{"id":1444,"date":"2020-07-31T08:00:00","date_gmt":"2020-07-31T01:00:00","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=1444"},"modified":"2026-05-18T19:39:02","modified_gmt":"2026-05-18T12:39:02","slug":"%e0%a6%87%e0%a6%b0%e0%a7%87%e0%a6%95%e0%a7%8d%e0%a6%9f%e0%a6%be%e0%a6%87%e0%a6%b2-%e0%a6%a1%e0%a6%bf%e0%a6%b8%e0%a6%ab%e0%a6%be%e0%a6%82%e0%a6%b6%e0%a6%a8-ed","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/bn\/2020\/07\/31\/erectile-dysfunction-ed\/","title":{"rendered":"\u0987\u09b0\u09c7\u0995\u09cd\u099f\u09be\u0987\u09b2 \u09a1\u09bf\u09b8\u09ab\u09be\u0982\u09b6\u09a8: 4\u099f\u09bf \u09b8\u09cd\u09a4\u09ae\u09cd\u09ad \u0987\u09a1\u09bf \u09b8\u09ae\u09b8\u09cd\u09af\u09be \u09b8\u09c3\u09b7\u09cd\u099f\u09bf \u0995\u09b0\u09c7"},"content":{"rendered":"<div class=\"wp-block-columns coblocks-author-columns has-background is-layout-flex wp-container-core-columns-is-layout-a7ac2865 wp-block-columns-is-layout-flex\" 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15.4 0 0 0 .063-1.207v-.512a.27.27 0 0 0-.273-.273h-2.95a.27.27 0 0 0-.274.273v.785c0 .228.0.343.273.343h1.337c.094 0 .14.045.14.137 0 .61-.063 1.043-.155 1.318-.182.546-.7 1.018-1.683 1.018-.654 0-1.135-.114-1.475-.356-.34-.244-.55-.585-.658-1.024a3.797 3.797 0 0 1-.111-.43 5.515 5.515 0 0 1-.06-.51 19.85 19.85 0 0 1-.025-.726c-.004-.28-.004-.628-.004-1.045 0-.418 0-.766.004-1.046a19.85 19.85 0 0 1 .025-.726 5.475 5.475 0 0 1 .06-.51 3.785 3.785 0 0 1 .111-.43c.108-.44.318-.78.658-1.024.34-.243.82-.357 1.475-.357.6 0 1.064.078 1.413.293.347.215.595.515.74.91.063.155.166.21.31.156l.967-.4c.15-.058.187-.18.13-.32a3.025 3.025 0 0 0-1.262-1.452C21.12.218 20.428.0 19.586 0zM8.512 4.32c-2.7 0-4.066.997-4.066 3.06v.04c0 1.92.992 2.83 3.046 2.83 1.27 0 2.038-.39 2.385-1.05h.13l.067.51c.04.2.207.34.41.34h.99V7.95c0-2.59-1.06-3.63-2.962-3.63zm-.18 1.61c1.118 0 1.628.56 1.628 1.86v.4l-1.65.16c-1.35.13-1.86.46-1.86 1.13v.04c0 .67.41 1.06 1.45 1.06.85 0 1.55-.32 1.93-.84.04-.06.13-.07.18-.02.05.03.07.1.07.16v.43c0 .26.13.42.34.42h1.05c.21 0 .34-.16.34-.42v-3.6c0-1.94-1.13-2.83-3.46-2.83-1.94 0-3.07.86-3.4 2.04l1.55.45c.18-.69.6-1.04 1.83-1.04zM2.135 16.314c-.587 0-1.066-.156-1.434-.469-.367-.312-.618-.704-.752-1.176-.034-.124-.061-.232-.082-.327a3.794 3.794 0 0 1-.044-.366 8.83 8.83 0 0 1-.022-.547C0 13.221 0 12.985 0 12.704c0-.281 0-.515.001-.704a8.81 8.81 0 0 1 .022-.547 3.802 3.802 0 0 1 .044-.366c.02-.094.048-.203.082-.328.134-.471.385-.864.752-1.176.368-.313.847-.469 1.434-.469.477 0 .892.087 1.246.262.353.175.622.443.806.804.044.083.083.157.117.222.034.066.069.144.105.235.022.054.011.099-.034.135l-.66.292c-.045.027-.082.013-.112-.045a4.043 4.043 0 0 0-.155-.27 1.247 1.247 0 0 0-.49-.495c-.225-.131-.522-.196-.892-.196-.402 0-.726.064-.972.193-.247.13-.422.302-.527.518-.027.045-.054.099-.082.16a1.39 1.39 0 0 0-.067.197 2.46 2.46 0 0 0-.05.282 5.51 5.51 0 0 0-.033.43c-.008.17-.013.376-.013.617 0 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fill=\"currentColor\">\n      <path d=\"M12 0C5.372 0 0 5.372 0 12s5.372 12 12 12 12-5.372 12-12S18.628 0 12 0zM7.369 4.378c.525 0 .947.431.947.947 0 .525-.422.947-.947.947-.525 0-.946-.422-.946-.947 0-.525.421-.947.946-.947zm-.722 3.038h1.444v10.041H6.647V7.416zm3.562 0h3.9c3.712 0 5.344 2.653 5.344 5.025 0 2.578-2.016 5.025-5.325 5.025h-3.919V7.416zm1.444 1.303v7.444h2.297c3.272 0 4.022-2.484 4.022-3.722 0-2.016-1.284-3.722-4.097-3.722h-2.222z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/scholar.google.com\/citations?user=lTgsRMUAAAAJ&#038;hl=en\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"\u0997\u09c1\u0997\u09b2 \u09b8\u09cd\u0995\u09b2\u09be\u09b0\"\n     aria-label=\"\u0997\u09c1\u0997\u09b2 \u09b8\u09cd\u0995\u09b2\u09be\u09b0 \u09aa\u09cd\u09b0\u09cb\u09ab\u09be\u0987\u09b2 \u09a6\u09c7\u0996\u09c1\u09a8\"\n     style=\"text-decoration: none; color: #4285F4; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewbox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M5.242 