Erectile Dysfunction
Erectile dysfunction is a male sexual health problem in which they face difficulty getting and keeping an erection firm enough to perform sexual activity. It is also called Importance (مردانہ کمزوری). If you are facing this issue from time to time, it is not a serious issue. But the problem is regular then the most common sexual dysfunction especially in men of all ages, is due to psychological and physical problems, stress, poor blood flow in the penis, and hormone levels.
If you find that your erection problems persist despite addressing these factors, it is crucial to seek treatment as soon as possible. Ongoing issues with erections may lead to serious underlying health conditions, such as heart disease, high blood pressure, diabetes, or poor circulation. Treatments range from lifestyle changes and oral medications to medical devices and surgery, and consulting a doctor is essential for diagnosis and treatment.
This is a detailed guide verified by Dr. Muhammad Amjad a Male Sexual Health expert and Endoscopic Surgeon (PMDC Certified) with specialized training in erectile dysfunction (ED) and related men’s health conditions.
Common Signs of Erectile Dysfunction
If you are going through these conditions then you need to see a specialist:
- Facing difficult to get erection when you want to have sex
- Problem in keeping erection firm during sexual activity
- Low libido (Lower sex drive)
Some men can get an erection in other situations like waking up in the morning, but still find it hard to get one when they want to have sex.
Other Symptoms of Erectile Dysfunction
- Only sometimes being able to get an erection before sex
- Being able to get an erection before sex but not keeping it during sex
- Complete inability to get an erection at any time
- Needing a lot more stimulation than usual to maintain an erection
How Erection works
When a man feels sex desire, nerves from the brain transfer messages to the penis to increase blood flow. Within the penis, there are two soft spongy areas, called the corpus cavernosum. The corpus cavernosum does not have empty spaces, they are made up of muscle-like tissue. When a person feels intimate, the tissue relaxes and fills with blood, making the penis hard.
With ejaculation, there are new messages from the nerves that command the muscles in the penis to tighten allowing the blood flow to return out of the penis. This shrinking action causes the erection to go away. When a man is not sexually stimulated, the penis stays relatively small and soft. It is perfectly normal for the penis to change size slightly with temperature or with stress and other emotions - all the size changes mean that the blood flow in and out is shifting.
Causes of Erectile Dysfunction
Male sexual dysfunction can occur due to several reasons, It can be physical conditions, psychological issues or lifestyle factors.
Physical Causes:
- Heart and blood vessel diseases (poor blood flow, hardening of arteries).
- High blood pressure.
- Diabetes.
- High cholesterol.
- Obesity.
- Low testosterone or other hormonal problems.
- Nerve damage (injury, stroke, multiple sclerosis).
- Certain medicines (for blood pressure, depression, etc.).
- Surgeries near the pelvic area or prostate.
- Cancer treatments (radiation, chemotherapy).
- Sleep problems (including sleep apnea).
Psychological Causes:
- Stress.
- Anxiety.
- Depression.
- Relationship problems.
Lifestyle-Related Causes:
- Smoking.
- Heavy alcohol use.
- Drug use.
- Lack of exercise.
- Poor diet.
Types of Erectile Dysfunction
Erection disorders are of many types on the basis of numerous cause factors. These types include:
Physical Causes:
Primary Erectile Dysfunction
Primary Erectile Dysfunction is a very rare type of erection difficulty, when men never have erection in his whole life from the start of puberty. In primary ED men never experience enough erection that can carry successful sexual intercourse.
It can occur due to physical problems related to nerves or blood flow problems, or due to emotional factors like anxiety or relationship stress. It can also occur due to changes in the penis’s structure or dysfunction in the nervous system. Men with primary ED may also have low libido or experience other sexual dysfunctions.Secondary Erectile Dysfunction
Secondary Erectile Dysfunction means a man used to have normal erections in the past but now has problems having an erection or keeping one. Secondary ED is much more common than primary and especially common in men over 50s.
It mainly takes place due to physical issues like heart or blood vessel problems that disturb normal blood flow to penis, nervous problems due to stroke or any spinal injury, low male sex hormones (testosterone), after effects of medicines or other health issues like obesity, diabetes or high bp.Vascular Erectile Dysfunction (Blood flow problem)
Vascular ED is a condition in which a man is unable to get and keep an erection due to improper blood flow to the penis.
Smooth blood flow plays a key role in smooth erection, but if the blood vessels are blocked or damaged due to formation of plaque in arteries (atherosclerosis), blood does not flow properly resulting in poor erection. Sometimes blood flows to the penis but leaks out quickly-known as venous leak.
Vascular ED can be an early warning sign of serious heart or blood vessel problems. In some men, it appears years before a heart attack or stroke. That’s why it’s important to see a doctor, not only to improve sexual health but also to check heart health.Neurogenic Erectile Dysfunction(Nerves issue)
Neurogenic ED occurs when nerves of the brain that control erection get damaged. These nerves transfer signals from brain to penis to have and maintain erection but due to some issues like stroke, Parkinson’s disease, spinal cord injury, multiple sclerosis or diabetes these signals can not transfer properly leading to maedana sex problems.
