Erectile Dysfunction in Bangkok
The Ups and Downs of Erectile Dysfunction (ED) with Dr. Apichat Kongkanand, Urologist at Bumrungrad International Hospital, Bangkok.
Erectile Dysfunction (ED) is not one of those “hey, by the way” topics that casually come up in conversation over a couple beers with the guys. Just the opposite -- talking about erectile dysfunction is a real downer. But as a good friend of mine used to say, “sometimes you just need to get it all out into the ocean”.
To start the ball rolling, it’s important to define the problem. What is Erectile Dysfunction (ED)? According to Dr. Apichat, erectile dysfunction is defined as the inability to sustain an erection that leads to successful intercourse.
I know what you are thinking – define successful intercourse.
5 minutes. That’s what Dr. Apichat says is the ‘normal’ amount of time to achieve successful intercourse. Dr. Apichat must’ve read the thought bubble floating over my head (or heard women in the background screaming, “WHAT?!”), because he shared with me the case of one patient who came to see him complaining that he had ED because his erections were lasting just 30 minutes! Poor guy.
So you see, ladies and gents, everything is relative when it comes to sex…except, of course, your relatives.
Moving along. So what causes erectile dysfunction?
Dr. Apichat says that the number one factor causing erectile dysfunction (ED) in men is aging, and it typically comes into play when men reach their forties (when you first start considering a Porsche) and becomes an issue when men start hitting their fifties (when you actually buy the Porsche).
Seriously though, the good news is that erectile dysfunction (ED) is rarely due to a “mechanical defect”. The bad news is that if you drink, smoke, are overweight, hypertensive, diabetic, stressed out, anxious or sleep poorly, then one or more of these issues could trigger erectile dysfunction. That pretty much sums up about every guy I know.
Dr. Apichat says that erectile dysfunction is a complex condition that usually has some sort of underlying lifestyle, medical or psychological problem. For that reason, erectile dysfunction is known as a “gateway” condition in men’s health -- it drives men to go see a doctor and get a full medical check up.
Dr. Apichat explains that advising a patient to take a Viagra and call you in the morning is not THE way treat erectile dysfunction, because ED may be an indicator of a serious medical issue, but it is certainly A way to help address the issue in many cases
So what is the story with Viagra and other blockbuster drugs that treat erectile dysfunction?
Dr. Apichat says that he is a strong proponent of drugs like Viagra, Cialis and Levitra, because they help men regain sexual functionality and confidence. Men with ED, he says, tend to “over think” sex and that leads to a condition known as performance anxiety. Drugs like Viagra help alleviate this psychological barrier allowing men to enjoy sex rather than obsessing about it. He added that Pfizer, the maker of Viagra, has been instrumental in creating awareness for erectile dysfunction and has helped millions of men (and women) who used to suffer in silence.
With just one last bad pun to go, I had to ask if the number of erectile dysfunction cases was on the rise.
Ever the professional, Dr. Apichat confirmed that ED was in fact on the rise due to modern lifestyles, aging societies, and work related stress. He summed it perfectly saying, “modern life is killing our sex lives”.
Medeguy is Ruben Toral, an American healthcare marketing professional with over 17 years experience working with doctors and physician networks around the world. These are NOT paid endorsements. Doctors featured in this section are selected based on personal encounters, recommendations from other doctors and patients.