13.769L0.5 9.5 12 1l11.5 8.5-4.742 4.269C17.548 11.249 14.978 9.5 12 9.5c-2.977 0-5.548 1.748-6.758 4.269zM12 10a7 7 0 1 0 0 14 7 7 0 0 0 0-14z\"\/>\n    <\/svg>\n  <\/a>\n  \n<\/div>\n\n\n\n<p>No doubt that nowadays the so-called ED or Erectile Dysfunction is a major concern for men. It&#8217;s surprisingly common even in younger men &#8211; I often take care of patients as young as 20 years old. Erectile dysfunction is defined as a &#8220;persistent inability to attain and maintain an erection sufficient to permit satisfactory sexual performance.&#8221;<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"1452\" data-permalink=\"https:\/\/drsoaraweeurology.com\/bn\/2020\/07\/31\/erectile-dysfunction-ed\/top-view-of-shocked-lovely-couple-lying-together-in-bed\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/07\/Couple-on-the-bed.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;2.8&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;Canon EOS 5D Mark III&quot;,&quot;caption&quot;:&quot;Top view of Shocked Lovely couple lying together in bed and hiding behind blanket while looking at the camera at home&quot;,&quot;created_timestamp&quot;:&quot;1514123574&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;24&quot;,&quot;iso&quot;:&quot;1250&quot;,&quot;shutter_speed&quot;:&quot;0.00625&quot;,&quot;title&quot;:&quot;Top view of Shocked Lovely couple lying together in bed&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Erectile dysfunction is common issue\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Erectile dysfunction is common issue&lt;\/p&gt;\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/07\/Couple-on-the-bed.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/07\/Couple-on-the-bed.jpg?resize=800%2C533&#038;ssl=1\" alt=\"\u0987\u09b0\u09c7\u0995\u09cd\u099f\u09be\u0987\u09b2 \u09a1\u09bf\u09b8\u09ab\u09be\u0982\u09b6\u09a8 \u098f\u0995\u099f\u09bf \u09b8\u09be\u09a7\u09be\u09b0\u09a3 \u09b8\u09ae\u09b8\u09cd\u09af\u09be\" class=\"wp-image-1452\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/07\/Couple-on-the-bed.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/07\/Couple-on-the-bed.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/07\/Couple-on-the-bed.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/07\/Couple-on-the-bed.jpg?resize=768%2C512&amp;ssl=1 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">\u0987\u09b0\u09c7\u0995\u09cd\u099f\u09be\u0987\u09b2 \u09a1\u09bf\u09b8\u09ab\u09be\u0982\u09b6\u09a8 \u098f\u0995\u099f\u09bf \u09b8\u09be\u09a7\u09be\u09b0\u09a3 \u09b8\u09ae\u09b8\u09cd\u09af\u09be<\/figcaption><\/figure>\n\n\n\n<p>ED is more significant than many realize &#8211; it can be an early indicator of future cardiovascular events and has a significant impact on relationship quality. More than 50% of U.S. men aged 40 and above are affected, and recent literature shows that 25% of new-onset ED cases are in men under 40 years old.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">4 main causes of Erectile Dysfunction.<\/h4>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Hormonal issue &#8211; Testosterone is the essential sexual hormone. Levels peak at age 20 and gradually decline with aging. Low testosterone presents as depressed mood, fatigue, and reduced energy. Early morning blood testosterone testing is recommended when suspected. Testosterone replacement therapy benefits elderly men with confirmed deficiency, but requires careful consideration in younger men.<\/li>\n\n\n\n<li>Neurogenic issue &#8211; Erection is controlled by the brain and nervous system. Brain lesions from stroke or Parkinson&#8217;s disease, or spinal cord injuries from trauma, can significantly impair erectile function and are among the more difficult forms of ED to treat.