Erectile dysfunction (ED) is the male inability during sexual stimulation, to get and keep an erection hard enough for penetration, maintenance, and completion of sexual intercourse, resulting in a lack of satisfaction for the male.
Shim Clinic has a special focus on the diagnosis and treatment of erectile dysfunction.
Physical causes of ED result from vascular and neurological damage caused by diabetes and hypertension, and also hormonal insufficiencies. Psychological causes also play a part like lack of interest in the partner.
Penile erection results when the sponge-like body is engorged when blood that enters it is prevented from exiting. Stimulus from the brain travelling through nerves that enter the penis trigger this activity, and results from sexual arousal.
Erectile dysfunction may be assessed with the international index of erectile function (IIEF-5) a.k.a. sexual health inventory for men (SHIM), and an erectile dysfunction diagnosis made: