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Overview

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

Erectile Dysfunction - How Can This Problem Be Treated?

MBBS, MS - General Surgery, Fellowship of Indian Association of Gastrointestinal Endo Surgeons (FIAGES)
General Surgeon, Meerut
Erectile Dysfunction - How Can This Problem Be Treated?

Erectile Dysfunction refers to the inability to get an erection and keep it firm enough for indulging in sexual intercourse. Having trouble to get an erection from time to time is not really a serious situation but if it tends to persist for quite some time, then it can lead to stress, impact one’s self-confidence, hence affect relationships. Facing this problem can also be a sign for health condition, which might be an underlying problem that requires treatment.

Details about Erectile Dysfucntion

Some of the details about Erectile Dysfunction that people must be aware of. They include:

  • A study reveals that 50% of men lying in the age group of 40-70 years have some sort of Erectile Dysfunction.

  • This particular problem often tends to get ignored by men as it is not a life threatening one.

  • Men avoid taking medical help; hence prolong this problem as they see the condition as a stigma.

Causes behind the Problem

Some of the major problems that lead to Erectile Dysfunction include:

  • Lifestyle: If one leads a lifestyle where there is too much of smoking, drinking as well as drug abuse, then there is every chance of developing this problem. Gaining weight and less physical activity can also contribute heavily towards the problem.

  • Injuries and DiseasesBrain injuries and diseases like diabetes, cardiovascular problems, atherosclerosis can all cause the problem of Erectile Dysfunction.

  • Medication: Certain medicines prescribed for blood pressure along with some antidepressants and tranquilizers can lead to the problem.

Treatments

Treatments for prostate cancer, bladder cancer can damage nerves and blood vessels close to the penis, hence leading to the problem.

How to treat this problem of Erectile Dysfunction?

The problem of Erectile Dysfunction can be treated at any age. The treatment methods include:

  • Drugs like α2 receptor antagonist

  • PDE5 Inhibitors

  • Prostaglandin E1

There are some natural ways through which this problem can also get treated. Those include:

  • Bringing forth some modifications in behavior

  • Getting rid of harmful habits like smoking and drinking

  • Carry out sexual tasks in a structured manner

  • Psychotherapy

  • Consultations with doctor

  • Patient and partner Education

In case you have a concern or query you can always consult an expert & get answers to your questions!

792 people found this helpful

Erectile Dysfunction- Causes, Symptoms and Treatment!

Fellowship in Reproductive Medicine, MS - Obstetrics and Gynaecology, MBBS
IVF Specialist, Ghaziabad
Erectile Dysfunction- Causes, Symptoms and Treatment!

A few physical conditions can render intense mental distress as well, and one such condition is Erectile Dysfunction in men. A majority of the men facing the problem feel uncomfortable disclosing the problem of erectile dysfunction. Affecting more than 30 million men worldwide, ED or erectile dysfunction continues to damage their sexual life. However, this condition is very much treatable and nothing at all to hide or embarrassed about.

How can you know that you have erectile dysfunction?
Erectile dysfunction refers to a man's failure of having a firm erection for having sexual intercourse. Problems with having an erection are nothing uncommon and are experienced by men half of the time. But when this male sexual problem becomes extremely frequent, then it is termed as erectile dysfunction.

The symptoms caused by erectile dysfunction can vary from one person to another. However, some of the common symptoms that can make one certain that he may be suffering from ED are reduced interest in intercourse or sex, facing difficulty in getting a firm erection and trouble in maintaining the erection for long during different sexual activities. Apart from these, some sexual disorders like delayed ejaculation or premature ejaculation and inability to achieve an orgasm, even after enough stimulation are some its symptoms too.

What causes Erectile Dysfunction?
When it comes to the causes of erectile dysfunction, there is a variety of them. For every different individual, the factors making him suffer from erectile dysfunction can be different. Some of the very common causes of erectile dysfunction are, suffering from hypertension, anxiety due to relationship problems, alcohol or drug use, excessive stress, cardiovascular disease, being overweight, any injury or damage due to cancer or any kind of surgery etc. It is not necessary that any one cause to be responsible behind ED, several factors can also cause erectile dysfunction.

