Erectile dysfunction is among the most modern diseases affecting the young male generation in the 21st century. At the basis of the pathogenesis of the disease is a violation in the process of maintenance of erection. Physiological erection is a psychogenic process. It occurs as a result of stimulation in the brain, which is transmitted along the spinal nerve plexuses, where the erection center is, and triggers the mechanism of arousal and the appearance of an erection. An erection is a process that is triggered by a neuro-hormonal pathway. This is done by means of some visual or auditory irritations in the brain, as well as sexual fantasies, regardless of whether there is a parallel bodily irritation of the penis during this time. In these cases, some specific areas in the brain start to get excited. In turn, these special centers begin to send a signal through efferent nerve pathways to the tissues of the penis, increasing its blood supply, which ends with the necessary hardness of the penis and the appearance of an erection. Normally, after strong arousal and the onset of an erection, after an orgasm there are processes of relaxation and interruption of the erection. Also, “detection” can occur in some other conditions such as stress, disease processes, increased blood pressure, diabetes, disturbances in the hormonal balance of the body, vascular deficiency and old age. According to modern statistics, 3% of Bulgarian men suffer from erection problems. Of the total number of patients, about 5% are boys between 20-30 years of age, with the majority of patients between 50 and 70 years of age. In the past, the causes of these disorders were thought to be purely psychological. Today it is known that in the genesis of this disease many organic causes occupy an honorable place, and more specifically in middle-aged and elderly people. According to specialists in sexual medicine and andrology, the greater percentage of men who suffer from an erectile dysfunction problem, often the leading cause is not impotence, but cardiovascular disorders. According to the modern reasons for evaluating the provoked erectile dysfunction, the leading cause of the development of the disease are brain or spinal cord injuries in some neurological diseases, hemorrhages, ischemic strokes, as well as any other incidents in the brain. The disease can also develop as a result of many other diseases of the peripheral nervous system, diabetes mellitus, vascular disorders of the blood supply apparatus of the penis or hormonal disorders occurring with hypothyroidism, as well as hypotestosteronemia, in which the level of naturally produced testosterone in the blood falls. What are the main differences that point to an erectile problem? According to modern data from the journals of many andrological studies, a normal erection is evaluated according to several criteria. It should start suddenly and the penis should be completely filled with blood, there should be no fear of possible achievements, a good morning and night erection should be maintained,that there are no psychological problems with the partner and that there are no problems, on a psychological level, when starting a sexual life. Organic problems, losing the possibility of an erection, are lack of normal sexual development, decreased libido, lack of morning and night erection, the appearance of any factors that damage the genital organ at an organic level, which affects its blood supply and erection start in stages , with slow and gradual blood filling of the penis. NEWS_MORE_BOX For the correct diagnosis of the disease, specialists in sexual medicine and andrology must conduct a very thorough and meticulously taken history regarding the patient’s sexual history. In addition, a general clinical examination of the genital area should be performed, as well as some laboratory tests. In these conditions, the main laboratory tests are complete blood count, urine test and blood sugar. In this way, the possibility of infection and inflammation along the course of the urinary tract is checked, as well as some specific data on blood damage. The urine test is indicative of the normal anatomical and physiological function of the prostate and a check for the presence of bacteria or sores along the course of the urethra. Blood sugar is especially important as an early prevention of diabetes and specifying the possibility of having one, since diabetes is a leading provocateur for the appearance of erectile dysfunction in men. Other important laboratory tests are monitoring the levels of male sex hormones, prolactin, keratin, thyroid hormones and a general lipid profile. Also, for additional diagnostic clarification of the organic causes of a missing erection, pharmacocavernometry can be carried out, in which the conductivity of the caverns and their ability to fill are tracked, as well as a color Doppler test, which is a type of ultrasound method for specifying the blood supply and drainage system for penile blood. What treatment is preferred for these problems? In modern medicine, there are many methods of treating erectile dysfunction. Psychosexual therapy is recommended for psychogenically stimulated erectile dysfunction. Also, some infections placed inside the penis, oral treatment and transsexual therapy may be used. In organic forms of the disease, various types of intrapenile therapy, tablet treatment, intraurethral suppositories, hormonal regularization and operative restoration of birth defects are applied. Recently, the placement of implants via plastic surgery has been gaining momentum.with slow and gradual blood filling of the penis. NEWS_MORE_BOX For the correct diagnosis of the disease, specialists in sexual medicine and andrology must conduct a very thorough and meticulously taken history regarding the patient’s sexual history. In addition, a general clinical examination of the genital area should be performed, as well as some laboratory tests. In these conditions, the main laboratory tests are complete blood count, urine test and blood sugar. In this way, the possibility of infection and inflammation along the course of the urinary tract is checked, as well as some