Common Specialities
Common Issues
Common Treatments


Erectile Dysfunction - Treatment, Procedure And Side Effects

What is the treatment?

When a male faces problems with getting or continuing to keep an erection during sexual intercourse, he may be suffering from erectile dysfunction (ED). ED may result because of an underlying health issue such as heart disease, thus the problem should be discussed with a doctor as soon as possible.

As per the causes and extent of the problem the doctor will recommend a type of treatment which may include oral medication, penis pumps, penile implantation and even surgery. Psychological counseling is recommended to men who are suffering from stress and anxiety. Low self-esteem may also lead to ED. Counseling effectively helps men solve their mental health issues and overcome ED.

Oral medication may include drugs like Viagra, Cialis, Stendra, and Levitra, which enhance the nitric oxide effect in the body, thus improving blood flow in the penis. The dosage of the medicines will vary from individual to individual. These medicines do not aid in immediate erection, as they aren’t aphrodisiacs. Some form of sexual stimulation is necessary to trigger the release of nitric oxide and cause an erection.

Self-injections and Muse therapy, as well as testosterone replacement options, can also be suggested by doctors.

How is the treatment done?

In the case of Muse therapy, a special applicator is used to insert a small alprostadil suppository into the penile urethra. This should be inserted into the penis before intercourse. It takes about 10 minutes for the medicine to do its work and the erection may last from 30 minutes to 60 minutes.

Testosterone replacement treatment is recommended for men who suffer from ED because of low levels of testosterone. The replacement of testosterone is generally done through injection or application of a patch. It may also be taken in gel or gum form.

A penis pump, which is also known as a vacuum erection device is situated just over the penis. The hollow tube is generally battery powered or hand powered. Once the pump is placed it removes the air from inside the device, creating a vacuum that triggers blood flow to the penis resulting in an erection. A tension ring is then placed at the penis base to keep the erection in place. The ring should be removed once intercourse is done.

Penile implantation is done through a surgical procedure in which the implants are located on two sides of a man’s penis. The implants may either be inflatable rods or semi-rigid rods. This form of treatment is very rare and is done only after other types of ED treatment have failed.

Who is eligible for the treatment? (When is the treatment done?)

Erectile dysfunction can affect men at any age. Usually, older men tend to face this problem more than younger men. Men of all age can seek treatment for ED.

The treatment for ED generally depends on the diagnosis and will vary from individual to individual.

Who is not eligible for the treatment?

Depending on the health and certain other factors a doctor will advise a certain form of treatment to cure ED. While a type of treatment like oral medication may work for one patient, another may require a surgery.

Are there any side effects?

Treatment for ED is safe, but there may be few side effects such as:

  • Oral medication can lead to headaches, backache, changes in vision and stomach problems.
  • Self-injections can result in pain around the area where the needle is injected, bleeding and development of fibrous tissue around the injected area.
  • Side effects of muse therapy include slight urethral bleeding, pain and fibrous tissue formation.
  • Surgery as a treatment for ED is very rare and can lead to severe complications like infection.

What are the post-treatment guidelines?

Post-treatment patients generally are asked to make changes to their lifestyle. This includes a balanced diet and regular exercise. They are advised to quit smoking and reduce intake of alcohol.

How long does it take to recover?

Treatment for ED is generally in the form of oral medication which needs to be taken according to prescribed guidelines. Recovery after penile surgery takes about 2 to 4 weeks. One can resume sexual activity in about 6 weeks’ time.

In the case of ED due to stress or anxiety, individuals seek psychotherapy and recovery as and when they distress and learn to relax.

What is the price of the treatment in India?

The cost of treating ED varies upon the kind of treatment one is seeking. It generally ranges from Rs 25,000 to 40,000 and even more in some cases.

Are the results of the treatment permanent?

While effects of surgery and penile implants may be permanent, oral medication needs to be taken as and when a male who suffers from ED wants to indulge in intercourse.

What are the alternatives to the treatment?

