{"id":8153,"date":"2025-10-22T13:33:39","date_gmt":"2025-10-22T13:33:39","guid":{"rendered":"https:\/\/protesispene.com\/erectile-dysfunction\/"},"modified":"2026-04-13T07:36:18","modified_gmt":"2026-04-13T07:36:18","slug":"most-common-causes-of-erectile-dysfunction","status":"publish","type":"page","link":"http:\/\/protesispene.com\/en\/most-common-causes-of-erectile-dysfunction\/","title":{"rendered":"Erectile dysfunction"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"8153\" class=\"elementor elementor-8153 elementor-7053\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-bf3250a elementor-section-stretched elementor-hidden-tablet elementor-hidden-mobile_extra elementor-hidden-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"bf3250a\" data-element_type=\"section\" data-e-type=\"section\" 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menu-item-type-post_type menu-item-object-page menu-item-7052\"><a href=\"http:\/\/protesispene.com\/vida-sexual-tras-la-intervencion\/\">Recovering sexual life<\/a><\/li>\n<\/ul><\/div><\/div>\r\n\r\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-28ae983 widget widget-call-to-action-light elementor-widget elementor-widget-rt-info-box\" data-id=\"28ae983\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"rt-info-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n<div class=\"rt-el-info-box clearfix media  rtin-light rtin-style2\">\r\n\t<div class=\"rtin-icon\">\r\n\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"44\" height=\"48\" src=\"http:\/\/protesispene.com\/wp-content\/uploads\/2018\/11\/figure6.png\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/>\t\t\t\t\t\t<\/div>\r\n\t<div class=\"media-body rtin-content\">\r\n\t\t<h2 class=\"media-heading rtin-title\"><a href=\"#\">Contact us at<\/a><\/h2>\r\n\t\t<p class=\"rtin-text\">tel:+34615551155<\/p>\r\n\t<\/div>\r\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b09f2dd elementor-widget elementor-widget-rt-info-box\" data-id=\"b09f2dd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"rt-info-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n<div class=\"widget-ad-area\">\r\n    <div class=\"ad-wrap\">\r\n        <img fetchpriority=\"high\" decoding=\"async\" width=\"300\" height=\"409\" src=\"http:\/\/protesispene.com\/wp-content\/uploads\/2018\/11\/figure5.jpg\" class=\"attachment-full size-full\" alt=\"\" \/>                <div class=\"item-btn-wrap\">\r\n            <a class=\"item-btn\" href=\"#\">See Details<i\r\n                    class=\"fas fa-chevron-right\"><\/i><\/a>\r\n        <\/div>\r\n            <\/div>\r\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-66 elementor-top-column elementor-element elementor-element-3f1cd99\" data-id=\"3f1cd99\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-01d89a6 elementor-widget elementor-widget-heading\" data-id=\"01d89a6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Not all cases of male impotence have the same origin.<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5ad738d elementor-widget elementor-widget-text-editor\" data-id=\"5ad738d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>When we reach a certain age we begin to experience that<strong> our body does not respond as it used to and that the strength is perhaps not the same as it was a few years ago.<\/strong> However, all these things have an explanation and a solution, if you are starting to suffer from erection problems or notice that maybe it is not as powerful as before, it is likely that you are suffering from some of the causes of erectile dysfunction that we will explain in this article.<\/p><p><b>Penile erection is<\/b> <b>a complex physiological mechanism<\/b> that involves many factors: an initial stimulus that favors sexual arousal, nerve pathways, release of vasodilators, blood filling in the corpora cavernosa and hardening of the penis that allows penetration until reaching orgasm and ejaculation. From this, we can say that ED<b> can have different origins:<\/b> <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-89dd941 elementor-widget elementor-widget-rt-icon-list\" data-id=\"89dd941\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"rt-icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n<div class=\"about-info-list\">\r\n\t<ul class=\"about-info theme2\">\r\n\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\tVascular problems (the most frequent cause)\t\t\t<\/li>\r\n\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\tDiabetes\t\t\t<\/li>\r\n\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\tVenous leakage (more frequent in young people)\t\t\t<\/li>\r\n\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\tPsychogenic impotence\t\t\t<\/li>\r\n\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\tPeyronie's disease\t\t\t<\/li>\r\n\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\tNeurological origin\t\t\t<\/li>\r\n\t\t\t<\/ul>\r\n<\/div>\r\n\r\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-18d98a4 elementor-widget elementor-widget-text-editor\" data-id=\"18d98a4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Although it may seem surprising to many, erectile dysfunction is a highly prevalent condition. According to a very recent article published in the prestigious <a href=\"https:\/\/www.nature.com\/articles\/s41420-023-01443-9\" target=\"_blank\" rel=\"noopener\">scientific journal Nature<\/a>, clinical experts have proven that: <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d54858a elementor-blockquote--skin-boxed elementor-widget elementor-widget-blockquote\" data-id=\"d54858a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"blockquote.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<blockquote class=\"elementor-blockquote\">\n\t\t\t<p class=\"elementor-blockquote__content\">\n\t\t\t\t\"The prevalence of erectile dysfunction is approximately 52% in men aged 40 to 70 years, and the population is estimated to reach 322 million by 2025.\"\t\t\t<\/p>\n\t\t\t\t\t<\/blockquote>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-62f8763 elementor-widget-laptop__width-initial elementor-widget elementor-widget-heading\" data-id=\"62f8763\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What is erectile dysfunction or impotence?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c4a2e58 elementor-widget elementor-widget-text-editor\" data-id=\"c4a2e58\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Male impotence, formally known as erectile dysfunction, is the difficulty or <b>inability to achieve and\/or maintain a<\/b> prolonged or sufficiently rigid penile <b>erection<\/b> to maintain satisfactory sexual activity for oneself and one&#8217;s partner.  <\/p><p>Beyond being the main cause of male sexual dysfunction, erection problems are<b> capable of deteriorating men&#8217;s quality of life in a remarkable way. <\/b>In addition to causing relationship problems, it corrupts a man&#8217;s confidence and destroys his self-esteem.<b>Erectile dysfunction is a real disease that can and should be treated<\/b> by experienced urologists and andrologists. Regardless of the cause, there is a treatment for each case: <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cd85678 elementor-widget elementor-widget-rt-icon-list\" data-id=\"cd85678\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"rt-icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n<div class=\"about-info-list\">\r\n\t<ul class=\"about-info theme1\">\r\n\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\tOral drugs (sildenafil, tadalafil)\t\t\t<\/li>\r\n\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\tIntracavernous injections\t\t\t<\/li>\r\n\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\tIntraurethral suppositories\t\t\t<\/li>\r\n\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\tShock waves\t\t\t<\/li>\r\n\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\tReconstructive vascular microsurgery\t\t\t<\/li>\r\n\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\tCorrection of venous leakage\t\t\t<\/li>\r\n\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\tPenile prosthesis implantation\t\t\t<\/li>\r\n\t\t\t<\/ul>\r\n<\/div>\r\n\r\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-916fbf3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"916fbf3\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-cea9dd1\" data-id=\"cea9dd1\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-24e7ca0 elementor-widget elementor-widget-rt-video-with-title\" data-id=\"24e7ca0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"rt-video-with-title.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"video-box1 wow fadeInDown\" data-wow-delay=\".3s\">\r\n    <div class=\"item-img\">\r\n      <img decoding=\"async\" width=\"1200\" height=\"759\" src=\"http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Consulta-Sevilla-Andromedi.webp\" class=\"attachment-full size-full\" alt=\"\" \/>      <div class=\"play-icon\">\r\n        <a href=\"https:\/\/www.youtube.com\/watch?v=GqOAOdyu4dc\" class=\"item-icon popup-youtube\" target=\"_blank\" rel=\"noopener\"><span><i class=\"fas fa-play\"><\/i><\/span><\/a>\r\n      <\/div>\r\n    <\/div>\r\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c36434c elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c36434c\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-75149e2\" data-id=\"75149e2\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-51bd153 elementor-widget elementor-widget-text-editor\" data-id=\"51bd153\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The male member is composed of two cavernous bodies and a spongy body which, when filled with blood, increase in size providing the necessary rigidity to make penetration possible during sexual intercourse. The genesis of<b> erectile dysfunction is based on a circulatory deficit within the cavernous tissue.<\/b> <\/p><p>The corpora cavernosa are two sponge-like rods of tissue or &#8220;tiny caves&#8221; with thousands of blood vessels. During erection, these capillaries <b>dilate and blood enters <\/b>while the venules (which drain the blood) constrict to prevent blood from escaping the penis. <b>The result: blood accumulates in both corpora cavernosa and the penis becomes hard.<\/b> <\/p><p><b>Erection is a combined task <\/b>involving the central nervous system in close cooperation with the circulatory system, and a disturbance at any level of this mechanism can lead to erectile dysfunction.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-759b66b\" data-id=\"759b66b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4b91a50 elementor-widget elementor-widget-image\" data-id=\"4b91a50\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"514\" height=\"514\" src=\"http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/laparoscopia.webp\" class=\"attachment-large size-large wp-image-8159\" alt=\"\" srcset=\"http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/laparoscopia.webp 514w, http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/laparoscopia-300x300.webp 300w, http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/laparoscopia-150x150.webp 150w, http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/laparoscopia-230x230.webp 230w, http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/laparoscopia-70x70.webp 70w, http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/laparoscopia-315x315.webp 315w\" sizes=\"(max-width: 514px) 100vw, 514px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1193fbc6 elementor-section-height-min-height elementor-section-items-stretch elementor-section-boxed elementor-section-height-default\" data-id=\"1193fbc6\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-613966f2\" data-id=\"613966f2\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-24f9e502 elementor-widget elementor-widget-heading\" data-id=\"24f9e502\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Tell us about your case at<br> in private without obligation.<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-a63809b\" data-id=\"a63809b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-750ec3bd elementor-widget elementor-widget-heading\" data-id=\"750ec3bd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Make an appointment with Andromedi in Madrid, Seville, Malaga, Marbella, Valencia, Bilbao-Bizkaia or the Canary Islands.<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-50721a03 elementor-widget elementor-widget-rt-info-box\" data-id=\"50721a03\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"rt-info-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n<div class=\"about-box-layout2\">\r\n    <ul>\r\n        <li><a href=\"tel:+34615551155\" >\r\n        \t\t\t\t\t<i class=\"fa fa-phone\" aria-hidden=\"true\"><\/i>\r\n\t\t\t\t\t  +34 615 55 11 55<\/a><\/li>       \r\n    <\/ul>\r\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-73571b0b elementor-widget elementor-widget-rt-info-box\" data-id=\"73571b0b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"rt-info-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n<div class=\"about-box-layout2\">\r\n    <ul>\r\n        <li><a href=\"mailto:info@andromedi.com\" >\r\n        \t\t\t\t\t<i class=\"fa fa-envelope\" aria-hidden=\"true\"><\/i>\r\n\t\t\t\t\t  info@andromedi.com<\/a><\/li>       \r\n    <\/ul>\r\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5af14ca2 elementor-widget__width-inherit elementor-widget-mobile__width-inherit elementor-align-left elementor-widget elementor-widget-button\" data-id=\"5af14ca2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"#elementor-action%3Aaction%3Dpopup%3Aopen%26settings%3DeyJpZCI6ODI5MCwidG9nZ2xlIjpmYWxzZX0%3D\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-calendar\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Make an appointment with a specialist<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1d07061 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1d07061\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-20cdfb8\" data-id=\"20cdfb8\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1530007 elementor-widget elementor-widget-image\" data-id=\"1530007\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"683\" height=\"1024\" src=\"http:\/\/protesispene.com\/wp-content\/uploads\/2026\/03\/causes-erectile-disfunction-mental-683x1024.webp\" class=\"attachment-large size-large wp-image-8457\" alt=\"\" srcset=\"http:\/\/protesispene.com\/wp-content\/uploads\/2026\/03\/causes-erectile-disfunction-mental-683x1024.webp 683w, http:\/\/protesispene.com\/wp-content\/uploads\/2026\/03\/causes-erectile-disfunction-mental-200x300.webp 200w, http:\/\/protesispene.com\/wp-content\/uploads\/2026\/03\/causes-erectile-disfunction-mental-768x1152.webp 768w, http:\/\/protesispene.com\/wp-content\/uploads\/2026\/03\/causes-erectile-disfunction-mental.webp 1024w\" sizes=\"(max-width: 683px) 100vw, 683px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-be3ae5d\" data-id=\"be3ae5d\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-678f87c elementor-widget elementor-widget-image\" data-id=\"678f87c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"683\" height=\"1024\" src=\"http:\/\/protesispene.com\/wp-content\/uploads\/2026\/03\/physical-causes-of-disfunction-erectile-683x1024.webp\" class=\"attachment-large size-large wp-image-8458\" alt=\"\" srcset=\"http:\/\/protesispene.com\/wp-content\/uploads\/2026\/03\/physical-causes-of-disfunction-erectile-683x1024.webp 683w, http:\/\/protesispene.com\/wp-content\/uploads\/2026\/03\/physical-causes-of-disfunction-erectile-200x300.webp 200w, http:\/\/protesispene.com\/wp-content\/uploads\/2026\/03\/physical-causes-of-disfunction-erectile-768x1152.webp 768w, http:\/\/protesispene.com\/wp-content\/uploads\/2026\/03\/physical-causes-of-disfunction-erectile.webp 1024w\" sizes=\"(max-width: 683px) 100vw, 683px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1726ecd elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1726ecd\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2181761\" data-id=\"2181761\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8b699ed elementor-widget elementor-widget-heading\" data-id=\"8b699ed\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What are the causes of erectile dysfunction?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-aad8020 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"aad8020\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-8859eb1\" data-id=\"8859eb1\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-edf8a5c elementor-widget elementor-widget-text-editor\" data-id=\"edf8a5c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The vascular cause is the most important cause of erectile dysfunction (ED) where <b>about 60% of all men with ED have one or more cardiovascular risk factors<\/b> such as diabetes, dyslipidemia or hypertension.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-5f56145\" data-id=\"5f56145\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-860b8d9 elementor-widget elementor-widget-text-editor\" data-id=\"860b8d9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>However, this male condition can be originated or accentuated by multiple causes, especially when the individual leads <b>unhealthy lifestyles.<\/b>among the <b>most common causes of erectile dysfunction<\/b> (ED) are:<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-0f2e97c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0f2e97c\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f5758b5\" data-id=\"f5758b5\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3df3f51 elementor-widget elementor-widget-accordion\" data-id=\"3df3f51\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<h3 id=\"elementor-tab-title-6491\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-6491\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Age and aging<\/a>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\t<div id=\"elementor-tab-content-6491\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-6491\"><p>Although 20% of all men over 20 years of age suffer from erectile dysfunction, <b>the prevalence of this disease is much higher in men over 40 years of age<\/b> where many factors converge and cause the problem (cell damage, endothelial injury, decrease in male hormones, etc.). <b>Age is the main non-pathological cause of erectile problems.<\/b><\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<h3 id=\"elementor-tab-title-6492\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-6492\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Diabetes<\/a>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\t<div id=\"elementor-tab-content-6492\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-6492\"><p>Diabetes causes such diverse alterations in the organism that it is difficult to determine exactly which of them causes erectile dysfunction. In fact, it is estimated that <b>52% of diabetic men in the world (regardless of their age) present erectile dysfunction of any intensity.<\/b> However, diabetes alone does not generate the problem since it has been observed that patients who adequately manage their disease are unlikely to develop erectile dysfunction. <\/p>\n<p><b>Diabetic neuropathy<\/b> is a serious complication of diabetes in which <b>the body&#8217;s nerves begin to become damaged, <\/b>decreasing the quantity and quality of electrical impulses that communicate one region of the nervous system to another, including the penis. In this condition, the person begins to experience skin desensitization, progressive muscle paralysis and lethargy. <\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<h3 id=\"elementor-tab-title-6493\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-6493\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Hyperlipidemia and other blood lipid disorders<\/a>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\t<div id=\"elementor-tab-content-6493\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-6493\"><p>The relationship between blood cholesterol and LDL levels is <b>proportional to the risk of atherosclerosis and endothelial damage in the body&#8217;s blood vessels,<\/b> especially in the penis, where these structures are very thin and susceptible to injury.