Erectile Dysfunction & Low Libido
Sexual symptoms deserve a proper medical assessment
Assessment for erectile dysfunction, low libido, and overlapping hormonal, vascular, metabolic, medication, psychological, and sleep-related contributors.
ED is not always hormonal
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vascular causes
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nerve-related causes
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medication effects
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psychological factors
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relationship strain
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metabolic dysfunction
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sleep-related contributors
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hormonal factors in some men
Low libido is not always testosterone-driven
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low testosterone in some men
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stress, anxiety, or low mood
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relationship disconnection
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medication effects
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poor sleep
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alcohol or smoking
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obesity or metabolic dysfunction
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prolactin or thyroid issues where relevant
What MHI assesses
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symptom pattern and onset
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libido, erections, ejaculation, orgasm
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relationship context where relevant
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current medications and supplements
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smoking, alcohol, and drug use
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weight, diabetes, and cardiovascular risk
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sleep, stress, and morning erections
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hormones and other bloods where indicated
Possible investigations
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hormone profile where indicated
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glucose, HbA1c, and lipids
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prolactin and thyroid where relevant
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cardiovascular review
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penile Doppler in selected cases
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onward specialist referral where needed
Treatment may involve
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lifestyle and metabolic correction
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PDE5 medication where appropriate
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TRT only when true deficiency exists
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counselling or psychosexual support
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relationship-aware guidance
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onward referral when needed
Treatment is personalised. The right plan depends on what is actually driving the problem.
Your next step at MHI
For erectile difficulties, low libido or other sexual-health concerns, your first step at MHI is the Vital Blueprint. It helps clarify the causes and which treatment options may be appropriate for you.
Your €240 Vital Blueprint includes advance review of your completed intake questionnaire and available laboratory results or reports, a full one-hour online consultation with Dr Rui, and a personalised treatment plan prepared afterwards.
Book your Vital Blueprint first. We will then advise which tests, if any, are needed. Laboratory charges and medication costs are separate.