examinations are performed in order to examine the vessels in the penile region of the patient.

Physicians determine the source of the erection problem after these examinations and determine a treatment program. However, if no problem is detected as a result of these tests, the patient is evaluated to have a psychological problem and the psychological therapy process is initiated.

Erectile Dysfunction Treatment

Erectile dysfunction is a very common problem among men today. Especially after the age of 40, almost one out of every two men has an erection problem. For this reason, a lot of work is being done in the direction of the treatment of this problem and treatment methods are being developed. Along with the developing technology in the treatment of erection problems, many technological methods are also put into practice. With these methods, it has become possible for patients to get rid of this problem without feeling any pain. After the cause of the erection problem is determined by the physicians, a treatment method is determined according to the source of the problem. One of the methods commonly used by physicians today is ESWT Shock Wave therapy. In addition, erection drugs, penile prostheses or surgical interventions are among the treatment methods used according to the causes of the erection problem.

What is Low Intensity Shock Wave Therapy?

In the low-intensity shock wave therapy of Modus ED SWT, shock waves cause mechanical stress and micro-trauma when applied to an anatomical area. This mechanical stress and microtrauma triggers a series of biological reactions that increase blood flow and trigger neovascularization of tissue. Thus, as a result of shock waves increasing the blood flow to the penis and creating new vessels, the erection problem of the penis is eliminated.

How is ED SWT Applied?

ED SWT treatment is applied directly to various parts of the penis and to the root of the penis. 300 shock shots are applied to each applied area in one session, a total of 1,500. It is applied to 5 different points on the penis.

The treatment is done in 6 sessions. Since the treatment does not have any side effects, the number of sessions can be increased according to the severity of the discomfort. Each session takes approximately 20 minutes.

Before the session, applications such as drugs, sedation, anesthesia are not applied to the patient. At the end of the session, the patient can continue his daily life from where he left off.

What are the Differences from Other Treatment Methods?

Diğer Tedavi Yöntemlerinden Farkları Nelerdir?

Current non-surgical treatment modalities of erectile dysfunction consist of intracavernosal injections of intravenous vasodilating agents. In these methods, blood flow is accelerated by increasing the width of the vessel. The disadvantages of these treatment methods are that they do not eliminate the pathological factors underlying the erection of the penis. It is generally used before sexual intercourse and the duration of action is very limited.

In drug treatments, drugs are taken orally and the active ingredients are mixed into the blood. This situation causes the active substances that should open the veins in the penis to spread throughout the body and affect all the veins. Thus, serious risks occur for individuals with cardiovascular diseases. In Modus ED SWT treatment, focused shock waves only stimulate blood vessels in the targeted area.

In the treatment with focused shock waves of Modus ED SWT, the pathological factors in question are completely eliminated, and complete recovery is observed even in severe patients. With Modus ED SWT, as in other treatment methods, vessel width is not increased, new vessel formation is provided. Thus, risky side effects that are more likely to be seen especially in people with cardiovascular disease are avoided.

In addition, since Modus ED SWT is a non-invasive treatment method, surgical intervention is not performed on the patient. After the sessions lasting approximately 20 minutes, the patient continues his daily life from where he left off.

Side Effects of Modus ED SWT

There is no need for any preparation such as sedation or sedative before the treatment. There are no side effects such as pain, ache, swelling, bruising, burning and irritation during or after the procedure.

Advantages of Modus ED SWT

  • No drugs, prostheses, etc. are used in the treatment. This treatment method is completely non-invasive.
  • As with other treatment methods, it does not need to be used before every sexual intercourse.
  • Unlike drug therapy, it not only opens the vessels for a while, but also completely removes the blockages in the vessels and accelerates the formation of new vessels, providing permanent treatment.
  • It has been observed that Modus ED SWT treatment increases the thickness of the penis by increasing the blood vessels.
  • After the procedure, the patient continues his daily life.
  • It does not require the application of drugs such as anesthesia and sedatives during and after the procedure.
  • ED SWT treatment success is over 80%. In severe patients who do not even respond to drug therapy, the success rate exceeds 60%.
  • After ED SWT treatment, patients no longer need the drug treatments they used before.
  • There are no side effects.

