What is Erectile Dysfunction? How to treat erectile dysfunction?
Your Worries Ends Now
Erectile Dysfunction and Men's Sexual Treatment Clinic in Turkey


Assist. Assoc. Dr. Bülent Şen was born in Ankara in 1974. After his undergraduate education, he started his medical education at Gülhane Military Medical Academy, Faculty of Medicine in 1991, and received the title of medical doctor in 1997 6th place of his class. Upon serving many years to high ranked officers of the Turkish army Mr.Sen has decided to helping others from his own clinic. Assist.Prof.Dr. Bulent Sen has nearly 30 articles and 40 papers published in national and international journals. He is a member of Turkish Urology Association, European Urology Association and American Urology Association. He is married and has one daughter. He also has a good command of English.
- 1991-1997 –Gülhane Military Medical Academy – Medical Doctor
- 1997-2004 — Gülhane Military Medical Academy – Urology Specialist
- 2007-2011 — Gülhane Military Medical Academy — Associate Professor
- 1997-2004 — Gülhane Military Medical Academy – Urology Specialist.
- 2007-2011 — Lecturer and assistant clinical chief in the urology clinic of Gata Haydarpaşa training hospital.
- 2011-2012 — Chief of urology clinic at Gümüşsuyu Military Hospital.
- 2012-2013 Worked as an “observer” in the field of “female urology and urinary incontinence” at the urology clinic of Leuven University in Belgium.
- 2013-2013 — He worked in San Francisco/USA Ucsa Andrology department.
- 2013-2013 — He served as an “observer” in the field of penile aesthetics at the Australian Collins Andrology Center.
- 2014 — From 2014 onwards Mr.Sen has his own clinic located in the heart of Istanbul serving thousands of people each year.
What is erectile dysfunction?
Erectile dysfunction (ED) is the inability to get or keep an erection firm enough to have sexual intercourse and sometimes referred to as impotence, although this term is now used less often.Occasional ED isn’t uncommon. Many people experience it during times of stress. Frequent ED, however, can be a sign of health problems that need treatment. It can also be a sign of emotional or relationship difficulties that you may want to address with a professional.
What causes an erection?
ED can occur because of problems at any stage of the erection process. An erection is the result of increased blood flow into your penis. Blood flow is usually stimulated by either sexual thoughts or direct contact with your penis.When a person with a penis is sexually excited, a muscle within the blood vessels in the penis relaxes. This allows for increased blood flow through the penile arteries, filling two chambers inside the penis. As the chambers fill with blood, the penis grows rigid.An erection ends when the muscles in the blood vessels contract and the accumulated blood can flow out through the penile veins.
Erectile dysfunction causes?
There are many possible causes of ED, and they can include both emotional and physical conditions. Common causes include:• cardiovascular disease • diabetes • hypertension, or high blood pressure • high cholesterol • obesity • low testosterone levels or other hormone imbalances • kidney disease • increased age • stress • anxiety • depression • relationship problems • certain prescription medications, such as those used to treat high blood pressure or depression • sleep disorders • drug use • consuming too much alcohol • using tobacco products • Parkinson’s disease • multiple sclerosis (MS) • damage to the pelvic area through injury or surgery • Peyronie’s disease, which causes scar tissue to develop in the penis
Erectile dysfunction diagnosis
Physical exam Expect a physical exam, where your doctor will:• listen to your heart and lungs • check your blood pressure • examine your testicles and penisPsychosocial history Your doctor will ask you questions or request that you fill out a questionnaire about your symptoms, health history, and sexual history. The responses can help them evaluate the severity of your ED.Some questions that they may ask include:• How long have you been experiencing ED? Did it come on suddenly or gradually? • Are you having any problems with feeling sexual desire, ejaculating, or reaching orgasm? • How often do you have sex? Has this frequency changed recently? • How firm are your erections? Is this affected by particular situations or types of stimulation? • Do you wake up in the morning or in the middle of the night with erections? • How’s your current relationship? What expectations do you and your partner have for each other? Have there been any changes? • Have you recently been experiencing a lot of stress? • What medications are you currently taking? Do you use tobacco, alcohol, or nonprescription drugs? • Do you have any underlying conditions or have you had any surgery on or injury to your pelvic area?
Additional tests
Additional tests Your doctor may perform additional testing to help diagnose your ED. Tests can include:• Ultrasound. An ultrasound can be used to examine the blood vessels of the penis to determine if there’s a problem with penile blood flow. • Nocturnal penile tumescence test. A portable, battery-powered device, worn on the thigh, is used to evaluate the quality of your nocturnal erections. The device stores data which your doctor can access later. • Injection test. During this test, a medication is injected into your penis to stimulate an erection. This allows your doctor to evaluate the firmness of the erection and how long it lasts. This type of test can also be combined with ultrasound to further asses the erection. • Urine tests. Urine tests can check for diabetes or other underlying health conditions. • Blood tests. Blood tests can check for conditions such as diabetes, heart disease, thyroid issues, and low levels of testosterone.These tests can help your doctor guide your treatment as well as determine if an underlying condition may be causing your ED. Find out more about how blood tests can help diagnose ED.
Erectile dysfunction treatment
Treatment for ED will depend on the underlying cause. You may need to use a combination of treatments, including medication or talk therapy.