<\/p>\n<p>As there is more LDL cholesterol in the blood and less HDL (better known as &#8220;good cholesterol&#8221;), the former tend to bind to each other in the walls of the arteries and <b>cause<\/b> <b>damage to the endothelium, clogging the blood vessel and hardening it. <\/b>As a result, it is more difficult for blood to flow freely and nourish the tissues.<\/p>\n<p>This is key in erectile dysfunction, where <b>the blood vessels in the penis are damaged and do not dilate enough to allow erection<\/b>.<\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<h3 id=\"elementor-tab-title-6494\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-6494\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Arterial hypertension<\/a>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\t<div id=\"elementor-tab-content-6494\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-6494\"><p>Arterial hypertension <b>has a high prevalence among the population<\/b>, not only among women and men but also among young individuals. This is due to many factors but mainly genetics, high salt intake, diabetes and dyslipidemias. Hypertension is almost always accompanied by poorly controlled diabetes, atherosclerosis and heart problems.  <\/p>\n<p>With the passage of time and as with the previous causes, <b>the high tension exerted by the blood on the walls of the body&#8217;s blood vessels promotes damage to the endothelium <\/b>(endothelial dysfunction) leading to problems for this layer to regenerate, produce substances, exchange nutrients to and from the blood and tissues, and react to physiological mechanisms such as penile erection.<\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<h3 id=\"elementor-tab-title-6495\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-6495\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Prostate diseases<\/a>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\t<div id=\"elementor-tab-content-6495\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-6495\"><p><b>Why the prostate, the reason is simple.<\/b> This walnut-sized male organ has a <b>close anatomical relationship with the nerves leading to the penis<\/b> from the central nervous system.<\/p>\n<p>If the prostate becomes inflamed as in prostatitis (almost always of infectious origin), benign prostatic hyperplasia (BPH) or tumors of the gland (prostatic carcinoma), <b>these nerves can become so compressed that they no longer innervate the penis and thus prevent erection and sensation of the penis<\/b> even when no vascular problems are present.<\/p>\n<p>It is also very common that <b>after prostate surgeries, some of these nerves are accidentally cut and the penis loses innervation.<\/b> This is why it is so important to monitor the gland, especially after the age of 40, which is when a man should visit the urologist at least once a year.<\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<h3 id=\"elementor-tab-title-6496\" class=\"elementor-tab-title\" data-tab=\"6\" role=\"button\" aria-controls=\"elementor-tab-content-6496\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Psychological causes<\/a>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\t<div id=\"elementor-tab-content-6496\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"6\" role=\"region\" aria-labelledby=\"elementor-tab-title-6496\"><div class=\"wpb_text_column wpb_content_element\">\n<div class=\"wpb_wrapper\">\n<p>Occasionally, <strong>the mind can end up blocking the nervous and hormonal processes that enable erections<\/strong>. Updated evidence suggests that this tends to happen more often in young men. The main culprits of psychogenic erectile dysfunction are the following:  <b><\/b><\/p>\n<\/div>\n<\/div>\n<div class=\"wpb_text_column wpb_content_element\">\n<div class=\"wpb_wrapper\">\n<ul>\n<li>Performance anxiety<\/li>\n<li>Couple conflicts<\/li>\n<li>Locker room syndrome or penile dysmorphic disorder<b><\/b><\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"wpb_text_column wpb_content_element\">\n<div class=\"wpb_wrapper\">\n<p>If this happens for a limited period of time, there are no major consequences. However,<strong> if the problem is prolonged, it is necessary to seek professional help<\/strong> from a urologist, andrologist or a mental health expert. In addition, communication as a couple is usually an excellent tool to pave the way and find a solution.  <\/p>\n<\/div>\n<\/div>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<h3 id=\"elementor-tab-title-6497\" class=\"elementor-tab-title\" data-tab=\"7\" role=\"button\" aria-controls=\"elementor-tab-content-6497\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Traumatic injuries to the penis and pelvis<\/a>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\t<div id=\"elementor-tab-content-6497\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"7\" role=\"region\" aria-labelledby=\"elementor-tab-title-6497\"><p><b>The pelvic and genital area of men is very exposed to injuries and blows,<\/b> especially in athletes or those who work with heavy loads at work.<\/p>\n<p>Although it may be hard to believe, some trauma to the lower abdomen, penis, testicles or lumbar back <b>can cause injury to the nerves leading to the penis, <\/b>decreasing the innervation of that area and the ability to respond to stimuli.<\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<h3 id=\"elementor-tab-title-6498\" class=\"elementor-tab-title\" data-tab=\"8\" role=\"button\" aria-controls=\"elementor-tab-content-6498\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Excessive alcohol consumption<\/a>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\t<div id=\"elementor-tab-content-6498\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"8\" role=\"region\" aria-labelledby=\"elementor-tab-title-6498\"><p>Alcohol is one of the substances that in excess can cause erectile dysfunction.<\/p>\n<p><b>Alcohol can not only depress the central nervous system<\/b> (as it activates GABA receptors, an inhibitory neurotransmitter) but can also <b>produce and aggravate endothelial damage <\/b>due to diabetes, arterial hypertension or dyslipidemia.<\/p>\n<p>In men with erectile dysfunction it is advisable to <b>reduce their alcohol consumption to the minimum possible,<\/b> especially while trying some treatments.<\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<h3 id=\"elementor-tab-title-6499\" class=\"elementor-tab-title\" data-tab=\"9\" role=\"button\" aria-controls=\"elementor-tab-content-6499\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Smoking and hard drug use<\/a>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\t<div id=\"elementor-tab-content-6499\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"9\" role=\"region\" aria-labelledby=\"elementor-tab-title-6499\"><p>Smoking causes so many problems in the body that it is difficult to describe its role in the development of erectile dysfunction. Most likely, this has to do with <b>damage to the endothelium of the penile blood vessels, degeneration of the peripheral nerves, accumulation of toxic substances<\/b> (beyond nicotine there are hundreds of chemicals harmful to the tissues) <b>and an obvious decrease in oxygenation to the cells.<\/b> <\/p>\n<p>Hard drugs can also cause <b>severe imbalances in the central nervous system and the way it processes information<\/b>. Almost all men with hard drug dependence experience erectile dysfunction to any degree, depending on the type of drug, the dosage and the length of time on the drug. <\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<h3 id=\"elementor-tab-title-64910\" class=\"elementor-tab-title\" data-tab=\"10\" role=\"button\" aria-controls=\"elementor-tab-content-64910\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">A serious condition of Peyronie's disease.<\/a>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\t<div id=\"elementor-tab-content-64910\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"10\" role=\"region\" aria-labelledby=\"elementor-tab-title-64910\"><p>This disease <b>occurs when at some point in the tunica albuginea that covers the corpora cavernosa of the penis, a fibrotic process develops<\/b> that is not very elastic and retracts the member when there is an erection, <b>bending it and making penetration difficult<\/b>.<\/p>\n<p>The penis can become so curved with Peyronie&#8217;s disease that <b>erection pain<\/b> can occur. This causes many men to experience fear of just having an erection, resulting in erectile dysfunction. <\/p>\n<p>Peyronie&#8217;s curvature and erectile dysfunction go hand in hand, when one of them worsens, so does the other.  <b>For this reason, both must be treated simultaneously to achieve results.<\/b>  However, Peyronie&#8217;s disease may be so advanced that there is no other option but to resort to surgery.<\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a20bb07 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a20bb07\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-69c5e75\" data-id=\"69c5e75\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0443d04 elementor-widget elementor-widget-heading\" data-id=\"0443d04\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">In which cases is penile prosthesis indicated?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-86e9aa4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"86e9aa4\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-b510abc\" data-id=\"b510abc\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5309e5d elementor-widget elementor-widget-text-editor\" data-id=\"5309e5d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><b>Penile implants are presented as an avant-garde solution, capable of offering a definitive cure for erectile dysfunction<\/b>. Thanks to advances in design technology and the latest surgical techniques, penile prostheses are now comfortable, effective and easy to use devices. Forming a natural erection  <i> <\/i>without the need for drugs, injections or manual devices, <a href=\"https:\/\/www.protesisdepene.es\/vida-sexual-tras-la-intervencion\/\" target=\"_blank\" rel=\"noopener\">has changed the lives<\/a> of hundreds of thousands of men around the world.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-eab50b5\" data-id=\"eab50b5\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ebeeee6 elementor-widget elementor-widget-text-editor\" data-id=\"ebeeee6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The safest indication for a penile prosthesis is <b>when the erectile dysfunction is irreversible. It<\/b>is <b>also<\/b>indicated when less invasive treatments (drugs, intracavernous injections, shock waves, etc.) are insufficient or have become too complicated and uncomfortable for the patient after a considerable time of using them.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-12f3eea elementor-widget elementor-widget-text-editor\" data-id=\"12f3eea\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>These are some of the most common indications:<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2ce3dbd elementor-widget elementor-widget-rt-icon-list\" data-id=\"2ce3dbd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"rt-icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n<div class=\"about-info-list\">\r\n\t<ul class=\"about-info theme2\">\r\n\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\tDiabetic neuropathy\t\t\t<\/li>\r\n\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\tSevere endothelial dysfunction\t\t\t<\/li>\r\n\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\tPenile nerve injuries\t\t\t<\/li>\r\n\t\t\t\t\t<li>\r\n\t\t\t\t\t\t\t\tSevere cases of Peyronie's disease\t\t\t<\/li>\r\n\t\t\t<\/ul>\r\n<\/div>\r\n\r\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-13d9b13 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"13d9b13\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a807533\" data-id=\"a807533\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-60d355b elementor-widget elementor-widget-heading\" data-id=\"60d355b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Is it possible to opt for a penile prosthesis if I have Peyronie's disease?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-392daa2 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"392daa2\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-6b0ef8a\" data-id=\"6b0ef8a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d4d5663 elementor-widget elementor-widget-text-editor\" data-id=\"d4d5663\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Yes, in fact, it is a very frequent intervention in all our Andromedi centers throughout Spain (Madrid, Seville, Tenerife and Marbella). It should be noted that<strong> the coexistence of Peyronie&#8217;s disease with weak erections<\/strong> <b>is more frequent than it seems<\/b>. In a way, erection problems are part of the natural history of Peyronie&#8217;s disease.  <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-7d0c6eb\" data-id=\"7d0c6eb\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6031f2c elementor-widget elementor-widget-text-editor\" data-id=\"6031f2c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>When the fibrous plaque of the tunica albuginea increases the angle of curvature, it can make erections painful, in the long term Peyronie&#8217;s disease can be further aggravated leading to erectile dysfunction, which ultimately<b> makes sexual intercourse impossible. <\/b>Fortunately, both problems can be treated in the same surgical procedure.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-52e023a elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"52e023a\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-0b28329\" data-id=\"0b28329\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8c5ad00 elementor-widget elementor-widget-rt-video-with-title\" data-id=\"8c5ad00\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"rt-video-with-title.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"video-box1 wow fadeInDown\" data-wow-delay=\".3s\">\r\n    <div class=\"item-img\">\r\n      <img loading=\"lazy\" decoding=\"async\" width=\"1702\" height=\"988\" src=\"http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Captura-de-pantalla-2025-10-20-a-las-16.33.48.webp\" class=\"attachment-full size-full\" alt=\"\" \/>      <div class=\"play-icon\">\r\n        <a href=\"https:\/\/www.youtube.com\/watch?v=XL18n3PVEjk\" class=\"item-icon popup-youtube\" target=\"_blank\" rel=\"noopener\"><span><i class=\"fas fa-play\"><\/i><\/span><\/a>\r\n      <\/div>\r\n    <\/div>\r\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-04daeef\" data-id=\"04daeef\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-323bc93 elementor-widget elementor-widget-text-editor\" data-id=\"323bc93\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>If a Peyronie&#8217;s patient is confirmed to be unresponsive to previous treatments and is therefore a candidate for a prosthesis, it will be, for us, <strong>a good opportunity to rectify, lengthen and enlarge the penis<\/strong> (in the same surgical procedure in which the implant is inserted). To achieve this, it is necessary that the surgeon has sufficient experience to achieve lasting, safe and realistic results. <\/p><p>According to a paper recently published in the official journal of the <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/34219005\/\" target=\"_blank\" rel=\"noopener\">International Society for Sexual Medicine<\/a> (ISSM), updated evidence suggests that the combined surgery of penile prosthesis implantation and correction of the acquired curve is safe:<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-0fdbe3b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0fdbe3b\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a00e607\" data-id=\"a00e607\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2073793 elementor-blockquote--skin-boxed elementor-widget elementor-widget-blockquote\" data-id=\"2073793\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"blockquote.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<blockquote class=\"elementor-blockquote\">\n\t\t\t<p class=\"elementor-blockquote__content\">\n\t\t\t\t\"Penile prosthesis implantation combined with a curve correction technique using grafting is a safe and highly effective surgical procedure in patients with Peyronie's disease and concomitant erectile dysfunction.\"\t\t\t<\/p>\n\t\t\t\t\t<\/blockquote>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-da0493a elementor-widget elementor-widget-text-editor\" data-id=\"da0493a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><i>It is very important that the patient himself is also aware of the personal causes of erectile dysfunction. In the case of bad eating habits, excessive consumption of tobacco, drugs and alcohol, or suffering from a high level of stress, the patient himself must consider a vital change and take a first step. <\/i><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-29d3d78 elementor-widget elementor-widget-image\" data-id=\"29d3d78\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"711\" height=\"1024\" src=\"http:\/\/protesispene.com\/wp-content\/uploads\/2026\/03\/diagnosis-Treatment-Erectil-disfunction-2026-711x1024.webp\" class=\"attachment-large size-large wp-image-8459\" alt=\"\" srcset=\"http:\/\/protesispene.com\/wp-content\/uploads\/2026\/03\/diagnosis-Treatment-Erectil-disfunction-2026-711x1024.webp 711w, http:\/\/protesispene.com\/wp-content\/uploads\/2026\/03\/diagnosis-Treatment-Erectil-disfunction-2026-208x300.webp 208w, http:\/\/protesispene.com\/wp-content\/uploads\/2026\/03\/diagnosis-Treatment-Erectil-disfunction-2026-768x1106.webp 768w, http:\/\/protesispene.com\/wp-content\/uploads\/2026\/03\/diagnosis-Treatment-Erectil-disfunction-2026.webp 1024w\" sizes=\"(max-width: 711px) 100vw, 711px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-9bc2f8d elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"9bc2f8d\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div 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data-widget_type=\"doctors-slider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t        \n        <div class=\"ds-slider-wrapper ds-wrapper-c656bff\">\n            <div class=\"ds-slider-container\">\n                <div class=\"ds-slider\" data-slides-desktop=\"4\" data-slides-tablet=\"2\" data-slides-mobile=\"1\" data-slides-to-scroll=\"4\" data-gap=\"20\" data-autoplay=\"false\" data-autoplay-speed=\"3000\" data-loop=\"true\">\n                    <div class=\"ds-slider-track\">\n                                                    <div class=\"ds-slide\">\n                                <div class=\"ds-doctor-card\">\n                                    <div class=\"ds-doctor-image\">\n                                        <a href=\"http:\/\/protesispene.com\/en\/specialist\/dr-natalio-cruz\/\">\n                                            <img loading=\"lazy\" decoding=\"async\" width=\"768\" height=\"767\" src=\"http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dr-Natalio-Cruz-Navarro-Urologo-Andromedi-1-768x767.webp\" class=\"ds-img wp-post-image\" alt=\"\" srcset=\"http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dr-Natalio-Cruz-Navarro-Urologo-Andromedi-1-768x767.webp 768w, http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dr-Natalio-Cruz-Navarro-Urologo-Andromedi-1-300x300.webp 300w, http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dr-Natalio-Cruz-Navarro-Urologo-Andromedi-1-150x150.webp 150w, http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dr-Natalio-Cruz-Navarro-Urologo-Andromedi-1-230x230.webp 230w, http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dr-Natalio-Cruz-Navarro-Urologo-Andromedi-1-70x70.webp 70w, http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dr-Natalio-Cruz-Navarro-Urologo-Andromedi-1-315x315.webp 315w, http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dr-Natalio-Cruz-Navarro-Urologo-Andromedi-1.webp 1024w\" sizes=\"(max-width: 768px) 100vw, 768px\" \/>                                        <\/a>\n                                    <\/div>\n                                    <div class=\"ds-doctor-info\">\n                                        <h3 class=\"ds-doctor-name\">\n                                            <a href=\"http:\/\/protesispene.com\/en\/specialist\/dr-natalio-cruz\/\">\n                                                Dr. Natalio Cruz                                            <\/a>\n                                        <\/h3>\n                                                                                    <p class=\"ds-doctor-designation\">Andromedi Group Medical Director<\/p>\n                                                                                <div class=\"ds-doctor-buttons\">\n                                                                                            <a href=\"http:\/\/protesispene.com\/en\/specialist\/dr-natalio-cruz\/\" class=\"ds-btn ds-btn-outline\">\n                                                    View profile                                                <\/a>\n                                                                                                                                        <a href=\"#\" class=\"ds-btn ds-btn-primary ds-pedir-cita-btn\" data-office-url=\"https:\/\/app.tuotempo.com\/mop\/index.php?dbName=tt_qsoft_andromedi_prod&#038;resourceName=Dr.+Natalio+Cruz\">\n                                                                                                            <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"16\" height=\"16\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><rect x=\"3\" y=\"4\" width=\"18\" height=\"18\" rx=\"2\" ry=\"2\"><\/rect><line x1=\"16\" y1=\"2\" x2=\"16\" y2=\"6\"><\/line><line x1=\"8\" y1=\"2\" x2=\"8\" y2=\"6\"><\/line><line x1=\"3\" y1=\"10\" x2=\"21\" y2=\"10\"><\/line><\/svg>\n                                                                                                        Make an appointment                                                <\/a>\n                                                                                    <\/div>\n                                    <\/div>\n                                <\/div>\n                            <\/div>\n                                                    <div class=\"ds-slide\">\n                                <div class=\"ds-doctor-card\">\n                                    <div class=\"ds-doctor-image\">\n                                        <a href=\"http:\/\/protesispene.com\/en\/specialist\/dr-carlos-simon\/\">\n                                            <img loading=\"lazy\" decoding=\"async\" width=\"768\" height=\"767\" src=\"http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dr.-Carlos-Simon-Urologo-Andrologo-Andromedi-Madrid-768x767.webp\" class=\"ds-img wp-post-image\" alt=\"\" srcset=\"http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dr.-Carlos-Simon-Urologo-Andrologo-Andromedi-Madrid-768x767.webp 768w, http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dr.-Carlos-Simon-Urologo-Andrologo-Andromedi-Madrid-300x300.webp 300w, http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dr.-Carlos-Simon-Urologo-Andrologo-Andromedi-Madrid-1024x1022.webp 1024w, http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dr.-Carlos-Simon-Urologo-Andrologo-Andromedi-Madrid-150x150.webp 150w, http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dr.-Carlos-Simon-Urologo-Andrologo-Andromedi-Madrid-230x230.webp 230w, http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dr.-Carlos-Simon-Urologo-Andrologo-Andromedi-Madrid-70x70.webp 70w, 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href=\"http:\/\/protesispene.com\/en\/specialist\/dr-blanca-madurga-patuel\/\">\n                                            <img loading=\"lazy\" decoding=\"async\" width=\"768\" height=\"767\" src=\"http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dra_Blanca-Madurga-Urologa-Androloga-Andromedi-Valencia-1-768x767.webp\" class=\"ds-img wp-post-image\" alt=\"\" srcset=\"http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dra_Blanca-Madurga-Urologa-Androloga-Andromedi-Valencia-1-768x767.webp 768w, http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dra_Blanca-Madurga-Urologa-Androloga-Andromedi-Valencia-1-300x300.webp 300w, http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dra_Blanca-Madurga-Urologa-Androloga-Andromedi-Valencia-1-1024x1022.webp 1024w, http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dra_Blanca-Madurga-Urologa-Androloga-Andromedi-Valencia-1-150x150.webp 150w, 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Madurga Patuel                                            <\/a>\n                                        <\/h3>\n                                                                                    <p class=\"ds-doctor-designation\">Urologist andrologist Andromedi Valencia<\/p>\n                                                                                <div class=\"ds-doctor-buttons\">\n                                                                                            <a href=\"http:\/\/protesispene.com\/en\/specialist\/dr-blanca-madurga-patuel\/\" class=\"ds-btn ds-btn-outline\">\n                                                    View profile                                                <\/a>\n                                                                                                                                        <a href=\"#\" class=\"ds-btn ds-btn-primary ds-pedir-cita-btn\" 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class=\"ds-doctor-name\">\n                                            <a href=\"http:\/\/protesispene.com\/en\/specialist\/dr-maria-riaza\/\">\n                                                Dr. Mar\u00eda Riaza                                            <\/a>\n                                        <\/h3>\n                                                                                    <p class=\"ds-doctor-designation\">Urologist andrologist at Andromedi Bilbao-Bizkaia<\/p>\n                                                                                <div class=\"ds-doctor-buttons\">\n                                                                                            <a href=\"http:\/\/protesispene.com\/en\/specialist\/dr-maria-riaza\/\" class=\"ds-btn ds-btn-outline\">\n                                                    View profile                                                <\/a>\n                                                                                  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class=\"ds-doctor-name\">\n                                            <a href=\"http:\/\/protesispene.com\/en\/specialist\/dr-josue-alonso-roman\/\">\n                                                Dr. Josu\u00e9 Alonso Rom\u00e1n                                            <\/a>\n                                        <\/h3>\n                                                                                    <p class=\"ds-doctor-designation\">Urologist andrologist at Andromedi Sevilla<\/p>\n                                                                                <div class=\"ds-doctor-buttons\">\n                                                                                            <a href=\"http:\/\/protesispene.com\/en\/specialist\/dr-josue-alonso-roman\/\" class=\"ds-btn ds-btn-outline\">\n                                                    View profile                                                <\/a>\n                                                               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href=\"http:\/\/protesispene.com\/en\/specialist\/dr-natalia-perez\/\">\n                                                Dr. Natalia Perez                                            <\/a>\n                                        <\/h3>\n                                                                                    <p class=\"ds-doctor-designation\">Urologist andrologist Andromedi Madrid<\/p>\n                                                                                <div class=\"ds-doctor-buttons\">\n                                                                                            <a href=\"http:\/\/protesispene.com\/en\/specialist\/dr-natalia-perez\/\" class=\"ds-btn ds-btn-outline\">\n                                                    View profile                                                <\/a>\n                                                                                                                                        <a href=\"#\" class=\"ds-btn ds-btn-primary ds-pedir-cita-btn\" data-office-url=\"https:\/\/app.tuotempo.com\/mop\/index.php?dbName=tt_qsoft_andromedi_prod&#038;areaid=sc15f99779f2c0ef&#038;typologyid=sc15f64d9d7e78e2\">\n                                                                                                            <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"16\" height=\"16\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><rect x=\"3\" y=\"4\" width=\"18\" height=\"18\" rx=\"2\" ry=\"2\"><\/rect><line x1=\"16\" y1=\"2\" x2=\"16\" y2=\"6\"><\/line><line x1=\"8\" y1=\"2\" x2=\"8\" y2=\"6\"><\/line><line x1=\"3\" y1=\"10\" x2=\"21\" y2=\"10\"><\/line><\/svg>\n                                                                                                        Make an appointment                                                <\/a>\n                                                                                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   <\/a>\n                                        <\/h3>\n                                                                                    <p class=\"ds-doctor-designation\">Urologist andrologist Andromedi Madrid<\/p>\n                                                                                <div class=\"ds-doctor-buttons\">\n                                                                                            <a href=\"http:\/\/protesispene.com\/en\/specialist\/dr-alberto-ramon-arnaiz-perez\/\" class=\"ds-btn ds-btn-outline\">\n                                                    View profile                                                <\/a>\n                                                                                                                                        <a href=\"#\" class=\"ds-btn ds-btn-primary ds-pedir-cita-btn\" data-office-url=\"https:\/\/app.tuotempo.com\/mop\/index.php?dbName=tt_qsoft_andromedi_prod&#038;typologyid=&#038;typologyid=sc15f64d9d7e78e2&#038;resourceid=sc168790ce020e1d\">\n                                                                                                            <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"16\" height=\"16\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><rect x=\"3\" y=\"4\" width=\"18\" height=\"18\" rx=\"2\" ry=\"2\"><\/rect><line x1=\"16\" y1=\"2\" x2=\"16\" y2=\"6\"><\/line><line x1=\"8\" y1=\"2\" x2=\"8\" y2=\"6\"><\/line><line x1=\"3\" y1=\"10\" x2=\"21\" y2=\"10\"><\/line><\/svg>\n                                                                                                        Make an appointment                                                <\/a>\n                                                                                    <\/div>\n 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http:\/\/protesispene.com\/wp-content\/uploads\/2026\/01\/Dra-Marta-Mireia-Las-Heras-Alonso-Urologoa-Androloga-Andromedi-300x300.webp 300w, http:\/\/protesispene.com\/wp-content\/uploads\/2026\/01\/Dra-Marta-Mireia-Las-Heras-Alonso-Urologoa-Androloga-Andromedi-1024x1022.webp 1024w, http:\/\/protesispene.com\/wp-content\/uploads\/2026\/01\/Dra-Marta-Mireia-Las-Heras-Alonso-Urologoa-Androloga-Andromedi-150x150.webp 150w, http:\/\/protesispene.com\/wp-content\/uploads\/2026\/01\/Dra-Marta-Mireia-Las-Heras-Alonso-Urologoa-Androloga-Andromedi-230x230.webp 230w, http:\/\/protesispene.com\/wp-content\/uploads\/2026\/01\/Dra-Marta-Mireia-Las-Heras-Alonso-Urologoa-Androloga-Andromedi-70x70.webp 70w, http:\/\/protesispene.com\/wp-content\/uploads\/2026\/01\/Dra-Marta-Mireia-Las-Heras-Alonso-Urologoa-Androloga-Andromedi-315x315.webp 315w, http:\/\/protesispene.com\/wp-content\/uploads\/2026\/01\/Dra-Marta-Mireia-Las-Heras-Alonso-Urologoa-Androloga-Andromedi.webp 1026w\" sizes=\"(max-width: 768px) 100vw, 768px\" \/>                                        <\/a>\n                                    <\/div>\n                                    <div class=\"ds-doctor-info\">\n                                        <h3 class=\"ds-doctor-name\">\n                                            <a href=\"http:\/\/protesispene.com\/en\/specialist\/dr-marta-mireia-las-heras-alonso\/\">\n                                                Dr. Marta Mireia Las Heras Alonso                                            <\/a>\n                                        <\/h3>\n                                                                                    <p class=\"ds-doctor-designation\">Andrological Surgeon at Andromedi Madrid<\/p>\n                                                                                <div class=\"ds-doctor-buttons\">\n                                                                                            <a href=\"http:\/\/protesispene.com\/en\/specialist\/dr-marta-mireia-las-heras-alonso\/\" class=\"ds-btn ds-btn-outline\">\n                                                    View profile                                                <\/a>\n                                                                                                                                        <a href=\"#\" class=\"ds-btn ds-btn-primary ds-pedir-cita-btn\" data-office-url=\"https:\/\/app.tuotempo.com\/mop\/index.php?dbName=tt_qsoft_andromedi_prod&#038;typologyid=&#038;typologyid=sc15f64d9d7e78e2&#038;resourceid=sc16953ea1d9e493\">\n                                                                                                            <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"16\" height=\"16\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><rect x=\"3\" y=\"4\" width=\"18\" height=\"18\" rx=\"2\" ry=\"2\"><\/rect><line x1=\"16\" y1=\"2\" x2=\"16\" y2=\"6\"><\/line><line x1=\"8\" y1=\"2\" x2=\"8\" y2=\"6\"><\/line><line x1=\"3\" y1=\"10\" x2=\"21\" y2=\"10\"><\/line><\/svg>\n                                                                                                        Make an appointment                                                <\/a>\n                                                                                    <\/div>\n                                    <\/div>\n                                <\/div>\n                            <\/div>\n                                                    <div class=\"ds-slide\">\n                                <div class=\"ds-doctor-card\">\n                                    <div class=\"ds-doctor-image\">\n                                        <a href=\"http:\/\/protesispene.com\/en\/specialist\/dr-pablo-l-gomez-lechuga\/\">\n                                            <img loading=\"lazy\" decoding=\"async\" width=\"768\" height=\"767\" src=\"http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dr_Pablo-Gomez-Lechuga-Urologo-Andrologo-Andromedi-1-2-768x767.webp\" class=\"ds-img wp-post-image\" alt=\"\" srcset=\"http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dr_Pablo-Gomez-Lechuga-Urologo-Andrologo-Andromedi-1-2-768x767.webp 768w, http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dr_Pablo-Gomez-Lechuga-Urologo-Andrologo-Andromedi-1-2-300x300.webp 300w, http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dr_Pablo-Gomez-Lechuga-Urologo-Andrologo-Andromedi-1-2-1024x1022.webp 1024w, http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dr_Pablo-Gomez-Lechuga-Urologo-Andrologo-Andromedi-1-2-150x150.webp 150w, http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dr_Pablo-Gomez-Lechuga-Urologo-Andrologo-Andromedi-1-2-230x230.webp 230w, http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dr_Pablo-Gomez-Lechuga-Urologo-Andrologo-Andromedi-1-2-70x70.webp 70w, http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dr_Pablo-Gomez-Lechuga-Urologo-Andrologo-Andromedi-1-2-315x315.webp 315w, http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dr_Pablo-Gomez-Lechuga-Urologo-Andrologo-Andromedi-1-2.webp 1026w\" sizes=\"(max-width: 768px) 100vw, 768px\" \/>                                        <\/a>\n                                    <\/div>\n                                    <div class=\"ds-doctor-info\">\n                                        <h3 class=\"ds-doctor-name\">\n                                            <a href=\"http:\/\/protesispene.com\/en\/specialist\/dr-pablo-l-gomez-lechuga\/\">\n                                                Dr. Pablo L. Gomez Lechuga                                            <\/a>\n                                        <\/h3>\n                                                                                    <p class=\"ds-doctor-designation\">Urologist andrologist in Andromedi Malaga and Marbella<\/p>\n                                                                                <div class=\"ds-doctor-buttons\">\n                                                                                            <a href=\"http:\/\/protesispene.com\/en\/specialist\/dr-pablo-l-gomez-lechuga\/\" class=\"ds-btn ds-btn-outline\">\n                                                    View profile                                                <\/a>\n                                                                                                                                        <a href=\"#\" class=\"ds-btn ds-btn-primary ds-pedir-cita-btn\" data-office-url=\"https:\/\/app.tuotempo.com\/mop\/index.php?dbName=tt_qsoft_andromedi_prod&#038;resourceName=Dr.