Erectile dysfunction
Erectile dysfunction means a repeated inability to achieve or maintain an erection firm enough for sexual intercourse. It is a common and very treatable condition that should not be ignored – sometimes it is the first sign of a vascular or hormonal problem. We approach this topic with sensitivity and discretion.
- Discreet examination by experienced urologists, overseen by MUDr. Ľuboš Rybár
- Complete diagnostics in one place – ultrasound and hormone blood tests
- Fast appointment, usually within a few days, no referral needed
- We speak English
Bratislava – Bernolákova 9 (STEIN II)
What is erectile dysfunction
We speak of erectile dysfunction when, repeatedly and over a longer period, it is not possible to achieve or maintain an erection firm enough for satisfying sexual intercourse. The occasional failure when tired, stressed or after alcohol is common and is not in itself a disorder.
Erectile dysfunction is a topic many men find hard to talk about – yet putting off a visit to the doctor usually makes the problem worse. It is a treatable condition, and at our office we approach it with respect and discretion. Your examination is carried out by a team overseen by the urologist and urologic oncologist MUDr. Ľuboš Rybár.
How it shows up
- Repeated inability to achieve an erection
- The erection cannot be maintained long enough for intercourse
- Weaker firmness than in the past, or reduced sexual desire
- Uncertainty and anxiety about the next attempt, which makes the problem worse
Why erectile dysfunction develops
The causes may be physical, hormonal or psychological – and often a combination of these.
Vascular causes
Reduced blood flow due to high blood pressure, diabetes, high cholesterol or smoking is the most common physical cause.
Hormonal causes
Low testosterone levels or disorders of the thyroid gland and prolactin can reduce both sexual performance and desire.
Psychogenic causes
Stress, fatigue, performance anxiety or tension in the relationship very often play a part in erectile dysfunction.
Medication and lifestyle
Certain medicines, excess weight, lack of exercise, alcohol and smoking worsen erections and slow down treatment.
Erectile dysfunction as a warning sign
The blood vessels in the penis are thin, so reduced blood flow there is usually felt earlier than heart problems. Erectile dysfunction can therefore be an early marker of cardiovascular disease – sometimes preceding a heart attack or other complications by several years.
That is why you should not treat the problem as merely an “inconvenience in bed”. An examination by a urologist also helps uncover hidden risk factors that are worth addressing for the sake of your overall health.
How diagnosis works at our office
We carry out everything needed in one place, discreetly and without rush.
Consultation and medical history
We go through your symptoms, medication, lifestyle and risk factors. The conversation is sensitive and free of judgement.
Ultrasound
An ultrasound of the kidneys, bladder and testicles is part of the initial examination and helps rule out other causes.
Blood tests and hormones
Where needed, we add a urine test and a hormone profile (LH, FSH, testosterone, prolactin) to detect a hormonal cause.
Assessment and plan
We go through the findings together and propose tailored treatment, including lifestyle recommendations.
Treatment options
We always tailor treatment to the cause and to your needs.
Medication
Tablets that support erection are effective and safe for most men. The doctor sets the right product and dose.
Treating a hormonal cause
If the cause is low testosterone or another hormonal disorder, targeted treatment can make a significant difference.
Lifestyle measures
More exercise, weight loss, cutting down on alcohol and smoking, and better sleep all support the effect of treatment.
Treating risk factors
Managing blood pressure, diabetes and cholesterol helps erections as well as the overall health of your heart and blood vessels.
If the problem is predominantly psychological in origin, we will recommend suitable psychological or sexological support.
When to see a urologist
Do not wait for the problem to get worse – dealing with it early is easier.
- Erection problems have lasted several weeks and keep recurring
- The erection has worsened suddenly, or pain or a change in the shape of the penis has appeared
- You have diabetes, high blood pressure or other vascular risk factors
- The problem is putting a strain on your relationship or mental well-being
Book a discreet appointment
Fast appointment, usually within a few days; acute cases are seen as a priority. Call +421 948 687 667.
Frequently asked questions
In most cases, yes. Once the cause is identified, we can propose effective treatment that significantly improves the quality of your intimate life.
No. It is a common health problem that we deal with every day. We approach the topic sensitively and with complete discretion.
Yes, it can be an early sign of heart problems. The blood vessels of the penis are thin, so problems with them are often felt before heart trouble.
A consultation, an ultrasound and, where needed, urine and hormone tests. The initial urological examination also includes an ultrasound.
