Common Specialities
{{speciality.keyWord}}
Common Issues
{{issue.keyWord}}
Common Treatments
{{treatment.keyWord}}

Overview

Erection Problems: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Treatment of erectile dysfunction depends on the cause. Oral pharmacotherapy and vacuum erection devices are first line treatments, which is followed by injections of drugs into the penis and penile implants. Oral medication includes Phosphodiesterase type 5 inhibitor, topical medication too can be applied. Extracorporeal shock wave therapy is a new treatment for erectile dysfunction that is non-drug, non-surgical and without any adverse side effects. Doctors generally take step-by-step approach for the treatment of erectile dysfunction.

How is the treatment done?

As the treatment is dependent on the cause which can be mental, physical or both, then the treatment becomes different for different causes. If a particular medicine is responsible for the creation of such condition then stopping to intake that medicine or trying a different medicine. Trying testosterone or other treatment to fix a hormone problem such as low testosterone. Trying pills like PDE-5 inhibitors such as sildenafil, tadalafil, vardenafil. Trying couseling sessions if psychological cause is suspected. Trying medicines that are injected or inserted into the penis. The drugs which can be injected into the penis are- papaverine, phentolamine, prostaglandin E1. Trying a vacuum device. A vacuum erection device helps to draw blood into the penis by applying negative pressure. A topical cream combining alprostadil with the permeation enhancer DDAIP has been approved in Canada as the first line treatment for erectile dysfunction. Trying penile implant surgery. As a last option, when other treatments have failed, the most common procedure is prosthetic implants which involves the insertion of artificial rods into the penis.

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

It becomes important to seek treatment if symptoms like regular or repeated inability to obtain or maintain an erection have escalated to a point where they are posing a problem. It is better to call for a doctor as soon as the symptoms are diagnosed by the patients.

Who is not eligible for the treatment?

Since some drugs have side effects which can seriously affect the patient’s health, it is suggested to seek a doctor’s help. People with cardiovascular disease should be alert using the drug Sildenafil. Patients who take nitrates are not eligible to use this drug. A patient is not eligible to take certain alpha blockers which are used to lower blood pressure and to treat enlarged prostate gland with PDE-5 because it may cause dangerous drop in blood pressure level. So, it is safe and healthy to consult a doctor.

Are there any side effects?

There are some side effects of using the drug for erectile dysfunction treatment- for example Tadalafil can cause headache, stomach discomfort or pain, indigestion, burping, acid reflux, muscle aches, flushing and stuffy or runny nose. These side effects actually reflect the ability of PDE 5 inhibition to cause vasodilation and generally goes away after few hours. Sildenafil can have some side effects which are headaches, flushed skin. Caution is advised for those who have cardiovascular diseases. It can also lead to prolonged erections which can be harmful for the penis and sudden on-set of hearing loss. This drug should not be taken by patients who take nitrates. There are some infrequent but serious side effects of vardenafil. Though rarely but it can cause heart attack. It can also cause priapism, edema, hypertension, tachycardia.

What are the post-treatment guidelines?

Some post treatment guidelines include maintaining a healthy diet, leading a healthy lifestyle through exercises and yogas and maintaining a better mental health.

How long does it take to recover?

If Erectile dysfunction is chronic, it can last for years or be life long. Erectile dysfunction can either be temporary or chronic depending on the underlying reason for dysfunction. Temporary causes include medications, excessive alcohol, mood, social factors, hormones and bicycling. Chronic causes include chronic diseases like diabetes, high blood pressure, obesity, heart disease and nerve injury.

What is the price of the treatment in India?

Cost of the treatment will depend on the cause leading to erectile dysfunction. Long term treatments will be costly compared to short term ones.

Are the results of the treatment permanent?

Permanency of the treatment depends on the factors causing erectile dysfunction. Temporary causes leading to ED can have permanent solutions but chronic causes take time to get cured and may or may not be permanent depending on the patient’s health.

What are the alternatives to the treatment?

There are some alternative treatments of erectile dysfunction. If erectile dysfunction is caused due to stress, then yoga and massage may help a patient. Some men use a form of massage called prostatic massage therapy where practitioners massage the tissues around a man’s groin to promote blood flow to his penis. Acupuncture may help psychological erectile dysfunction. A study has also shown that regular pelvis floor muscle exercises for about three months can improve penile function. After almost about six months the patients can gain back their normal erectile function. Healthy lifestyle habits may prevent erectile dysfunction. As it is related with the problems of blood flow, so maintaining blood vessel health through exercise and a healthy diet may help reduce the risk for erectile dysfunction.