+Pablo+Lorenzo+G\u00f3mez+Lechuga\">\n                                                                                                            <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"16\" height=\"16\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><rect x=\"3\" y=\"4\" width=\"18\" height=\"18\" rx=\"2\" ry=\"2\"><\/rect><line x1=\"16\" y1=\"2\" x2=\"16\" y2=\"6\"><\/line><line x1=\"8\" y1=\"2\" x2=\"8\" y2=\"6\"><\/line><line x1=\"3\" y1=\"10\" x2=\"21\" y2=\"10\"><\/line><\/svg>\n                                                                                                        Make an appointment                                                <\/a>\n                                                                                    <\/div>\n                                    <\/div>\n                                <\/div>\n                            <\/div>\n                                                    <div class=\"ds-slide\">\n                                <div class=\"ds-doctor-card\">\n                                    <div class=\"ds-doctor-image\">\n                                        <a href=\"http:\/\/protesispene.com\/en\/specialist\/dr-jose-alberto-hernandez-medina\/\">\n                                            <img loading=\"lazy\" decoding=\"async\" width=\"768\" height=\"766\" src=\"http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dr_Jose-Alberto-Hernandez-Medina_Urologo_Andromedi_Las_Palmas-Urologo-1-1-768x766.webp\" class=\"ds-img wp-post-image\" alt=\"\" srcset=\"http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dr_Jose-Alberto-Hernandez-Medina_Urologo_Andromedi_Las_Palmas-Urologo-1-1-768x766.webp 768w, http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dr_Jose-Alberto-Hernandez-Medina_Urologo_Andromedi_Las_Palmas-Urologo-1-1-300x300.webp 300w, http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dr_Jose-Alberto-Hernandez-Medina_Urologo_Andromedi_Las_Palmas-Urologo-1-1-1024x1021.webp 1024w, http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dr_Jose-Alberto-Hernandez-Medina_Urologo_Andromedi_Las_Palmas-Urologo-1-1-150x150.webp 150w, http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dr_Jose-Alberto-Hernandez-Medina_Urologo_Andromedi_Las_Palmas-Urologo-1-1-230x230.webp 230w, http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dr_Jose-Alberto-Hernandez-Medina_Urologo_Andromedi_Las_Palmas-Urologo-1-1-70x70.webp 70w, http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dr_Jose-Alberto-Hernandez-Medina_Urologo_Andromedi_Las_Palmas-Urologo-1-1-315x315.webp 315w, http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dr_Jose-Alberto-Hernandez-Medina_Urologo_Andromedi_Las_Palmas-Urologo-1-1.webp 1203w\" sizes=\"(max-width: 768px) 100vw, 768px\" \/>                                        <\/a>\n                                    <\/div>\n                                    <div class=\"ds-doctor-info\">\n                                        <h3 class=\"ds-doctor-name\">\n                                            <a href=\"http:\/\/protesispene.com\/en\/specialist\/dr-jose-alberto-hernandez-medina\/\">\n                                                Dr. Jos\u00e9 Alberto Hern\u00e1ndez Medina                                            <\/a>\n                                        <\/h3>\n                                                                                    <p class=\"ds-doctor-designation\">Urologist andrologist in Andromedi Las Palmas<\/p>\n                                                                                <div class=\"ds-doctor-buttons\">\n                                                                                            <a href=\"http:\/\/protesispene.com\/en\/specialist\/dr-jose-alberto-hernandez-medina\/\" class=\"ds-btn ds-btn-outline\">\n                                                    View profile                                                <\/a>\n                                                                                                                                        <a href=\"#\" class=\"ds-btn ds-btn-primary ds-pedir-cita-btn\" data-office-url=\"https:\/\/app.tuotempo.com\/mop\/index.php?dbName=tt_qsoft_andromedi_prod&#038;typologyid=&#038;typologyid=sc15f64d9d7e78e2&#038;resourceid=sc168ee6fade9ce3\">\n                                                                                                            <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"16\" height=\"16\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><rect x=\"3\" y=\"4\" width=\"18\" height=\"18\" rx=\"2\" ry=\"2\"><\/rect><line x1=\"16\" y1=\"2\" x2=\"16\" y2=\"6\"><\/line><line x1=\"8\" y1=\"2\" x2=\"8\" y2=\"6\"><\/line><line x1=\"3\" y1=\"10\" x2=\"21\" y2=\"10\"><\/line><\/svg>\n                                                                                                        Make an appointment                                                <\/a>\n                                                                                    <\/div>\n                                    <\/div>\n                                <\/div>\n                            <\/div>\n                                                    <div class=\"ds-slide\">\n                                <div class=\"ds-doctor-card\">\n                                    <div class=\"ds-doctor-image\">\n                                        <a href=\"http:\/\/protesispene.com\/en\/specialist\/dr-moises-penate-aleman\/\">\n                                            <img loading=\"lazy\" decoding=\"async\" width=\"768\" height=\"767\" src=\"http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dr_Moises_Penate_Aleman_Urologo_Andromedi_-1-768x767.webp\" class=\"ds-img wp-post-image\" alt=\"\" srcset=\"http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dr_Moises_Penate_Aleman_Urologo_Andromedi_-1-768x767.webp 768w, http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dr_Moises_Penate_Aleman_Urologo_Andromedi_-1-300x300.webp 300w, http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dr_Moises_Penate_Aleman_Urologo_Andromedi_-1-1024x1022.webp 1024w, http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dr_Moises_Penate_Aleman_Urologo_Andromedi_-1-150x150.webp 150w, http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dr_Moises_Penate_Aleman_Urologo_Andromedi_-1-230x230.webp 230w, http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dr_Moises_Penate_Aleman_Urologo_Andromedi_-1-70x70.webp 70w, http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dr_Moises_Penate_Aleman_Urologo_Andromedi_-1-315x315.webp 315w, http:\/\/protesispene.com\/wp-content\/uploads\/2025\/10\/Dr_Moises_Penate_Aleman_Urologo_Andromedi_-1.webp 1026w\" sizes=\"(max-width: 768px) 100vw, 768px\" \/>                                        <\/a>\n                                    <\/div>\n                                    <div class=\"ds-doctor-info\">\n                                        <h3 class=\"ds-doctor-name\">\n                                            <a href=\"http:\/\/protesispene.com\/en\/specialist\/dr-moises-penate-aleman\/\">\n                                                Dr. Mois\u00e9s Pe\u00f1ate Alem\u00e1n                                            <\/a>\n                                        <\/h3>\n                                                                                    <p class=\"ds-doctor-designation\">Urologist andrologist in Andromedi Las Palmas<\/p>\n                                                                                <div class=\"ds-doctor-buttons\">\n                                                                                            <a href=\"http:\/\/protesispene.com\/en\/specialist\/dr-moises-penate-aleman\/\" class=\"ds-btn ds-btn-outline\">\n                                                    View profile                                                <\/a>\n                                                                                                                                        <a href=\"#\" class=\"ds-btn ds-btn-primary ds-pedir-cita-btn\" data-office-url=\"https:\/\/app.tuotempo.com\/mop\/index.php?dbName=tt_qsoft_andromedi_prod&#038;typologyid=&#038;typologyid=sc15f64d9d7e78e2&#038;resourceid=sc16891372c766e3\">\n                                                                                                            <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"16\" height=\"16\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><rect x=\"3\" y=\"4\" width=\"18\" height=\"18\" rx=\"2\" ry=\"2\"><\/rect><line x1=\"16\" y1=\"2\" x2=\"16\" y2=\"6\"><\/line><line x1=\"8\" y1=\"2\" x2=\"8\" y2=\"6\"><\/line><line x1=\"3\" y1=\"10\" x2=\"21\" y2=\"10\"><\/line><\/svg>\n                                                                                                        Make an appointment                                                <\/a>\n                                                                                    <\/div>\n                                    <\/div>\n                                <\/div>\n                            <\/div>\n                                            <\/div>\n                <\/div>\n                \n                                <button class=\"ds-nav-btn ds-nav-prev\" aria-label=\"Anterior\">\n                    <i class=\"fas fa-chevron-left\"><\/i>\n                <\/button>\n                <button class=\"ds-nav-btn ds-nav-next\" aria-label=\"Siguiente\">\n                    <i class=\"fas fa-chevron-right\"><\/i>\n                <\/button>\n                            <\/div>\n            \n                        <div class=\"ds-pagination\"><\/div>\n                    <\/div>\n\n        <!