Treatment options-
Depending on the underlying cause of erectile dysfunction, there are various treatment options available. From different oral medications to implants or surgeries, psychological counseling, various treatments are now available for treating erectile dysfunction. There are even different erection creating device and exercises that can put an end to erection dysfunction. There are also penile implants and alternative medications available. However, one must look for the guidance of a medical professional before opting for any of the treatment options. Because it is only a medical professional who can analyze the condition of ED, find out the exact cause behind it and suggest the best treatment that can help one in dealing with this condition.

Experiencing trouble in erection from time to time is nothing to be concerned about. However, when this condition turns into an ongoing one that happens every time one feels interested in intercourse or is sexually aroused, then the person should not hesitate anymore in seeking a consultation with a doctor. In case you have a concern or query you can always consult an expert & get answers to your questions!

3060 people found this helpful

Erectile Dysfunction - Factors That Put You At Risk!

MCh Urology, DNB Urology, MS-General Surgery, MBBS, Diploma In Laproscopy & Urology, Basic & Advance Robotic Urology Training
Urologist, Delhi
Erectile Dysfunction - Factors That Put You At Risk!

If a survey is done for the most common male sexual problem, the outcome would be erectile dysfunction. Commonly referred to as ED, it is a major problem for the male but it can be treated in simple ways.
By definition, ED is the repeated inability of a male to achieve and/or maintain an erection for a healthy and satisfying sexual relationship. The key word here is “repeated” as a quicker erection or softer erection is very common in many men, which could be a one-off instance and caused by transient factors like stress or lack of sleep. When this happens repeatedly, then it needs attention.

Symtoms: Erectile dysfunction is when:

  1. Erection is too soft, not allowing for sufficient penetration and prolonged intercourse
  2. Erection duration is very short
  3. There is difficulty in arousal

Risk factors: ED has been noted to be commonly seen in people, who have following behaviours:

  1. Smoking
  2. Obesity
  3. Advanced age (>60 years)
  4. Excessive alcohol abuse
  5. Sedentary lifestyle with no exercise
  6. History of diabetes
  7. Hypertension
  8. Atherosclerosis
  9. History of groin surgical procedures for prostate, bladder, etc.

Causes: ED has both physiological and psychological reasons.

  • Most common psychological reasons are strained relationships, performance anxiety, and other life stressors.
  • Physical causes include reduced hormone levels and other chronic medical conditions like obesity, diabetes, and hypertension.

Diagnosis: While ED is easy to diagnose medically, the truth is that not many would be forthcoming for a diagnosis. Given that this issue could be a jolt to the “manhood,” it is often not brought out in the open for discussion. Once that is done, the following steps can help in diagnosis.

  1. Medical history and specifically sexual history
  2. Check for genital abnormalities
  3. Blood testosterone levels
  4. Other vitals including blood pressure, sugar, and cholesterol levels to identify overall health

Management:

  1. Sexual counseling involving the couple. Once they open up and get comfortable, the problem vanishes. Performance anxiety which is a major cause is taken care of, and ED is no longer an issue. Aligning the couple’s expectations also is very essential.
  2. Hormone supplements, both locally applied and taken into the system, help to a great extent
  3. Lifestyle changes like quitting smoking, moderating alcohol abuse, healthy eating habits, and moving away from sedentary lifestyle helps treat ED
  4. Medicines like Viagra are very useful for occasional cases of erectile dysfunction

As a last resort, there are advanced options like pumps, vacuum devices, implants, and surgical options, and implants. These are often not required, as in most cases, sexual counseling and hormone therapy help in managing ED. If you wish to discuss about any specific problem, you can ask a free question.

2592 people found this helpful

Causes and Role of Counselling in Treating Diabetes and Erectile Dysfunction

MBBS, Diploma in Diabetology, DDM, CCACCD
Diabetologist, Mumbai
Causes and Role of Counselling in Treating Diabetes and Erectile Dysfunction

Diabetic men usually are prone to suffering from erectile dysfunction, i.e., they are unable to maintain an erection while having sex. If you are suffering from diabetes for a long time, your nerves and blood vessel might get damaged. That will cause you to suffer from erectile dysfunction. Almost 35% to 75% diabetic men suffer from erectile dysfunction. This situation becomes more serious with age.

Causes: It involves various factors like impairment in the nerves, blood vessels, and also cause problems in proper muscle functioning. You need healthy blood vessels, nerves, as well as healthy male hormones and sexual desire to get an erection. Diabetes damages the nerves and blood vessels responsible for an erection. So even if you have the required amount of hormones and the desire, you might not be able to get a proper erection.

Treatment: If you are suffering from diabetes, and have a condition of erectile dysfunction, then the most common treatment for you is Sildenafil. Other medications, which you can take are tadalafil, avanafil, and vardenafil. But keep in mind that if you have any heart problems, then you should refrain from taking any of these medicines as they will further complicate situations for you. Consult your doctor in this case to know which will be the best treatment for you to cure erectile dysfunction. Other treatment methods are as follows:

  1. Intracavernous injection therapy
  2. Vacuum erection devices
  3. Venous constriction device
  4. Intraurethral therapy
  5. Penile prostheses

The dosage of these medicines depends upon weight of the patient as well as presence or absence of other co-morbid conditions like hypertension, dyslipidemia, cardiac problems, kidney/liver diseases, etc. Prescription of these medicines also depends on the other medications that the patient is taking as these ED medicines have a lot of adverse drug-interactions. Hence, one must always consult a doctor before starting these medications.

The Role of Counselling for Treating Erectile Dysfunction:

Erectile dysfunction can be caused by psychological factors and once a man experiences erectile dysfunction it can have a major impact on their emotional well-being. A man may feel a loss of manhood, a loss of confidence, low self-esteem, angry and depressed and it may also affect his relationship or sexual encounters. Therefore, counselling is a crucial part of treatment in order to address these issues.
Does psychosexual counselling work?

Psychosexual counselling is most effective when a man's sexual partner is willing to be part of the treatment. Studies have shown that for men with stress-related ED, when the partner is involved in the therapy, the problem is resolved 50%-70% of the time. When the man must go through counselling alone, the results are less successful.

Psychosexual counselling is unlikely to work if a man drops out of treatment after just one or two sessions.

Sometimes, several sessions of psychosexual counselling can be helpful if a man is due to receive medical or surgical treatment for ED. A counsellor can help guide a couple towards agreeing on treatment, or help them improve their sexual communication and lovemaking skills. A man may benefit from counselling on his own regarding how to talk to his partner about penile injections or a vacuum constriction device, which are both treatments for ED. If you wish to discuss about any specific problem, you can consult a doctor.

4717 people found this helpful

6 Common Sleep Disorders in Children

MBBS, MD - Paediatrics
Pediatrician, Varanasi
6 Common Sleep Disorders in Children

Sleep is the most important aspect for a healthy beign, but for kids it is of utmost priority. Lack of sleep can often have a negative impact on the brain funtioning of kids along with accidents. Listed below are the major sleep disorders in children along with their causative factors:

1. Sleepwalking: It is not uncommon for children under the age of 10 to sleep walk. Despite being harmless on its own, the effects of sleep walking can be dangerous such as stepping outdoors or hurting themselves during sleep. If the child runs into objects while sleep walking, they might wake up and hence further worsen the situation.
2. Nightmares: They might be general or result from Post-Traumatic Stress Disorder. Nightmares, if frequent, can make falling asleep a tedious task. Nightmares in children are common and they usually begin to reduce in frequency by 9 years of age.
3. Obstructive sleep apnea: Snoring might be the result of improper respiration while sleeping and while it isn’t a cause of worry, regular snoring might lead to insufficient oxygen during sleep, thus making shut eye a challenge. It might be hereditary or the result of a deviated nasal septum or blocked nose. The snoring might hamper the quality of sleep.
4. Bedwetting: This is something most children experience, but usually grow out of by the time they turn six. It doesn’t need to be a cause of concern unless the frequency doesn’t reduce over time and more than two instances of bedwetting take place in a week.
5. Insomnia in children: It can be due to a host of factors and coping with changes to their normal lifestyle is one of the biggest triggers. Mental disorders such as anxiety and stress due to a variety of reasons (like the death of a loved one) may also be the cause of distress and lead to troubled or incomplete sleep.
6. Excessive daytime sleepiness: Excess naps throughout the day, always feeling lethargic or experiencing trouble waking up in the morning may be symptomatic of EDS. It isn’t uncommon in adults either wherein despite apparent proper sleep; energy levels seem to be low throughout the day. If you wish to discuss about any specific problem, you can consult a doctor.

