Erectile dysfunction can have many causes, and it’s not just age that plays a role.
With me, you will receive a thorough and personalized examination to help you identify the specific factors that affect your erectile function.
Understanding the causes can vary depending on your age, and I take your life stage into account as we work together to find the best solution.

Age 20-40 years

Between the ages of 20-40, erectile dysfunction can often be linked to lifestyle and psychological factors.
Stress related to career development, studies or financial challenges can lead to performance anxiety and low self-esteem, which can affect erectile function.
Lifestyle choices such as obesity, physical inactivity and use of alcohol or drugs, including steroids, can also have a significant impact.
In addition, trauma or negative sexual experiences from the past can play a role, and relationship problems can lead to low sex drive and erectile dysfunction.
It’s important to take the problem seriously at an early stage as it can prevent long-term consequences for your self-esteem and sexual health.

Age 40-60 years

Between the ages of 40-60, physical factors often become more prominent, although psychological causes can still play a major role.
Medical conditions such as diabetes, high blood pressure and heart problems are becoming more common and can affect blood flow to the penis, which is crucial for a good erection.
Some medications, such as cholesterol or blood pressure medications, can also have side effects that affect erection. cholesterol or blood pressure medications, can also have side effects that affect erectile function.
Physical inactivity, obesity and smoking further exacerbate these problems. In addition, stress from work, family life or finances can still be a factor, as can lack of sleep and increased alcohol consumption.
For many men in this age group, it is also relevant to consider whether there are overworked pelvic floor muscles, especially if they are active cyclists.

Age over 60 years

In men over 60, erectile dysfunction is often the result of a combination of ageing and chronic diseases.
Cardiovascular disease, diabetes and neurological problems, such as nerve damage after prostate surgery, are more common and can have a direct impact on erectile function.
Medication use is also often higher in this age group, which can cause side effects that affect sexual function. Physical inactivity and obesity can exacerbate erectile dysfunction, and alcohol and tobacco use can further aggravate the condition.
At the same time, performance anxiety and concerns about changes in sexual function with age can also have a psychological impact.
Especially when intimacy is challenged around retirement age and the body really starts to change.

General information about erectile dysfunction

Erectile dysfunction affects around 50% of men over 50, but it can affect men of any age. It’s important to address the problem regardless of age, and I’ll help you understand and overcome the challenges you face. By combining my expertise as a sexologist with a thorough physical examination, ECG and ultrasound of the penis and blood flow, together we can find the most effective treatment plan for you with shockwave, EMTT and necessary lifestyle changes to get your erection back. It’s never too early – or too late – to make a difference.

When you come for your first consultation, we will start with a thorough conversation where we talk openly about your challenges and the lifestyle factors that may affect your erectile function in a safe and confidential environment.
Together we will find out if your erectile dysfunction is constant or more situational, giving us important insights into the underlying causes.
I recommend that your doctor is also involved in the process to ensure that all blood values are normal and that any co-morbidities like diabetes or heart problems are under control.

As part of the initial examination, I perform an ultrasound examination of both the penis and pelvic floor to assess the blood flow and muscle balance in these areas.
Using the ultrasound, we can identify any physical causes of your erectile dysfunction, such as reduced blood flow or pelvic floor tension. decreased blood flow or tension in the pelvic floor.
In addition, I do a brief screening of the heart’s pumping function to ensure the heart is functioning optimally, as cardiovascular health plays an important role in erectile function.
If needed, we can also examine the prostate and bladder to rule out other possible causes of your symptoms.

To get a complete picture of your body’s health, I perform an advanced body analysis using the clinic’s Inbody770 system.
This analysis provides detailed information about your body composition, including muscle mass, body fat percentage and visceral fat.
This data helps us assess your overall health and predict how your body will respond to the planned treatment. At the same time, I also examine your back to see if it might have any impact on erectile function.

After the initial examination, you will receive guidance on pelvic floor exercises to improve your muscle strength and support treatment.
Together we will discuss your treatment expectations and create a tailored treatment plan so you can feel comfortable and well-informed every step of the way.
If you wish, we can also start shockwave and EMTT therapy during your initial consultation, so you can quickly start improving your erectile function.

