A state of weakened sexual capability, or Erectile Dysfunction (ED), is a state in which a man cannot make the sexual organ fully erect, or cannot maintain the erection long enough for having sexual relations normally. This state is met more often than many people think, and usually does not arise from mental factors alone, but has mechanisms of the body that can be examined and assessed systematically

This article will explain the state of weakened sexual capability according to the approach of clinical assessment of PYONG MEN, from the mechanism of the erection of the body in the normal state, the causes that may give rise to ED, and the examination and diagnosis that helps identify the factors connected, through to the choices in care that may be considered after a comprehensive assessment specific to the individual

The mechanism of the erection of the male sexual organ in the normal state

The erection of the male sexual organ (Erection) is the result of the working together of the nervous system and the system of the blood vessels in a delicate manner. When the body receives stimulation, the arteries that go to nourish the sponge-like bodies (Corpora Cavernosa) expand so that the blood can flow in quickly. This step is called Arterial Inflow

At the same moment, the veins are pressed on in order to hold the blood, so that it does not flow back out quickly. This step is called Venous Occlusion. When both mechanisms work in harmony, the sexual organ can therefore become fully erect and maintain that state

When one mechanism or the other is abnormal, whether it is blood not entering enough or blood leaking back too quickly, the result that follows is a state of weakened sexual capability at differing levels

What is ED, and what can it arise from

In medicine, a state of weakened sexual capability does not arise from a cause on one side alone, but is a group of symptoms that may reflect an abnormality of several systems in the body. The assessment of the cause should therefore be considered comprehensively, and the groups of factors that can be met often are

1. The cause from the system of the blood vessels (Vasculogenic ED) is the group met most often. It arises from an abnormality of the blood vessels that nourish the penis. It may be divided into two sub-mechanisms that are sometimes met together, namely a state of narrowed or degenerated arteries (Arteriogenic ED) from the accumulation of fatty plaque, chronic inflammation, or the lining of the wall of the blood vessels coming to a state of degeneration; and a state of a leaking vein (Venogenic ED / Venous Leak), in which the structure cannot hold the blood, making it possible to become erect but softening in the middle

2. The cause from the system of the hormones (Hormonal / Andropause-related) — when men enter the age of 30–40 years and above, the level of the hormone testosterone gradually decreases, together with chronic inflammation and a state of degeneration of the capillary blood vessels, which may result in the tissue and the reproductive organs responding less

3. The cause from the system of the muscles and the nerves of the pelvic floor — the structure of the muscles of the pelvic floor, particularly the Ischiocavernosus group, has an important role in helping hold the blood while erect. When these muscles lose their strength or work out of rhythm, the erection may not be complete

A state of ED in many cases may be connected with factors of more than one system. A suitable assessment should therefore be considered from the overall picture of each individual, rather than looking at the symptoms on one side alone

5 signals that should be observed

The symptoms of a state of weakened sexual capability usually do not all appear at the same time, but usually appear gradually in a manner that many men feel is "not the same as before"

Not having symptoms of erection in the morning or while asleep (Loss of Morning Wood), which may be a beginning signal of the degeneration of the system of the blood vessels
Beginning to have difficulty becoming erect, needing more time or not being able to become fully erect
Not being able to maintain the erection throughout the activity, possibly softening in the middle, which is usually related to a state of a leaking vein
Having underlying diseases connected with the system of the blood vessels, such as diabetes, high blood pressure, high fat in the blood, or having a history of smoking
The response to medicine that dilates the blood vessels (PDE5 inhibitors) reducing from before

When a physician should be seen

If these symptoms begin to affect the relationship, the confidence, or the quality of life in other respects, seeing a physician of the health of the male sex in order to have a systemic examination and assessment will help in understanding the cause clearly and in receiving a suitable plan of care

What is important is that a state of ED is usually a warning signal of the health of the blood vessels overall. Assessment from the first stage is therefore not merely the care of sexual capability, but is also the assessment of the health of the system of blood circulation of the whole body at the same time

The approach to examination and diagnosis at PYONG MEN

The diagnosis of a state of weakened sexual capability at PYONG MEN uses an assessment of several dimensions together, in order to identify the real cause, not merely the management of the symptoms immediately in front of us