3718 people found this helpful

Popular Questions & Answers

I'm 50 years male diabetic since a few months my penis is not getting an erection. Please describe a medication. Type 2 diabetes.

MBBS, MS - General Surgery, Fellowship of Indian Association of Gastrointestinal Endo Surgeons (FIAGES)
General Surgeon, Meerut
Diabetes and heart diseases might cause blockage of vessels leading to this problem, first you should be evaluated for any blockage if all is well you can take medicines.

I'm frm ap my age 22 I am suffering 5 years from hydrocele I'm doing very hard exercise daily. After 1 week my penis will be down and small not working. Now I hv to compete my hydrocele operation. My penis is now also small I'm K for marriage? K for sexual life? Penis is not erecting fully Wat I do suggest me plzz.

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery
General Surgeon, Ludhiana
Don't worry you are probably ok. You can have normal married life and kids. You need to show to a surgeon or urologist.
1 person found this helpful

Hi doctor, I used to do gyming and bcz of that I took steroids but now I am facing the problem of penis dysfunction my penis is not working properly because of that I am depressed please help me because I don't know what to do where to go. Please help me.

DPM, MBBS
Psychiatrist, Mumbai
Dear lybrate-user Would you please stop steroids and other such things immediately? Get to a good diet and if you are feeling low, you should see a psychiatrist also. That will help you to manage the anxiety that you are feeling right now. It is unlikely that you have suffered a permanent damage and most likely you should have enough sexual function soon.

I am 26 year old and I do not drink and smoke but my penis do not get erect at times when I am with my partner. Please suggest some medicine which do not have any harmful effects.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
Dear lybrate user. Please don’t panic. You must understand ERECTILE DYSFUNCTION. There is nothing called erectile dysfunction while having masturbation. Loosing erection in the initial stages of sex or not having erection at all or having late erection or lack of sexual desire are called erectile dysfunction. Erectile dysfunction can be a sign of a physical or psychological condition. It can cause stress, relationship strain, and low self-confidence. I suggest sex therapy.

I am taking ayurveda treatments from last 25 days. But till now my erectile dysfunction problem don't solved. Although my T level has increased. Pls Advice what to do.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
Dear lybrate user. Please don’t panic. You must understand ERECTILE DYSFUNCTION. There is nothing called erectile dysfunction while having masturbation. Loosing erection in the initial stages of sex or not having erection at all or having late erection or lack of sexual desire are called erectile dysfunction. Erectile dysfunction can be a sign of a physical or psychological condition. It can cause stress, relationship strain, and low self-confidence. I suggest sex therapy. The main symptom is a man's inability to get or keep an erection firm enough for sexual intercourse. Patients suffering from erectile dysfunction should first be evaluated for any underlying physical and psychological conditions. If treatment of the underlying conditions doesn't help, medications and assistive devices, such as pumps, can be prescribed. Yoga, meditation and diet could be prescribed once we know the basic reasons for it. Two natural treatments for ED that have shown promise are red ginseng and pomegranate juice. Ginseng is thought to increase nitric oxide production, leading to improved blood flow. Pomegranate juice is a potent antioxidant and can help too. Watermelon could also help. Psychological reasons usually get cleared with sex therapy. I suggest online sex therapy. Take care.
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?
Play video
Psychogenic Erectile Dysfunction
Hello,

