{"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":"disfunzione-erettile-ed","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/it\/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\/it\/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;\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=800%2C800&#038;ssl=1\" alt=\"Dott.ssa Soarawee Weerasopone \u2013 Urologa certificata a Bangkok, Thailandia\" class=\"wp-image-7037\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?w=800&amp;ssl=1 800w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=768%2C768&amp;ssl=1 768w, 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1.732 0 0 1-.064.262c-.13.523-.402.913-.815 1.17-.413.255-.95.382-1.61.382z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/orcid.org\/0009-0004-8387-3559\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"ORCID iD\"\n     aria-label=\"Visualizza Profilo ORCID\"\n     style=\"text-decoration: none; color: #A6CE39; 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=\"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=\"Google Scholar\"\n     aria-label=\"Visualizza il profilo di 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\/it\/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\/it\/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\/it\/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\/it\/2021\/03\/26\/come-il-tadalafil-ha-migliorato-led\/\">oral therapy<\/a>, <a href=\"https:\/\/drsoaraweeurology.com\/it\/2021\/08\/06\/disfunzione-erettile-onda-durto\/\">shockwave therapy<\/a>, injections and <a href=\"https:\/\/drsoaraweeurology.com\/it\/servizi-2\/protesi-peniena-bangkok\/\">penile implants<\/a> \u2014 see <a href=\"https:\/\/drsoaraweeurology.com\/it\/servizi-2\/disfunzione-erettile-bangkok\/\">trattamento disfunzione erettile a Bangkok<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Se soffri di disfunzione erettile o sospetti un basso livello di testosterone e desideri una valutazione specialistica riservata, la Dottoressa Soarawee Weerasopone offre consulenze presso la sede centrale dell'ospedale di Bangkok. <a href=\"\/it\/Prenota una consulenza\/\">Prenota una consulenza<\/a>. \u00c8 possibile fissare un appuntamento presso l'Ospedale Samitivej Sriracha chiamando il reparto di urologia al numero <a href=\"tel:0880221445\">088-022-1445<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Domande frequenti sulla disfunzione erettile<\/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\">Che cos'\u00e8 la disfunzione erettile (DE)?<\/strong> <p class=\"schema-faq-answer\">La disfunzione erettile \u00e8 definita come l&#x27;incapacit\u00e0 persistente di raggiungere e mantenere un&#x27;erezione sufficiente per un rapporto sessuale soddisfacente. Colpisce oltre il 50% degli uomini di et\u00e0 pari o superiore ai 40 anni negli Stati Uniti, e il 25% dei nuovi casi di disfunzione erettile si verifica attualmente in uomini di et\u00e0 inferiore ai 40 anni. Al di l\u00e0 della salute sessuale, la disfunzione erettile \u00e8 riconosciuta come un importante indicatore precoce del rischio di malattie cardiovascolari.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-2\"><strong class=\"schema-faq-question\">Il basso livello di testosterone pu\u00f2 causare disfunzione erettile?<\/strong> <p class=\"schema-faq-answer\">S\u00ec. Il testosterone \u00e8 essenziale per la libido e la funzione erettile. I livelli raggiungono il picco intorno ai 20 anni e diminuiscono gradualmente con l'et\u00e0. I sintomi di bassi livelli di testosterone includono bassa libido, affaticamento, umore depresso e ridotte erezioni mattutine. Un livello di testosterone nel sangue misurato al mattino \u00e8 il test diagnostico standard. La terapia sostitutiva con testosterone \u00e8 efficace negli uomini con deficit confermato, in particolare nei pazienti anziani.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-3\"><strong class=\"schema-faq-question\">Il fumo causa la disfunzione erettile?<\/strong> <p class=\"schema-faq-answer\">S\u00ec. Il fumo \u00e8 una delle principali cause modificabili della disfunzione erettile. La nicotina e altre sostanze tossiche presenti nelle sigarette danneggiano i piccoli vasi sanguigni all&#x27;interno del pene, compromettendo il flusso sanguigno necessario per l&#x27;erezione. Le cause vascolari (legate ai vasi sanguigni) rappresentano il 75% di tutti i casi di disfunzione erettile. Smettere di fumare, insieme alla gestione dell&#x27;obesit\u00e0, dell&#x27;ipertensione, del diabete e del colesterolo alto, migliora significativamente la funzione erettile.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-4\"><strong class=\"schema-faq-question\">Lo stress e l'ansia possono causare la disfunzione erettile?<\/strong> <p class=\"schema-faq-answer\">S\u00ec. Fattori psicologici tra cui stress lavorativo, ansia relazionale, pressione prestazionale e depressione sono cause significative di DE, in particolare negli uomini pi\u00f9 giovani. Il cervello controlla il riflesso dell'erezione, quindi lo stato mentale influisce direttamente sulla funzione sessuale. Esercizio fisico regolare, sonno adeguato, gestione dello stress e, a volte, consulenza psicologica possono migliorare sostanzialmente la DE psicogena.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-5\"><strong class=\"schema-faq-question\">La disfunzione erettile \u00e8 curabile?<\/strong> <p class=\"schema-faq-answer\">S\u00ec. La disfunzione erettile \u00e8 altamente trattabile nella maggior parte dei casi. Il trattamento di prima linea include inibitori orali della PDE5 (come il sildenafil o il tadalafil), modifiche dello stile di vita e gestione delle cause sottostanti. Le opzioni di seconda linea includono iniezioni peniene e dispositivi per l'erezione a vuoto. Per i casi refrattari, l'impianto di protesi peniene offre una soluzione permanente. Il trattamento pi\u00f9 appropriato dipende dalla causa sottostante e deve essere determinato in consultazione con un urologo.<\/p><\/div><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Disclaimer:<\/strong> Questo contenuto \u00e8 stato scritto e revisionato dal Dr. Soarawee Weerasopone, urologo certificato presso la sede centrale del Bangkok Hospital. \u00c8 destinato unicamente a scopi educativi e non costituisce un parere medico. Nessun parere medico, diagnosi o prescrizione viene fornito tramite canali di messaggistica personale. Consultare sempre un professionista sanitario qualificato prima di iniziare qualsiasi trattamento medico.<\/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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