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"At What Age Do Men Start Experiencing Erectile Dysfunction? Insights from ASK FABIO

Erectile Dysfunction clinic in London

The Importance of Erectile Function

Erectile function is a crucial aspect of male health and wellbeing. However, with advancing age, various factors can lead to a decrease in erections, both in terms of frequency and quality. This is where the expertise of Dr. Fabio Castiglione, a renowned Andrologist and Urologist, comes into play. Based in London, Dr. Castiglione is dedicated to addressing male sexual health issues and has a wealth of experience in treating erectile dysfunction.

Meet Dr. Fabio Castiglione

Dr. Fabio Castiglione is not only an Andrologist but also a Urologist. He earned his degree in Medicine and Surgery and later completed his training in Urology at the Vita Salute San Raffaele University in Milan. He obtained his research doctorate on stem cells and erectile dysfunction at the Katholieke Universiteit Leuven (Belgium). He is a member of the European Committee of Sexual Medicine (FECSM), the European Urology Board (FEBU), and the scientific committee of the Andrological Guidelines of the International Sexual Medicine Society (ISSM), the European Society of Urology (EAU), and the European Society for Sexual Medicine (ESSM). He also obtained the qualification as Full Professor in Urology in Italy and is an Associate Professor at UCL in London and Consultant Urologist at King’s College Hospital in London.

 Dr. Fabio Castiglione's Erectile Dysfunction Clinic in London"

Understanding Erectile Dysfunction

Many men start experiencing the first symptoms of erectile difficulties after the age of 40, although some may develop the problem even earlier. The causes are varied and include hormonal decline, psychological factors, vascular and neurological issues, as well as incorrect lifestyles. Although the onset of erection problems after the age of 50-55 is quite common, it should be emphasized that it is not an inevitable physiological condition. There are various strategies to prevent and treat erectile dysfunction at all ages, from changes in daily habits to pharmacological treatments and innovative surgical-regenerative approaches like P-Shocks

Addressing Persistent Erection Problems

When erection problems become frequent and persistent, it is advisable to undergo medical examinations to identify the exact cause. There are targeted therapies for each disorder; from infiltrations of active ingredients to improve blood flow, to hormone supplements, to innovative surgical-regenerative approaches. Investigating the root of the problem and intervening in a personalized way is therefore the winning strategy to regain normal sexual activity even in old age.

Erectile Dysfunction: A Clinically Relevant Condition

Erectile dysfunction is a well-defined pathology, characterized by the chronic and recurring inability to achieve or maintain an erection adequate for a satisfying relationship. This condition is therefore distinguished from the simple "erection problems" that can occasionally occur, for example after the age of 40. Erectile dysfunction is instead a persistent and clinically relevant condition. Indeed, being mainly linked to the decline of male hormones and vascular problems, it usually develops more frequently after the age of 50-55. However, psychological, neurological, and metabolic causes that can lead to erectile dysfunction even at a younger age should not be underestimated. Some diseases such as diabetes, high cholesterol, hypertension, or depression can compromise erectile function already from the age of 40 or even earlier. It is necessary to look beyond the "median age" and consider all the possible factors involved in the early development of erectile dysfunction.

Prevention and Treatment

The medical-scientific progress of recent years has made effective and personalized therapies available, capable of restoring satisfactory sexual activity and quality of life even in the most severe cases of erectile dysfunction. Prevention always represents the first and most important step to safeguard one's health. Also regarding male uro-genital functions, following some good habits helps to significantly reduce the risks of disorders. Maintaining ideal weight, practicing regular physical activity, and following a balanced and low-fat diet are the main strategies.

Contact Information

For more information or to book a private appointment, please call +447830398165! Alternatively, you can forward your requests via email to

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