Safety: High Effectiveness: High Timeliness: Medium Relative Risk: Medium Side Effects: Medium Time For Recovery: Medium Price Range: Rs.1000-Rs. 7000

Popular Health Tips

Ayurvedic Remedies For Sexual Dysfunction

Vaidya Visharad
Sexologist, Narnaul
Ayurvedic Remedies For Sexual Dysfunction

Sexual dysfunction is a disorder that is characterized by problems in your sexual life. It can cause you to lose interest and hence, not engage in any sexual activity. This disorder can affect people of all ages, however, the risk of sexual dysfunction increases with age. The usual symptoms of sexual dysfunction are low libido levels and erectile dysfunction.

Sexual Dysfunction in Women:

  1. Low Libido- Low levels of estrogen hormone in your body can lead to low libido. Other causes of low libido are anxiety, fatigue and depression.

  2. Dryness of the Vagina- Vaginal dryness occurs due to hormonal changes that occur in the body once menopause sets in. This leads to pain during sexual intercourse and impaired sexual arousal. Certain psychological issues such as anticipation or fear of painful sex and anxiety can also cause vaginal dryness.

  3. Pain During Sex- Women may experience pain during sexual intercourse which may be caused by dryness in the vagina or endometriosis (growth of uterus lining tissues out of the uterus). Pain during sex can also be accompanied by a burning sensation in the genitals.

  4. Orgasm Concerns- Certain antidepressant medications can lead to an inability to orgasm. It can also have psychological causes such as anxiety and depression.

Sexual Dysfunction in Men:

  1. Low Libido- In men, a dip in the levels of testosterone in the body can lead to a dip in libido levels. If you are suffering from higher stress levels, it can lead to lack of sexual desire.

  2. Erectile Dysfunction- This is characterized by an inability to get or maintain an erection long enough for unhindered sexual intercourse. This disorder is most likely caused by medical disorders such diabetes and hypertension. It can also be caused by stress and depression.

  3. Ejaculation Problems- Ejaculation problems include both inability to ejaculate and premature ejaculation. Sexual trauma, certain medications and sexual anxiety contribute to this disorder.

Ayurvedic Remedies for ED

ED is treatable at any age. The total treatment in for impotence is called as “ Vajikarana therapy” in ayurveda. As this natural herbal erectile dysfunction remedy, increases the strength of a man to perform sexual act, like a horse, it is called 'Vaajikarana'. ( ' Vaaji'=Horse.)

Vaajikarana therapy or herbal treatment for erectile dysfunction leads to

  1. Happiness.

  2. Good strength.

  3. Potency to produce healthy offspring.

  4. Increased span of erection.

Eligibility for Vajikarana Therapy

  1. The vajikarana therapy should be administered to persons who are between 18 to 70 years of age.

  2. These therapies should be administered only to a self-controlled person. If this therapy is administered to a person who does not have self-control, he becomes nuisance to society through his illegitimate sex acts.

Drug Therapy

Numerous herbal preparations are mentioned in Ayurveda to treat ED or impotence. It has been said that people who have strong sexual urge, who want to enjoy sex regularly have to consume these preparations regularly to replenish the energy, vigor, stamina and strength. These preparations also supply the nutrients which are necessary for the production of semen.

Ayurveda Tips to Overcome ED

  1. Consuming herbal preparations to rejuvenate the reproductive organs.

  2. Massaging the body with herbal oil which gives a relief from physical exertion and also acts as aphrodisiac.

  3. Practicing Yoga and Meditation to overcome mental exertion and to cope up with stress.

  4. Sleep at least for 8 hours a day.

  5. Avoiding the consumption of alcohol, tobacco, heroin etc.

  6. Exercise regularly.

  7. Avoid hot, spicy and bitter foods.

  8. Favor sweets, milk products, nuts and urad dal.

  9. Add little ghee in your diet.

  10. Give a gap of four days between two consecutive intercourses 

    If you wish to discuss about any specific problem, you can consult an ayurveda.

7938 people found this helpful

How Homeopathy Helps to Increase Libido?

Diploma In Gastroenterology, Diploma In Dermatology, BHMS
Homeopath, Hyderabad
How Homeopathy Helps to Increase Libido?

A healthy sex life is very important for mental as well as physical health. However, due to many factors couples may face problems in their sex life, among which the primary concern is a lack of libido. This affects not only men but women as well. Let's look at some of the common factors which can cause low libido.