I make sure we implement the right treatment strategy for you so you can experience quality in your sex life again.
I go in depth with your treatment because you deserve the best possible solution to your erectile dysfunction.
If adjustments to your diet and lifestyle are needed, I collaborate with external partners, including nutritionists and personal trainers, to give you the best possible support and ensure that all aspects of erectile function are addressed.

Getting off to a good start with pelvic floor training is crucial to achieve the best possible results for erectile dysfunction.
It’s all about getting the right control over the relevant muscles, so it’s important to start with a precise technique.

Basic technique: Squeeze your rectal opening as if you were holding a fart. This squeeze activates the pelvic floor muscles needed to improve erectile function. You will probably also feel the squeeze on the front of the root of the penis. When squatting, avoid tensing your stomach, buttocks or thighs and avoid holding your breath. This is where most people make mistakes in training, which can reduce the effectiveness of the exercises.

Exercise 1 Quick squats: Lie on your back with your knees slightly apart so that you are relaxed and can focus on using the right muscles. Press quickly and powerfully and release the press. Repeat the exercise 10-20 times.
Each squeeze should be short and powerful, as if you want to quickly close and open a door.
This trains your ability to quickly activate the pelvic floor muscles, which is important for both control and strength.

Exercise 2 Moderate squeeze with hold: Now squeeze moderately, as if you were holding half a fart. Hold for 5-10 seconds and then release. The pause between squeezes should be at least as long as the squeeze to avoid tiring the muscles too quickly. Repeat the exercise 10-20 times. This exercise is designed to increase the endurance of the pelvic floor so you can hold the tension longer without getting tired.

Exercise 3 Long squat: Try to hold a moderate squat for up to 1 minute or as long as you can without straining other muscles or holding your breath. Start slowly and gradually build up so you can extend your squat time. This will help you build long-term muscle control, which is necessary to maintain an erection over time.

Exercise 4 Strong squeeze with slow release: Finish with 5-10 strong squeezes. Squeeze as hard as you can, as if you are trying to close a very tight seal. Slowly release again for about 3 seconds. Remember to take breaks between each squeeze to give your muscles time to recover. This exercise trains maximum pelvic floor strength, which can improve overall function and reaction in situations that require maximum muscle effort.

By following these steps and exercises regularly, you will gradually build strength and endurance in your pelvic floor, which can have a positive effect on your erectile function.
If you are unsure if you are doing the exercises correctly or if you need further guidance, you are always welcome to contact me.
I can help you fine-tune your technique and make sure you get the most out of your training.

Focused shockwave treatment for erectile dysfunction is an advanced method where the perineum and penis are treated with focused shockwaves. The shockwaves act on a biological level in the cells to increase blood flow and stimulate the formation of new blood vessels, which is crucial for achieving and maintaining a healthy and strong erection. An additional benefit of shockwave therapy is that it relaxes tense muscles in the pelvic floor, which can have a significant positive effect on blood flow to the penis. This combination of increased blood circulation and muscle relaxation provides a more natural and effective solution to erectile dysfunction.

The treatment itself takes around 20-30 minutes and is designed to be as gentle as possible. The treatment is painless and most patients only experience a slight stinging sensation in the treated area, which is a sign that the treatment is working. There are no risks or side effects associated with this type of treatment, making it a safe choice for men of all ages who experience erectile dysfunction. To make you feel comfortable and at ease, you are welcome to bring your partner to the treatment. Many couples find that this creates a supportive and trusting atmosphere, which can help improve the results of the treatment.

I always combine shockwave with EMTT (electromagnetic transduction therapy), a technique that significantly increases the formation of new blood vessels and improves stimulation of the nerve pathways around the pelvic floor. This combination provides a more powerful effect, which can be particularly beneficial for patients with more severe erectile dysfunction, diabetes or patients taking heavy medication. This is why ED PLUS is the clinic’s standard treatment. Here you get double the effect compared to what you get at other clinics.

The Executive treatment goes a step further by not only focusing on the vascular part of erectile dysfunction and the pelvic floor, but also by integrating treatment of the entire central nervous system.
This means that we work to improve the quality of nerve signaling to the penis throughout the central nervous system, which can lead to a more stable and lasting erection.
This approach is particularly effective for those who have erectile dysfunction due to neurological challenges, cancer surgery or stress and depression.

Based on the initial examination, I will guide you on which treatment solution is best for you.
My goal is to create a customized treatment plan that addresses not only the symptoms but also the root causes of your challenges.