Tablets are effective, but the best results come from combining treatment of the cause, lifestyle measures and, where appropriate, psychological support.
No. We are a private office with no contracts with health insurers, so no referral is needed and you book directly.
Related topics
Premature ejaculation
Another common intimate problem that can be treated discreetly and effectively.
Prostatitis
Prostate disease can also affect sexual function and requires examination.
Preventive check-up
A comprehensive urological check-up detects risk factors early.
Who will take care of you
Urologist and urologic oncologist · lead specialist for urology at Proctocare
MUDr. Ľuboš Rybár specialises in the diagnosis and treatment of urological and urologic oncology conditions, with an emphasis on modern diagnostic and therapeutic procedures.
- Urologist and urologic oncologist at Bory Hospital
- Clinical fellowships at urology departments in Sweden and Lithuania
- Author of publications in professional journals
Urologist · Bratislava office
MUDr. Patrik Hesko focuses on the diagnosis and treatment of urological conditions, with an emphasis on modern diagnostic procedures and an individual approach to each patient.
Author and medical review: MUDr. Ľuboš Rybár, PhD. – urologist and uro-oncologist, head medical guarantor of urology at Proctocare. · Last medical review: July 2026
Deal with it discreetly and early
Book an examination with experienced urologists in Bratislava – no waiting and no judgement.
Bratislava: Bernolákova 9, 811 07 (STEIN II) · Mon–Fri 07:30–19:30, Sat 07:30–12:30
info@proctocare.sk
Erectile dysfunction
Erectile dysfunction means a repeated inability to achieve or maintain an erection firm enough for sexual intercourse. It is a common and very treatable condition that should not be ignored – sometimes it is the first sign of a vascular or hormonal problem. We approach this topic with sensitivity and discretion.
- Discreet examination by experienced urologists, overseen by MUDr. Ľuboš Rybár
- Complete diagnostics in one place – ultrasound and hormone blood tests
- Fast appointment, usually within a few days, no referral needed
- We speak English
Bratislava – Bernolákova 9 (STEIN II)
What is erectile dysfunction
We speak of erectile dysfunction when, repeatedly and over a longer period, it is not possible to achieve or maintain an erection firm enough for satisfying sexual intercourse. The occasional failure when tired, stressed or after alcohol is common and is not in itself a disorder.
Erectile dysfunction is a topic many men find hard to talk about – yet putting off a visit to the doctor usually makes the problem worse. It is a treatable condition, and at our office we approach it with respect and discretion. Your examination is carried out by a team overseen by the urologist and urologic oncologist MUDr. Ľuboš Rybár.
How it shows up
- Repeated inability to achieve an erection
- The erection cannot be maintained long enough for intercourse
- Weaker firmness than in the past, or reduced sexual desire
- Uncertainty and anxiety about the next attempt, which makes the problem worse
Why erectile dysfunction develops
The causes may be physical, hormonal or psychological – and often a combination of these.
Vascular causes
Reduced blood flow due to high blood pressure, diabetes, high cholesterol or smoking is the most common physical cause.
Hormonal causes
Low testosterone levels or disorders of the thyroid gland and prolactin can reduce both sexual performance and desire.
Psychogenic causes
Stress, fatigue, performance anxiety or tension in the relationship very often play a part in erectile dysfunction.
Medication and lifestyle
Certain medicines, excess weight, lack of exercise, alcohol and smoking worsen erections and slow down treatment.
Erectile dysfunction as a warning sign
The blood vessels in the penis are thin, so reduced blood flow there is usually felt earlier than heart problems. Erectile dysfunction can therefore be an early marker of cardiovascular disease – sometimes preceding a heart attack or other complications by several years.
That is why you should not treat the problem as merely an “inconvenience in bed”. An examination by a urologist also helps uncover hidden risk factors that are worth addressing for the sake of your overall health.
How diagnosis works at our office
We carry out everything needed in one place, discreetly and without rush.
Consultation and medical history
We go through your symptoms, medication, lifestyle and risk factors. The conversation is sensitive and free of judgement.
Ultrasound
An ultrasound of the kidneys, bladder and testicles is part of the initial examination and helps rule out other causes.
Blood tests and hormones
Where needed, we add a urine test and a hormone profile (LH, FSH, testosterone, prolactin) to detect a hormonal cause.
Assessment and plan
We go through the findings together and propose tailored treatment, including lifestyle recommendations.
Treatment options
We always tailor treatment to the cause and to your needs.
