{"id":1444,"date":"2020-07-31T08:00:00","date_gmt":"2020-07-31T01:00:00","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=1444"},"modified":"2026-08-15T00:21:24","modified_gmt":"2026-08-14T17:21:24","slug":"dysfonction-erectile-ed","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/fr\/2020\/07\/31\/erectile-dysfunction-ed\/","title":{"rendered":"Erectile Dysfunction: The 4 Causes Behind Almost Every Case"},"content":{"rendered":"<div class=\"wp-block-columns coblocks-author-columns has-background is-layout-flex wp-container-core-columns-is-layout-52275889 wp-block-columns-is-layout-flex\" style=\"background-color:#8C8C971A;padding-top:2.5rem;padding-right:2.5rem;padding-bottom:2.5rem;padding-left:2.5rem\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<figure class=\"wp-block-image size-full is-style-rounded\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"800\" data-attachment-id=\"7037\" data-permalink=\"https:\/\/drsoaraweeurology.com\/fr\/new-photo-2024\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" data-orig-size=\"800,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand&lt;\/p&gt;\" 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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=\"Google Scholar\"\n     aria-label=\"Voir le profil Google Scholar\"\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 class=\"has-drop-cap wp-block-paragraph\">Erectile dysfunction is one of the most common concerns men bring to my clinic \u2014 and it arrives far younger than most people expect. I regularly see patients in their twenties. The formal definition is the <strong>persistent inability to attain and maintain an erection sufficient for satisfactory sexual performance<\/strong>, and the word that matters in it is <em>persistent<\/em>: an occasional off night is not erectile dysfunction.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"1452\" data-permalink=\"https:\/\/drsoaraweeurology.com\/fr\/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=\"A couple affected by erectile dysfunction, a common and treatable condition\" 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\">Erectile dysfunction is common \u2014 and in most men, treatable.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">ED carries more weight than most men realise. It affects more than <strong>50% of US men aged 40 and over<\/strong>, and recent literature finds that <strong>25% of new cases occur in men under 40<\/strong>. It reshapes relationships. And, most importantly, it can be an early warning of cardiovascular disease \u2014 the penile arteries are narrow, so they clog before the coronary arteries do, which means ED often appears years before a heart problem announces itself.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">The 4 causes of erectile dysfunction<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Working out which of these applies is the whole point of the first consultation, because the four are treated in completely different ways.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">1. Hormonal \u2014 low testosterone<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Testosterone is the central male sex hormone. Levels peak around age 20 and decline gradually thereafter. Low testosterone shows itself as low desire, fatigue, flat mood and reduced energy \u2014 often before the erections themselves change. The standard test is a blood testosterone level taken in the <strong>early morning<\/strong>, when levels are at their highest; a sample taken in the afternoon can read falsely low. Replacement therapy helps men with confirmed deficiency, though it needs more careful thought in younger men who may still want children.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">2. Neurogenic \u2014 the nerve pathway<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">An erection is a reflex that runs from the brain, down the spinal cord, to the penis. Anything that interrupts that path can break it: stroke, Parkinson&#8217;s disease, spinal cord injury, and the nerve damage that comes with long-standing diabetes. This is the most difficult group to treat, because the wiring itself is damaged rather than the plumbing.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">3. Vasculogenic \u2014 blood supply<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>This is the big one: poor blood vessel quality accounts for around 75% of all ED.<\/strong> An erection is, mechanically, a question of getting enough blood in and keeping it there \u2014 so anything that damages arteries damages erections. Smoking is the clearest culprit, harming vessels throughout the body and the small penile arteries especially. Obesity, hypertension, diabetes and high cholesterol all belong in the same group, and all of them are controllable.