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Birden fazla randomize kontroll\u00fc \u00e7al\u0131\u015fma, akustik dalgalar\u0131n kavern\u00f6z doku i\u00e7inde yeni damar olu\u015fumunu uyard\u0131\u011f\u0131n\u0131 g\u00f6stermi\u015ftir. Tedavi, hap veya anestezi gerektirmeden ereksiyon sertli\u011finde kal\u0131c\u0131 iyile\u015fmeler sa\u011flayabilir.\",\n            \"author\": {\n              \"@id\": \"https:\/\/drterziler.com\/#dr-dogukan-sokmen\"\n            }\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Haplar i\u015fe yaram\u0131yorsa sertle\u015fme sorunu doktoru yard\u0131mc\u0131 olabilir mi?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Evet, a\u011f\u0131zdan al\u0131nan ila\u00e7lar i\u015fe yaramad\u0131\u011f\u0131nda uzman hekim farkl\u0131 ileri tedaviler planlayabilir. T\u0131kal\u0131 damarlar haplar\u0131n do\u011fru \u00e7al\u0131\u015fmas\u0131n\u0131 engelleyebilir. Sertle\u015fme sorunu alan\u0131nda \u00e7al\u0131\u015fan bir hekim d\u00fc\u015f\u00fck yo\u011funluklu \u015fok dalga tedavisi, otolog P-Shot enjeksiyonlar\u0131, hassas intrakavern\u00f6z ila\u00e7 kar\u0131\u015f\u0131mlar\u0131 veya kal\u0131c\u0131 cerrahi implantlar gibi ileri se\u00e7enekler sunabilir.\",\n            \"author\": {\n              \"@id\": \"https:\/\/drterziler.com\/#dr-dogukan-sokmen\"\n            }\n          }\n        }\n      ]\n    }\n  ]\n}\n<\/script><\/p>\n<style>\n    @media screen and (max-width: 768px) { .dhi-table-wrap { overflow-x:auto; } }\n    h1 strong, h2 strong, h3 strong, h4 strong, h5 strong, h6 strong { font-weight:inherit; }\n    .dhi-table-wrap { font-family:\"Barlow\",sans-serif; margin:22px 0 28px; }\n    .dhi-table-wrap table { width:100%; border-collapse:collapse; min-width:620px; }\n    .dhi-table-wrap th,.dhi-table-wrap td { border:1px solid #d9e2ef; padding:14px 16px; text-align:left; vertical-align:top; font-family:\"Barlow\",sans-serif; 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height:34px; margin-bottom:0; }\n    .ed-readmore { margin-top:10px; }\n    .ed-readmore summary { cursor:pointer; color:#001e6e; font-family:\"Barlow\",sans-serif; font-weight:800; list-style:none; display:inline-flex; align-items:center; gap:8px; }\n    .ed-readmore summary::-webkit-details-marker { display:none; }\n    .ed-readmore summary::before { content:\"+\"; display:inline-flex; align-items:center; justify-content:center; width:24px; height:24px; border-radius:50%; background:#001e6e; color:#fff; font-size:18px; line-height:1; }\n    .ed-readmore[open] summary::before { content:\"-\"; }\n    .ed-readmore-body { margin-top:12px; }\n    .ed-readmore-body .p-text:last-child { margin-bottom:0; }\n    .ed-infographic-frame { max-width:560px; margin:24px auto; }\n    .ed-infographic-frame img { width:100%; height:auto; display:block; border-radius:8px; border:1px solid #d9e2ef; }\n    .ed-source-card ul { margin:0; padding-left:18px; }\n    .ed-source-card li { margin-bottom:10px; }\n    .ed-source-card a { color:#001e6e; font-weight:600; text-decoration:underline; }\n    #innerPageAbout { background:#001e6e; border-radius:20px; padding:50px; margin:30px 0; color:#fff; }\n    #innerPageAbout .about-title { color:#fff; font-weight:700; font-size:1.5rem; margin-bottom:25px; display:block; }\n    #innerPageAbout .about-text { font-size:1.1rem; line-height:1.8; color:#d1d1d1; margin-bottom:0; }\n    #innerPageAbout .about-link { color:#fff; text-decoration:underline; font-weight:600; }\n    @media screen and (max-width:992px) { .ed-stat-grid,.ed-cause-grid,.ed-diagnosis-grid,.ed-treatment-grid,.ed-cost-grid,.ed-cure-grid,.ed-proof-grid,.ed-source-grid { grid-template-columns:repeat(2,minmax(0,1fr)); } }\n    @media screen and (max-width:768px) { .ed-stat-grid,.ed-cause-grid,.ed-diagnosis-grid,.ed-treatment-grid,.ed-cost-grid,.ed-cure-grid,.ed-proof-grid,.ed-source-grid { grid-template-columns:1fr; } .speech-bubble { width:260px; } .ed-proof-card { min-height:auto; } }\n<\/style>\n<div class=\"page-content\">\n<div id=\"header-area\">\n<div id=\"firstContent\" class=\"container\">\n<div class=\"header-content d-flex flex-column\">\n<h1 class=\"content-title gilda\">40 Ya\u015f Sonras\u0131 Ereksiyon Bozuklu\u011fu: Nedenleri ve Tedavileri<\/h1>\n<div class=\"content-paragraph\">\n<p class=\"p-text\">2025 itibar\u0131yla d\u00fcnya genelinde yakla\u015f\u0131k 322 milyon erkekte sertle\u015fme sorunu g\u00f6r\u00fclece\u011fi \u00f6ng\u00f6r\u00fcl\u00fcyor; <strong>buna ra\u011fmen erkeklerin %25&#8217;inden az\u0131 tedaviye ba\u015fvuruyor. <\/strong> Sertle\u015fme sorunu, <strong>40-70 ya\u015f aras\u0131 erkeklerin yakla\u015f\u0131k %52&#8217;sini<\/strong> etkiler ve <em>\u201cMassachusetts Male Aging Study\u201d (Feldman et al., J Urol 1994)<\/em> verilerine g\u00f6re d\u00fcnyadaki en yayg\u0131n erkek sa\u011fl\u0131\u011f\u0131 problemlerinden biridir. Vakalar\u0131n %80&#8217;inde neden damarsald\u0131r: kan, korpus kavernozay\u0131 yeterli \u015fekilde dolduramaz. <strong>Psikojenik sertle\u015fme sorunu vakalar\u0131n yakla\u015f\u0131k %20&#8217;sini olu\u015fturur<\/strong>. Klinik olarak kan\u0131tlanm\u0131\u015f tedaviler aras\u0131nda d\u00fc\u015f\u00fck yo\u011funluklu \u015fok dalga tedavisi (Li-ESWT), PRP enjeksiyonu (P-Shot) ve oral PDE5 inhibit\u00f6rleri bulunur. \u00c7o\u011fu vaka cerrahiye gerek kalmadan tedavi edilebilir.<\/p>\n<\/div>\n<nav class=\"breadcrumbs\" aria-label=\"breadcrumb\">\n<ul class=\"d-flex align-items-center mb-0\">\n<li><a class=\"link\" href=\"https:\/\/drterziler.com\/tr\/\">Dr. Terziler<\/a><\/li>\n<li class=\"separator\">\u00bb<\/li>\n<li><a class=\"link\" href=\"https:\/\/drterziler.com\/tr\/cinsel-saglik\/\">Cinsel Sa\u011fl\u0131k<\/a><\/li>\n<li class=\"separator\">\u00bb<\/li>\n<li><a class=\"link\" href=\"https:\/\/drterziler.com\/tr\/cinsel-saglik\/ereksiyon-bozukluklari\/\">Ereksiyon Bozukluklar\u0131<\/a><\/li>\n<li class=\"separator\">\u00bb<\/li>\n<li class=\"current-page\"><span>Nedenler ve Tedaviler<\/span><\/li>\n<\/ul>\n<\/nav>\n<\/div>\n<\/div>\n<\/div>\n<section id=\"content-area\">\n<div class=\"container my-5\">\n<div class=\"row align-items-start\">\n<div class=\"col-md-6 order-2 order-md-1\">\n<div class=\"custom-toc-box\">\n<div id=\"toc-header\">\n<div style=\"margin: 0; font-family: 'Gilda Display', serif; font-size: 25px; line-height: 30px; color: #333; font-weight: 500;\">\u0130\u00e7indekiler<\/div>\n<div class=\"toc-toggle-icon\"><\/div>\n<\/div>\n<div class=\"toc-full-divider\"><\/div>\n<div id=\"toc-body\">\n<div id=\"toc-container\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"col-md-6 order-1 order-md-2\" id=\"jForm\"><script type=\"text\/javascript\" src=\"https:\/\/form.jotform.com\/jsform\/242882264736970\"><\/script><\/div>\n<\/div>\n<\/div>\n<div class=\"container\">\n<div>\n<div class=\"row\" id=\"medically-reviewed\">\n<div class=\"col-12\">\n<div class=\"d-flex flex-column flex-md-row align-items-start\">\n<div class=\"me-4 mb-3 mb-md-0\"><img decoding=\"async\" src=\"https:\/\/drterziler.com\/wp-content\/uploads\/2026\/04\/dogukan-hoca.webp\" alt=\"Op. Dr. Do\u011fukan S\u00f6kmen - \u00fcroloji ve erkek cinsel sa\u011fl\u0131\u011f\u0131 uzman\u0131\" class=\"ed-review-img\"><\/div>\n<div class=\"flex-grow-1\">\n<p class=\"review-label\">TIBB\u0130 OLARAK \u0130NCELEND\u0130<\/p>\n<p class=\"doctor-name\"><strong>Op. Dr. Do\u011fukan S\u00f6kmen<\/strong><\/p>\n<p class=\"doctor-desc\">\u00dcroloji Uzman\u0131 ve Erkek Cinsel Sa\u011fl\u0131\u011f\u0131 Uzman\u0131 &#8211; Dr. Terziler Exclusive Clinic, \u0130stanbul<\/p>\n<div class=\"d-flex align-items-center mt-2\">\n<p class=\"update-date mb-0 me-2\">Son g\u00fcncelleme: May\u0131s 2026<\/p>\n<div class=\"custom-info-container\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"18\" height=\"18\" fill=\"currentColor\" viewBox=\"0 0 16 16\" class=\"info-svg\"><path d=\"M8 15A7 7 0 1 1 8 1a7 7 0 0 1 0 14m0 1A8 8 0 1 0 8 0a8 8 0 0 0 0 16\"\/><path d=\"m8.93 6.588-2.29.287-.082.38.45.083c.294.07.352.176.288.469l-.738 3.468c-.194.897.105 1.319.808 1.319.545 0 1.178-.252 1.465-.598l.088-.416c-.2.176-.492.246-.686.246-.275 0-.375-.193-.304-.533zM9 4.5a1 1 0 1 1-2 0 1 1 0 0 1 2 0\"\/><\/svg><\/p>\n<div class=\"speech-bubble\">Op. Dr. Do\u011fukan S\u00f6kmen, Dr. Terziler Exclusive Clinic&#8217;te erkek cinsel fonksiyon bozukluklar\u0131, damar kaynakl\u0131 sertle\u015fme sorunu ve minimal invaziv rejeneratif tedaviler \u00fczerine \u00e7al\u0131\u015fan bir \u00fcroloji uzman\u0131d\u0131r. Li-ESWT protokolleri, intrakavern\u00f6z tedaviler ve penil protez cerrahisi uygular; AAACI akreditasyonlu cerrah Dr. Servet Terziler&#8217;in do\u011frudan g\u00f6zetiminde \u00e7al\u0131\u015f\u0131r. Klinik oda\u011f\u0131, uzun s\u00fcreli ila\u00e7 ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 olmadan do\u011fal ereksiyon fonksiyonunu geri kazand\u0131rmakt\u0131r.