Usual causes of low libido:
1. Mental stress, anxiety or depression
2. Lack of understanding or love in a relationship
3. Lack of sex drive in women after childbirth
4. Erectile Dysfunction in men and reduced blood supply to the vagina for women making sex painful.
5. Diabetes and hypertension in both men and women
6. Hyperthyroid or hypothyroid
7. Obesity and many others

Homeopathy and the treatment of low libido:
Homeopathy usually treats the underlying conditions first to increase libido, but there are many other treatments to increase sex drive for men and women directly as well. Let's have a look at some of the treatments that are commonly used to treat these problems.

1. Lycopodium - This is one of the most common medications that are prescribed by doctors for treating low sexual libido in men. This is equally potent for young as well as old men who have problems getting or maintaining erections and thus have difficulty performing.

2. Natrum Muriaticum - This is a commonly prescribed medication that is usually prescribed to women who have a low sexual desire owing to dryness in the vagina. This may be caused due to underlying factors as well but the usage of natrum muraticum helps in promoting wetness helping in sexual acts.

3. Nux Vomica - This is a widely used homeopathic medicine which is very good for men who have erectile dysfunctions owing to bad lifestyle habits such as excess consumption of alcohol, other stimulants, rich food or suffer from immense work stress.

4. Arnica - It is a great remedy for men who suffer from erectile dysfunction due to exhaustion. Arnica is also useful even if a person has no erection problems and has regular morning erections but has a general aversion to sex.

5. Gelsemium - This is a great remedy for people who have desire but aren't able to perform due to the muscles in the penis being relaxed. Some people even tend to suffer from performance anxiety and may even suffer from diarrhea and thus Gelsemium tends to be a very potent medication in these cases. If you wish to discuss about any specific problem, you can consult a homeopath.

5524 people found this helpful

How To Cure Infertility In Men And Women With Homeopathy?

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
How To Cure Infertility In Men And Women With Homeopathy?

If you are looking for an effective treatment procedure for infertility, you should consider homeopathy. Infertility refers to the inability to conceive after having sex. The biological inability of a man or a woman to conceive and have a full term pregnancy can also be referred to as infertility. Homeopathy is the most natural cure for infertility and there are several types of homeopathic medicines which treat infertility in both men and women.

Homeopathic Medicines for Infertility in Men

The top homeopathic medicines used for treating infertility in men are as follows:

Homeopathic medicines for infertility in men with erectile dysfunction

Agnus Castus is used when a man’s sexual desire and physical ability are reduced. The genitals stay relaxed, cold and flaccid. Caladium is used when infertility or impotency results because of mental depression. The genitals stay relaxed and weak erections are likely. Selenium is used for erectile dysfunction featured by slow and weak erections. Involuntary semen discharge may also be indicated as a symptom.

Homeopathic medicines for infertility in men with low sperm count

The homeopathic medicine X-Ray is very effective in treating low sperm count in men. Sperm count gets increased, enhancing both the quantity and quality of sperm.

Homeopathic medicines for infertility in men with orchitis

Conium is used for treating infertility in men, which occurs due to orchitis. The testicles get swollen, enlarged and hardened. Conium also helps patients with a history of suppressed sexual desire.

Homeopathic Medicines For Infertility In Women

The top homeopathic medicines for treating infertility in women are as follows:

Homeopathic medicines for infertility because of acid vaginal charges

Borax and Natrum Phos are effective homeopathic medicines used for treating infertility in women, which occurs because of acid vaginal charges. These medicines are prescribed when the vaginal discharges are destructive, acrid and sperm killing in nature. Borax is used when the discharge is like egg white, copious and warm. Natrum Phos is used in the case of acrid, creamy and honey coloured discharge.

Homeopathic medicines for infertility because of prolonged and profuse periods

Calcarea Carb and Aletris Farionosa are ideal homeopathic medicines which are used in case of prolonged and profuse menstrual periods, and in the case of periods appearing before the usual time. Experiencing early menses is likely. The patient may experience anemia, leucorrhea, fatigue, tiredness and weakness along with menorrhagia.

Homeopathic treatment does not utilize the use of any kind of chemicals, and hence there are no side effects on the body. You should consult a homeopathic practitioner before starting to take homeopathic medicines for infertility.

