I am 24 years old male, i've been suffering from venous leak related erectile dysfunction for around 8 years, and I have mild varicocele in left side of scrotum. I don't have any other health problems and my testosterone levels are normal. But recently almost all the veins in my penis are visible outside even while its flaccid and i'm not able to receive any spontaneous erection, I can get an erection but its very weak and not sufficient for intercourse. Can anyone please tell me whether it's curable with or without surgery im really worried about the veiny appearance of my penis. Thank you.

Dr. Rahul GuptaSexologist14yrs exp

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Hello- Blood carries nutrients and essential blood cells to all parts of the body. Without blood, there can be no life, and without blood flow, there can be no erection. Some men lack proper blood flow in the penile tissues, causing a sudden-always unwanted-lack of erectile capacity. Most men who suffer from poor blood flow also combat venous leaks that prevent the penis from holding enough blood to power an erection. So why exactly does the penile veins remain open for blood to leak out? Well, aged arteries, scar tissue build up and damaged parasympathetic sexual nerves caused by masturbation are contributing factors for venous leaks. High cholesterol can cause plaque build-up that leads to aging arteries. While scar tissue, caused by penile pumps and abusive masturbation, damages the corpora cavernosa hindering the ability to pump blood. Abusive masturbation too can weaken the parasympathetic nerves charged with holding blood flow. If insufficient amount of blood is not pumped into the sponge tissues of penis chamber, it will not creat enough pressure to suppress the surrounding veins (Cavernosal Veins, Para-arterial Veins, & Emissary Veins), thus blood will draw out just like a failed missile launch. If looking for a permanent recovery then Ayurveda is the answer as, Alkaloids, flavonoids, mucilage, saponins, tannins and bioactive phenols found in the ayurvedic herbs improve erectile quality and can provide permanent recovery from Venous leakage induced erectile dysfunction. 

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