<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div>\n<h2 class=\"h2-header\">Sertle\u015fme Sorunu Ger\u00e7ekte Nedir?<\/h2>\n<p class=\"p-text\">Sertle\u015fme sorunu (ED), en az \u00fc\u00e7 ay boyunca tatmin edici cinsel ili\u015fki i\u00e7in yeterli penis ereksiyonunun sa\u011flanamamas\u0131 veya s\u00fcrd\u00fcr\u00fclememesidir. Hekimler bu durumu iki ana grupta de\u011ferlendirir: erke\u011fin hi\u00e7bir zaman ereksiyon sa\u011flayamad\u0131\u011f\u0131 primer ED ve daha \u00f6nce var olan ereksiyon kapasitesinin sonradan kaybedildi\u011fi sekonder ED.<\/p>\n<div class=\"ed-infographic-frame\"><img decoding=\"async\" src=\"https:\/\/drterziler.com\/wp-content\/uploads\/2026\/05\/ED-infographic-1.png\" alt=\"Sertle\u015fme sorununun ger\u00e7ekte ne oldu\u011funu anlatan Dr. Terziler cinsel sa\u011fl\u0131k ve longevity klini\u011fi infografi\u011fi\" loading=\"lazy\"><\/div>\n<p class=\"p-text\">Bu durum ayr\u0131ca yaln\u0131zca belirli ba\u011flamlarda veya belirli partnerlerle ortaya \u00e7\u0131kan durumsal ED ve t\u00fcm cinsel denemelerde g\u00f6r\u00fclen kal\u0131c\u0131 ED olarak ayr\u0131l\u0131r. Uluslararas\u0131 Erektil Fonksiyon \u0130ndeksi (IIEF-5) skorunun 21&#8217;in alt\u0131nda olmas\u0131, <a href=\"https:\/\/drterziler.com\/tr\/cinsel-saglik\/ereksiyon-bozukluklari\/\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>sertle\u015fme sorunu<\/strong><\/a> i\u00e7in resmi klinik tan\u0131 koydurur.<\/p>\n<p class=\"p-text\">Sa\u011fl\u0131kl\u0131 bir ereksiyonun temel mekanizmas\u0131, tamamen koordineli n\u00f6rovask\u00fcler de\u011fi\u015fikliklere dayan\u0131r. Cinsel uyar\u0131, beynin omurilik \u00fczerinden pelvik sinir pleksusuna sinyal g\u00f6ndermesini sa\u011flar. Bu sinir u\u00e7lar\u0131 nitrik oksidi (NO) do\u011frudan penisin \u00e7izgisiz kas h\u00fccrelerine salar.<\/p>\n<p class=\"p-text\">Nitrik oksit, kavern\u00f6z arterlerde d\u00fcz kas gev\u015femesini tetikler. Bu gev\u015feme, arteriyel kan\u0131n h\u0131zla i\u00e7eri akarak geni\u015fleyebilen korpus kavernoza bo\u015fluklar\u0131n\u0131 doldurmas\u0131n\u0131 sa\u011flar. Geni\u015fleyen doku, \u00e7evredeki ven\u00fclleri sert tunika albuginea k\u0131l\u0131f\u0131na do\u011fru s\u0131k\u0131\u015ft\u0131r\u0131r.<\/p>\n<p class=\"p-text\">Bu ven\u00f6z kapanma, gerekli yap\u0131sal sertli\u011fi korumak i\u00e7in kan\u0131 penisin i\u00e7inde tutar. Bu yolaktaki herhangi bir a\u015faman\u0131n bozulmas\u0131 ereksiyon ba\u015far\u0131s\u0131zl\u0131\u011f\u0131na yol a\u00e7ar.<\/p>\n<\/div>\n<div>\n<h2 class=\"h2-header\">40 Ya\u015f\u0131ndan Sonra Sertle\u015fme Sorunu Ne Kadar Yayg\u0131nd\u0131r?<\/h2>\n<p class=\"p-text\"><strong>40 ya\u015f \u00fcst\u00fc her \u00fc\u00e7 erkekten biri<\/strong> belirli d\u00fczeyde sertle\u015fme sorunu ya\u015far.<\/p>\n<div class=\"ed-stat-grid\">\n<div class=\"ed-stat-card\"><span class=\"ed-icon\" aria-hidden=\"true\">40+<\/span><strong>3 erkekten 1&#8217;i<\/strong><\/p>\n<p>40 ya\u015f \u00fcst\u00fc her \u00fc\u00e7 erkekten biri belirli d\u00fczeyde sertle\u015fme sorunu ya\u015far.<\/p>\n<\/div>\n<div class=\"ed-stat-card\"><span class=\"ed-icon\" aria-hidden=\"true\">322M<\/span><strong>K\u00fcresel \u00f6ng\u00f6r\u00fc<\/strong><\/p>\n<p>D\u00fcnya genelinde etkilenen erkek say\u0131s\u0131n\u0131n 2025 itibar\u0131yla 322 milyona ula\u015faca\u011f\u0131 tahmin edilmektedir.<\/p>\n<\/div>\n<div class=\"ed-stat-card\"><span class=\"ed-icon\" aria-hidden=\"true\">80%<\/span><strong>Damar kaynakl\u0131<\/strong><\/p>\n<p>\u00c7o\u011fu vakada temel sorun kan ak\u0131\u015f\u0131n\u0131n, endotel fonksiyonunun veya mikrovask\u00fcler yap\u0131n\u0131n bozulmas\u0131d\u0131r.<\/p>\n<\/div>\n<\/div>\n<p class=\"p-text\"><strong>Bir\u00e7ok erkekte 40 ya\u015f\u0131nda sertle\u015fme sorunu, erken endotel hasar\u0131 nedeniyle ortaya \u00e7\u0131kar. <\/strong>Massachusetts Male Aging Study, modern \u00fcrolojide ya\u015f gruplar\u0131na g\u00f6re temel g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 verilerini sa\u011flar:<\/p>\n<div class=\"dhi-table-wrap\">\n<table>\n<thead>\n<tr>\n<th scope=\"col\"><strong>Ya\u015f Grubu<\/strong><\/th>\n<th scope=\"col\"><strong>G\u00f6r\u00fclme S\u0131kl\u0131\u011f\u0131<\/strong><\/th>\n<th scope=\"col\"><strong>\u015eiddet<\/strong><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<th scope=\"row\"><strong>40 &#8211; 49<\/strong><\/th>\n<td><strong>%40<\/strong><\/td>\n<td>Hafif-Orta<\/td>\n<\/tr>\n<tr>\n<th scope=\"row\"><strong>50 &#8211; 59<\/strong><\/th>\n<td><strong>%48 &#8211; %52<\/strong><\/td>\n<td>Orta-Kal\u0131c\u0131<\/td>\n<\/tr>\n<tr>\n<th scope=\"row\"><strong>60 &#8211; 69<\/strong><\/th>\n<td><strong>%57 &#8211; %65<\/strong><\/td>\n<td>Belirgin<\/td>\n<\/tr>\n<tr>\n<th scope=\"row\"><strong>70+<\/strong><\/th>\n<td><strong>&gt;%70<\/strong><\/td>\n<td>\u0130leri \/ Tam<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<p class=\"p-text\"><strong>K\u00fcresel \u00f6ng\u00f6r\u00fcler, etkilenen toplam erkek say\u0131s\u0131n\u0131n 2025 itibar\u0131yla 322 milyona ula\u015faca\u011f\u0131n\u0131 g\u00f6stermektedir. <\/strong>Bu yayg\u0131n art\u0131\u015f, ge\u00e7ici semptom y\u00f6netimi yerine eri\u015filebilir ve k\u00f6k nedene y\u00f6nelik klinik m\u00fcdahalelere duyulan ihtiyac\u0131 net bi\u00e7imde ortaya koyar.<\/p>\n<p class=\"p-text\">T\u00fcrkiye&#8217;deki medikal ba\u011flamda baz\u0131 ya\u015fam tarz\u0131 risk fakt\u00f6rleri \u00f6zellikle y\u00fcksek oranda g\u00f6r\u00fcl\u00fcr. Yeti\u015fkin erkeklerde sigara i\u00e7me <strong>oran\u0131 yakla\u015f\u0131k %30&#8217;dur<\/strong>. <strong>Tip 2 diyabet<\/strong> ve metabolik sendromun b\u00f6lgesel olarak y\u00fcksek oranlar\u0131 mikrovask\u00fcler bozulmay\u0131 do\u011frudan h\u0131zland\u0131r\u0131r.<\/p>\n<p class=\"p-text\">Bu sistemik <a href=\"https:\/\/drterziler.com\/tr\/cinsel-saglik\/\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>cinsel sa\u011fl\u0131k<\/strong><\/a> sorunlar\u0131, toplum genelinde organik ED riskini art\u0131r\u0131r. Bu tablo, \u0130stanbul merkezli klinik m\u00fcdahaleyi hem yerel a\u00e7\u0131dan \u00f6nemli hem de y\u00fcksek uzmanl\u0131k gerektiren bir alan haline getirir.<\/p>\n<\/div>\n<div>\n<div class=\"row\" id=\"innerpageWP\">\n<div class=\"col-12\">\n<p class=\"cta-title\"><strong>40 Ya\u015f Sonras\u0131 Gizli ED Taramas\u0131<\/strong><\/p>\n<p class=\"p-text\">40 ya\u015f\u0131ndan sonra ereksiyon kalitenizde d\u00fc\u015f\u00fc\u015f fark ediyorsan\u0131z, erken klinik tarama altta yatan damar sorunlar\u0131n\u0131 ilerlemeden ortaya \u00e7\u0131karabilir. \u00d6zel medikal de\u011ferlendirme randevusu almak i\u00e7in g\u00fcvenli tan\u0131 ileti\u015fim formumuzu doldurun.<\/p>\n<p><a href=\"javascript:void(0)\" class=\"btn-wp btn-form\" data-target=\"hidden-form-button\">Uzman De\u011ferlendirmesi \u0130ste<\/a><\/div>\n<\/div>\n<\/div>\n<div>\n<h2 class=\"h2-header\">Sertle\u015fme Sorununun Temel Nedenleri Nelerdir ve Neden Olur?<\/h2>\n<p class=\"p-text\">Sertle\u015fme sorunu, kronik hastal\u0131klar, psikolojik stres fakt\u00f6rleri veya belirli ila\u00e7lar penil sertle\u015fme i\u00e7in gerekli hassas kan ak\u0131\u015f\u0131 ve sinir sinyali dengesini bozdu\u011funda geli\u015fir.<\/p>\n<div class=\"ed-cause-grid\">\n<article class=\"ed-cause-card\"><span class=\"ed-icon\" aria-hidden=\"true\">1<\/span><\/p>\n<h3 class=\"h3-header\">Damar ve Endotel Fakt\u00f6rleri (Vakalar\u0131n %80&#8217;i)<\/h3>\n<p class=\"p-text\">Sertle\u015fme sorunu kardiyovask\u00fcler bir uyar\u0131 i\u015faretidir.<\/p>\n<details class=\"ed-readmore\">\n<summary>Devam\u0131n\u0131 oku<\/summary>\n<div class=\"ed-readmore-body\">\n<p class=\"p-text\">Penil arterlerde (1-2 mm) ateroskleroz, koroner arterlerden 3-5 y\u0131l \u00f6nce geli\u015fir; bu nedenle ED, kalp olaylar\u0131 i\u00e7in erken bir belirte\u00e7tir.<em> (Princeton Consensus III, J Sex Med 2012.)<\/em><em> <\/em>Penil arterler koroner arterlerden \u00e7ok daha k\u00fc\u00e7\u00fck oldu\u011fu i\u00e7in kolesterol pla\u011f\u0131 birikimini \u00e7ok daha erken g\u00f6sterir. Damar kaynakl\u0131 sertle\u015fme sorunu ya\u015fayan hastalarda cinsel uyar\u0131 s\u0131ras\u0131nda arteriyel kan giri\u015fi azal\u0131r.<\/p>\n<\/div>\n<\/details>\n<\/article>\n<article class=\"ed-cause-card\"><span class=\"ed-icon\" aria-hidden=\"true\">2<\/span><\/p>\n<h3 class=\"h3-header\">Hormonal Dengesizlikler<\/h3>\n<p class=\"p-text\"><a href=\"https:\/\/drterziler.com\/tr\/cinsel-saglik\/hipogonadizm-dusuk-testosteron\/\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>Hipogonadizm<\/strong><\/a> olarak da bilinen d\u00fc\u015f\u00fck total serum testosteronu, etkilenen erkeklerin %25-%40&#8217;\u0131nda sertle\u015fme sorunu ile do\u011frudan ili\u015fkilidir.<\/p>\n<details class=\"ed-readmore\">\n<summary>Devam\u0131n\u0131 oku<\/summary>\n<div class=\"ed-readmore-body\">\n<p class=\"p-text\">\u0130kincil hormonal nedenler aras\u0131nda y\u00fcksek estradiol d\u00fczeyleri, tiroid fonksiyon bozuklu\u011fu ve y\u00fcksek prolaktin sal\u0131n\u0131m\u0131 bulunur. Bu karma\u015f\u0131k endokrin bozulmalar\u0131 do\u011fru \u015fekilde tan\u0131lamak i\u00e7in kapsaml\u0131 kan paneli zorunludur.<\/p>\n<\/div>\n<\/details>\n<\/article>\n<article class=\"ed-cause-card\"><span class=\"ed-icon\" aria-hidden=\"true\">3<\/span><\/p>\n<h3 class=\"h3-header\">N\u00f6rojenik Bozulmalar<\/h3>\n<p class=\"p-text\">Periferik sinir yollar\u0131ndaki hasar, uyar\u0131lma sinyallerinin beyinden pelvik organlara iletilmesini engeller.<\/p>\n<details class=\"ed-readmore\">\n<summary>Devam\u0131n\u0131 oku<\/summary>\n<div class=\"ed-readmore-body\">\n<p class=\"p-text\">Prostatektomi sonras\u0131 ED oranlar\u0131, cerrah\u0131n sinir koruyucu veya sinir koruyucu olmayan i\u015flem yapmas\u0131na g\u00f6re ciddi bi\u00e7imde de\u011fi\u015fir. Ayr\u0131ca diyabete ba\u011fl\u0131 periferik n\u00f6ropati, diyabetli erkeklerin %35-%50&#8217;sini etkiler. Multipl skleroz ve travmatik omurilik yaralanmalar\u0131 da bu hayati elektriksel uyar\u0131lar\u0131 bloke eder.<\/p>\n<\/div>\n<\/details>\n<\/article>\n<article class=\"ed-cause-card\"><span class=\"ed-icon\" aria-hidden=\"true\">4<\/span><\/p>\n<h3 class=\"h3-header\">Psikojenik Tetikleyiciler<\/h3>\n<p class=\"p-text\">Akut performans kayg\u0131s\u0131, klinik depresyon ve kronik ili\u015fki \u00e7at\u0131\u015fmalar\u0131 sempatik sinir sistemini tetikler.<\/p>\n<details class=\"ed-readmore\">\n<summary>Devam\u0131n\u0131 oku<\/summary>\n<div class=\"ed-readmore-body\">\n<p class=\"p-text\">Bu yan\u0131t adrenalin sal\u0131n\u0131m\u0131na yol a\u00e7ar; adrenalin penisteki d\u00fcz kaslar\u0131 kasar ve kan giri\u015fini engeller. Klinik psikologlar bu durumu <strong>psikolojik sertle\u015fme sorunu<\/strong> olarak s\u0131n\u0131fland\u0131r\u0131r. <strong>Psikolojik sertle\u015fme sorunu<\/strong> tedavisi, performans kayg\u0131s\u0131n\u0131 azaltmaya ve olumsuz d\u00fc\u015f\u00fcnce d\u00f6ng\u00fclerini k\u0131rmaya odaklan\u0131r. Saf psikojenik ED, toplam vakalar\u0131n yakla\u015f\u0131k %20&#8217;sini olu\u015fturur. Ancak psikolojik stres \u00e7o\u011fu zaman organik damar nedenleriyle birlikte bulunur. Bir katman\u0131 tedavi edip di\u011ferini yok saymak zay\u0131f klinik sonu\u00e7lara yol a\u00e7ar.<\/p>\n<\/div>\n<\/details>\n<\/article>\n<article class=\"ed-cause-card\"><span class=\"ed-icon\" aria-hidden=\"true\">5<\/span><\/p>\n<h3 class=\"h3-header\">\u0130la\u00e7 Kaynakl\u0131 ED<\/h3>\n<p class=\"p-text\">Yayg\u0131n kullan\u0131lan bir\u00e7ok ila\u00e7 ereksiyonun biyokimyasal yollar\u0131na do\u011frudan m\u00fcdahale eder.<\/p>\n<details class=\"ed-readmore\">\n<summary>Devam\u0131n\u0131 oku<\/summary>\n<div class=\"ed-readmore-body\">\n<p class=\"p-text\">Yayg\u0131n sorumlular aras\u0131nda se\u00e7ici serotonin geri al\u0131m inhibit\u00f6rleri (SSRI), beta-blokerler, tiazid di\u00fcretikler ve anti-androjenler bulunur. Finasterid kullan\u0131m\u0131, kal\u0131c\u0131 post-finasterid sendromu olarak bilinen tart\u0131\u015fmal\u0131 bir durumla ili\u015fkilendirilmi\u015ftir. Devam eden klinik ara\u015ft\u0131rmalar, gereksiz korku yaratmadan bu uzun d\u00f6nem n\u00f6rosteroid de\u011fi\u015fimleri incelemeyi s\u00fcrd\u00fcrmektedir.<\/p>\n<\/div>\n<\/details>\n<\/article>\n<\/div>\n<\/div>\n<div>\n<div class=\"row\" id=\"innerpageWP\">\n<div class=\"col-12\">\n<p class=\"cta-title\"><strong>Belirtilerinizi Mahremiyet \u0130\u00e7inde Konu\u015fun<\/strong><\/p>\n<p class=\"p-text\">Kendi belirtilerinizi ve t\u0131bbi ge\u00e7mi\u015finizi tamamen gizlilik i\u00e7inde payla\u015fabilirsiniz. Do\u011frudan medikal koordinasyon ekibimizle ileti\u015fime ge\u00e7ip h\u0131zl\u0131 y\u00f6nlendirme almak i\u00e7in butona t\u0131klay\u0131n.<\/p>\n<p><a href=\"https:\/\/wa.me\/+902129637758?text=Merhaba%2C%20sertle%C5%9Fme%20sorunu%20belirtileri%20ve%20tedavi%20se%C3%A7enekleri%20hakk%C4%B1nda%20%C3%B6zel%20bilgi%20almak%20istiyorum.\" class=\"btn-wp\" target=\"_blank\" rel=\"noopener noreferrer\"><svg viewBox=\"0 0 448 512\" height=\"22\" width=\"22\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M380.9 97.1C339 55.1 283.2 32 223.9 32c-122.4 0-222 99.6-222 222 0 39.1 10.2 77.3 29.6 111L0 480l117.7-30.9c32.4 17.7 68.9 27 106.1 27h.1c122.3 0 224.1-99.6 224.1-222 0-59.3-25.2-115-67.1-157zm-157 341.6c-33.2 0-65.7-8.9-94-25.7l-6.7-4-69.8 18.3L72 359.2l-4.4-7c-18.5-29.4-28.2-63.3-28.2-98.2 0-101.7 82.8-184.5 184.6-184.5 49.3 0 95.6 19.2 130.4 54.1 34.8 34.9 56.2 81.2 56.1 130.5 0 101.8-84.9 184.6-186.6 184.6zm101.2-138.2c-5.5-2.8-32.8-16.2-37.9-18-5.1-1.9-8.8-2.8-12.5 2.8-3.7 5.6-14.3 18-17.6 21.8-3.2 3.7-6.5 4.2-12 1.4-32.6-16.3-54-29.1-75.5-66-5.7-9.8 5.7-9.1 16.3-30.3 1.8-3.7.9-6.9-.5-9.7-1.4-2.8-12.5-30.1-17.1-41.2-4.5-10.8-9.1-9.3-12.5-9.5-3.2-.2-6.9-.2-10.6-.2-3.7 0-9.7 1.4-14.8 6.9-5.1 5.6-19.4 19-19.4 46.3 0 27.3 19.9 53.7 22.6 57.4 2.8 3.7 39.1 59.7 94.8 83.8 35.2 15.2 49 16.5 66.6 13.9 10.7-1.6 32.8-13.4 37.4-26.4 4.6-13 4.6-24.1 3.2-26.4-1.3-2.5-5-3.9-10.5-6.6z\"><\/path><\/svg>\u00dcroloji Uzman\u0131yla Do\u011frudan G\u00f6r\u00fc\u015f<\/a><\/div>\n<\/div>\n<\/div>\n<div>\n<h2 class=\"h2-header\">Sertle\u015fme Sorunu Ne Zaman T\u0131bbi Bir Probleme D\u00f6n\u00fc\u015f\u00fcr?<\/h2>\n<p class=\"p-text\">Ereksiyon sa\u011flayamama veya s\u00fcrd\u00fcrememe durumu \u00fc\u00e7 ay ya da daha uzun s\u00fcr\u00fcyorsa resmi klinik de\u011ferlendirme gerekir. Avrupa \u00dcroloji Birli\u011fi (EAU) k\u0131lavuzlar\u0131 bu s\u00fcreyi kronik erektil disfonksiyon olarak s\u0131n\u0131fland\u0131r\u0131r.<\/p>\n<p class=\"p-text\">\u00dc\u00e7 aydan k\u0131sa s\u00fcren ara s\u0131ra ereksiyon sorunlar\u0131 genellikle durumsald\u0131r ve akut yorgunluk ya da ge\u00e7ici duygusal stres d\u00f6nemlerinde fizyolojik olarak normal kabul edilir. Ancak 40 ya\u015f alt\u0131 bir erkekte ani ba\u015flayan sertle\u015fme sorunu \u00f6nemli bir t\u0131bbi uyar\u0131d\u0131r.<\/p>\n<p class=\"p-text\">Bu ani de\u011fi\u015fim \u00e7o\u011fu zaman akut damar hastal\u0131\u011f\u0131, erken evre diyabet veya ciddi endokrin patolojiye i\u015faret eder. Ani ereksiyon kayb\u0131 ya\u015fayan gen\u00e7 hastalarda acil medikal de\u011ferlendirme gerekir. Nitelikli bir <strong>sertle\u015fme sorunu doktoru<\/strong>, bu sistemik riskleri erken saptamak i\u00e7in \u00f6zel testler yapabilir.<\/p>\n<\/div>\n<div>\n<div class=\"row\" id=\"innerpageWP\">\n<div class=\"col-12\">\n<p class=\"cta-title\"><strong>Tan\u0131sal ED Randevusu Al\u0131n<\/strong><\/p>\n<p class=\"p-text\">Cinsel sa\u011fl\u0131\u011f\u0131n\u0131zdaki kal\u0131c\u0131 de\u011fi\u015fiklikleri g\u00f6z ard\u0131 etmeyin. Uzmanla mahremiyet odakl\u0131 kons\u00fcltasyon planlamak i\u00e7in online randevu formumuzu doldurun.<\/p>\n<p><a href=\"javascript:void(0)\" class=\"btn-wp btn-form\" data-target=\"hidden-form-button\">Tan\u0131sal Randevunuzu Planlay\u0131n<\/a><\/div>\n<\/div>\n<\/div>\n<div>\n<h2 class=\"h2-header\">Tan\u0131: ED De\u011ferlendirmesi Neleri \u0130\u00e7erir?<\/h2>\n<p class=\"p-text\">Dr. Terziler Exclusive Clinic&#8217;te profesyonel sertle\u015fme sorunu de\u011ferlendirmesi, ereksiyon ba\u015far\u0131s\u0131zl\u0131\u011f\u0131n\u0131n tam fizyolojik kayna\u011f\u0131n\u0131 belirlemek i\u00e7in \u00e7ok disiplinli tan\u0131 y\u00f6ntemleri kullan\u0131r.<\/p>\n<div class=\"ed-diagnosis-grid\">\n<article class=\"ed-diagnosis-card\"><span class=\"ed-icon\" aria-hidden=\"true\">1<\/span><\/p>\n<h3 class=\"h3-header\">IIEF-5 Anketi<\/h3>\n<p class=\"p-text\">Hastalar, son d\u00f6nemde ereksiyon s\u0131kl\u0131\u011f\u0131n\u0131 ve ereksiyonu s\u00fcrd\u00fcrme ba\u015far\u0131s\u0131n\u0131 \u00f6l\u00e7mek i\u00e7in do\u011frulanm\u0131\u015f Uluslararas\u0131 Erektil Fonksiyon \u0130ndeksi skor formunu doldurur.<\/p>\n<\/article>\n<article class=\"ed-diagnosis-card\"><span class=\"ed-icon\" aria-hidden=\"true\">2<\/span><\/p>\n<h3 class=\"h3-header\">Kapsaml\u0131 Kan Paneli<\/h3>\n<p class=\"p-text\">Laboratuvar teknisyenleri endokrin sistemi de\u011ferlendirmek i\u00e7in serum total testosteron, luteinizan hormon (LH), folik\u00fcl uyar\u0131c\u0131 hormon (FSH), prolaktin ve tiroid uyar\u0131c\u0131 hormon (TSH) d\u00fczeylerini \u00f6l\u00e7er.<\/p>\n<\/article>\n<article class=\"ed-diagnosis-card\"><span class=\"ed-icon\" aria-hidden=\"true\">3<\/span><\/p>\n<h3 class=\"h3-header\">Metabolik ve Diyabet Taramas\u0131<\/h3>\n<p class=\"p-text\">Medikal ekip, gizli ins\u00fclin direnci veya aktif periferik n\u00f6ropati riskini saptamak i\u00e7in HbA1c ve a\u00e7l\u0131k kan \u015fekeri d\u00fczeylerini \u00f6l\u00e7er.<\/p>\n<\/article>\n<article class=\"ed-diagnosis-card\"><span class=\"ed-icon\" aria-hidden=\"true\">4<\/span><\/p>\n<h3 class=\"h3-header\">Penil Bi-Fazik Doppler Ultrason<\/h3>\n<p class=\"p-text\">Bu \u00f6zel g\u00f6r\u00fcnt\u00fcleme testi, damar kaynakl\u0131 ED tan\u0131s\u0131nda klinik alt\u0131n standart kabul edilir.<\/p>\n<details class=\"ed-readmore\">\n<summary>Devam\u0131n\u0131 oku<\/summary>\n<div class=\"ed-readmore-body\">\n<p class=\"p-text\">Saniyede 25 santimetrenin alt\u0131ndaki pik sistolik h\u0131z (PSV) \u00f6l\u00e7\u00fcm\u00fc arteriyel yetmezli\u011fi do\u011frular.<\/p>\n<\/div>\n<\/details>\n<\/article>\n<article class=\"ed-diagnosis-card\"><span class=\"ed-icon\" aria-hidden=\"true\">5<\/span><\/p>\n<h3 class=\"h3-header\">Kardiyovask\u00fcler Risk S\u0131n\u0131flamas\u0131<\/h3>\n<p class=\"p-text\">Hekimler, hastan\u0131n belirli tedavilere uygunlu\u011funu de\u011ferlendirmeden \u00f6nce kardiyak g\u00fcvenli\u011fi analiz etmek i\u00e7in Princeton Consensus III k\u0131lavuzlar\u0131n\u0131 uygular.<\/p>\n<\/article>\n<\/div>\n<\/div>\n<div>\n<div class=\"row\" id=\"innerpageWP\">\n<div class=\"col-12\">\n<p class=\"cta-title\"><strong>ED Tan\u0131lar\u0131 Hakk\u0131nda Bilgi Al\u0131n<\/strong><\/p>\n<p class=\"p-text\">Kapsaml\u0131 kan panellerimiz veya ultrason randevu planlamas\u0131 hakk\u0131nda daha fazla bilgi almak istiyorsan\u0131z, klinik koordinat\u00f6rlerimizle hemen yaz\u0131\u015fmak i\u00e7in WhatsApp ba\u011flant\u0131s\u0131na t\u0131klay\u0131n.<\/p>\n<p><a href=\"https:\/\/wa.me\/+902129637758?text=Merhaba%2C%20ED%20tan%C4%B1%20s%C3%BCreci%2C%20kan%20panelleri%20ve%20ultrason%20randevusu%20hakk%C4%B1nda%20bilgi%20almak%20istiyorum.\" class=\"btn-wp\" target=\"_blank\" rel=\"noopener noreferrer\"><svg viewBox=\"0 0 448 512\" height=\"22\" width=\"22\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M380.9 97.1C339 55.1 283.2 32 223.9 32c-122.4 0-222 99.6-222 222 0 39.1 10.2 77.3 29.6 111L0 480l117.7-30.9c32.4 17.7 68.9 27 106.1 27h.1c122.3 0 224.1-99.6 224.1-222 0-59.3-25.2-115-67.1-157zm-157 341.6c-33.2 0-65.7-8.9-94-25.7l-6.7-4-69.8 18.3L72 359.2l-4.4-7c-18.5-29.4-28.2-63.3-28.2-98.2 0-101.7 82.8-184.5 184.6-184.5 49.3 0 95.6 19.2 130.4 54.1 34.8 34.9 56.2 81.2 56.1 130.5 0 101.8-84.9 184.6-186.6 184.6zm101.2-138.2c-5.5-2.8-32.8-16.2-37.9-18-5.1-1.9-8.8-2.8-12.5 2.8-3.7 5.6-14.3 18-17.6 21.8-3.2 3.7-6.5 4.2-12 1.4-32.6-16.3-54-29.1-75.5-66-5.7-9.8 5.7-9.1 16.3-30.3 1.8-3.7.9-6.9-.5-9.7-1.4-2.8-12.5-30.1-17.1-41.2-4.5-10.8-9.1-9.3-12.5-9.5-3.2-.2-6.9-.2-10.6-.2-3.7 0-9.7 1.4-14.8 6.9-5.1 5.6-19.4 19-19.4 46.3 0 27.3 19.9 53.7 22.6 57.4 2.8 3.7 39.1 59.7 94.8 83.8 35.2 15.2 49 16.5 66.6 13.9 10.7-1.6 32.8-13.4 37.4-26.4 4.6-13 4.6-24.1 3.2-26.4-1.3-2.5-5-3.9-10.5-6.6z\"><\/path><\/svg>Tan\u0131 Ekibiyle \u0130leti\u015fime Ge\u00e7<\/a><\/div>\n<\/div>\n<\/div>\n<div>\n<h2 class=\"h2-header\">Sertle\u015fme Sorunu \u0130\u00e7in Tedavi Se\u00e7enekleri Nelerdir?<\/h2>\n<p class=\"p-text\">Modern \u00fcroloji, ge\u00e7ici oral ila\u00e7lardan ileri <a href=\"https:\/\/drterziler.com\/tr\/cinsel-saglik\/ameliyatsiz-penis-buyutme\/\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>cerrahi olmayan rejeneratif protokollere<\/strong><\/a> ve kal\u0131c\u0131 cerrahi implantlara kadar kademeli bir tedavi yelpazesi sunar. <strong>Sertle\u015fme sorunu nas\u0131l d\u00fczelir<\/strong> diye ara\u015ft\u0131ran hastalar, kan\u0131ta dayal\u0131 bir\u00e7ok klinik se\u00e7enek aras\u0131ndan de\u011ferlendirilebilir. En uygun se\u00e7im, damar veya sinir hasar\u0131n\u0131n altta yatan etiyolojisine ba\u011fl\u0131d\u0131r.<\/p>\n<div class=\"ed-treatment-grid\">\n<article class=\"ed-treatment-card\"><span class=\"ed-icon\" aria-hidden=\"true\">PDE5<\/span><\/p>\n<h3 class=\"h3-header\">Oral PDE5 \u0130nhibit\u00f6rleri (Birinci Basamak Tedavi)<\/h3>\n<p class=\"p-text\">Oral fosfodiesteraz tip 5 (PDE5) inhibit\u00f6rleri; Sildenafil (Viagra), Tadalafil (Cialis) ve Vardenafil (Levitra) gibi yayg\u0131n kullan\u0131lan ila\u00e7lar\u0131 i\u00e7erir.<\/p>\n<details class=\"ed-readmore\">\n<summary>Devam\u0131n\u0131 oku<\/summary>\n<div class=\"ed-readmore-body\">\n<p class=\"p-text\">Bu ila\u00e7lar, penil dokuda siklik guanozin monofosfat\u0131n (cGMP) y\u0131k\u0131m\u0131n\u0131 engellemek i\u00e7in PDE5 enzimini bloke eder. Bu etki, cinsel uyar\u0131 s\u0131ras\u0131nda d\u00fcz kas gev\u015femesini uzat\u0131r ve kan giri\u015fini art\u0131r\u0131r.<\/p>\n<p class=\"p-text\"><strong>Bu haplar hafif-orta sertle\u015fme sorunu olan erkeklerin %60-%70&#8217;inde etkili olur. <\/strong>Ancak oral PDE5 inhibit\u00f6rleri hastal\u0131\u011f\u0131n altta yatan damar k\u00f6k nedenini \u00e7\u00f6zmez. Sadece ge\u00e7ici semptomu y\u00f6netir ve erke\u011fin her cinsel ili\u015fki \u00f6ncesinde hap almas\u0131n\u0131 gerektirir.<\/p>\n<p class=\"p-text\">D\u00fc\u015f\u00fck maliyetli jenerik se\u00e7enekler art\u0131k k\u00fcresel pazarlarda yayg\u0131n olarak bulunur. Bu birinci basamak tedavinin temel s\u0131n\u0131rl\u0131l\u0131\u011f\u0131, <strong>ileri organik damar kaynakl\u0131 ED hastalar\u0131nda yakla\u015f\u0131k %30-%35 oran\u0131nda ba\u015far\u0131s\u0131z olmas\u0131d\u0131r<\/strong>. Penil arterleri ciddi t\u0131kal\u0131 veya sinirleri hasarl\u0131 erkeklerde, bu ila\u00e7lar\u0131n \u00e7al\u0131\u015fmas\u0131 i\u00e7in gereken bazal nitrik oksit \u00fcretimi yeterli de\u011fildir.<\/p>\n<\/div>\n<\/details>\n<\/article>\n<article class=\"ed-treatment-card\"><span class=\"ed-icon\" aria-hidden=\"true\">WAVE<\/span><\/p>\n<h3 class=\"h3-header\">D\u00fc\u015f\u00fck Yo\u011funluklu \u015eok Dalga Tedavisi (Li-ESWT)<\/h3>\n<p class=\"p-text\">D\u00fc\u015f\u00fck yo\u011funluklu ekstrakorporeal \u015fok dalga tedavisi, hedeflenmi\u015f akustik dalgalar\u0131 do\u011frudan penis g\u00f6vdesine ve krural doku alanlar\u0131na iletir.<\/p>\n<details class=\"ed-readmore\">\n<summary>Devam\u0131n\u0131 oku<\/summary>\n<div class=\"ed-readmore-body\">\n<p class=\"p-text\">Bu mekanik darbeler deriden ge\u00e7erek h\u00fccresel d\u00fczeyde kontroll\u00fc mikro-stres olu\u015fturur. Bu stres, <strong>vask\u00fcler endotelyal b\u00fcy\u00fcme fakt\u00f6rlerinin sal\u0131n\u0131m\u0131n\u0131 tetikleyen<\/strong> belirli h\u00fccresel sinyal yollar\u0131n\u0131 aktive eder.<\/p>\n<p class=\"p-text\"><strong>D\u00fc\u015f\u00fck yo\u011funluklu \u015fok dalga tedavisi, randomize kontroll\u00fc \u00e7al\u0131\u015fmalarda penil damar dokusunda anjiyogenezi uyard\u0131\u011f\u0131 g\u00f6sterilen tek cerrahi d\u0131\u015f\u0131 sertle\u015fme sorunu tedavisidir<\/strong>; semptomlar\u0131 maskelemek yerine k\u00f6k nedeni hedefler. Tedavi s\u00fcreci boyunca v\u00fccut, korpus kavernoza i\u00e7inde tamamen yeni mikro-kapillerler olu\u015fturur. Bu s\u00fcre\u00e7 penisin fiziksel kan ak\u0131\u015f\u0131 kapasitesini kal\u0131c\u0131 olarak art\u0131r\u0131r.<\/p>\n<p class=\"p-text\">Standart klinik protokol, <strong>poliklinik ko\u015fullar\u0131nda tamamlanan 6-12 k\u0131sa seanstan olu\u015fur<\/strong>. \u0130\u015flem lokal anestezi gerektirmez, a\u011fr\u0131ya neden olmaz ve hastada hi\u00e7bir iyile\u015fme s\u00fcresi gerektirmez. Spontan ve do\u011fal ereksiyonlar\u0131n geri kazan\u0131lmas\u0131nda \u00f6nde gelen cerrahi d\u0131\u015f\u0131 se\u00e7enektir.<\/p>\n<\/div>\n<\/details>\n<\/article>\n<article class=\"ed-treatment-card\"><span class=\"ed-icon\" aria-hidden=\"true\">PRP<\/span><\/p>\n<h3 class=\"h3-header\">P-Shot (Trombositten Zengin Plazma)<\/h3>\n<p class=\"p-text\">P-Shot olarak bilinen Trombositten Zengin Plazma (PRP) i\u015flemi, y\u00fcksek yo\u011funluklu otolog b\u00fcy\u00fcme fakt\u00f6rlerini do\u011frudan korpus kavernoza dokusuna verir.<\/p>\n<details class=\"ed-readmore\">\n<summary>Devam\u0131n\u0131 oku<\/summary>\n<div class=\"ed-readmore-body\">\n<p class=\"p-text\">Medikal ekip hastadan k\u00fc\u00e7\u00fck bir kan \u00f6rne\u011fi al\u0131r ve bunu \u00f6zel bir medikal santrif\u00fcjde i\u015fler. Bu i\u015flem, y\u00fcksek konsantrasyonda hayati rejeneratif protein ta\u015f\u0131yan trombositleri ay\u0131r\u0131r.<\/p>\n<p class=\"p-text\">Bu proteinler aras\u0131nda Platelet-Derived Growth Factor (PDGF), Vascular Endothelial Growth Factor (VEGF) ve Transforming Growth Factor-beta (TGF-beta) bulunur. Klinik \u00e7al\u0131\u015fmalar, tedavi sonras\u0131 6. ayda IIEF-<strong>5 skorlar\u0131nda anlaml\u0131 iyile\u015fme<\/strong> g\u00f6stermektedir. Bu yo\u011funla\u015ft\u0131r\u0131lm\u0131\u015f b\u00fcy\u00fcme fakt\u00f6rleri ya\u015flanm\u0131\u015f endotel y\u00fczeyleri aktif olarak onar\u0131r ve kavern\u00f6z d\u00fcz kas dokusunu gen\u00e7le\u015ftirir.<em> (Levy et al., J Sex Med 2021.)<\/em><\/p>\n<p class=\"p-text\"><strong>Li-ESWT ile P-Shot enjeksiyonlar\u0131n\u0131n birlikte uygulanmas\u0131<\/strong>, erektil doku i\u00e7inde g\u00fc\u00e7l\u00fc bir sinerjik etki olu\u015fturur. Akustik \u015fok dalgalar\u0131 damar mimarisini haz\u0131rlar; PRP ise h\u00fccresel onar\u0131m i\u00e7in gerekli temel materyali sa\u011flar.<\/p>\n<div class=\"ed-protocol-note\"><span class=\"ed-note-icon\" aria-hidden=\"true\">i<\/span><\/p>\n<div>\n<p class=\"p-text\"><strong>RESET Performance Protocol<\/strong><\/p>\n<p class=\"p-text\" style=\"font-weight:400;\">Op. Dr. Do\u011fukan S\u00f6kmen, bu ileri kombinasyon tedavisini Dr. Terziler Exclusive Clinic&#8217;te \u00f6zel RESET Performance Protocol kapsam\u0131nda uygular.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/details>\n<\/article>\n<article class=\"ed-treatment-card\"><span class=\"ed-icon\" aria-hidden=\"true\">TRT<\/span><\/p>\n<h3 class=\"h3-header\">Testosteron Replasman Tedavisi (TRT)<\/h3>\n<p class=\"p-text\">Testosteron Replasman Tedavisi, yaln\u0131zca tekrarlanan laboratuvar kan testlerinde serum d\u00fczeylerinin <strong>300 ng\/dL&#8217;nin alt\u0131nda oldu\u011fu ve buna hipogonadizmin belirgin klinik belirtilerinin e\u015flik etti\u011fi<\/strong> durumlarda medikal olarak endikedir.<\/p>\n<details class=\"ed-readmore\">\n<summary>Devam\u0131n\u0131 oku<\/summary>\n<div class=\"ed-readmore-body\">\n<p class=\"p-text\">TRT d\u00fc\u015f\u00fck libidoyu etkili \u015fekilde iyile\u015ftirir, g\u00fcnl\u00fck enerji d\u00fczeyini art\u0131r\u0131r ve pelvik dokuda nitrik oksit sentaz ekspresyonunu y\u00fckseltir.<\/p>\n<p class=\"p-text\">Testosteron replasman tedavisi tek ba\u015f\u0131na ileri damar kaynakl\u0131 sertle\u015fme sorununu tedavi etmez. Penil damarlar plakla fiziksel olarak t\u0131kanm\u0131\u015fsa, hormon d\u00fczeylerinin optimize edilmesi yap\u0131sal sertli\u011fi geri getirmez. <strong>Hekimler ek terap\u00f6tik etki sa\u011flamak i\u00e7in TRT&#8217;yi s\u0131kl\u0131kla PDE5 inhibit\u00f6rleri veya \u015fok dalga tedavisiyle birlikte kullan\u0131r<\/strong>.<\/p>\n<p class=\"p-text\">Klinik uygulama y\u00f6ntemleri aras\u0131nda d\u00fczenli intram\u00fcsk\u00fcler enjeksiyonlar, g\u00fcnl\u00fck topikal jeller veya uzun etkili transdermal bantlar bulunur. <strong>TRT kullanan hastalarda uzun d\u00f6nem g\u00fcvenli\u011fi sa\u011flamak i\u00e7in hematokrit d\u00fczeyleri<\/strong> ve prostat spesifik antijen (PSA) belirte\u00e7leri d\u00fczenli takip edilmelidir.<\/p>\n<\/div>\n<\/details>\n<\/article>\n<article class=\"ed-treatment-card\"><span class=\"ed-icon\" aria-hidden=\"true\">VED<\/span><\/p>\n<h3 class=\"h3-header\">Vakum Ereksiyon Cihaz\u0131 (VED)<\/h3>\n<p class=\"p-text\">Vakum ereksiyon cihaz\u0131, negatif bas\u0131n\u00e7 kullanarak penise kan \u00e7ekmek i\u00e7in tasarlanm\u0131\u015f, invaziv olmayan mekanik bir ara\u00e7t\u0131r.<\/p>\n<details class=\"ed-readmore\">\n<summary>Devam\u0131n\u0131 oku<\/summary>\n<div class=\"ed-readmore-body\">\n<p class=\"p-text\">Hasta gev\u015fek penisin \u00fczerine \u015feffaf plastik bir silindir yerle\u015ftirir ve havay\u0131 bo\u015faltmak i\u00e7in manuel veya motorlu pompa kullan\u0131r. Bu vakum, kavern\u00f6z bo\u015fluklar\u0131n kanla dolmas\u0131n\u0131 sa\u011flayan bir bas\u0131n\u00e7 fark\u0131 olu\u015fturur.<\/p>\n<p class=\"p-text\">Tam dolgunluk sa\u011fland\u0131\u011f\u0131nda hasta, kan\u0131 i\u00e7eride tutmak i\u00e7in penisin taban\u0131na esnek silikon bir s\u0131k\u0131\u015ft\u0131rma halkas\u0131 ge\u00e7irir. Bu mekanik sistem do\u011fru kullan\u0131ld\u0131\u011f\u0131nda kullan\u0131c\u0131lar\u0131n %80-%90&#8217;\u0131nda etkili olur.<\/p>\n<p class=\"p-text\">Klinik veriler, radikal prostatektomi cerrahisi sonras\u0131 erken penil rehabilitasyon i\u00e7in vakum pompalar\u0131n\u0131n kullan\u0131m\u0131n\u0131 g\u00fc\u00e7l\u00fc bi\u00e7imde destekler. Mekanik germe, doku fibrozisini \u00f6nler ve sinir iyile\u015fmesi s\u0131ras\u0131nda uzunlu\u011fun korunmas\u0131na yard\u0131mc\u0131 olur. Sertle\u015fme sorunu i\u00e7in en iyi vakum pompas\u0131, doku hasar\u0131n\u0131 \u00f6nleyen sertifikal\u0131 g\u00fcvenlik valflerine sahip olmal\u0131d\u0131r.<\/p>\n<\/div>\n<\/details>\n<\/article>\n<article class=\"ed-treatment-card\"><span class=\"ed-icon\" aria-hidden=\"true\">IMPL<\/span><\/p>\n<h3 class=\"h3-header\">Penil \u0130mplant (Cerrahi Se\u00e7enek)<\/h3>\n<p class=\"p-text\">Penil protez cerrahisi, t\u00fcm konservatif ve invaziv olmayan tedaviler yeterli sertli\u011fi sa\u011flayamad\u0131\u011f\u0131nda son terap\u00f6tik se\u00e7enek olarak de\u011ferlendirilir.<\/p>\n<details class=\"ed-readmore\">\n<summary>Devam\u0131n\u0131 oku<\/summary>\n<div class=\"ed-readmore-body\">\n<p class=\"p-text\">Bu i\u015flem, <strong>b\u00fck\u00fclebilir yar\u0131 sert \u00e7ubuklar\u0131n<\/strong> veya <strong>\u015fi\u015firilebilir s\u0131v\u0131 dolu bir sistemin hasarl\u0131 korpus kavernoza odac\u0131klar\u0131n\u0131n i\u00e7ine cerrahi olarak yerle\u015ftirilmesini<\/strong> i\u00e7erir.<\/p>\n<p class=\"p-text\">Uzun d\u00f6nem klinik veriler, modern \u00fc\u00e7 par\u00e7al\u0131 \u015fi\u015firilebilir cihazlarda <strong>%92-%98 aras\u0131nda de\u011fi\u015fen \u00e7ok y\u00fcksek hasta memnuniyeti oranlar\u0131<\/strong> g\u00f6stermektedir. T\u00fcrkiye&#8217;de <a href=\"https:\/\/drterziler.com\/tr\/cinsel-saglik\/penil-protez\/\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>penil protez<\/strong><\/a> cerrahi maliyeti, implant donan\u0131m\u0131n\u0131n karma\u015f\u0131kl\u0131\u011f\u0131na g\u00f6re <strong>EUR 5.000 ile EUR 12.000<\/strong> aras\u0131nda de\u011fi\u015fir. Bu i\u015flem i\u00e7 erektil odac\u0131klar\u0131 kal\u0131c\u0131 olarak de\u011fi\u015ftirdi\u011fi i\u00e7in kesinlikle son se\u00e7enek olarak ayr\u0131l\u0131r.