Sexual Dysfunctions

Sexual health problems and some psychiatric disorders in the penis and testicles of men can also cause sexual dysfunction. Sexual dysfunctions in men can be listed as reluctance to have sexual intercourse, sexual aversion disorder, erectile dysfunction, premature ejaculation and painful sexual intercourse. These disorders, which we list as sexual dysfunctions, are quite common among men. However, most of the men prefer to ignore these ailments because they are afraid of social exclusion, people's hearing or their spouses, and they do not easily consult a doctor. Researchers in their studies reveal that one out of every three people experience one of the sexual dysfunctions at some point in their lives. Below are the prevalences of various sexual dysfunctions worldwide.

Sexual Disorder Lifetime Prevalence (%)
Lack of sexual desire 16
Erectile Dysfunction 5-50
Premature Ejaculation 21-35
Other Orgasmic Disorders 3-4

Source: İncesu, 2004

As can be seen from the table above, the prevalence of sexual dysfunctions is quite high throughout the world. Despite being such a common ailment, the importance of sexual dysfunctions has only been understood in recent years.

Is There a Treatment for Sexual Dysfunctions?

Although sexual dysfunctions are encountered so frequently, it is seen that the number of hospital admissions is just as low. The reason for this is both traditional reasons and fear of social pressure, as well as the fact that these men do not have knowledge about the treatment of these diseases. All sexual dysfunctions have treatment methods that vary according to the patient. It is possible to get rid of many sexual dysfunctions easily, especially with the recently developing technology, treatment methods such as ESWT Shock Treatment Method. For this, men who have doubts about having one of these disorders should definitely see a specialist urologist.

What is Impotency?

İktidarsızlık sorunu

The problems of men not being able to have an erection or to maintain an erection until ejaculation is colloquially called impotence. However, it should not be forgotten that every man can experience this problem only a few times. Not being able to have or maintain an erection should not be considered as impotence. It is a necessity for this problem to continue in order for the state of impotence to occur.

In order for men to have a full sexual intercourse, they must have an erection and be able to maintain this erection until ejaculation occurs. In order for this to happen, there must be no problem in the vascular pathways in the penis and the chambers that keep the blood on the penis during erection. However, if the blood can be retained in these chambers until ejaculation occurs, an erection will continue.

Impotency Treatment

Many men choose not to go to the doctor to hide this condition or because they think that there is no cure for erectile dysfunction, known as impotence. Studies have shown that one out of every 10 men with erectile dysfunction has erectile dysfunction. However, when we look at the number of hospital admissions, it is seen that the number is not that high. Although the problem of impotence in men is more common as age increases, it is a disorder that can be seen at any age. However, it should be known that the problem of impotence is a disease that can be treated. The problem of impotence can be easily eliminated with methods such as ESWT Shock wave therapy, which has been quite common in recent times.

Erectile Dysfunction

Under normal conditions, the penis is in a soft tissue state. When faced with any sexual stimulus, the veins that bring blood to the penis continue to bring blood, while the veins that provide the return of blood from the penis contract, preventing the blood from leaving the penis. The remaining blood is accumulated by the spongy tissues in the penis, and thus an erection occurs in the penis. In order for the penis to enter the vagina during sexual intercourse, it must be of a certain hardness. This hardness is expressed as an erection state. The condition that the penis cannot reach a level of hardness that can enter the vagina or the condition that the hardness ends early is defined as erectile dysfunction, in other words, erectile dysfunction. Colloquially, this condition is also called impotence. The term impotence has not been used in medicine since the 90s. There are two different types of erectile dysfunction as situational and complete erectile dysfunction.

Situational Erectile Dysfunction

Erektil disfonksiyon

Situational erectile dysfunction is the inability to have an erection in certain situations and with certain partners.