<\/li>\n\n\n\n<li>Vasculogenic issue &#8211; Poor vascular quality accounts for 75% of ED cases. Smoking damages blood vessel quality throughout the body &#8211; especially the small penile vessels. Obesity, hypertension, diabetes mellitus, and hypercholesterolemia must be well-monitored and well-controlled to protect erectile function.<\/li>\n\n\n\n<li>Mental (psychological) issue &#8211; Stress from work, family responsibilities, and daily life directly impacts sexual performance. Conversely, good sleep, regular exercise, and recreational activities can significantly improve psychological ED.<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"1451\" data-permalink=\"https:\/\/drsoaraweeurology.com\/bn\/2020\/07\/31\/erectile-dysfunction-ed\/cigarette\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/07\/Cigarette.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;5.6&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;Canon EOS 80D&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;1575627880&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;50&quot;,&quot;iso&quot;:&quot;320&quot;,&quot;shutter_speed&quot;:&quot;0.008&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Cigarette is one of major cause in ED\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Cigarette is one of major cause in ED&lt;\/p&gt;\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/07\/Cigarette.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/07\/Cigarette.jpg?resize=800%2C533&#038;ssl=1\" alt=\"\u0987\u09b0\u09c7\u0995\u09cd\u099f\u09be\u0987\u09b2 \u09a1\u09bf\u09b8\u09ab\u09be\u0982\u09b6\u09a8 \u09b8\u09bf\u0997\u09be \u09a5\u09c7\u0995\u09c7 \u0985\u09a8\u09c7\u0995 \u09ac\u09c7\u09b6\u09bf \u09aa\u09cd\u09b0\u09ad\u09be\u09ac\u09bf\u09a4 \u09b9\u09af\u09bc\" class=\"wp-image-1451\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/07\/Cigarette.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/07\/Cigarette.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/07\/Cigarette.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/07\/Cigarette.jpg?resize=768%2C512&amp;ssl=1 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">\u09b8\u09bf\u0997\u09be\u09b0\u09c7\u099f \u0987\u09a1\u09bf\u09b0 \u0985\u09a8\u09cd\u09af\u09a4\u09ae \u09aa\u09cd\u09b0\u09a7\u09be\u09a8 \u0995\u09be\u09b0\u09a3<\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"1454\" data-permalink=\"https:\/\/drsoaraweeurology.com\/bn\/2020\/07\/31\/erectile-dysfunction-ed\/sad-fat-man-lies-on-the-sofa-and-watches-tv\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/07\/Obesity.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;2&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;Canon EOS 5D Mark III&quot;,&quot;caption&quot;:&quot;Sad fat man lies on the sofa and watches TV&quot;,&quot;created_timestamp&quot;:&quot;1522415913&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;50&quot;,&quot;iso&quot;:&quot;640&quot;,&quot;shutter_speed&quot;:&quot;0.005&quot;,&quot;title&quot;:&quot;Sad fat man lies on the sofa and watches TV&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Keep yourself in good shape is good for ED\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Keep yourself in good shape is good for ED&lt;\/p&gt;\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/07\/Obesity.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/07\/Obesity.jpg?resize=800%2C533&#038;ssl=1\" alt=\"\" class=\"wp-image-1454\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/07\/Obesity.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/07\/Obesity.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/07\/Obesity.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/07\/Obesity.jpg?resize=768%2C512&amp;ssl=1 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">\u09a8\u09bf\u099c\u09c7\u0995\u09c7 \u09ad\u09be\u09b2\u09cb \u0985\u09ac\u09b8\u09cd\u09a5\u09be\u09af\u09bc \u09b0\u09be\u0996\u09be \u0987\u09a1\u09bf\u09b0 \u099c\u09a8\u09cd\u09af \u09ad\u09be\u09b2\u09cb<\/figcaption><\/figure>\n\n\n\n<p>If you&#8217;d like to discuss this topic further, please give me a text or PM <a href=\"https:\/\/drsoaraweeurology.com\/bn\/\" class=\"rank-math-link\">\u0986\u09ae\u09be\u0995\u09c7<\/a>!