<\/p>\n<\/div>\n<\/details>\n<\/article>\n<article class=\"ed-treatment-card\"><span class=\"ed-icon\" aria-hidden=\"true\">NEW<\/span><\/p>\n<h3 class=\"h3-header\">ED \u0130\u00e7in En Yeni Tedavi Nedir?<\/h3>\n<p class=\"p-text\">\u00dcreme t\u0131bb\u0131n\u0131n klinik s\u0131n\u0131r\u0131, h\u00fccresel rejenerasyona yo\u011fun bi\u00e7imde odaklanmaktad\u0131r.<\/p>\n<details class=\"ed-readmore\">\n<summary>Devam\u0131n\u0131 oku<\/summary>\n<div class=\"ed-readmore-body\">\n<p class=\"p-text\"><strong>ED i\u00e7in en yeni tedavi nedir<\/strong> sorusunu anlamak, hastalar\u0131n cerrahi m\u00fcdahaleye modern alternatifleri ke\u015ffetmesine yard\u0131mc\u0131 olur. D\u00fc\u015f\u00fck yo\u011funluklu \u015fok dalga tedavisi ile otolog PRP&#8217;nin birlikte uygulanmas\u0131 (RESET Protokol\u00fc), g\u00fcncel g\u00fcnl\u00fck pratikte en g\u00fc\u00e7l\u00fc kan\u0131t deste\u011fine sahip ilerlemeyi temsil eder.<\/p>\n<p class=\"p-text\">Faz II klinik \u00e7al\u0131\u015fmalarda incelenen yeni tedaviler aras\u0131nda, dokuyu yeniden yap\u0131land\u0131rmak i\u00e7in ya\u011f dokusu kaynakl\u0131 h\u00fccreleri kullanan Stromal Vascular Fraction (SVF) k\u00f6k h\u00fccre tedavisi bulunur. Ara\u015ft\u0131rmac\u0131lar ayr\u0131ca endotelyal nitrik oksit sentaz (eNOS) ekspresyonunu do\u011frudan art\u0131rmay\u0131 hedefleyen deneysel gen tedavilerini incelemektedir.<\/p>\n<\/div>\n<\/details>\n<\/article>\n<\/div>\n<\/div>\n<div>\n<div class=\"row\" id=\"innerpageWP\">\n<div class=\"col-12\">\n<p class=\"cta-title\"><strong>Tedavi Basama\u011f\u0131n\u0131z\u0131 \u00d6\u011frenin<\/strong><\/p>\n<p class=\"p-text\">Mevcut IIEF skorunuza hangi tedavi basama\u011f\u0131n\u0131n uygun oldu\u011funu \u00f6\u011frenmek istiyorsan\u0131z, \u00fcroloji ekibimizden h\u0131zl\u0131 ve \u00f6zel bir de\u011ferlendirme istemek i\u00e7in WhatsApp butonuna t\u0131klay\u0131n.<\/p>\n<p><a href=\"https:\/\/wa.me\/+902129637758?text=Merhaba%2C%20IIEF%20skoruma%20g%C3%B6re%20hangi%20ED%20tedavi%20basama%C4%9F%C4%B1n%C4%B1n%20uygun%20oldu%C4%9Funu%20%C3%B6%C4%9Frenmek%20i%C3%A7in%20%C3%B6zel%20de%C4%9Ferlendirme%20almak%20istiyorum.\" class=\"btn-wp\" target=\"_blank\" rel=\"noopener noreferrer\"><svg viewBox=\"0 0 448 512\" height=\"22\" width=\"22\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M380.9 97.1C339 55.1 283.2 32 223.9 32c-122.4 0-222 99.6-222 222 0 39.1 10.2 77.3 29.6 111L0 480l117.7-30.9c32.4 17.7 68.9 27 106.1 27h.1c122.3 0 224.1-99.6 224.1-222 0-59.3-25.2-115-67.1-157zm-157 341.6c-33.2 0-65.7-8.9-94-25.7l-6.7-4-69.8 18.3L72 359.2l-4.4-7c-18.5-29.4-28.2-63.3-28.2-98.2 0-101.7 82.8-184.5 184.6-184.5 49.3 0 95.6 19.2 130.4 54.1 34.8 34.9 56.2 81.2 56.1 130.5 0 101.8-84.9 184.6-186.6 184.6zm101.2-138.2c-5.5-2.8-32.8-16.2-37.9-18-5.1-1.9-8.8-2.8-12.5 2.8-3.7 5.6-14.3 18-17.6 21.8-3.2 3.7-6.5 4.2-12 1.4-32.6-16.3-54-29.1-75.5-66-5.7-9.8 5.7-9.1 16.3-30.3 1.8-3.7.9-6.9-.5-9.7-1.4-2.8-12.5-30.1-17.1-41.2-4.5-10.8-9.1-9.3-12.5-9.5-3.2-.2-6.9-.2-10.6-.2-3.7 0-9.7 1.4-14.8 6.9-5.1 5.6-19.4 19-19.4 46.3 0 27.3 19.9 53.7 22.6 57.4 2.8 3.7 39.1 59.7 94.8 83.8 35.2 15.2 49 16.5 66.6 13.9 10.7-1.6 32.8-13.4 37.4-26.4 4.6-13 4.6-24.1 3.2-26.4-1.3-2.5-5-3.9-10.5-6.6z\"><\/path><\/svg>Uzmanla Ba\u011flan<\/a><\/div>\n<\/div>\n<\/div>\n<div>\n<h2 class=\"h2-header\">Sertle\u015fme Sorunu Ameliyat\u0131 Ne Kadar Tutar ve Buna De\u011fer mi?<\/h2>\n<div class=\"ed-cost-grid\">\n<article class=\"ed-cost-card\"><span class=\"ed-icon\" aria-hidden=\"true\">\u20ac<\/span><\/p>\n<p class=\"p-text\">Sertle\u015fme sorunu ameliyat\u0131 i\u00e7in gereken finansal yat\u0131r\u0131m, co\u011frafi konuma ve se\u00e7ilen protez tipine g\u00f6re ciddi bi\u00e7imde de\u011fi\u015fir. Amerika Birle\u015fik Devletleri&#8217;nde penil implant i\u015flemi <strong>15.000-20.000 dolar<\/strong> aras\u0131nda tutar.<\/p>\n<\/article>\n<article class=\"ed-cost-card\"><span class=\"ed-icon\" aria-hidden=\"true\">\u20ac<\/span><\/p>\n<p class=\"p-text\">Ayn\u0131 t\u0131bbi donan\u0131m kullan\u0131larak ayn\u0131 ameliyat\u0131n T\u00fcrkiye&#8217;de yap\u0131lmas\u0131 <strong>EUR 5.000 ile EUR 12.000<\/strong> aras\u0131ndad\u0131r. Sertle\u015fme sorunu ameliyat\u0131 maliyetindeki b\u00f6lgesel farklar, \u0130stanbul&#8217;daki hastane operasyon giderlerinin daha d\u00fc\u015f\u00fck olmas\u0131ndan kaynaklan\u0131r.<\/p>\n<\/article>\n<article class=\"ed-cost-card\"><span class=\"ed-icon\" aria-hidden=\"true\">\u20ac<\/span><\/p>\n<p class=\"p-text\">Konservatif tedavilere h\u00e2l\u00e2 yan\u0131t veren erkeklerde cerrahi t\u0131bben endike de\u011fildir. Cerrahi m\u00fcdahale ancak hasta birinci basamak haplar\u0131, Li-ESWT&#8217;yi <strong>ve ileri PRP k\u00fcrlerini ba\u015far\u0131 elde etmeden tamamen denedikten sonra<\/strong> maliyetine de\u011fer hale gelir.<\/p>\n<\/article>\n<\/div>\n<p class=\"p-text\">Kar\u015f\u0131la\u015ft\u0131rma i\u00e7in, Dr. Terziler Exclusive Clinic&#8217;teki RESET Performance Protocol gibi cerrahi olmayan se\u00e7enekler \u00e7ok daha d\u00fc\u015f\u00fck bir fiyat noktas\u0131ndan ba\u015flar. Bu invaziv olmayan kombinasyon plan\u0131, a\u00e7\u0131k cerrahiyle ili\u015fkili kal\u0131c\u0131 yap\u0131sal de\u011fi\u015fikliklerden ve enfeksiyon risklerinden ka\u00e7\u0131n\u0131r.<\/p>\n<\/div>\n<div>\n<div class=\"row\" id=\"innerpageWP\">\n<div class=\"col-12\">\n<p class=\"cta-title\"><strong>\u015eeffaf ED Tedavi Fiyat\u0131 Al\u0131n<\/strong><\/p>\n<p class=\"p-text\">Hem ileri rejeneratif protokollerimiz hem de cerrahi paketlerimiz i\u00e7in \u015feffaf fiyatland\u0131rma yap\u0131lar\u0131 sunuyoruz. Medikal ihtiyac\u0131n\u0131za g\u00f6re haz\u0131rlanm\u0131\u015f detayl\u0131 maliyet d\u00f6k\u00fcm\u00fc almak i\u00e7in ileti\u015fim formumuzu doldurun.<\/p>\n<p><a href=\"javascript:void(0)\" class=\"btn-wp btn-form\" data-target=\"hidden-form-button\">Ki\u015fisel Fiyat Teklifi \u0130ste<\/a><\/div>\n<\/div>\n<\/div>\n<div>\n<h2 class=\"h2-header\">Sertle\u015fme Sorunu Tedavi Edilebilir mi?<\/h2>\n<p class=\"p-text\">Sertle\u015fme sorunu, tedaviler yaln\u0131zca semptomu maskelemek yerine altta yatan fiziksel patolojiyi ba\u015far\u0131l\u0131 \u015fekilde tersine \u00e7evirdi\u011finde tamamen iyile\u015ftirilebilir. Nihai ba\u015far\u0131 oran\u0131, sorunun \u00f6zel nedenine ve yap\u0131sal evresine b\u00fcy\u00fck \u00f6l\u00e7\u00fcde ba\u011fl\u0131d\u0131r.<\/p>\n<div class=\"ed-cure-grid\">\n<article class=\"ed-cure-card\"><span class=\"ed-icon\" aria-hidden=\"true\">1<\/span><\/p>\n<h3 class=\"h3-header\">Erken-Orta Damar Kaynakl\u0131 ED<\/h3>\n<p class=\"p-text\"><strong>Erken-Orta Damar Kaynakl\u0131 ED:<\/strong> D\u00fc\u015f\u00fck yo\u011funluklu \u015fok dalga tedavisi, 12 ayl\u0131k klinik takipte erkeklerin yakla\u015f\u0131k %50-%60&#8217;\u0131nda kal\u0131c\u0131 ve uzun s\u00fcreli remisyon sa\u011flar. Bu hastalar spontan ereksiyon fonksiyonunu geri kazan\u0131r ve art\u0131k ili\u015fki \u00f6ncesi ila\u00e7 kullanmaya ihtiya\u00e7 duymaz.<\/p>\n<\/article>\n<article class=\"ed-cure-card\"><span class=\"ed-icon\" aria-hidden=\"true\">2<\/span><\/p>\n<h3 class=\"h3-header\">\u0130leri Fibrotik ED<\/h3>\n<p class=\"p-text\"><strong>\u0130leri Fibrotik ED:<\/strong> Uzun s\u00fcreli diyabet veya ciddi doku skar\u0131, damar iyile\u015fmesini tersine \u00e7evirmeyi belirgin \u015fekilde zorla\u015ft\u0131r\u0131r. Bu vakalar kombine rejeneratif protokollerle ciddi \u00f6l\u00e7\u00fcde iyile\u015ftirilebilse de tek ba\u015f\u0131na tam k\u00fcr daha az yayg\u0131nd\u0131r.