Complete Erectile Dysfunction

In complete erectile dysfunction, no erection can be achieved.

What is Impotence


In order for sexual intercourse to take place, the penis must have reached sufficient hardness. The penis, which is not hard enough, will not be able to enter the vagina. It takes a certain amount of time to reach this hardness. Vaginal lubricity should be provided in women for both the penis to reach sufficient hardness and for sexual intercourse. Otherwise, sexual intercourse may not be possible. Sometimes, although the penis is hardened before intercourse, it may lose its rigidity again before it enters the vagina. In medicine, this condition is called impotence. Impotence is also known as "the resentment of the genital organ" in the colloquial language.

Impotence Treatment

In the treatment of impotence, a treatment plan is created as a result of the examination performed by the specialist physician. The most appropriate treatment method for the patient is decided according to the condition of the disease. These treatment methods include drug therapy, ESWT Shock Wave Therapy, penile prosthesis or surgical interventions, as in other erection problems.

Erection Problems in Men

Studies have shown that 6 out of 10 men experience short-term or permanent erection problems throughout their lives. Since erection problem is given too much importance in some men, it is seen that it brings with it many psychological problems, especially depression. Especially in adolescents and young people who see sexual activities as the focal point of their lives, erectile dysfunction is sometimes seen as a problem that can lead to suicide. Today, compared to the past, it is seen that sexual disorders can talk more and men are more courageous in this regard. Although there are many different reasons for this, the biggest reason is that there are very painless and easy treatment methods for these ailments. Erectile dysfunction can be treated with many different methods today. Very positive results can be obtained even in elderly patients.

ESWT Shock Wave Therapy for Erection Problems

Ereksiyon Sorunu

ESWT Shock Wave Therapy, which was first used in the 80s, is used effectively in the treatment of many different diseases today. This method, which was used for the first time in the treatment of urinary stones, later started to be used widely both in the field of orthopedics and in the field of urology. It is frequently preferred by both physicians and patients because it does not cause any pain to the patients and because the patients can continue their normal lives during the treatment.

Application of ESWT Shock Wave Therapy

This method is especially used in erection problems caused by vascular access that provides blood flow to the penis and traps blood in the penis. In this method, the veins are stimulated and vascularization is provided by sending sound waves to the problematic area of the patient. In the meantime, the patient does not feel anything because local analgesic gel is applied to the application area.

ESWT Shock Wave Treatment Duration

A session in ESWT Shock Wave Therapy takes approximately 20 minutes. There are 2-day intervals between sessions, and the treatment ends in about 2 weeks. During the treatment, patients can continue their normal lives and have sexual intercourse. Although it differs from patient to patient, the effectiveness of the treatment emerges approximately one month after the end of the treatment. ESWT Shock Wave Treatment Method is a very effective method in terms of its results as a treatment method for erectile dysfunction. It is also an advantageous treatment method as there is no need for hospitalization during the treatment and patients do not stay behind from their social life and work.

Regardless of the treatment method, men with erectile dysfunction are advised to stop smoking and alcohol use and to exercise regularly.

What Causes Sexual Reluctance in Men?

Sexual reluctance, which is a sexual dysfunction, can affect men of all ages, and it is more common especially in older men. The most common sexual dysfunctions in men;

  • Ejaculation disorders,
  • Erectile Dysfunction,
  • Decrease in sexual desire.

These problems can usually be corrected by treating if the underlying causes are detected. The problem of sexual reluctance is a physical or psychological problem that prevents men from obtaining satisfaction in their sexual lives. Sexual aversion, a common sexual dysfunction and disorder that can affect men of all ages, is more common in men with increasing age.

Physical causes of general sexual dysfunction:

  • Low testosterone level.
  • Medications (antidepressants, high blood pressure medications).
  • Blood vessel disorders such as atherosclerosis (hardening of the arteries) and high blood pressure.
  • Paralysis or nerve damage from diabetes or surgery.
  • Smoking.
  • Alcohol and drug use.