-- Modal para Pedir Cita -->\n        <div id=\"ds-modal-c656bff\" class=\"ds-modal\" style=\"display: none;\">\n            <div class=\"ds-modal-overlay\"><\/div>\n            <div class=\"ds-modal-content\">\n                <button class=\"ds-modal-close\" aria-label=\"Cerrar\">&times;<\/button>\n                <div class=\"ds-modal-body\">\n                    <iframe class=\"ds-iframe\" src=\"\" frameborder=\"0\" allowfullscreen><\/iframe>\n                <\/div>\n            <\/div>\n        <\/div>\n\n        <style>\n            @import url('https:\/\/fonts.googleapis.com\/css2?family=Nunito+Sans:wght@400;600;700;800&display=swap');\n            \n            .ds-wrapper-c656bff {\n                font-family: 'Nunito Sans', sans-serif;\n                position: relative;\n            }\n            \n            .ds-wrapper-c656bff .ds-slider-container {\n                position: relative;\n            }\n            \n            .ds-wrapper-c656bff .ds-slider {\n                overflow: hidden;\n            }\n            \n            .ds-wrapper-c656bff .ds-slider-track {\n                display: flex;\n                transition: transform 0.4s ease;\n            }\n            \n            .ds-wrapper-c656bff .ds-slide {\n                flex: 0 0 calc(25% - 20px);\n                margin: 0 10px;\n                box-sizing: border-box;\n            }\n            \n            .ds-wrapper-c656bff .ds-doctor-card {\n                background-color: #EDF3FC;\n                border-radius: 12px;\n                padding: 20px;\n                height: 100%;\n                display: flex;\n                flex-direction: column;\n                transition: all 0.3s ease;\n            }\n            \n            .ds-wrapper-c656bff .ds-doctor-card:hover {\n                transform: translateY(-5px);\n                box-shadow: 0 10px 30px rgba(0,0,0,0.1);\n            }\n            \n            .ds-wrapper-c656bff .ds-doctor-image {\n                background-color: #FFF;\n                border-radius: 10px;\n                overflow: hidden;\n                margin-bottom: 15px;\n            }\n            \n            .ds-wrapper-c656bff .ds-doctor-image a {\n                display: block;\n            }\n            \n            .ds-wrapper-c656bff .ds-img {\n                width: 100%;\n                height: auto;\n                display: block;\n                object-fit: cover;\n            }\n            \n            .ds-wrapper-c656bff .ds-no-image {\n                width: 100%;\n                padding-bottom: 100%;\n                background: linear-gradient(135deg, #e0e0e0 0%, #f5f5f5 100%);\n            }\n            \n            .ds-wrapper-c656bff .ds-doctor-info {\n                text-align: center;\n                flex: 1;\n                display: flex;\n                flex-direction: column;\n            }\n            \n            .ds-wrapper-c656bff .ds-doctor-name {\n                font-size: 18px;\n                font-weight: 700;\n                color: #333333;\n                margin: 0 0 5px 0;\n            }\n            \n            .ds-wrapper-c656bff .ds-doctor-name a {\n                color: inherit;\n                text-decoration: none;\n            }\n            \n            .ds-wrapper-c656bff .ds-doctor-name a:hover {\n                color: #396CF0;\n            }\n            \n            .ds-wrapper-c656bff .ds-doctor-designation {\n                font-size: 14px;\n                color: #666666;\n                margin: 0 0 15px 0;\n                flex: 1;\n            }\n            \n            .ds-wrapper-c656bff .ds-doctor-buttons {\n                display: flex;\n                gap: 10px;\n                justify-content: center;\n                flex-wrap: wrap;\n                margin-top: auto;\n            }\n            \n            .ds-wrapper-c656bff .ds-btn {\n                display: inline-flex;\n                align-items: center;\n                gap: 6px;\n                padding: 10px 20px;\n                border-radius: 25px;\n                font-size: 14px;\n                font-weight: 600;\n                text-decoration: none;\n                transition: all 0.3s ease;\n                cursor: pointer;\n                border: 2px solid #396CF0;\n            }\n            \n            .ds-wrapper-c656bff .ds-btn-outline {\n                background-color: transparent;\n                color: #396CF0;\n            }\n            \n            .ds-wrapper-c656bff .ds-btn-outline:hover {\n                background-color: #396CF0;\n                color: #ffffff;\n            }\n            \n            .ds-wrapper-c656bff .ds-btn-primary {\n                background-color: #396CF0;\n                color: #ffffff;\n            }\n            \n            .ds-wrapper-c656bff .ds-btn-primary:hover {\n                background-color: #ffffff;\n                color: #396CF0;\n            }\n            \n            \/* Navigation *\/\n            .ds-wrapper-c656bff .ds-nav-btn {\n                position: absolute;\n                top: 50%;\n                transform: translateY(-50%);\n                width: 45px;\n                height: 45px;\n                border-radius: 50%;\n                background-color: #ffffff;\n                border: 2px solid #396CF0;\n                cursor: pointer;\n                display: flex;\n                align-items: center;\n                justify-content: center;\n                z-index: 10;\n                transition: all 0.3s ease;\n            }\n            \n            .ds-wrapper-c656bff .ds-nav-btn i {\n                font-size: 24px;\n                color: #396CF0;\n                transition: color 0.3s ease;\n            }\n            \n            .ds-wrapper-c656bff .ds-nav-btn:hover {\n                background-color: #396CF0;\n                border-color: #396CF0;\n            }\n            \n            .ds-wrapper-c656bff .ds-nav-btn:hover i {\n                color: #ffffff;\n            }\n            \n            .ds-wrapper-c656bff .ds-nav-prev {\n                left: -50px;\n            }\n            \n            .ds-wrapper-c656bff .ds-nav-next {\n                right: -50px;\n            }\n            \n            \/* Pagination *\/\n            .ds-wrapper-c656bff .ds-pagination {\n                display: flex;\n                justify-content: center;\n                gap: 8px;\n                margin-top: 25px;\n            }\n            \n            .ds-wrapper-c656bff .ds-dot {\n                width: 10px;\n                height: 10px;\n                border-radius: 50%;\n                background-color: #ddd;\n                cursor: pointer;\n                transition: all 0.3s ease;\n            }\n            \n            .ds-wrapper-c656bff .ds-dot.active,\n            .ds-wrapper-c656bff .ds-dot:hover {\n                background-color: #396CF0;\n            }\n            \n            .ds-no-doctors {\n                text-align: center;\n                padding: 40px 20px;\n                color: #999;\n                font-style: italic;\n            }\n            \n            \/* Modal *\/\n            .ds-modal {\n                position: fixed;\n                top: 0;\n                left: 0;\n                width: 100%;\n                height: 100%;\n                z-index: 99999;\n                display: flex;\n                align-items: center;\n                justify-content: center;\n            }\n            \n            .ds-modal-overlay {\n                position: fixed;\n                top: 0;\n                left: 0;\n                width: 100%;\n                height: 100%;\n                background-color: rgba(0, 0, 0, 0.5);\n            }\n            \n            .ds-modal-content {\n                position: relative;\n                z-index: 100000;\n                width: 100%;\n                max-width: 400px;\n                height: 600px;\n                border: 10px solid #396CF0;\n                border-radius: 25px;\n                background-color: #fff;\n                overflow: hidden;\n            }\n            \n            .ds-modal-close {\n                position: absolute;\n                top: 10px;\n                right: 10px;\n                width: 30px;\n                height: 30px;\n                border: none;\n                background: #FFF;\n                color: #000;\n                border-radius: 50%;\n                font-size: 20px;\n                cursor: pointer;\n                z-index: 100001;\n                display: flex;\n                align-items: center;\n                justify-content: center;\n                transition: all 0.3s ease;\n            }\n            \n            .ds-modal-close:hover {\n                background-color: #396CF0;\n                color: #fff;\n            }\n            \n            .ds-modal-body {\n                height: 100%;\n            }\n            \n            .ds-iframe {\n                width: 100%;\n                height: 100%;\n                border: none;\n                border-radius: 15px;\n            }\n            \n            \/* Responsive *\/\n            @media (max-width: 1024px) {\n                .ds-wrapper-c656bff .ds-slide {\n                    flex: 0 0 calc(50% - 20px);\n                }\n            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When we reach a certain age we begin to experience that our body does not respond as it used to and that the strength&#8230;<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-8153","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"http:\/\/protesispene.com\/en\/wp-json\/wp\/v2\/pages\/8153","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/protesispene.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/protesispene.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/protesispene.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"http:\/\/protesispene.com\/en\/wp-json\/wp\/v2\/comments?post=8153"}],"version-history":[{"count":1,"href":"http:\/\/protesispene.com\/en\/wp-json\/wp\/v2\/pages\/8153\/revisions"}],"predecessor-version":[{"id":8772,"href":"http:\/\/protesispene.com\/en\/wp-json\/wp\/v2\/pages\/8153\/revisions\/8772"}],"wp:attachment":[{"href":"http:\/\/protesispene.com\/en\/wp-json\/wp\/v2\/media?parent=8153"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}