Medication
Tablets that support erection are effective and safe for most men. The doctor sets the right product and dose.
Treating a hormonal cause
If the cause is low testosterone or another hormonal disorder, targeted treatment can make a significant difference.
Lifestyle measures
More exercise, weight loss, cutting down on alcohol and smoking, and better sleep all support the effect of treatment.
Treating risk factors
Managing blood pressure, diabetes and cholesterol helps erections as well as the overall health of your heart and blood vessels.
If the problem is predominantly psychological in origin, we will recommend suitable psychological or sexological support.
When to see a urologist
Do not wait for the problem to get worse – dealing with it early is easier.
- Erection problems have lasted several weeks and keep recurring
- The erection has worsened suddenly, or pain or a change in the shape of the penis has appeared
- You have diabetes, high blood pressure or other vascular risk factors
- The problem is putting a strain on your relationship or mental well-being
Book a discreet appointment
Fast appointment, usually within a few days; acute cases are seen as a priority. Call +421 948 687 667.
Frequently asked questions
In most cases, yes. Once the cause is identified, we can propose effective treatment that significantly improves the quality of your intimate life.
No. It is a common health problem that we deal with every day. We approach the topic sensitively and with complete discretion.
Yes, it can be an early sign of heart problems. The blood vessels of the penis are thin, so problems with them are often felt before heart trouble.
A consultation, an ultrasound and, where needed, urine and hormone tests. The initial urological examination also includes an ultrasound.
Tablets are effective, but the best results come from combining treatment of the cause, lifestyle measures and, where appropriate, psychological support.
No. We are a private office with no contracts with health insurers, so no referral is needed and you book directly.
Related topics
Premature ejaculation
Another common intimate problem that can be treated discreetly and effectively.
Prostatitis
Prostate disease can also affect sexual function and requires examination.
Preventive check-up
A comprehensive urological check-up detects risk factors early.
Who will take care of you
Urologist and urologic oncologist · lead specialist for urology at Proctocare
MUDr. Ľuboš Rybár specialises in the diagnosis and treatment of urological and urologic oncology conditions, with an emphasis on modern diagnostic and therapeutic procedures.
- Urologist and urologic oncologist at Bory Hospital
- Clinical fellowships at urology departments in Sweden and Lithuania
- Author of publications in professional journals
Urologist · Bratislava office
MUDr. Patrik Hesko focuses on the diagnosis and treatment of urological conditions, with an emphasis on modern diagnostic procedures and an individual approach to each patient.
Author and medical review: MUDr. Ľuboš Rybár, PhD. – urologist and uro-oncologist, head medical guarantor of urology at Proctocare. · Last medical review: July 2026
Deal with it discreetly and early
Book an examination with experienced urologists in Bratislava – no waiting and no judgement.
Bratislava: Bernolákova 9, 811 07 (STEIN II) · Mon–Fri 07:30–19:30, Sat 07:30–12:30
info@proctocare.sk
Erectile dysfunction
Erectile dysfunction means a repeated inability to achieve or maintain an erection firm enough for sexual intercourse. It is a common and very treatable condition that should not be ignored – sometimes it is the first sign of a vascular or hormonal problem. We approach this topic with sensitivity and discretion.
- Discreet examination by experienced urologists, overseen by MUDr. Ľuboš Rybár
- Complete diagnostics in one place – ultrasound and hormone blood tests
- Fast appointment, usually within a few days, no referral needed
- We speak English
Bratislava – Bernolákova 9 (STEIN II)
What is erectile dysfunction
We speak of erectile dysfunction when, repeatedly and over a longer period, it is not possible to achieve or maintain an erection firm enough for satisfying sexual intercourse. The occasional failure when tired, stressed or after alcohol is common and is not in itself a disorder.
Erectile dysfunction is a topic many men find hard to talk about – yet putting off a visit to the doctor usually makes the problem worse. It is a treatable condition, and at our office we approach it with respect and discretion. Your examination is carried out by a team overseen by the urologist and urologic oncologist MUDr. Ľuboš Rybár.
How it shows up
- Repeated inability to achieve an erection
- The erection cannot be maintained long enough for intercourse
- Weaker firmness than in the past, or reduced sexual desire
- Uncertainty and anxiety about the next attempt, which makes the problem worse
Why erectile dysfunction develops
The causes may be physical, hormonal or psychological – and often a combination of these.
