Erectile dysfunction and treatment
Causes of: Erectile Dysfunction:
1. Physical / Vascular Causes (Most Common)
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Cardiovascular disease: Atherosclerosis (hardened/narrowed arteries) reduces blood flow to the penis.
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Diabetes: Damages nerves and blood vessels over time.
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High blood pressure & High cholesterol: Impair vascular health and circulation.
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Obesity & Metabolic syndrome: Contribute to hormonal imbalances and vascular damage.
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Neurological conditions: Stroke, multiple sclerosis, spinal cord injuries, or Parkinson's disease.
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Hormonal imbalances: Low testosterone (hypogonadism), thyroid disorders, or elevated prolactin.
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Anatomical issues: Peyronie's disease (scar tissue causing penile curvature).
2. Psychological / Emotional Causes
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Stress: Work, financial, or family pressure.
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Anxiety: Performance anxiety or generalised anxiety disorder.
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Depression: Low mood and certain antidepressants can both contribute.
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Relationship problems: Poor communication, unresolved conflict, or lack of emotional intimacy.
3. Lifestyle & Medication-Related Causes
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Smoking: Damages blood vessels and restricts flow.
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Excessive alcohol consumption: Depresses the central nervous system and reduces testosterone.
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Drug use: Cocaine, amphetamines, and other recreational drugs.
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Sedentary lifestyle: Lack of exercise worsens vascular health.
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Medications: Antidepressants (SSRIs), blood pressure drugs (beta-blockers, diuretics), antihistamines, opioids, and prostate cancer treatments.
Important Clinical Note: ED is often an early warning sign of underlying cardiovascular disease or diabetes. A thorough medical evaluation (including physical exam, blood tests, and medication review) is recommended for any patient presenting with ED.
Brief ED Treatment Options
At Klinik Dr Lo, we offer evidence-based, doctor-led approaches tailored to each patient's underlying causes:
| Treatment Category | Options We Offer |
|---|---|
| Oral Medications | PDE5 inhibitors (e.g., Sildenafil, Tadalafil) – prescribed after full medical screening to ensure safety and suitability. |
| Hormonal Therapy | Testosterone replacement therapy (if blood tests confirm deficiency) – available as gels, injections, or implants. |
| Weight Management | Our doctor-led GLP-1/GIP weight loss programs improve vascular health, reduce inflammation, and boost testosterone – often resolving ED indirectly. |
| Lifestyle Optimization | Customised plans for exercise, nutrition, smoking cessation, and stress management – all supervised by our medical team. |
| Combination Approach | Most men benefit from a multimodal strategy: medication + lifestyle + hormonal optimisation for sustainable results. |
All treatments begin with a thorough consultation, physical exam, and appropriate blood investigations to identify the root cause – because ED is rarely just "one thing."
� Ready to Take the First Step?
Don't let ED affect your confidence or relationships any longer. Our experienced doctor provides discreet, professional care in a comfortable setting.
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010-778 3263 (IOI City Mall branch)
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L2-53, IOI City Mall, Putrajaya
(Open daily 10am – 6pm)
Your health is our priority – we're here to help you regain your vitality safely and effectively.