I am doc Praveen tripathi. I am con psyc and sexual dis. Sp. Today we will talk about very common sexual problem which is ERECTILE DYSFYNCTION . So what is ERECTILE DYSFYNCTION . Inability to achieve erection or sustain erection is callErectile dysfynction as ERECTILE DYSFYNCTION . so the cases in which people do not have significant erection to have sexual intercourse or in other cases they able to have erection but they do not be able to sustain it. Loose erection midway between intercourses. So this condition is callErectile dysfynction ERECTILE DYSFYNCTION . This is most common disorders in males. So let s talk about causes of ERECTILE DYSFYNCTION . We can divide causes to 2 components. 1 is callErectile dysfynction organic so there may be problem with the blood vessels. We know erection happens when blood flows in the penis. And because of any reasons there is any disturbance in blood it will result in poor erection. Issue of long term hypertension or diabetes or you have been smoking for long time all these people are susceptible to development of ERECTILE DYSFYNCTION . The other abnormality which is usual seen in the abnormality in the nerve functioning. The nerves which are responsible for erection if there is some dysfunction in them because of again similar reason hypertension, injuries smoking. In these cases also ERECTILE DYSFYNCTION can be developErectile dysfynction . A 3rd cause which is primarily seen in younger individual is what we call psychogenic ERECTILE DYSFYNCTION . So what happens is if a person is trying to have sex and while attempting it say he is not able to do it. Now this thought place heavily on his mind. So when they try to do it next time so focusing on the act per say the star focusing on themselves and lot of thoughts keep rushing in to the mind.

Would I ll be able to do it? What my partner think of me? It would cause lot of embarrassment. All these thoughts can cause lot of anxiety in mind of the person and as the anxiety develops the person loses his erection this is callErectile dysfynction psychogenic ERECTILE DYSFYNCTION . So in order to differentiate and reach the dignostive conclusion usually we do couple of tests. So these tests include normal test, routine blood tests which tell liquid levels, sugar levels and other routine things we see in blood tests. Apart from that the hormones especially the testosterone levels because at time abnormality of hormones can also result in development of erectile problems. Thirdly we have very different test which is callErectile dysfynction penilel Doppler study. It s basically ultra sound which tells us about the blood flow in penile vessels or not. If you are able to find normal results in all these case we can say that the case is psychogenic. There is nothing wrong with the body its just the person is becoming anxious is responsible for the problem. Another crude indicator is history of morning erections. Normally men have morning erections. If you do not have morning erection for longer period of time again we have to look in to the causes that if there is problem with the blood flow or the nerve supply of the penis. Come to the treatment many a time people who have ERECTILE DYSFYNCTION keep on looking for the alternative ways of therapies. I have lots of patients who tell me I have been trying to eat dry fruits, I have been trying to certain fruits and vegetables but these things seldom help. As I said ERECTILE DYSFYNCTION is causErectile dysfynction by proper abnormality. I you want to treat it you have to take care of the abnormality. So the best treatment is m Erectile dysfunction medications which help in blood flow. Again as far as the mErectile dysfynction ication is concernErectile dysfynction we have certain over the counter pills available but I will strongly recommend against use of them because they have lot of side effect and if you are using pill every time before having sex you may become dependent on it. Rather than going for the shortcuts proper treatment is proper evaluation followErectile dysfunction by use of particular m Erectile dysfunction medicines. Finally please remember that the ERECTILE DYSFUNCTION is not only treating Erectile dysfunction with me Erectile dysfunction action but also with counselling and proper way of going about it is equally important. So if you are having this problem of if you know anybody whos is having this problem ask him to meet a doctor nearby asap.

Thank You.

Play video
Erectile Dysfunction
Here are types, causes and treatments of erectile dysfunction.

Hello viewers I am doctor Rahul Reddy. I am a microsurgical andrologist. I deal with the erectile dysfunction and male infertility and all men's problems. Today let us discuss about erectile dysfunction which is very common in all age groups.

So when there is a erectile dysfunction people get panic they visit sort of sexologists unqualified cracks and they get worried. See erectile dysfunction is of four types one the first one is psychological and second one is hormonal erectile dysfunction and third one is Vasogenie erectile dysfunction the fourth one is a neurological erectile dysfunction. So the first two like psychological erectile dysfunction and hormonal erectile dysfunction these are very easy to treat and it can be diagnosed by any urologist. Psychological erectile dysfunction is due to fear our performance anxiety, when a male tries to perform or how intercourse and if he fails he carries this fear to the next intercourse. Instead of going with excitement he is going with fear so obviously he fails. So if this gets carried away then he can never perform.