specific data on blood damage. The urine test is indicative of the normal anatomical and physiological function of the prostate and a check for the presence of bacteria or sores along the course of the urethra. Blood sugar is especially important as an early prevention of diabetes and specifying the possibility of having one, since diabetes is a leading provocateur for the appearance of erectile dysfunction in men. Other important laboratory tests are monitoring the levels of male sex hormones, prolactin, keratin, thyroid hormones and a general lipid profile. Also, for additional diagnostic clarification of the organic causes of a missing erection, pharmacocavernometry can be carried out, in which the conductivity of the caverns and their ability to fill are tracked, as well as a color Doppler test, which is a type of ultrasound method for specifying the blood supply and drainage system for penile blood. What treatment is preferred for these problems? In modern medicine, there are many methods of treating erectile dysfunction. Psychosexual therapy is recommended for psychogenically stimulated erectile dysfunction. Also, some infections placed inside the penis, oral treatment and transsexual therapy may be used. In organic forms of the disease, various types of intrapenile therapy, tablet treatment, intraurethral suppositories, hormonal regularization and operative restoration of birth defects are applied. Recently, the placement of implants via plastic surgery has been gaining momentum.with slow and gradual blood filling of the penis. NEWS_MORE_BOX For the correct diagnosis of the disease, specialists in sexual medicine and andrology must conduct a very thorough and meticulously taken history regarding the patient’s sexual history. In addition, a general clinical examination of the genital area should be performed, as well as some laboratory tests. In these conditions, the main laboratory tests are complete blood count, urine test and blood sugar. In this way, the possibility of infection and inflammation along the course of the urinary tract is checked, as well as some specific data on blood damage. The urine test is indicative of the normal anatomical and physiological function of the prostate and a check for the presence of bacteria or sores along the course of the urethra. Blood sugar is especially important as an early prevention of diabetes and specifying the possibility of having one, since diabetes is a leading provocateur for the appearance of erectile dysfunction in men. Other important laboratory tests are monitoring the levels of male sex hormones, prolactin, keratin, thyroid hormones and a general lipid profile. Also, for additional diagnostic clarification of the organic causes of a missing erection, pharmacocavernometry can be carried out, in which the conductivity of the caverns and their ability to fill are tracked, as well as a color Doppler test, which is a type of ultrasound method for specifying the blood supply and drainage system for penile blood. What treatment is preferred for these problems? In modern medicine, there are many methods of treating erectile dysfunction. Psychosexual therapy is recommended for psychogenically stimulated erectile dysfunction. Also, some infections placed inside the penis, oral treatment and transsexual therapy may be used. In organic forms of the disease, various types of intrapenile therapy, tablet treatment, intraurethral suppositories, hormonal regularization and operative restoration of birth defects are applied. Recently, the placement of implants via plastic surgery has been gaining momentum.Blood sugar is especially important as an early prevention of diabetes and specifying the possibility of having one, since diabetes is a leading provocateur for the appearance of erectile dysfunction in men. Other important laboratory tests are monitoring the levels of male sex hormones, prolactin, keratin, thyroid hormones and a general lipid profile. Also, for additional diagnostic clarification of the organic causes of a missing erection, pharmacocavernometry can be carried out, in which the conductivity of the caverns and their ability to fill are tracked, as well as a color Doppler test, which is a type of ultrasound method for specifying the blood supply and drainage system for penile blood. What treatment is preferred for these problems? In modern medicine, there are many methods of treating erectile dysfunction. Psychosexual therapy is recommended for psychogenically stimulated erectile dysfunction. Also, some infections placed inside the penis, oral treatment and transsexual therapy may be used. In organic forms of the disease, various types of intrapenile therapy, tablet treatment, intraurethral suppositories, hormonal regularization and operative restoration of birth defects are applied. Recently, the placement of implants via plastic surgery has been gaining momentum.Blood sugar is especially important as an early prevention of diabetes and specifying the possibility of having one, since diabetes is a leading provocateur for the appearance of erectile dysfunction in men. Other important laboratory tests are monitoring the levels of male sex hormones, prolactin, keratin, thyroid hormones and a general lipid profile. Also, for additional diagnostic clarification of the organic causes of a missing erection, pharmacocavernometry can be carried out, in which the conductivity of the caverns and their ability to fill are tracked, as well as a color Doppler test, which is a type of ultrasound method for specifying the blood supply and drainage system for penile blood. What treatment is preferred for these problems? In modern medicine, there are many methods of treating erectile dysfunction. Psychosexual therapy is recommended for psychogenically stimulated erectile dysfunction. Also, some infections placed inside the penis, oral treatment and transsexual therapy may be used. In organic forms of the disease, various types of intrapenile therapy, tablet treatment, intraurethral suppositories, hormonal regularization and operative restoration of birth defects are applied. Recently, the placement of implants via plastic surgery has been gaining momentum.