បានធ្វើបច្ចុប្បន្នភាពចុងក្រោយ៖ ខែមេសា 29, 2026
No doubt that nowadays the so-called ED or Erectile Dysfunction is a major concern for men. It’s surprisingly common even in younger men – I often take care of patients as young as 20 years old. Erectile dysfunction is defined as a “persistent inability to attain and maintain an erection sufficient to permit satisfactory sexual performance.”
ED is more significant than many realize – 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.
4 main causes of Erectile Dysfunction.
- Hormonal issue – 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.
- Neurogenic issue – Erection is controlled by the brain and nervous system. Brain lesions from stroke or Parkinson’s disease, or spinal cord injuries from trauma, can significantly impair erectile function and are among the more difficult forms of ED to treat.
- Vasculogenic issue – Poor vascular quality accounts for 75% of ED cases. Smoking damages blood vessel quality throughout the body – especially the small penile vessels. Obesity, hypertension, diabetes mellitus, and hypercholesterolemia must be well-monitored and well-controlled to protect erectile function.
- Mental (psychological) issue – 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.
If you’d like to discuss this topic further, please give me a text or PM ខ្ញុំ!
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. កក់ការពិគ្រោះយោបល់.
Frequently Asked Questions about Erectile Dysfunction
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.
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.
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.
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.
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.
ការបដិសេធ៖ ខ្លឹមសារនេះត្រូវបានសរសេរ និងពិនិត្យដោយលោកវេជ្ជបណ្ឌិត Soarawee Weerasopone ដែលជាគ្រូពេទ្យឯកទេសខាងប្រព័ន្ធទឹកនោមដែលមានវិញ្ញាបនបត្រនៅទីស្នាក់ការកណ្តាលមន្ទីរពេទ្យបាងកក។ វាត្រូវបានបម្រុងទុកសម្រាប់គោលបំណងអប់រំតែប៉ុណ្ណោះ ហើយមិនមែនជាដំបូន្មានផ្នែកវេជ្ជសាស្ត្រទេ។ តែងតែពិគ្រោះជាមួយអ្នកជំនាញថែទាំសុខភាពដែលមានសមត្ថភាពមុនពេលចាប់ផ្តើមការព្យាបាលណាមួយឡើយ។.
សរសេរ និងពិនិត្យផ្នែកវេជ្ជសាស្ត្រដោយ៖ វេជ្ជបណ្ឌិត សូរ៉ាវី វីរ៉ាសូផូន (វេជ្ជបណ្ឌិត ប៉ុម) — អ្នកជំនាញខាងប្រព័ន្ធទឹកនោមដែលមានវិញ្ញាបនបត្រពីក្រុមប្រឹក្សាភិបាល ទីស្នាក់ការកណ្តាលមន្ទីរពេទ្យបាងកក។ អ្នកស្រាវជ្រាវអន្តរជាតិ៖ មហាវិទ្យាល័យវេជ្ជសាស្ត្របៃឡ័រ (សហរដ្ឋអាមេរិក) · សាកលវិទ្យាល័យជូនថេនដូ (ជប៉ុន) · មន្ទីរពេទ្យអនុស្សាវរីយ៍ឆាងហ្គុង (តៃវ៉ាន់)។.
លោកវេជ្ជបណ្ឌិត សូរ៉ាវី វីរ៉ាសូផូន (លោកវេជ្ជបណ្ឌិត ប៉ុម) គឺជាគ្រូពេទ្យឯកទេសខាងប្រព័ន្ធទឹកនោមដែលមានវិញ្ញាបនបត្រនៅទីស្នាក់ការកណ្តាលមន្ទីរពេទ្យបាងកក ដែលមានជំនាញខាងសុខភាពបុរស ការវះកាត់ដោយមនុស្សយន្ត (ប្រព័ន្ធដាវីនស៊ី) និងការព្យាបាលគ្រួសក្នុងតម្រងនោម។ លោកបានបញ្ចប់អាហារូបករណ៍អន្តរជាតិនៅមហាវិទ្យាល័យវេជ្ជសាស្ត្របៃឡ័រ (សហរដ្ឋអាមេរិក) មន្ទីរពេទ្យសាកលវិទ្យាល័យជូនថេនដូ (ជប៉ុន) និងមន្ទីរពេទ្យអនុស្សាវរីយ៍ឆាងហ្គុង (តៃវ៉ាន់)។ ខ្លឹមសារវេជ្ជសាស្ត្រទាំងអស់នៅលើគេហទំព័រនេះត្រូវបានសរសេរ និងពិនិត្យដោយលោកវេជ្ជបណ្ឌិត សូរ៉ាវី ដោយផ្អែកលើបទពិសោធន៍គ្លីនិក និងការបណ្តុះបណ្តាលអន្តរជាតិរបស់លោក។.
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