<\/p>\n<\/article>\n<article class=\"ed-cure-card\"><span class=\"ed-icon\" aria-hidden=\"true\">3<\/span><\/p>\n<h3 class=\"h3-header\">Saf Psikojenik ED<\/h3>\n<p class=\"p-text\"><strong>Saf Psikojenik ED:<\/strong> Bu durum y\u00fcksek oranda tedavi edilebilir ve tamamen iyile\u015ftirilebilir. Bili\u015fsel Davran\u0131\u015f\u00e7\u0131 Terapi&#8217;nin (BDT) k\u0131sa s\u00fcreli, d\u00fc\u015f\u00fck doz PDE5 inhibit\u00f6r deste\u011fiyle birle\u015ftirilmesi performans kayg\u0131s\u0131 d\u00f6ng\u00fcs\u00fcn\u00fc k\u0131rar ve normal sinir yollar\u0131n\u0131 kal\u0131c\u0131 olarak geri kazand\u0131r\u0131r.<\/p>\n<\/article>\n<\/div>\n<p class=\"p-text\">Modern \u00e7ok disiplinli \u00fcrolojik bak\u0131m, \u00e7o\u011fu erke\u011fin s\u00fcrd\u00fcr\u00fclebilir ve ila\u00e7s\u0131z iyile\u015fme elde etmesini sa\u011flar. Klinik \u201ck\u00fcr\u201d art\u0131k basit bir evet-hay\u0131r sorusu de\u011fildir. Hedefe y\u00f6nelik doku rejenerasyonu ile ula\u015f\u0131labilir bir sonu\u00e7tur.<\/p>\n<\/div>\n<div>\n<h2 class=\"h2-header\">ED ve \u0130li\u015fkiler<\/h2>\n<p class=\"p-text\">Ereksiyon ba\u015far\u0131s\u0131zl\u0131\u011f\u0131, her iki partnerin psikolojik iyi olu\u015funu do\u011frudan etkileyen ki\u015fileraras\u0131 bir medikal zorluktur. ED ya\u015fayan erkeklerin partnerlerinin %60&#8217;\u0131 cinsel tatminde azalma ve ili\u015fki \u00e7at\u0131\u015fmas\u0131nda art\u0131\u015f bildirmektedir (Fisher et al., J Sex Marital Ther 2005).<\/p>\n<p class=\"p-text\">Bir\u00e7ok \u00e7ift, sertle\u015fme sorunu ya\u015fayan bir erke\u011fin partnerini tatmin edip edemeyece\u011fi gibi duygusal bir soruyla kar\u015f\u0131 kar\u015f\u0131ya kal\u0131r. Partner deste\u011fi erke\u011fin performans kayg\u0131s\u0131n\u0131 azalt\u0131r; bu da Li-ESWT veya ila\u00e7 gibi medikal tedavilere verilen yan\u0131t\u0131 iyile\u015ftirir.<\/p>\n<p class=\"p-text\">Bu durum s\u0131k s\u0131k yanl\u0131\u015f anla\u015f\u0131lmalara, duygusal mesafeye ve partnerde gereksiz reddedilme ya da yetersizlik hislerine yol a\u00e7ar. Veriler, sertle\u015fme sorununu birlikte ele alan \u00e7iftlerin tedavide anlaml\u0131 bi\u00e7imde daha iyi sonu\u00e7lar ald\u0131\u011f\u0131n\u0131 tutarl\u0131 \u015fekilde g\u00f6stermektedir.<\/p>\n<p class=\"p-text\">Medikal ve ili\u015fki ihtiya\u00e7lar\u0131n\u0131z\u0131 tam gizlilik i\u00e7inde ele al\u0131n. Yap\u0131land\u0131r\u0131lm\u0131\u015f, ortak bir tedavi yolculu\u011funa ba\u015flamak i\u00e7in bug\u00fcn gizli kons\u00fcltasyon randevusu al\u0131n.<\/p>\n<\/div>\n<div>\n<div class=\"row\" id=\"innerpageWP\">\n<div class=\"col-12\">\n<p class=\"cta-title\"><strong>Gizli Bir Tedavi Yolculu\u011fu Ba\u015flat\u0131n<\/strong><\/p>\n<p class=\"p-text\">Medikal ve ili\u015fki ihtiya\u00e7lar\u0131n\u0131z\u0131 tam gizlilik i\u00e7inde ele al\u0131n. Yap\u0131land\u0131r\u0131lm\u0131\u015f, ortak bir tedavi yolculu\u011funa ba\u015flamak i\u00e7in bug\u00fcn gizli kons\u00fcltasyon randevusu al\u0131n.<\/p>\n<p><a href=\"javascript:void(0)\" class=\"btn-wp btn-form\" data-target=\"hidden-form-button\">Gizli Kons\u00fcltasyon Al<\/a><\/div>\n<\/div>\n<\/div>\n<div>\n<h2 class=\"h2-header\">ED Tedavisi \u0130\u00e7in Neden \u0130stanbul?<\/h2>\n<p class=\"p-text\">\u0130stanbul, ileri \u00fcreme t\u0131bb\u0131 ve rejeneratif \u00fcroloji i\u00e7in \u00f6nde gelen k\u00fcresel merkezlerden biri haline gelmi\u015ftir. <strong>\u015eehirde, s\u0131k\u0131 operasyonel standartlara sahip 50&#8217;den fazla uluslararas\u0131 akreditasyonlu<\/strong>, <strong>JCI akreditasyonlu sa\u011fl\u0131k kurumu<\/strong> bulunmaktad\u0131r.<\/p>\n<p class=\"p-text\"><a href=\"https:\/\/drterziler.com\/tr\/\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>Dr. Terziler Exclusive Clinic<\/strong><\/a>, ileri medikal teknolojiler kullanan sofistike ve mahremiyet odakl\u0131 bir ortam sunar. Klinik resmi <strong>AAACI akreditasyonuna<\/strong> sahiptir ve <strong>medikal uzmanlar\u0131 en g\u00fcncel klinik geli\u015fmeleri uygulamak i\u00e7in uluslararas\u0131 \u00fcroloji<\/strong> konferanslar\u0131na aktif olarak kat\u0131l\u0131r.<\/p>\n<div class=\"ed-proof-grid\">\n<article class=\"ed-proof-card\"><span class=\"ed-icon\" aria-hidden=\"true\">40%<\/span><\/p>\n<p class=\"p-text\"><strong>\u0130stanbul&#8217;u se\u00e7mek, ayn\u0131 cerrahi d\u0131\u015f\u0131 rejeneratif protokoller i\u00e7in Birle\u015fik Krall\u0131k veya Amerika Birle\u015fik Devletleri&#8217;ndeki \u00f6zel kliniklere k\u0131yasla %40-%60 d\u00fczeyinde \u00f6nemli maliyet avantaj\u0131<\/strong> sa\u011flar. Ayr\u0131ca uluslararas\u0131 hasta paketleri tamamen kapsay\u0131c\u0131d\u0131r.<\/p>\n<\/article>\n<article class=\"ed-proof-card\"><span class=\"ed-icon\" aria-hidden=\"true\">PLAN<\/span><\/p>\n<p class=\"p-text\">Her paket; ilk tan\u0131sal kan paneli, penil ultrason haritalamas\u0131, ki\u015fiselle\u015ftirilmi\u015f tedavi protokol\u00fc ve yap\u0131land\u0131r\u0131lm\u0131\u015f tedavi sonras\u0131 takip bak\u0131m\u0131n\u0131 tek bir y\u00f6netilen seyahat plan\u0131 i\u00e7inde birle\u015ftirir.<\/p>\n<\/article>\n<\/div>\n<\/div>\n<div>\n<div class=\"row\" id=\"innerpageWP\">\n<div class=\"col-12\">\n<p class=\"cta-title\"><strong>\u0130stanbul ED Tedavi Ziyaretinizi Planlay\u0131n<\/strong><\/p>\n<p class=\"p-text\">Uluslararas\u0131 hasta koordinasyon ekibimiz randevu planlamas\u0131, terc\u00fcman deste\u011fi ve klinik transferleri dahil ziyaretinizin t\u00fcm a\u015famalar\u0131n\u0131 y\u00f6netir. Tedavinizi planlamaya ba\u015flamak i\u00e7in g\u00fcvenli web formumuzdan talebinizi g\u00f6nderin.<\/p>\n<p><a href=\"javascript:void(0)\" class=\"btn-wp btn-form\" data-target=\"hidden-form-button\">Medikal Seyahat Paketimi Planla<\/a><\/div>\n<\/div>\n<\/div>\n<div>\n<h2 class=\"h2-header\">ED Hakk\u0131nda S\u0131k\u00e7a Sorulan Sorular<\/h2>\n<div class=\"faq-container\" style=\"margin:0!important; max-width:100%!important;\">\n<div class=\"faq-item active\">\n<h3 class=\"faq-question-heading\"><button class=\"faq-question\"><span class=\"icon\">&#8211;<\/span> Sertle\u015fme sorunu nedir?<\/button><\/h3>\n<div class=\"faq-answer\" style=\"display:block;\">\n<p class=\"\">Sertle\u015fme sorunu, tatmin edici cinsel ili\u015fki i\u00e7in yeterli sertlikte penis ereksiyonunun sa\u011flanamamas\u0131 veya s\u00fcrd\u00fcr\u00fclememesi durumunun kal\u0131c\u0131 hale gelmesidir. Resmi klinik tan\u0131 i\u00e7in bu durumun \u00fc\u00e7 ay veya daha uzun s\u00fcrmesi gerekir. Altta yatan problem, penise kan ak\u0131\u015f\u0131n\u0131 kontrol eden damar, sinir veya hormon mekanizmalar\u0131ndaki bozulmad\u0131r.<\/p>\n<\/div>\n<\/div>\n<div class=\"faq-item\">\n<h3 class=\"faq-question-heading\"><button class=\"faq-question\"><span class=\"icon\">+<\/span> 40 ya\u015f \u00fcst\u00fc erkeklerde sertle\u015fme sorununa ne neden olur?<\/button><\/h3>\n<div class=\"faq-answer\">\n<p class=\"\">40 ya\u015f \u00fcst\u00fc erkeklerin \u00e7o\u011funda sertle\u015fme sorununun nedeni organik damar hastal\u0131\u011f\u0131d\u0131r. Ateroskleroz zamanla k\u00fc\u00e7\u00fck penil arterlerden ge\u00e7en kan ak\u0131\u015f\u0131n\u0131 k\u0131s\u0131tlar. Di\u011fer yayg\u0131n nedenler aras\u0131nda tip 2 diyabet, d\u00fc\u015f\u00fck testosteron d\u00fczeyi, uzun s\u00fcreli y\u00fcksek stres ve s\u0131k kullan\u0131lan tansiyon ya da depresyon ila\u00e7lar\u0131n\u0131n yan etkileri bulunur.<\/p>\n<\/div>\n<\/div>\n<div class=\"faq-item\">\n<h3 class=\"faq-question-heading\"><button class=\"faq-question\"><span class=\"icon\">+<\/span> Sertle\u015fme sorunu kal\u0131c\u0131 olarak tedavi edilebilir mi?<\/button><\/h3>\n<div class=\"faq-answer\">\n<p class=\"\">Evet, sertle\u015fme sorunu damar hastal\u0131\u011f\u0131n\u0131n erken veya orta evresinde yakalan\u0131rsa kal\u0131c\u0131 olarak tedavi edilebilir. D\u00fc\u015f\u00fck yo\u011funluklu \u015fok dalga tedavisi, do\u011fal kan ak\u0131\u015f\u0131n\u0131 kal\u0131c\u0131 bi\u00e7imde desteklemek i\u00e7in yeni damar olu\u015fumunu uyar\u0131r. Psikojenik nedenler de hedefe y\u00f6nelik terapi ve k\u0131sa s\u00fcreli ila\u00e7 deste\u011fiyle tamamen tedavi edilebilir.<\/p>\n<\/div>\n<\/div>\n<div class=\"faq-item\">\n<h3 class=\"faq-question-heading\"><button class=\"faq-question\"><span class=\"icon\">+<\/span> Sertle\u015fme sorunu i\u00e7in en yeni tedavi nedir?