Penile Color Doppler Ultrasonography (PCDU) is an examination with high-frequency sound waves in order to measure the speed of the circulation of the blood in the penis, both the rhythm of the blood entering (Peak Systolic Velocity) and the rhythm of the blood leaving (End-Diastolic Velocity), helping the physician identify whether the problem comes from narrowed arteries, a leaking vein, or both together
Comprehensive Endocrine & Metabolic Panel — a blood examination in order to analyse the level of the male hormone, the level of sugar, and the fat, in order to assess a state of inflammation of the blood vessels and the balance of the system of metabolism
Pelvic Floor Muscle Evaluation — the assessment of the tightness and the strength of the muscles of the pelvic floor, which have a role in holding the blood while erect

The results of these examinations are brought to be analysed together in order to create an overall picture of the cause, before designing an approach to care that suits each individual

The approaches that the physician may consider choosing to use after the diagnosis

The approach to caring for a state of weakened sexual capability at PYONG MEN covers several dimensions, and the choice of the suitable approach depends on the cause, the severity, and the goals of the one receiving the treatment

High-Precision Focused Shockwave Therapy (f-ESWT) — the use of focused shock waves of low energy going deep down to the sponge-like bodies and the pelvic floor, in order to stimulate the secretion of the Vascular Endothelial Growth Factor (VEGF), which may help support the process of creating new capillary blood vessels and restore the lining of the wall of the blood vessels
Superdose Activated Purified Growth Factor — a procedure of injecting a biological substance extracted at high concentration into the sponge-like bodies at a particular point, in order to support the repair of the tissue and reduce a state of oxidative stress that may affect the health of the blood vessels
Transrectal QMR (Quantum Molecular Resonance) — a procedure of sending a specific frequency of waves through the anus, in order to stimulate the repair of the cells in the prostate gland and in the deep structures of the reproductive system, without using heat
Advanced Pelvic Neuro-Vascular Protocol — the use of electromagnetic technology (PMS) in stimulating the working of the muscles of the pelvic floor, in order to support the effectiveness in holding the blood and in the erection

All the procedures above may be considered only after a detailed assessment. There is no approach that suits everyone, and there is no procedure that guarantees a result at the same level for every case. The length of time in the care is generally about 2–3 months, depending on the severity of the symptoms and the response of each individual

The concept in the care of PYONG MEN

PYONG MEN gives importance to a comprehensive clinical assessment before laying out a plan of treatment, because a state of weakened sexual capability may not arise from any one cause alone, but may be connected with the working together of several systems in the body, from the system of the blood vessels, the hormones, and the nerves, through to the muscles of the pelvic floor

For this reason, the approach to care should therefore be designed specific to the individual, considering the symptoms, the results of the examination, and the factors of health connected, under the care of expert physicians, from the process of assessment and diagnosis through to the planning of continuous restoration

In short summary

A state of weakened sexual capability (ED) is a state in which a man cannot become fully erect or maintain the erection long enough, which may have causes from several systems together
The causes met often are an abnormality of the system of the blood vessels, of the system of the hormones, and of the structure of the muscles of the pelvic floor
Not having symptoms of erection in the morning, not becoming fully erect, and softening in the middle are signals for which an assessment may need to be received
A comprehensive diagnosis, such as Penile Doppler Ultrasound and the examination of the hormones, helps the physician identify the cause more accurately
The approach to care of PYONG MEN is designed individually, considering the results of the clinical assessment, the symptoms, and the factors of health connected with each person

FAQ

Q: Is a state of ED met only in older people A: A state of ED is met more often with age, but is not limited to older people. Men in the period of the age of 30–40 years who have risk factors of the metabolism or accumulated stress may also have symptoms

Q: Can ED be cured A: The response to the treatment depends on the cause and the stage of the symptoms. Those who receive an assessment early usually have a better chance of responding to the approach of care. There is no treatment that guarantees a result in every case

Q: What must be examined when ED is suspected A: The standard assessment usually consists of Penile Doppler Ultrasound in order to assess the system of the blood vessels, the examination of the hormones, and the assessment of the muscles of the pelvic floor, with the physician considering it according to the symptoms of each individual

Q: PDE5 medicine gives a good result; is examination still necessary A: A response to medicine in the first stage is a good signal, but if the dose of medicine must be increased continually or the medicine begins not to respond, it may be a signal that the underlying cause, such as the health of the blood vessels, should receive additional examination and assessment

Q: How long does treatment at PYONG MEN take A: Generally the length of time of the care is about 2–3 months, depending on the cause and the severity of the symptoms, as well as the response of each individual

If you begin to observe a change of sexual capability, coming in for an assessment from the first stage may help in understanding the factors connected more clearly, and in laying out an approach to care suitably

Making an appointment to consult the medical team of PYONG MEN in order to receive an assessment in an atmosphere that is private, and designed so that the one coming in for the assessment feels comfortable throughout the process