3315 people found this helpful

Popular Questions & Answers

I am 45 years old and doing lot of work and past two three months I feel weakness when I go to my partner and problem of erectness what I do please help me my wife said to me what is wrong with you and also in timing thank you.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Delhi
You are suffering from premature ejaculation disorder. It is a common problem among men in the present times. There are many Psychological factors like anxiety, guilt or depression can also be the cause of premature ejaculation. First of all, start eating a healthy diet like green vegetables like spinach, cabbage, kale etc contribute to male enhancement. Also citrus fruits like avocado, orange, and lemon that are rich in Vitamin B9. Avoid junk foods, smoking, alcohol consumption, avoid dairy products and sour items. Try some tips like think about something else during intercourse or use thicker condoms (Thicker condoms can reduce sensitivity and helps you last longer during intercourse). Take more time in foreplay and try some oral sex, gentle sex, slow sex Don't copy porn star Do YOGA and breathing exercise and running will give much of benefits. Also, you can concern us, if you want fast result because without medicine it incurable. We provide therapies as well as ayurvedic medicines. You can contact us at We will concern and later on, we can deliver medicines.

I am 52 years old taking medications of bp, anxiety nd cholesterol. I do not feel sexual desire like before. Even if I try masturbation I do not get hard erection and the thinking also. How to be cured. I am married nd wife is 46 years old.

MCh(Minimally Invasive & Robotic Surgery), MS - Surgical, MBBS
General Surgeon, Guwahati
Your need to take care of your anxiety first. Apart from medications there are many natural ways to control over anxiety. Secondly,get your medicines cross checked with prescribing specialist. As many medicine interact with sexual function.

I am 66 years old and my problem is: I face erection problem. I get full erection during fore play and when I enter in her and erection is not sustained longer and loose erection. Please suggest some remedies.

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Mch - Urology
Urologist, Lucknow
You can medication for sustained erection but before starting such treatment your blood pressure and heart checkup is must and needs clearance from cardiologist.
2 people found this helpful

Age around 50. Having only approx 1 min erection while sex. Also having regular in sports and exercise, fully fit no allergy history, Usually this is happening just from last 3 months with me. Please suggest what to do to cure this with medicine or else. Thanks.

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.
2 people found this helpful

Hi Sir, It’s been more than a year now since I had intercourse. I can’t have erection. And my wife does’t even speak to me unless necessary. And she goes out for 2,3, days. On questioning she simply reply I went out looking for something that’s not available here @ home. Now I can’t say anything to her. People have started talking. Please help. Ps. i was an alcoholic and a cough syrup dependant but sober now for 3/4 years now please help.

MD - Psychiatry
Psychiatrist, Chennai
It is natural for her to seek something you are not able to provide, so do not worry. Find out of your condition is treatable, by consulting a specialist. I think your wife is staying to maintain the family, so start treating her as a friend and things should be better between both of you. All the best.
5 people 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
Erectile Dysfunction
Causes and treatment for Erectile Dysfunction

Namaskar mitron! Main Dr. Shirish Malde Mumbai se sexology mein specialize karta hu aur aaj jo hum ye video ke dwara jo jaankari lenge ye humari jo sabsi badi samasya hoti hai, erectile dysfunction, ya isse impotence bhi kaha jata hai, iske baare mein hum jaankari lenge. Aap dekh rahe hai ki erectile dysfunction ye ek kaafi hadh tak ek samasya hai jo young age se lekar bade umar tak kisi bhi wyakti ko bhi ho sakta hai. Waise ling mein kadakpan aur uthaan aana, ling mein erection aana, ye wyakti ke marzi ke hisaab se nahi hota hai. Jaise hum apni marzi se paseena nahi nikaal paate, ye paristithi ke upar nibhar karta hai, waise hi ling mein uthaan aana ye bhi paristithi ke upar aur wyakti ke utejna ke upar nibhar karta hai.

Jab kisi wyakti ko ling mein uthaan lane mein ya lambe samay tak tikane mein takleef hoti hai wo asamarth hota hai, tab isse erectile dysfunction ya impotence kaha jata hai. Normally iski do wajah hoti hi; psychogenic yaani maansik kaarano se aur dusra hota hai physical yaani shaaririk shamta ke abhav se ye samasya nirmaan ho sakti hai. Toh hum short mein dekhege ye samasya kaise nirmaan hoti hai. Jaise hum kahege psychological problem toh kuch wyaktiyon ko lack of knowledge yaani sahi jaankari nahi hoti hai ya unhe fail hone ka darr bana rehta hai, kabhi kabhi couple mein communication thik nahi hone ke wajah se ya relationship disturb hone se bhi ling mein uthaan aane mein takleef hoti hai. Kayi baar wyakti bore hai ya stress hai, kabhi usko adequate rest nahi milta hai ya depression hai ya anxiety hai, aisi samasyaon se bhi usko jis waqt wo chahta hai us waqt uske ling mein uthaan nahi laa paata hai. Isko psychogenic problem kehte hai.