A number of alternative treatment for ED are also available. These include:

  • Nutritional supplements
  • Herbal medication
  • Acupuncture
  • Group therapy
Safety: High Effectiveness: High Timeliness: Low Relative Risk: Low Side Effects: Low Recovery Time: Medium Price Range: Rs. 25000 - Rs. 40000

Popular Health Tips

Protecting Penis Skin From The Signs Of Aging

MD - General Medicine
Sexologist, Delhi
Protecting Penis Skin From The Signs Of Aging

Protecting Penis Skin From the Signs of Aging

As we get older, it's the most delicate parts of our bodies that first announce the advancing years - on the face, for instance, laugh lines appear next to the eyes and mouth. The back of the hands become looser and sometimes spotted. The neck gets a little looser too, and winds up covered with wrinkles. All this happens where the skin is most delicate and most prone to the signs of aging. But many men are surprised to learn that even the best penis care can't protect the delicate skin of the penis from all the signs of aging, and that wrinkles, stretch marks and the like can appear on the equipment as the years go by.

Fighting the signs of aging on penis skin

The good news is that with a little proactive attention, a guy might be able to slow the signs of aging and leave his penis skin looking younger than the rest of him. Here's how.

1) As a guy gains weight over the years, his penis begins to look much smaller. It's not really smaller, of course - it just looks that way because the fat pad above it begins to cover the penis and surrounding area, thus taking away inches from the look of the manhood. This sign of aging is all too common, as many men have the 'beer gut' that leads to this small penis illusion. The best way to fight this common sign of aging is to lose weight, especially around the middle.

2) Changes in testosterone levels as a man gets older can lead to serious signs of aging in the form of erectile dysfunction. Though many men continue to be ready and raring to go into their elder years, many men wind up going the opposite direction and suffering from a variety of problems when trying to get it up. Unfortunately, there is little a man can do about his naturally dropping testosterone levels, but there are medications out there that can help eradicate this particular aging issue.

3) Loss of sensitivity is a big complaint as men get older. It makes sense - over time, the delicate penis skin suffers from a variety of insults, from minor irritations to simple friction of rubbing against underwear to sometimes more serious issues, such as infections. As penis sensation begins to waver, it's important for a man to step up his penis care regimen, including the use of a good penis health crème. This can help preserve sensation and perhaps bring back a bit of what was lost.

4) Issues with blood flow can lead to signs of aging in the penis as well. How does this work? Because the penis is dependent upon excellent blood flow to get and maintain an erection, a guy who has problems with his cardiovascular system might notice that his erections aren't as hard, or they don't last nearly as long as they used to. He might also notice that the penis color has changed a bit, from a vivid and healthy reddish color to more of a pink - still healthy, but definitely a sign that there isn't as much blood flow. To remedy this, a guy should watch his diet, keep his weight in check, exercise regularly and get to the doctor to check out any problems.

When it comes to the wrinkles, age spots and other skin issues that come along with aging, a man can help keep those at bay with the right penis care products. One must-have product is a specially formulated penis health crème (health professionals recommend Man 1 Man Oil, which is clinically proven mild and safe for skin). He should look specifically for a crème that contains vitamin A, which fights against odor, as well as vitamin B5, which is great for keeping skin looking young and healthy. Other vitamins, such as E, D and C, can go a long way toward keeping penis skin as healthy as possible.

2 people found this helpful

Common Sexual Fears In Men!

MBBS Bachelor of Medicine and Bachelor of Surgery, Fellow of The Royal Society of Health, Certification In Sexologist
Sexologist, Delhi
Common Sexual Fears In Men!

Men, as confident as they may seem, also live with many fears and anxieties related to sex and sexuality.

Here are 4 common sex fears among men.

1. Fear about impotency

One of the most common sexual fears among men is the fear of impotency. Men fear the consequences of impotency so much so that it leads to psychological impotency, if not biological. The fear of not being able to have an erection mostly comes from anxiety. Thinking too much about not being able to perform well in the bed has been the cause of most cases of impotency. In the case of biological impotence, the problem can be addressed through medications; however psychogenic impotency can be treated only by counseling and reassurance by trained sexual therapist or consultant. Also, understanding and support from the spouse or partner are highly warranted.

Sometimes men may require multiple sessions with a sexual counselor.

