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Sexual and erectile dysfunction

Sexual and erectile dysfunction affects men of all ages. It is quite a widespread problem. Sexual and erectile dysfunction signals that you body needs help. If a man worries about something or feels discomfort, it is probably time to see an andrologist or a urologist, and it is better to do that in the nearest future.

The specialist team of Andrology and Urology Centre iVF Riga can help patients with sexual and erectile dysfunction. At our Andrology Centre, men with sexual and erectile dysfunction are seen by Dr. Ērenpreiss, MD, PhD, an internationally certified andrologist, an academician of the European Academy of Andrology, the Head of the iVF Riga Andrology and Urology Centre.


Treat only men. Andrology patients can be divided into 4 groups or topics: 

1. Male infertility.

To diagnose it, the andrologist will run a sperm test, hormone blood test, testicle examination (including an ultrasound scan) and urine and seminal fluid culture tests (to rule out inflammation). In the event of severe infertility, additional genetic testing is done. Treatment depends on the identified cause and can be anti-inflammatory, hormonal, surgical, recommendation to change lifestyle, etc. In more serious cases, artificial insemination may be recommended.

2. Male reproductive hormone disorders and diseases.

Complaints and symptoms depend on when hormonal disorders occur. In more serious cases they are hereditary and interfere with normal puberty or sexual maturity. Hormonal disorders may also develop after puberty in young and middle-aged men. Older men can develop late-onset testosterone deficiency (especially those who also have other conditions). Treatment of each case is individual depending on the cause and time of occurrence of a hormonal disorder.

3. Male sexual dysfunction.

It may be decrease or loss of libido (the most common causes are hormonal disorders or psychological issues, such as stress or worries, which may lead to this adverse effect). However, erectile dysfunction is more common. It may have various causes:

  • Psychological (more common in young men).
  • Damaged penile vessels (atherosclerosis, more common in middle-aged or older men that smoke or have excess weight). Penile arteries are among the smallest in the male body. As a result, a cardiovascular condition may first manifest itself as erectile dysfunction. To diagnose, an andrologist will first examine the penile vessels or perform a doppler ultrasonography.
  • Hormonal disorders.
  • Neurologic disorders.

Another common problem that makes men see an andrologist is premature ejaculation. It may be hereditary or develop later in life (usually as a consequence of a urogenital infection).

4. Inflammatory diseases of male reproductive system.

Inflammation can affect testes and prostate. Sometimes men feel it as pain, burning sensation or discomfort during urination. However, quite often its does not present any symptoms and men come to see a doctor because of infertility or sexual disorders.

An andrologist will help patients with infertility, sexual disorders, suspected hormonal changes, as well as genital inflammation.

During an appointment with an andrologist, the doctor speaks with the patient, examines him, collects medical history, assesses his health, and provides explanations about testing and examination results, comments, and recommendations, as well as develops a treatment plan.

To book an appointment with an andrologist: Zaļā 1, Rīga, tel.: (+371) 67 111 117; (+371) 25 641 022;


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(+371) 67 111 117 (+371) 25 641 022

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