Male erectile dysfunction, called erectile dysfunction, is the inability to reach and / or maintain the erection state, as a result of which it is not possible to have sexual intercourse. At CIFS, Centro Italiano di Fertilità e Sessualità in Florence, we provide in-depth diagnosis of the causes of erectile dysfunction, and try to find a solution to the problem.
Erection is a complex physiological response that depends on a perfect integration of vascular, endocrine and neurological mechanisms. Until a few years ago it was thought that about 90% of cases of erectile dysfunction were of a psychological origin, but recent studies have shown organic etiology in about 50% of cases of impotence. There are two mechanisms that determine the erection:
The problem, which causes interpersonal difficulties and considerable discomfort, is often associated with sexual anxiety, worry about performance itself, or a reduced feeling of excitement / pleasure. can It manifest in a number of ways, including:
The first step is to thoroughly assess the problem through examinations such as nighttime electrometry, hormone doses, and penis ultrasound.
If organic causes are found, pharmacological, hormonal or surgical remedies may be possible.
If the problem is psychological, it is possible to begin a course of cognitive-behavioral psychotherapy, the only psychological therapy with proven effectiveness in treating this disorder.