Symptoms

How to Recognise the Condition

Primary signs

Difficulty achieving an erection
Inability to maintain an erection
Decreased sexual desire

Associated symptoms

Premature ejaculation
Reduced intensity of orgasm
Anxiety and stress before intimacy

Psychological factors

Depression and chronic stress
Relationship problems
Performance anxiety syndrome

Diagnostics

How the Diagnosis Is Made

Physical examination and detailed medical history
Blood tests: testosterone, prolactin, blood sugar
Penile vascular ultrasound (Doppler)
Assessment of psychological factors

Treatment

Treatment Methods

Drug therapy (PDE-5 inhibitors)
Hormonal correction for testosterone deficiency
Shock wave therapy (SWT)
Psychosexual counselling

General information

What Is Erectile Dysfunction

Erectile dysfunction (ED) is the persistent inability to achieve or maintain an erection sufficient for satisfactory sexual activity. Statistically, one in three men over 40 faces this problem, yet it responds well to treatment when properly diagnosed.

It is important to understand: ED is not a weakness or a normal part of ageing — it is a medical condition with specific causes. It is often the first symptom of serious underlying diseases such as diabetes mellitus, atherosclerosis, or hormonal disorders.

Vascular ED

The most common form (up to 70% of cases). Caused by impaired blood flow to the penis due to atherosclerosis or hypertension. Responds well to PDE-5 inhibitors and shock wave therapy.

Hormonal ED

Occurs with testosterone deficiency, elevated prolactin, or thyroid pathology. Once hormone levels are normalised, function typically recovers.

Psychogenic ED

Develops against a background of stress, anxiety, depression, or relationship conflicts. Typical in younger men. Treated in combination with psychosexual counselling.

Neurogenic ED

Occurs when nerve regulation is disrupted — after prostate surgery, in diabetes mellitus, or multiple sclerosis. Requires a comprehensive treatment approach.

Causes

Why ED Occurs

Cardiovascular disease and atherosclerosis
Type 1 and type 2 diabetes mellitus
Testosterone deficiency (hypogonadism)
Obesity and metabolic syndrome
Smoking and alcohol abuse
Chronic stress and depression
Certain medications (antidepressants, beta-blockers)
Injuries and surgeries in the pelvic area

Why treatment matters

Consequences Without Treatment

Progression of the underlying disease (diabetes, hypertension)
Reduced quality of life and self-esteem
Relationship difficulties
Development of chronic anxiety and depression
Difficulties conceiving a child
Worsening hormonal imbalance

💬 Complete confidentiality guaranteed

Sensitive questions are everyday practice for an andrologist. All data is strictly confidential. You can speak openly at the appointment — that is the only way to make an accurate diagnosis and select effective treatment.

Your doctor

Amanzholova Sholpan Kenzhegalievna

Urologist-Andrologist-Gerontologist · Top-category physician · 43 years of experience

Over 5,000 patients. Sensitive approach, complete confidentiality. Invivo Medical Center, Aktobe.

FAQ

Frequently Asked Questions

Is it permanent or treatable?+

In most cases, erectile dysfunction responds well to treatment. After accurate diagnosis and elimination of the cause — vascular, hormonal, or psychological — function is restored in 80–90% of patients.

Do I need tests before the appointment?+

No, you can come to the initial appointment without tests. The doctor will examine you, listen to your complaints, and prescribe the necessary investigations if needed.

Is the appointment completely confidential?+

Yes. All data is strictly confidential. You can speak openly — sensitive topics are everyday practice for an andrologist.

Book an Appointment

Initial appointment with 40% discount · Invivo Medical Center, Aktobe
71 Abulkhair Khan Ave. · Mon–Fri 9:00–18:00, Sat 9:00–14:00

WhatsApp +7 (701) 250-62-71

Erectile Dysfunction: Treatment in Aktobe