2. Fear of premature ejaculation:

Another common fear associated with sex in men is the fear of premature ejaculation. The cause is mostly self-imposed and psychological. Anxiety, fear and over thinking may lead to premature ejaculation and low self-confidence regarding performance in bed. Trying to use the counter drugs, sprays, etc may not work sometimes. The treatment needs to be comprehensive. Many times it needs psychological assistance, some exercises / techniques may help. Any medical assistance or counseling with an experienced sexologist will be helpful require.

3. Performance anxiety:

Fear of performance in the bed that they won't be able to perform well enough in bed can also lead to erectile dysfunction in men. It is a very common issue among men that they have to deal with. This fear may arise as a result of prior negative experiences or anxiety. Stress can also lead to erectile dysfunction and result in a fear of performance. In most men, the fear can be decreased by reassurance by the partner and self-realization that this is a usual issue with men. Talking with the partner and a consultation with a sexual counselor will surely help.

4. Physical attributes:

Being overweight or too skinny, having a small or curved penis and several other insecurities related to their physical appearance may act as a common cause of sexual fears in men. Such an imperfect body may make men think that they won't be able to perform well enough in bed or worse that they may be rejected altogether by their partner. This leads to anxiety and prevents them from taking the leap and daring to propose sex at all.

8 people found this helpful

Magical Multiple Orgasms - The Trick Behind The Elusive Male Double O

MD - General Medicine
Sexologist, Delhi
Magical Multiple Orgasms - The Trick Behind The Elusive Male Double O

Magical Multiple Orgasms - The Trick Behind the Elusive Male Double O

Achieving the big O is the ultimate goal for any sexual encounter, one that most men and woman are able to achieve on a semi-regular basis. A lucky few are even able to capture the ever elusive multiple orgasm. Sadly for the men of the world, this feat is much easier achieved by women, than by men. Learn why one's biology plays a role in being able to climax two or more times and how men can up their chances by maintaining a healthy penis.

The Biology of an Orgasm

When a man (or a woman) orgasms, there is a release of hormones, tension and bodily fluids. Famous sex researcher Alfred Kinsey once likened an orgasm to a sneeze - of the genitals, that is! After orgasm has been achieved, there is a period of time known as the refractory period, which is essentially a recovery period for the body. A man's refractory period can last for as little as 20 minutes - for men who are young and healthy - and up to an hour or more for older men. Men who are much older, suffer from erectile dysfunction, or have other health issues may have an indefinite refractory period - meaning they are only able to orgasm once a day - no matter how hard they try for a second. During the male refractory period, his body is virtually unresponsive, no amount of rubbing, pulling, or tugging will get him hard again - let alone lead to orgasm. A woman, on the other hand, has virtually no refractory period. She can be ready to go as soon as she catches her breath, or even sooner! It seems basic biological differences that exist between men and women are responsible for the difference in their recovery time - neurotransmitters, hormones and differences in nerve endings all influence one's refractory period.

So are men out of luck?

Well, in terms of having back-to-back, continuous full-blown orgasms, men may be out of luck. However, there are some techniques that a man can try which will help him get as close to multiple orgasm as possible. By practicing tantric sex techniques, a man can slowly learn how to control his orgasm so that he can experience the beginning orgasmic contractions without going over the edge into a full-blown release. Those who practice tantric sex learn, with practice, to separate orgasm from ejaculation, so that they can extend their sexual experience for a longer period of time. The technique is not easy to master - and will likely lead to several near misses - but with continued work, a man and his partner can becomes experts at this sizzling technique.

How is it done?

One of the basic techniques involves squeezing the pubococcygeal muscles (PC), the muscles can be located by stopping the flow of urine. To strengthen the muscles in preparation for tantric sex, a man should contract the muscles 20 to 25 times, 3 times a day - holding each contraction for about 3 seconds and working up to 10 seconds as the muscles get stronger. These same muscles are later employed during tantric sex, to achieved prolonged orgasms. Essentially, a man has sex as usual but as he feels himself nearing climax, he contracts the PC muscles, takes deep breaths and stops the action until the feeling subsides. He can continue doing this as he grows nearer to orgasm, and if he contracts the PC muscles at the correct time, he can experience the sensations of an orgasm without ejaculation. A man can carry on in this manner as long as he likes until he decides to let go, and fully climax.

Keeping the penis healthy

Naturally, for a man to engage in hours of sex he is going to need a healthy manhood. Not only should he be physically fit -- as a strong heart and healthy circulation can translate into a strong erection -- he needs the penis itself to be healthy. Daily use of a penis vitamin formula (health professionals recommend Man 1 Man Oil) can help keep the penis sex-ready at all time. A penis vitamin lotion can help improve circulation, revitalize the health of the penis, and soothe itchy, irritated skin - which may not be a problem now, but can crop up from too much tantric sex. What a problem to have!

1 person found this helpful

Best ED Cures - How To Super Charge Your Sex Life?

MD - General Medicine
Sexologist, Delhi
Best ED Cures - How To Super Charge Your Sex Life?

Best ED Cures - How To Super Charge Your Sex Life

Many men are still reluctant or embarrassed to discuss sexual issues with their doctor. As a result, they don't get the right help that could resolve their problem with ED. Oral medications are a successful ED treatment for many men but the best ED cures are often natural treatments as they offer a more permanent solution.

The great news for men is that ED also known as erectile dysfunction or impotence can be treated at any age. There are many factors to take into account when deciding which treatment is best for you. Treatment options will depend on any current health issues and the underlying cause of the problem. Your partner may also play a role in deciding which is the best treatment choice for your condition.

Pills for Erections

While erection pills are the most well known treatment for ED they are not necessarily the most effective. These include: Viagra, Cialis and Levitra. All three medications work in a similar way. These drugs enhance the effects of nitric oxide, a natural chemical that relaxes muscles in the manhood. This increases blood flow and allows men to get a satisfactory erection.

ED drugs have been linked to some health issues. Some side effects include, blurred vision, headache and nasal congestion.

Vacuum Pumps

A vacuum pump is another treatment method for ED. A clear plastic tube is connected to a pump, which is either operated by batteries or hand held. Despite any side effects, vacuum pumps can work for some men.

Penile Implants

This is a medical device implanted into the penis. This can offer a permanent solution for erectile dysfunction issues. Although many procedures are successful, meaning the implants produce erections suitable for intercourse, no surgery is free of possible future complications.

Lifestyle Choices

There have been links between ED and natural lifestyle choices. A better lifestyle may be all you need to achieve stronger erections naturally. Making healthy changes from day-to-day can not only make you feel healthier but can also significantly improve the quality of your erections. Changes can include things such as reducing body weight and changing the diet. It is beneficial to reduce sugar, cut the fat out of your diet and yes your mother was right, eat your fruits and veggies.

It is very important to also manage stress levels. Even the slightest amount of stress can kill an erection because adrenaline is what keeps the manhood flaccid.

Lack of exercise is a common problem for men suffering with ED. Increasing physical exercise has been shown to help ED and prevent it from occurring again in the future.

Best ED Cures for Erectile Dysfunction

There are many options that are cheaper and may be more effective than using erection pills. Besides the standard treatments you may want to try a natural remedy as an alternative treatment. There are a host of natural ED cures and it is possible to learn some safe and effective home remedies to improve erections naturally. These remedies can provide some excellent results for men and can also improve overall health.

Natural remedies are a safe alternative for the treatment of erectile dysfunction and have no side effects. This issue can be highly distressing for men and their partners and these days more men are opting for a natural solution. Homeopathy, vitamins, super foods, penis exercises and herbal remedies can provide excellent results for a wide range of problems related to ED.

Men should consider all available options when looking for ways to manage erectile problems and seek professional help about the risks and benefits of both conventional and natural remedies for erectile dysfunction.

6 people found this helpful

How To Cure Erectile Dysfunction? - A Safe Alternative To Erection Drugs

MD - General Medicine
Sexologist, Delhi
How To Cure Erectile Dysfunction? - A Safe Alternative To Erection Drugs

How To Cure Erectile Dysfunction? - A Safe Alternative To Erection Drugs

If you are looking to cure erectile dysfunction, this article will offer a comprehensive overview and will cover the causes and treatment of male sexual dysfunction.