So most of the young males are they come to us they come to me with this these kind of problems. Generally these are the patients where we put them on medications to give them confidence. Once they perform normally with these medications they get confidence then after that they don't have to use this medications on a regular basis. Coming to second type of erectile dysfunction it is hormonal erectile dysfunction this is commonly seen in various of in young patient and as well as in old patients. Here when we talk about hormones the first hormone we discuss is testosterone. So why this hormone is on the lower side. Commonly the first common cause is lack of exercise.

Second one is stress at work. Third one is sedentary lifestyle and fourth one is lack of proper sleep. The twelve to five is a peak time for Hormone production. So if you are not in deep sleep in this time, then your Hormone production is not normal. Regularly work for 30 minutes a day and eat healthy food avoid junk food and third one you have to avoid anxiety and stress and fourth one you have to be properly sleep early in the night and wake up early morning. So if you maintain these things that testosterone levels will come to normal level and you see change in 15 to 20 days.

Then coming to third form of erectile dysfunction vasculagenic erectile dysfunction here the blood vessels inside the penis or are damaged so because of these damaged blood vessels the blood is not flowing properly into the penis. For what we advise these patients instead of treating the problem it's better to avoid the problem. So alcohol initial days it will give a boost later it will kill your erection. The same time people with high cholesterol have to avoid junk food, they have to regularly exercise, they have to maintain their cholesterol and triglycerides in the normal levels and when it comes the fourth one neurological erectile dysfunction this is very rare. This is commonly seen in patients who had spinal surgery and patients who had accidents so a spinal cord injury.

So if you have these problems just get your testosterone test done and visit a local urologist. Urologists are the right people to find out and treat these patients so ideally for an erectile dysfunction patient the cost of initial evaluation should not be more than six or seven thousand rupees. With the help of lybrate you can book my appointment. You can come to my clinic which is located in Jubilee Hills Hyderabad.
Play video
Erectile Dysfunction Due To Performance Anxiety
Physical intimacy is more than just a physical response. Your emotions have something to do with it, too.One of the effects of the stress hormones is to narrow blood vessels. Anxiety can take you out of the right mind-set for intimacy.
Play video
Ayurveda And Vajikarana Therapy
Hi,

I am doctor Yogesh Chandan. I am a sexologist. Today we will discuss about ayurveda and vajikarana therapy ayurveda is derived from two words ayur means life and Veda means knowledge. According to ayurveda body is made up of sapta dhatu raaz returns medh asthi majja and shukra and three dosha vaat pitt cough if all these Dhatu and doshas are in equilibrium stage then the person is considered healthy but if any depletion or aggravation of dosas or dhatu the person will manifest with diseases show the shukra dhatu is mainly responsible for male sexual health like libido sexual stamina good sperm quality.

If there is depletion of Shukra Dhatu then the mail will suffer from erectile dysfunction low sperm count loss of libido. To deal with these problems, we introduce vajikarana therapy it is one of the major branch of ashtang ayurveda vajikarana therapy deals with preparation which are aphrodisiac for us alternate lifestyle and herbs which will be beneficial for all male sexual problem vajikarana therapy increase your sexual life and strength now few tips for overcoming sexual problems consume herbal preparation for rejuvenate the reproductive organ daily herbal massage on your penile region sleep at least for 8 hours do yoga exercise meditation regularly avoid taking alcohol tobacco or drugs take a proper healthy diet.

Play video
Sexual Dysfunction In Males
Hi friends,

Main Dr. V Kumar life care clinic noida se bol raha hu.