<\/p>\n\n\n\n<p>If you are experiencing erectile dysfunction or suspect low testosterone and would like a confidential specialist evaluation, Dr. Soarawee Weerasopone offers consultations at Bangkok Hospital Headquarters. <a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\">\u09aa\u09b0\u09be\u09ae\u09b0\u09cd\u09b6 \u09ac\u09c1\u0995 \u0995\u09b0\u09c1\u09a8<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently Asked Questions about Erectile Dysfunction<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1\"><strong class=\"schema-faq-question\">What is erectile dysfunction (ED)?<\/strong> <p class=\"schema-faq-answer\">Erectile dysfunction is defined as the persistent inability to attain and maintain an erection sufficient for satisfactory sexual performance. It affects more than 50% of men aged 40 and above in the US, and 25% of new ED cases now occur in men under the age of 40. Beyond sexual health, ED is recognized as an important early marker of cardiovascular disease risk.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-2\"><strong class=\"schema-faq-question\">Can low testosterone cause erectile dysfunction?<\/strong> <p class=\"schema-faq-answer\">Yes. Testosterone is essential for sexual drive and erectile function. Levels peak around age 20 and decline gradually with aging. Symptoms of low testosterone include low libido, fatigue, depressed mood, and reduced morning erections. A blood testosterone level measured in the early morning is the standard diagnostic test. Testosterone replacement therapy is effective in men with confirmed deficiency, particularly in older patients.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-3\"><strong class=\"schema-faq-question\">Does smoking cause erectile dysfunction?<\/strong> <p class=\"schema-faq-answer\">Yes. Smoking is a major modifiable cause of ED. Nicotine and other cigarette toxins damage the small blood vessels inside the penis, impairing the blood flow necessary for erection. Vasculogenic (blood vessel-related) causes account for 75% of all ED cases. Quitting smoking, combined with managing obesity, hypertension, diabetes, and high cholesterol, significantly improves erectile function.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-4\"><strong class=\"schema-faq-question\">Can stress and anxiety cause erectile dysfunction?<\/strong> <p class=\"schema-faq-answer\">Yes. Psychological factors including work stress, relationship anxiety, performance pressure, and depression are significant causes of ED, particularly in younger men. The brain controls the erection reflex, so mental state directly affects sexual function. Regular exercise, adequate sleep, stress management, and sometimes psychological counseling can substantially improve psychogenic ED.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-5\"><strong class=\"schema-faq-question\">Is erectile dysfunction treatable?<\/strong> <p class=\"schema-faq-answer\">Yes. ED is highly treatable in most cases. First-line treatment includes oral PDE5 inhibitors (such as sildenafil or tadalafil), lifestyle modifications, and addressing underlying causes. Second-line options include penile injections and vacuum erection devices. For refractory cases, penile prosthesis implantation offers a permanent solution. The most appropriate treatment depends on the underlying cause and should be determined in consultation with a urologist.