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That 75% figure is also why ED deserves to be taken seriously as a general health signal rather than treated as a purely sexual complaint. Three quarters of the time, it is telling you something about your blood vessels.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"1451\" data-permalink=\"https:\/\/drsoaraweeurology.com\/fr\/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=\"Cigarettes, which damage the small penile arteries and cause vasculogenic erectile dysfunction\" 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\">Smoking damages the small penile arteries directly \u2014 one of the clearest causes of ED.<\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">4. Psychological<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Work pressure, family responsibility and the ordinary weight of daily life all affect sexual function directly, and this cause is disproportionately common in younger men. It also feeds itself: one difficult episode creates anxiety about the next, and the anxiety does the rest. The encouraging side is that the same lever works in reverse \u2014 better sleep, regular exercise and time spent on things you enjoy measurably improve psychogenic ED.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"1454\" data-permalink=\"https:\/\/drsoaraweeurology.com\/fr\/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=\"Weight management and exercise, which improve both vascular and psychological erectile dysfunction\" 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\">Weight, exercise and sleep act on the vascular and psychological causes at once.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">What to do next<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">In practice these four rarely arrive alone \u2014 a man in his fifties with untreated hypertension who smokes and is anxious about it has three of them at once, and treating only one will disappoint everybody. That is why the assessment matters more than the prescription.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Understanding the cause is only the first step. For the full diagnostic workup and the complete range of treatments \u2014 <a href=\"https:\/\/drsoaraweeurology.com\/fr\/2021\/03\/26\/comment-le-tadalafil-a-ameliore-leducation\/\">oral therapy<\/a>, <a href=\"https:\/\/drsoaraweeurology.com\/fr\/2021\/08\/06\/dysfonctionnement-erectile-onde-de-choc\/\">shockwave therapy<\/a>, injections and <a href=\"https:\/\/drsoaraweeurology.com\/fr\/services\/penile-prosthesis-bangkok\/\">penile implants<\/a> \u2014 see <a href=\"https:\/\/drsoaraweeurology.com\/fr\/services\/dysfonction-erectile-bangkok\/\">erectile dysfunction treatment in Bangkok<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Si vous souffrez de dysfonction \u00e9rectile ou suspectez un faible taux de testost\u00e9rone et souhaitez une \u00e9valuation confidentielle par un sp\u00e9cialiste, le Dr Soarawee Weerasopone propose des consultations au si\u00e8ge de l'h\u00f4pital de Bangkok. <a href=\"\/fr\/R\u00e9server une consultation\/\">Prendre rendez-vous<\/a>. Les rendez-vous \u00e0 l'h\u00f4pital Samitivej Sriracha peuvent \u00eatre pris en appelant le service d'urologie au <a href=\"tel:0880221445\">088-022-1445<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Questions fr\u00e9quemment pos\u00e9es sur la dysfonction \u00e9rectile<\/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\">Qu'est-ce que la dysfonction \u00e9rectile (DE) ?<\/strong> <p class=\"schema-faq-answer\">La dysfonction \u00e9rectile se d\u00e9finit comme l&#x27;incapacit\u00e9 persistante \u00e0 obtenir et \u00e0 maintenir une \u00e9rection suffisante pour une vie sexuelle satisfaisante. Elle touche plus de 50 % des hommes \u00e2g\u00e9s de 40 ans et plus aux \u00c9tats-Unis, et 25 % des nouveaux cas de dysfonction \u00e9rectile concernent d\u00e9sormais des hommes de moins de 40 ans. Au-del\u00e0 de la sant\u00e9 sexuelle, la dysfonction \u00e9rectile est reconnue comme un marqueur pr\u00e9coce important du risque de maladie cardiovasculaire.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-2\"><strong class=\"schema-faq-question\">Une faible testost\u00e9rone peut-elle causer une dysfonction \u00e9rectile ?<\/strong> <p class=\"schema-faq-answer\">Oui. La testost\u00e9rone est essentielle \u00e0 la libido et \u00e0 la fonction \u00e9rectile. Les niveaux culminent autour de 20 ans et diminuent progressivement avec l'\u00e2ge. Les sympt\u00f4mes d'un faible taux de testost\u00e9rone comprennent une faible libido, de la fatigue, une humeur d\u00e9pressive et une diminution des \u00e9rections matinales. Une prise de sang mesurant le taux de testost\u00e9rone t\u00f4t le matin est le test diagnostique standard. L'hormonoth\u00e9rapie substitutive \u00e0 la testost\u00e9rone est efficace chez les hommes pr\u00e9sentant une carence confirm\u00e9e, en particulier chez les patients plus \u00e2g\u00e9s.