Aur aaj mai kuch khas bimariyan jo sex se related hoti hain unke bare me batene ja raha hu.kyuki maine ye dekha hai prayah usually ye dekha hai jo bachhe mere pas ilaaj ke liye aate hain. unki marriage hone wali hoti hai aur wo kafi nervous hote hain ki unko impotence ho gaya hai ya unke erection ki problem agayi hai aur thik se kadapan unke ling me nahi aata. jisko le kar unko bhari tension rehti hai.aise me wo mere pas aate hain aur maine paya hai usme aur bahut sari situtation me ye bimari, bimari nahi ho kar ek dar aur khauf zada hai. kai bar kya hota hai bachhe jo naukari karte hain jinke pas time ki kami hoti hai to unke par job ka stress hota hai anxiety hai unke upar performance anxiety hai, unke targets hain unhe poora karna hota hai unki sleep poori nahi hoti hai aise me kya hota hai ki un bachho ko bahut pressure hota hai. aur ye jo bachhe hain jinki shadi hone wali hai . jo recently marreied hai to jab unke samne ye sthiti utpanna hoti hai to bahut pareshan hote hain. main ye kehna chahunga jo erectile dysfuction isme 70 % to aisa hai ki psychological apki problems apke dimag me ghumti hai aur 30% ye bimari kis chiz se judi hoti hai jais eabesity hai sharab hai alchohal hai smoking hai ya koi diabetes ki bimari hai ya koi aisi bimari hai jo penis pe hojati hai jiski wajah se circumcsision jaise karwana padta hai . aisi batein jiski wajah se pain hota hai. To kuch chize hain aisi hai jo ki local hain. Jise hum thik kar sakte hain. Aur kuch batein aisi hain jiske liye ilaaj lamba karna padta hai.. an ye dekhna zaroori hai ki kaunsa ilaaj isme hume kab karna hai. To sabse pehle smajhne ki zarurat hai my friends ki aap darein nahi bilkul. Hichke nahi aaiyye mere pas ya kisi bhi doc k paas jaiyye apni poori baat bataiyye aur dhyan poorvak bataiyye aur jaise ilaaj wo batate hain usko aap kariye aapko fayda aap thik ho jaenge.. isme sabse zaruri hai aap kitne apne man ko insab chizo se door rakhte hain. Kaise? Jaise ED ke bahut sare karan hote hain ki admi apne ap ko compare karta hai porn stars se wo watch karta hai porn film me. Wo samajhta hai ki mujhe bhi aise action karna chahiye.

Aur uski tayyari mein wo fail ho jata hai. Isi tarah wo kai bar excessive masturbation karta hai use kya hota hai ki wo chahta hai ki jitni jaldi ho sake ki mujhe jitni jaldi ho sake pleasure point aa jae isse kya hota hai ki uske dimag ka santulan kharab ho jata hai aur fir wo kya karta hai ki wo jaldi se jaldi nikalne ka uska mind set bilkul badal jata hai. Aur fir use lagta hai ki ye to main isko perform nahi kar paunga aur isse usko is tarah ki problem hoti hai. Ye aisi chhoti moti problem jo agar aap aaap thoda sa dhyan counseling me jaein ya kisi sexologist k pas jae doc k pas jaein physicial ke paas jaein to aapko deifinite fayda hoga aur aap thik ho jaenge. Islie aap chinta nahi kariye. You will be safe and fine. Ap agar iske bare me sochenge thoda dhyan denge to apka ilaaj ho jata hai. Ek baat isme or batana chahte hain. Agar apko ye bimari lag gayi hai ho gayi hai. Isme ghabraein nahi. Thoda sa samaya dein thoda sa relationship ko or ache se chalayein ke aap usko ek challenge le kar karein usko ek relationship ko lets go together get together kyuki agar aap sath sath chalet hain to aap agar sath sath chalet hain to usko jeet sakte hain. Jaise yah ape ye laga hua hai together e can together we can conquer. Andhera rasta hai aur lamba rasta jisme ki problem hai us problem ko bhi aap mutual understanding se thik kar sakte hain. To friends mai iske bare me apko apni video jab to mai apko aur bhi kuch jankariya dunga isse zada jo aur jaruri jankariya hain knowlodge information hai. Taki aap usko apne liye video me sun sakte hain bhej sakte hain aur use fayda utha sakte hain. Agli bari mai apko maturbation ke bare mein aur dusra premature ejaculation ke bare me bataenge aur aap uska fayda uthaenge aut mai asmajhta hu ki bahut sari situation me bina ilaaj k thik ho jaenge.

Thank you very much be happy and revive your health and happiness I am doc v kumar from life clinic nodia.
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