Psychological causes;

  • Concerns about sexual performance
  • Marriage or relationship problems
  • Depression, feelings of guilt.
  • Effects of past sexual trauma.
  • Work-related stress and anxiety.

How is male sexual dysfunction diagnosed?

Sexual dysfunctions seen in men can be diagnosed first by physical examination. However, physical examination should be supported by various tests.

  • blood tests to check testosterone level, blood sugar and cholesterol,
  • Blood pressure control,
  • Rectal examination to check the prostate,
  • Examination of the penis and testicles,

plays an important role in the detection and diagnosis of the disease.

Sexual Reluctance Shock Wave (Modus ED SWT) Treatment

Sexual Reluctance Shock Wave (Modus ED SWT) Therapy is applied with a rod-shaped device placed close to different parts of the penis. With the help of these sticks, small stimuli are sent. The procedure, which does not require anesthesia, takes approximately 15 to 20 minutes. Shock waves support the stimulation of tissue by accelerating blood flow in the penis. The application is widely preferred because it does not cause pain or any side effects in men who have problems with sexual reluctance. Shock therapy is effective in eliminating sexual reluctance. Although the duration and frequency of shock therapy may vary from person to person, positive results can be seen from the first session if it is done correctly and effectively.

What is Andropause?

Andropause is defined as age-related changes in male hormone levels. Andropause is most common in men aged 50 and over. One of the most common causes of andropause is a decline in testosterone production in older men. The task of the testosterone hormone is not just to feed the sex drive. In addition, initiation of changes in adolescence, mental and physical energy supply and preservation of muscle mass are among the duties of testosterone.

Andropause, which can also be called male menopause, differs from female menopause at certain points. First, not all men experience this condition. Second, males experiencing andropause do not completely lose their reproductive activity. However, sexual complications can occur as a result of low hormone levels.

Andropause Modus ED SWT Treatment

Modus ED SWT shock treatment method is the most effective method in eliminating the erection problem seen in men. In many different countries, men face andropause as they get older. The negativity in sexual life that develops in connection with anthroposis, which negatively affects the sexual life of couples, can be eliminated with the Modus ED SWT shock treatment method. With the Modus ED SWT shock treatment method, the effects of andropause seen in men with the advancement of age, the erection problem are reduced and individuals are able to continue a quality sexual life.

Don't Risk Your Health

  1. Kazan, Hüseyin Özgür, and Bülent Erol. “Pelvik nörovasküler yaralanması olan rat modelinde, düşük enerji şok dalga tedavisi erektil disfonksiyonda iyileşme sağlar.” Androloji Bülteni 18.67: 236-237.
  2. Tuncel, Altuğ, Ö. Güzel, and Ali Atan. “Erektil disfonksiyonda rol oynayan risk faktörlerini belirleme.” Androloji Bülteni 15.54 (2013): 158-163.
  3. Uluocak, Nihat, et al. “Koroner anjiyografik veriler ışığında erektil disfonksiyona bakış.” Türk Üroloji Dergisi-Turkish Journal of Urology 35.4 (2009): 316-21.

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  • Medicine, prosthesis, etc. in the treatment. not used. This treatment method is completely non-invasive.
  • As with other treatment methods, it does not need to be used before every sexual intercourse.
  • Like drug therapy, it not only opens the vessels for a while, but also completely removes the blockages in the vessels and accelerates the formation of new vessels, providing permanent treatment.
  • It has been observed that Modus ED SWT treatment increases the thickness of the penis by increasing the blood vessels.
  • After the procedure, the patient continues his daily life.
  • It does not require the application of drugs such as anesthesia and sedatives during and after the procedure.
  • ED SWT treatment success is over 80%. In severe patients who do not even respond to drug therapy, the success rate exceeds 60%.
  • After ED SWT treatment, patients no longer need the drug treatments they used before.
  • It has no side effects.



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