<\/p><\/div><\/div>\n\n\n\n<p class=\"translation-block\">**\u09a6\u09be\u09ac\u09bf \u09aa\u09b0\u09bf\u09a4\u09cd\u09af\u09be\u0997:** \u098f\u0987 \u09ac\u09bf\u09b7\u09af\u09bc\u09ac\u09b8\u09cd\u09a4\u09c1\u099f\u09bf \u09a1\u0983 \u09b8\u09cb\u09af\u09bc\u09be\u09b0\u0989\u0987 \u0989\u0987\u09b0\u09be\u09b8\u09cb\u09aa\u09cb\u09a8, \u09ac\u09cd\u09af\u09be\u0982\u0995\u0995 \u09b9\u09be\u09b8\u09aa\u09be\u09a4\u09be\u09b2 \u09b9\u09c7\u09a1\u0995\u09cb\u09af\u09bc\u09be\u09b0\u09cd\u099f\u09be\u09b0\u09cd\u09b8\u09c7\u09b0 \u09ac\u09cb\u09b0\u09cd\u09a1-\u09b8\u09be\u09b0\u09cd\u099f\u09bf\u09ab\u09be\u0987\u09a1 \u0987\u0989\u09b0\u09cb\u09b2\u099c\u09bf\u09b8\u09cd\u099f \u09b0\u099a\u09a8\u09be \u0993 \u09aa\u09b0\u09cd\u09af\u09be\u09b2\u09cb\u099a\u09a8\u09be \u0995\u09b0\u09c7\u099b\u09c7\u09a8\u0964 \u098f\u099f\u09bf \u09b6\u09c1\u09a7\u09c1\u09ae\u09be\u09a4\u09cd\u09b0 \u09b6\u09bf\u0995\u09cd\u09b7\u09be\u0997\u09a4 \u0989\u09a6\u09cd\u09a6\u09c7\u09b6\u09cd\u09af\u09c7 \u09a4\u09c8\u09b0\u09bf \u0995\u09b0\u09be \u09b9\u09af\u09bc\u09c7\u099b\u09c7 \u098f\u09ac\u0982 \u098f\u099f\u09bf \u099a\u09bf\u0995\u09bf\u09ce\u09b8\u09be \u09aa\u09b0\u09be\u09ae\u09b0\u09cd\u09b6 \u0997\u09a0\u09a8 \u0995\u09b0\u09c7 \u09a8\u09be\u0964 \u0995\u09cb\u09a8\u0993 \u099a\u09bf\u0995\u09bf\u09ce\u09b8\u09be \u09b6\u09c1\u09b0\u09c1 \u0995\u09b0\u09be\u09b0 \u0986\u0997\u09c7 \u09b8\u09b0\u09cd\u09ac\u09a6\u09be \u098f\u0995\u099c\u09a8 \u09af\u09cb\u0997\u09cd\u09af\u09a4\u09be\u09b8\u09ae\u09cd\u09aa\u09a8\u09cd\u09a8 \u09b8\u09cd\u09ac\u09be\u09b8\u09cd\u09a5\u09cd\u09af\u09b8\u09c7\u09ac\u09be \u09aa\u09c7\u09b6\u09be\u09a6\u09be\u09b0\u09c7\u09b0 \u09b8\u09be\u09a5\u09c7 \u09aa\u09b0\u09be\u09ae\u09b0\u09cd\u09b6 \u0995\u09b0\u09c1\u09a8\u0964.<\/p>","protected":false},"excerpt":{"rendered":"<p>No doubt that nowadays the so-called ED or Erectile Dysfunction is a major concern for men. It&#8217;s surprisingly common even in younger men &#8211; I often take care of patients as young as 20 years old. Erectile dysfunction is defined as a &#8220;persistent inability to attain and maintain an erection sufficient to permit satisfactory sexual [&hellip;]<\/p>\n","protected":false},"author":185281453,"featured_media":10037,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"Erectile dysfunction affects men of all ages. Dr. Soarawee explains the 4 main pillars behind ED \u2014 hormonal, neurogenic, vasculogenic, and psychological \u2014 and how each is addressed.","jetpack_seo_html_title":"Erectile Dysfunction: 4 Main Causes & How to Treat Them | Dr. Soarawee Urology","jetpack_seo_noindex":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false,"jetpack_post_was_ever_published":false},"categories":[1363],"tags":[1377,1486,1487],"class_list":["post-1444","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mens-health","tag-erectile-dysfunction","tag-why-ed","tag-why-erectile-dysfunction"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/04\/ED-4-Pillars.webp?fit=1200%2C630&ssl=1","jetpack_likes_enabled":false,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pgZdrK-ni","_links":{"self":[{"href":"https:\/\/drsoaraweeurology.com\/bn\/wp-json\/wp\/v2\/posts\/1444","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drsoaraweeurology.com\/bn\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drsoaraweeurology.com\/bn\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/bn\/wp-json\/wp\/v2\/users\/185281453"}],"replies":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/bn\/wp-json\/wp\/v2\/comments?post=1444"}],"version-history":[{"count":24,"href":"https:\/\/drsoaraweeurology.com\/bn\/wp-json\/wp\/v2\/posts\/1444\/revisions"}],"predecessor-version":[{"id":9843,"href":"https:\/\/drsoaraweeurology.com\/bn\/wp-json\/wp\/v2\/posts\/1444\/revisions\/9843"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/bn\/wp-json\/wp\/v2\/media\/10037"}],"wp:attachment":[{"href":"https:\/\/drsoaraweeurology.com\/bn\/wp-json\/wp\/v2\/media?parent=1444"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/bn\/wp-json\/wp\/v2\/categories?post=1444"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/bn\/wp-json\/wp\/v2\/tags?post=1444"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}