Vascular causes
Reduced blood flow due to high blood pressure, diabetes, high cholesterol or smoking is the most common physical cause.
Hormonal causes
Low testosterone levels or disorders of the thyroid gland and prolactin can reduce both sexual performance and desire.
Psychogenic causes
Stress, fatigue, performance anxiety or tension in the relationship very often play a part in erectile dysfunction.
Medication and lifestyle
Certain medicines, excess weight, lack of exercise, alcohol and smoking worsen erections and slow down treatment.
Erectile dysfunction as a warning sign
The blood vessels in the penis are thin, so reduced blood flow there is usually felt earlier than heart problems. Erectile dysfunction can therefore be an early marker of cardiovascular disease – sometimes preceding a heart attack or other complications by several years.
That is why you should not treat the problem as merely an “inconvenience in bed”. An examination by a urologist also helps uncover hidden risk factors that are worth addressing for the sake of your overall health.
How diagnosis works at our office
We carry out everything needed in one place, discreetly and without rush.
Consultation and medical history
We go through your symptoms, medication, lifestyle and risk factors. The conversation is sensitive and free of judgement.
Ultrasound
An ultrasound of the kidneys, bladder and testicles is part of the initial examination and helps rule out other causes.
Blood tests and hormones
Where needed, we add a urine test and a hormone profile (LH, FSH, testosterone, prolactin) to detect a hormonal cause.
Assessment and plan
We go through the findings together and propose tailored treatment, including lifestyle recommendations.
Treatment options
We always tailor treatment to the cause and to your needs.
Medication
Tablets that support erection are effective and safe for most men. The doctor sets the right product and dose.
Treating a hormonal cause
If the cause is low testosterone or another hormonal disorder, targeted treatment can make a significant difference.
Lifestyle measures
More exercise, weight loss, cutting down on alcohol and smoking, and better sleep all support the effect of treatment.
Treating risk factors
Managing blood pressure, diabetes and cholesterol helps erections as well as the overall health of your heart and blood vessels.
If the problem is predominantly psychological in origin, we will recommend suitable psychological or sexological support.
When to see a urologist
Do not wait for the problem to get worse – dealing with it early is easier.
- Erection problems have lasted several weeks and keep recurring
- The erection has worsened suddenly, or pain or a change in the shape of the penis has appeared
- You have diabetes, high blood pressure or other vascular risk factors
- The problem is putting a strain on your relationship or mental well-being
Book a discreet appointment
Fast appointment, usually within a few days; acute cases are seen as a priority. Call +421 948 687 667.
Frequently asked questions
In most cases, yes. Once the cause is identified, we can propose effective treatment that significantly improves the quality of your intimate life.
No. It is a common health problem that we deal with every day. We approach the topic sensitively and with complete discretion.
Yes, it can be an early sign of heart problems. The blood vessels of the penis are thin, so problems with them are often felt before heart trouble.
A consultation, an ultrasound and, where needed, urine and hormone tests. The initial urological examination also includes an ultrasound.
Tablets are effective, but the best results come from combining treatment of the cause, lifestyle measures and, where appropriate, psychological support.
No. We are a private office with no contracts with health insurers, so no referral is needed and you book directly.
Related topics
Premature ejaculation
Another common intimate problem that can be treated discreetly and effectively.
Prostatitis
Prostate disease can also affect sexual function and requires examination.
Preventive check-up
A comprehensive urological check-up detects risk factors early.
Who will take care of you
Urologist and urologic oncologist · lead specialist for urology at Proctocare
MUDr. Ľuboš Rybár specialises in the diagnosis and treatment of urological and urologic oncology conditions, with an emphasis on modern diagnostic and therapeutic procedures.
- Urologist and urologic oncologist at Bory Hospital
- Clinical fellowships at urology departments in Sweden and Lithuania
- Author of publications in professional journals
Urologist · Bratislava office
MUDr. Patrik Hesko focuses on the diagnosis and treatment of urological conditions, with an emphasis on modern diagnostic procedures and an individual approach to each patient.
Author and medical review: MUDr. Ľuboš Rybár, PhD. – urologist and uro-oncologist, head medical guarantor of urology at Proctocare. · Last medical review: July 2026
Deal with it discreetly and early
Book an examination with experienced urologists in Bratislava – no waiting and no judgement.
Bratislava: Bernolákova 9, 811 07 (STEIN II) · Mon–Fri 07:30–19:30, Sat 07:30–12:30
info@proctocare.sk