A lot of men are fine when it comes to achieving an erection but there will be times when things do not go down so well. The erection may not be as hard or long lasting as you desire. Getting an erection is actually a complex procedure. We talk about some natural remedies to make sure that your manhood doesn't let you down when it matters most.

Erectile dysfunction, also known as ED or impotence, is the inability to obtain a satisfactory erection for sexual activity. It tends to be more common in men over 65, but it can occur at any age. It is also treatable at any age.

Most of the time, erectile dysfunction is caused by poor circulation, which can be brought on by smoking, hypertension or high cholesterol. Smoking or excessive alcohol can damage the blood vessels and reduce circulation. Blood flow must not be restricted in any way in order for erections to occur.

There are a number of treatment options for erectile dysfunction including:

• Oral erection pills 
• Pumps 

Taking steps to improve the blood circulation in your body can help men to successfully treat this sexual issue. Mentioned below are some of the best ways to increase blood circulation if you are interested in a more natural route and want to avoid the side effects of the methods mentioned above. Natural cures for erectile dysfunction are proving to be more effective than taking Viagra as they actually treat the root cause of the problem.

Improve Circulation to Cure Erectile Dysfunction

Your lifestyle has a huge impact on your circulation and overall health. Making simple changes to your lifestyle such as exercise, healthy eating, not smoking, and managing stress can significantly boost circulation in your body. There are many other natural remedies that can boost circulation levels. Here are four natural remedies that are used to treat this issue based on natural cures and herbal products.

Remedies To Cure Erectile Dysfunction

Having food to tackle this sexual issue can help you deal with this problem naturally. To treat, drink enough water daily. Eating the right foods in your diet is essential to a healthy sex life. Some fruits and vegetables are rich in antioxidants and these can improve the quality of your erections by increasing the blood flow to the manhood. When it comes to cutting out food, most that are bad for your heart, are bad for your member too because blood circulation is restricted. It is advisable to stay away from junk and processed foods. Fast foods are full of fat and cholesterol that can affect blood flow.

The mineral Zinc plays a very important role in men's sexual health. It can be taken as a supplement and can treat erection problems more effectively than using erection pills. Zinc like many supplements can be found in your daily diet and these include:

  • Nuts 
  • Eggs 
  • Pulses 
  • Fish 
  • Meat

The herb ginkgo is widely used as a cure for erectile dysfunction and is a natural sex booster. It relaxes the muscles and can enhance blood flow to the penis so is a great remedy for those seeking to improve their sex lives.

Penile Exercises 
Kegel exercises work effectively for exercising the muscles of the pelvic region. They help men gain better control as well as improving the quality of erections naturally.

1 person found this helpful

Popular Questions & Answers

I have erectile dysfunction, I could’t to develop or maintain an erection of the penis during sexual activity. Also my penis size is small. Could you please help me with this - Increase the erection of the penis and size of the penis?

BAMS, PG-Diploma In (Cosmetology & Laser Therapy)
Ayurveda, Kolhapur
To increase the size you can use vacuum pump therapy along with Tab Big penis daily once at night to maintain erection you have to improve your foreplay timing and use penis ring with jelly.

Actually I want to talk about erection problems This problem make me frustrate 24*7 I am in problem from last 3 years.

MBBS, DIiploma in Yoga and Ayurveda, Diploma In Dermatology And Venerology And Leprosy (DDVL), PGDPC
Sexologist, Pune
Yes lybrate-user you can get the right tips and tricks and advice treatment medicines alternative therapies and diet exercises approach etc All on the phone or in person Etc personally.

I have erection problem. I masturbate daily. Some times 2-3 times in a day. I have to get hard erection back.

MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Hello dear Lybrate user, Warm welcome to I have evaluated your query thoroughly. Once you stop practise of 3 masturbations per day for 6 months, then you will observe the results on your own. Hope this clears your query. Wishing you fine recovery. Welcome for any further assistance at my private URL Regards take care.

My name is sarath. It has been quite that I was suffering from erectile dysfunction.

Homeopath, Ahmedabad
Homeopathic treatment is best for erectile dysfunction. Like caladium, titanium, yohibium,Angus casts. Avoid stress, and exercise regular and yoga is very helpful to you.
1 person found this helpful

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?