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-3\"><strong class=\"schema-faq-question\">Fumer provoque-t-il la dysfonction \u00e9rectile ?<\/strong> <p class=\"schema-faq-answer\">Oui. Le tabagisme est l&#x27;une des principales causes modifiables de la dysfonction \u00e9rectile. La nicotine et les autres toxines pr\u00e9sentes dans la cigarette endommagent les petits vaisseaux sanguins \u00e0 l&#x27;int\u00e9rieur du p\u00e9nis, ce qui nuit \u00e0 la circulation sanguine n\u00e9cessaire \u00e0 l&#x27;\u00e9rection. Les causes vasculog\u00e9niques (li\u00e9es aux vaisseaux sanguins) repr\u00e9sentent 75 % de tous les cas de dysfonction \u00e9rectile. Arr\u00eater de fumer, tout en prenant en charge l&#x27;ob\u00e9sit\u00e9, l&#x27;hypertension, le diab\u00e8te et l&#x27;hypercholest\u00e9rol\u00e9mie, am\u00e9liore consid\u00e9rablement la fonction \u00e9rectile.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-4\"><strong class=\"schema-faq-question\">Le stress et l'anxi\u00e9t\u00e9 peuvent-ils causer une dysfonction \u00e9rectile ?<\/strong> <p class=\"schema-faq-answer\">Oui. Les facteurs psychologiques, notamment le stress au travail, l'anxi\u00e9t\u00e9 relationnelle, la pression de la performance et la d\u00e9pression, sont des causes importantes de la dysfonction \u00e9rectile, en particulier chez les hommes plus jeunes. Le cerveau contr\u00f4le le r\u00e9flexe d'\u00e9rection, de sorte que l'\u00e9tat mental affecte directement la fonction sexuelle. L'exercice r\u00e9gulier, un sommeil suffisant, la gestion du stress et parfois un soutien psychologique peuvent am\u00e9liorer consid\u00e9rablement la dysfonction \u00e9rectile psychog\u00e8ne.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-5\"><strong class=\"schema-faq-question\">La dysfonction \u00e9rectile est-elle traitable ?<\/strong> <p class=\"schema-faq-answer\">Oui. La dysfonction \u00e9rectile est tr\u00e8s traitable dans la plupart des cas. Le traitement de premi\u00e8re ligne comprend les inhibiteurs oraux de la PDE5 (tels que le sild\u00e9nafil ou le tadalafil), des modifications du mode de vie et le traitement des causes sous-jacentes. Les options de deuxi\u00e8me ligne comprennent les injections p\u00e9niennes et les dispositifs d'\u00e9rection sous vide. Pour les cas r\u00e9fractaires, l'implantation d'une proth\u00e8se p\u00e9nienne offre une solution permanente. Le traitement le plus appropri\u00e9 d\u00e9pend de la cause sous-jacente et doit \u00eatre d\u00e9termin\u00e9 en consultation avec un urologue.<\/p><\/div><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Avis de non-responsabilit\u00e9 :<\/strong> This content is written and reviewed by Dr. Soarawee Weerasopone, a board-certified urologist at Bangkok Hospital Headquarters. It is intended for educational purposes only and does not constitute medical advice. No medical advice, diagnosis or prescription is provided through personal messaging channels. Always consult a qualified healthcare professional before starting any medical treatment.<\/p>\n\n\n\n<script type=\"application\/ld+json\">{\n    \"@context\": \"https:\\\/\\\/schema.org\",\n    \"@type\": \"MedicalWebPage\",\n    \"headline\": \"Erectile Dysfunction: The 4 Causes Behind Almost Every Case\",\n    \"description\": \"The four causes of erectile dysfunction \\u2014 hormonal, neurogenic, vasculogenic and psychological \\u2014 explained by a board-certified urologist, including why vascular causes account for around 75% of cases.\",\n    \"datePublished\": \"2020-07-31\",\n    \"dateModified\": \"2026-08-12\",\n    \"inLanguage\": \"en\",\n    \"author\": {\n        \"@type\": \"Physician\",\n        \"name\": \"Dr. Soarawee Weerasopone\",\n        \"medicalSpecialty\": \"Urology\",\n        \"url\": \"https:\\\/\\\/drsoaraweeurology.com\\\/\"\n    },\n    \"reviewedBy\": {\n        \"@type\": \"Physician\",\n        \"name\": \"Dr. Soarawee Weerasopone\",\n        \"medicalSpecialty\": \"Urology\"\n    },\n    \"about\": {\n        \"@type\": \"MedicalCondition\",\n        \"name\": \"Erectile Dysfunction\",\n        \"alternateName\": \"Impotence\"\n    },\n    \"audience\": {\n        \"@type\": \"PeopleAudience\",\n        \"suggestedGender\": \"male\"\n    }\n}<\/script>","protected":false},"excerpt":{"rendered":"<p>Erectile dysfunction is not one condition but four, and which one you have decides everything about the treatment. Dr. Soarawee Weerasopone, urologist at Bangkok Hospital, explains the hormonal, neurological, vascular and psychological causes of ED \u2014 and why 75% come down to blood vessels.<\/p>","protected":false},"author":185281453,"featured_media":10037,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"The 4 causes of erectile dysfunction explained: hormonal, neurogenic, vasculogenic and psychological. Why 75% of ED is vascular, and why ED can be an early warning of heart disease. 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