Aur ab dekhoge ke kuch organic problems hote hai, physical problem jaise diabetes, aur hypertension, ye bahut hi common rog hai jisse ling mein tanaav lane mein difficulty hoti hai us wyakti ko. Kuch medicines bhi hai jaise diabetic aur hypertension ki medicines hai jiske side effects ke chalet bhi ling mein tanaav aana mushkil ho jata hai. Toh ye hua kaaran ke wajah se, ab aap dekhoge ki impotence ya erectile dysfunction ke tests kya hai. Aksar ache doctor detail history lete hai aur ussi se unhe pata chal sakta hai ki ye samasya kis wajah se hai lekin kuch cases mein jaha diagnosis ke liye test ki zarurat hoti hai tab ye tests behadd zaruri hoti hai. Sabse pehli test hoti hai Intracavernosal Injection Vasoactive Drugs yaani penile Doppler test bhi keh sakte hai isse. Isme wyakti ki ling ki jo raktovayiniya hai uski rakht paribhraman kitna ho raha hai ye check kiya jaata hai. Ye test mein chota sa injection ling mein diya jaata hai aura aage chal ke aap dekhoge ke sonography se ye graph dikhta hai jisse blood flow ka velocity check kiya jaata hai.

Aur ek test hai Penile Angiography yaani agar rakhtvayiniya mein koi samasya nirmaan hume nazar aati hai toh angiography ke zariye wo block kaha par hai wo exactly hum pata kar sakte hai. Aur ek test isme use hoti hai wo hai NPT Scan Monitor yaani Nocturnal Penile Tumescence Test, isme wyakti ki puri raat mein aane wali erection machine dwara record ki jaati hai aur dusre din ye graph nikaala jaata hai. Normal wyakti ka graph aisa hota hai jaha pe wo teen se chaar episode erection ke usko aate hai aur ye aise wyakti ka graph hai jaha koi bhi erection nahi aaya hai raat ko. Toh isse unke bloof flow mein samasya hai ya nahi ye usse pata chal sakta hai. Abhi treatment ka jaha tak sawaal hai, aap dekh rahe hai ke treatment mein sabse ahem bhumika hoti hai counseling or sex education ki, jaise maine bataya tha ki kuch log darr se ya sahi jaankari na hone ke aabhav se peedit hote hai, unke liye ye bahut zaruri hoti hai. Kuch conditions mein oral drug dena zaruri hota hai yaani medicines ki zarurat hoti hai aur kayi case mein jaha medicine kaam nahi karti hai waha self-injections jo humne dekhe the wo de sakte hai, vacuum erection device bhi isme useful ho sakta hai aur last mein surgery ke dwara bhi ye problem solve ki jaa sakti hai.

Surgery mein Penile Prosthosis yaani penile implantation hota hai. Ab ek ke baad ek hum dekhege ke kuch medicines hai jo Sildenafil, Vardenafil, Tadalafil, ye wyakti ko erection lane mein kaafi helpful hote hai. Ye Intracavernosal Injection jaha wyakti khud hi apne aap ko injection de sakta hai mein aur 2-5 minute mein acha erection haasil kar leta hai. Next hai ye vacuum pump ke zariye bhi ling mein erection paaya jaa sakta hai aur last mein ye penile prosthesis jo silicone rods hote hai jo ling mein bithaye jaate hai jiske zariye wyakti ling mein tightness paa sakta hai. Toh aap ne ye dekha is video mein ki ling mein tightness lane ki jo samasya hai ye kaafi aam, young age se lekar old age tak sabhi vyaktiyon ko ye samasya kabhi na kabhi life mein ho sakti hai. Lekin agar sahi jaankari ho aur yogya maarg darshan mile toh is samasya se aap humesha ka chutkaara paa sakte hai aur puri tarah se ye treat kar sakte hai.

Iski aur adhik jaankari ke liye aap mujhe contact kar sakte hai lybrate.com ke zariye. Dhanyawaad.
Having issues? Consult a doctor for medical advice