<\/button><\/h3>\n<div class=\"faq-answer\">\n<p class=\"\">G\u00fcncel klinik tedaviler i\u00e7inde en yeni yakla\u015f\u0131m, RESET Protokol\u00fc olarak bilinen d\u00fc\u015f\u00fck yo\u011funluklu \u015fok dalga tedavisi ile otolog trombositten zengin plazma enjeksiyonlar\u0131n\u0131n birlikte uygulanmas\u0131d\u0131r. Bu cerrahi olmayan tedavi, hasarl\u0131 damarlar\u0131n onar\u0131m\u0131n\u0131 desteklemek i\u00e7in akustik dalga ile doku uyar\u0131m\u0131n\u0131 lokal b\u00fcy\u00fcme fakt\u00f6rleriyle birle\u015ftirir. \u0130leri k\u00f6k h\u00fccre tedavileri ise h\u00e2len aktif klinik ara\u015ft\u0131rma a\u015famas\u0131ndad\u0131r.<\/p>\n<\/div>\n<\/div>\n<div class=\"faq-item\">\n<h3 class=\"faq-question-heading\"><button class=\"faq-question\"><span class=\"icon\">+<\/span> Sertle\u015fme sorunu tedavisi ne kadar tutar?<\/button><\/h3>\n<div class=\"faq-answer\">\n<p class=\"\">Toplam maliyet, cerrahi olmayan rejeneratif protokole mi yoksa a\u00e7\u0131k cerrahiye mi ihtiya\u00e7 duydu\u011funuza g\u00f6re b\u00fcy\u00fck \u00f6l\u00e7\u00fcde de\u011fi\u015fir. T\u00fcrkiye&#8217;de \u015fok dalga ve PRP paketleri Bat\u0131 Avrupa&#8217;ya k\u0131yasla olduk\u00e7a maliyet avantajl\u0131d\u0131r. \u0130stanbul&#8217;da kal\u0131c\u0131 penil protez cerrahisi EUR 5.000 ile EUR 12.000 aras\u0131nda de\u011fi\u015fir ve hastalar i\u00e7in %60&#8217;a varan tasarruf sa\u011flayabilir.<\/p>\n<\/div>\n<\/div>\n<div class=\"faq-item\">\n<h3 class=\"faq-question-heading\"><button class=\"faq-question\"><span class=\"icon\">+<\/span> \u015eok dalga tedavisi sertle\u015fme sorununda i\u015fe yarar m\u0131?<\/button><\/h3>\n<div class=\"faq-answer\">\n<p class=\"\">Evet, d\u00fc\u015f\u00fck yo\u011funluklu \u015fok dalga tedavisi damar kaynakl\u0131 sertle\u015fme sorunu ya\u015fayan erkeklerde olduk\u00e7a iyi sonu\u00e7 verebilir. Birden fazla randomize kontroll\u00fc \u00e7al\u0131\u015fma, akustik dalgalar\u0131n kavern\u00f6z doku i\u00e7inde yeni damar olu\u015fumunu uyard\u0131\u011f\u0131n\u0131 g\u00f6stermi\u015ftir. Tedavi, hap veya anestezi gerektirmeden ereksiyon sertli\u011finde kal\u0131c\u0131 iyile\u015fmeler sa\u011flayabilir.<\/p>\n<\/div>\n<\/div>\n<div class=\"faq-item\">\n<h3 class=\"faq-question-heading\"><button class=\"faq-question\"><span class=\"icon\">+<\/span> Haplar i\u015fe yaram\u0131yorsa sertle\u015fme sorunu doktoru yard\u0131mc\u0131 olabilir mi?<\/button><\/h3>\n<div class=\"faq-answer\">\n<p class=\"\">Evet, a\u011f\u0131zdan al\u0131nan ila\u00e7lar i\u015fe yaramad\u0131\u011f\u0131nda uzman hekim farkl\u0131 ileri tedaviler planlayabilir. T\u0131kal\u0131 damarlar haplar\u0131n do\u011fru \u00e7al\u0131\u015fmas\u0131n\u0131 engelleyebilir. Sertle\u015fme sorunu alan\u0131nda \u00e7al\u0131\u015fan bir hekim d\u00fc\u015f\u00fck yo\u011funluklu \u015fok dalga tedavisi, otolog P-Shot enjeksiyonlar\u0131, hassas intrakavern\u00f6z ila\u00e7 kar\u0131\u015f\u0131mlar\u0131 veya kal\u0131c\u0131 cerrahi implantlar gibi ileri se\u00e7enekler sunabilir.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"ed-sources\">\n<h2 class=\"h2-header\">Kaynaklar<\/h2>\n<div class=\"ed-source-grid\">\n<article class=\"ed-source-card\">\n<h3 class=\"h3-header\">G\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 ve kardiyovask\u00fcler risk<\/h3>\n<ul>\n<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/7802133\/\" target=\"_blank\" rel=\"noopener noreferrer\">Feldman et al. (1994) &#8211; Massachusetts Male Aging Study &#8211; prevalence of erectile dysfunction in men aged 40-70.<\/a><\/li>\n<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/10233492\/\" target=\"_blank\" rel=\"noopener noreferrer\">Ayta et al. (1999) &#8211; The likely worldwide increase in erectile dysfunction between 1995 and 2025. BJU Int.<\/a><\/li>\n<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/22974273\/\" target=\"_blank\" rel=\"noopener noreferrer\">Princeton Consensus III (2012) &#8211; Miner et al. &#8211; ED as cardiovascular risk marker. J Sex Med.<\/a><\/li>\n<\/ul>\n<\/article>\n<article class=\"ed-source-card\">\n<h3 class=\"h3-header\">Hormonlar ve rejeneratif tedavi<\/h3>\n<ul>\n<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/15993977\/\" target=\"_blank\" rel=\"noopener noreferrer\">Isidori et al. (2005) &#8211; Effects of testosterone on sexual function in men. Eur Urol.<\/a><\/li>\n<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28457566\/\" target=\"_blank\" rel=\"noopener noreferrer\">Clavijo et al. (2017) &#8211; Extracorporeal shockwave therapy for ED &#8211; meta-analysis of 14 RCTs. J Sex Med.<\/a><\/li>\n<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/33357838\/\" target=\"_blank\" rel=\"noopener noreferrer\">Levy et al. (2021) &#8211; PRP (P-Shot) for erectile dysfunction &#8211; IIEF outcomes at 6 months. J Sex Med.<\/a><\/li>\n<\/ul>\n<\/article>\n<article class=\"ed-source-card\">\n<h3 class=\"h3-header\">Cerrahi, partner sonu\u00e7lar\u0131 ve k\u0131lavuzlar<\/h3>\n<ul>\n<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12534315\/\" target=\"_blank\" rel=\"noopener noreferrer\">Rajpurkar &amp; Dhabuwala (2003) &#8211; Penile implant satisfaction rates 92-98%. J Urol.<\/a><\/li>\n<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/15841704\/\" target=\"_blank\" rel=\"noopener noreferrer\">Fisher et al. (2005) &#8211; Partner experience of erectile dysfunction. J Sex Marital Ther.<\/a><\/li>\n<li><a href=\"https:\/\/uroweb.org\/guidelines\/sexual-and-reproductive-health\" target=\"_blank\" rel=\"noopener noreferrer\">EAU Guidelines &#8211; Male Sexual Dysfunction (2023) &#8211; European Association of Urology &#8211; diagnostic and treatment framework.<\/a><\/li>\n<li><a href=\"https:\/\/www.niddk.nih.gov\/health-information\/urologic-diseases\/erectile-dysfunction\" target=\"_blank\" rel=\"noopener noreferrer\">NIH \/ NIDDK &#8211; Erectile Dysfunction &#8211; National Institute of Diabetes and Digestive and Kidney Diseases.<\/a><\/li>\n<\/ul>\n<\/article>\n<\/div>\n<\/div>\n<div>\n<div class=\"row\" id=\"innerPageAbout\">\n<div class=\"col-12\"><strong class=\"about-title gilda\">Dr. Terziler Clinic Hakk\u0131nda<\/strong><\/p>\n<p class=\"about-text mt-3 p-text\">\u0130stanbul, T\u00fcrkiye&#8217;de bulunan <a href=\"https:\/\/drterziler.com\/tr\/\" class=\"about-link\">Dr. Terziler Exclusive Clinic<\/a>, uluslararas\u0131 hastalar i\u00e7in erkek cinsel sa\u011fl\u0131\u011f\u0131, longevity, rejeneratif \u00fcroloji ve ileri estetik tedaviler sunan AAACI akreditasyonlu premium bir medikal kliniktir.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>2025 y\u0131l\u0131na kadar d\u00fcnya genelinde yakla\u015f\u0131k 322 milyon erkekte erektil disfonksiyon g\u00f6r\u00fclecek; buna ra\u011fmen %25\u2019ten az\u0131 tedavi i\u00e7in ba\u015fvuruyor.<\/p>\n","protected":false},"author":6,"featured_media":64021,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[493],"tags":[],"class_list":["post-64169","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"_links":{"self":[{"href":"https:\/\/drterziler.com\/tr\/wp-json\/wp\/v2\/posts\/64169","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drterziler.com\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drterziler.com\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drterziler.com\/tr\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/drterziler.com\/tr\/wp-json\/wp\/v2\/comments?post=64169"}],"version-history":[{"count":4,"href":"https:\/\/drterziler.com\/tr\/wp-json\/wp\/v2\/posts\/64169\/revisions"}],"predecessor-version":[{"id":64202,"href":"https:\/\/drterziler.com\/tr\/wp-json\/wp\/v2\/posts\/64169\/revisions\/64202"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drterziler.com\/tr\/wp-json\/wp\/v2\/media\/64021"}],"wp:attachment":[{"href":"https:\/\/drterziler.com\/tr\/wp-json\/wp\/v2\/media?parent=64169"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drterziler.com\/tr\/wp-json\/wp\/v2\/categories?post=64169"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drterziler.com\/tr\/wp-json\/wp\/v2\/tags?post=64169"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}