Male going through this type of ED feel less sensation in the penis, find their erection is not working. It can be treated with medicines like Viagra or Cialis, penile injections, vacuum pumps or surgery such as implants.Hormonal Erectile Dysfunction (Hormone Induced ED)
Hormonal-induced ED can occur when there is an issue with the body’s hormone balance, primarily with testosterone. Low testosterone is the leading cause of ED, primarily in older men. Studies show that about 10 - 20% of men with ED have a hormonal problem with it rising to about 35% in men over sixty. Other hormonal problems, such as high prolactin, thyroid disorders, or abnormal FSH levels, can also cause ED. Low testosterone can be seen from taking some medication, taking steroids, or as a result of treatment for prostate cancer.
Men going through hormonal ED observe low sex drive, low energy, mood swings and problems in maintaining firm erection. This condition can be treated with testosterone replacement therapy along with reduced stress, exercise and healthy diet. Doctors also recommend Viagra or Cialis with hormone treatments.Psychogenic Erectile Dysfunction
Psychogenic ED occurs when a man faces persistent inability in having and maintaining erection due to psychological conditions like stress, anxiety, depression, low self esteem, relationship problems or any past sexual trauma. A key contributor of Psychogenic ED is performance anxiety - fear of poor sexual performance. Unlike physical ED, during psychogenic ED men can get erection during sleeping or masturbation.
It can be treated by fixing the mental and emotional causes first with the help of talking therapies, cognitive behavioral therapy (CBT) or sex therapy. Managing stress, regular exercise and a healthy lifestyle can also benefit psychogenic ED.Medication-Induced or Drug-Related ED
Erection problems occur by taking over the counter medicines that are categorized into Medication-Induced or Drug-Related ED. These medicines can be antidepressants, bp medicines, allergy pills, and painkillers like opioids. Hormone blocking drugs, cancer treatments, and some stomach acid medicines also lead to erection problems. Blood flow and nerves in the penis get disturbed by these medicines resulting in poor sexual performance.
Whenever you feel you are going through Drug induced ED, talk to your specialist as soon as possible. In many cases, ED improves once the medication is changed or the dose is adjusted.Situational Erectile Dysfunction (ED)
Situation ED is referred to when men face erection problems in specific conditions, not all the time, like some males often get erection but not when masturbating. It occurs mainly due to psychological issues like stress, anxiety, relationship problems but physical factors like alcohol can also lead to situational ED.
It can come and go, depending on the setting, partner, or emotional state. Situational ED is often temporary, and can improve with stress management, lifestyle changes, or counseling.Organic Erectile Dysfunction
Organic ED is when a man faces erection inability caused by a problem with his physical health instead of mental health or emotional health. It can occur due to disturbance in nerve signals, blood flow or hormone levels. It can be caused with heart problems, bp issues, diabetes, nerve damage or low testosterone.
Depending on the original cause it can be treated with medicines such as Viagra or Cialis, injections, vacuum pumps, or surgery such as penile implants.Peyronie’s-Related ED
Peyronie’s disease is a condition in which scar tissues, known as plaque, are formed in the penis. These scar tissues can cause bending or curving of the penis during an erection. In this condition some men also observe pain and discomfort during sex and even without sexual activity. Plaque formation results in poor blood flow and structural changes to the penis, leading to impotence.
In Peyronie’s disease men also find themselves less confident and more stressed during sexual intercourse which decreases their ability to gain firm erection. Its treatment includes medications, injections to the plaques, or surgery if needed. If ED continues to be an issue despite treatment of the plaque, a penile implant could be a possible solution.Priapism (Rare-opposite problem)
Priapism is a type of erectile disorder that occurs due to hardening of penis for a long time, (usually more than four hours) without sexual intercourse or after ending of sexual excitement. Priapism can be partial or full, and it can be very painful.
Among the causes are trapping of blood in the penis that cannot flow out, blood disorders like sickle cell disease, some medications, injuries, or other medical issues. Priapism can result in permanent harm and lead to impotence if not addressed quickly.Premature Ejaculation
Premature ejaculation is when a man ejaculates (semen is released) prematurely, sooner than he or his partner would wish during sex. It can happen either before or very soon after penetration, sometimes in less than one minute.
PE can be caused by both physical factors such as nerve sensitivity, prostate inflammation, and hormone changes or emotional factors which include being overly excited, anxious, suffering from relationship problems, or undergoing stress. Among the treatment choices are behavioral techniques, such as the “startstop” method, counseling, and in certain cases drugs such as dapoxetine.
Is Male Sexual Dysfunction a Common Problem?
Yes, ED has become a common problem among men with age. Doctors say that at some point in their life nearly all men have erection difficulties, yet it is usually not severe. Studies estimate that over 150 million men globally and roughly 30 million men in the United States suffer from ED. By 2025, this figure is projected to reach beyond 300 million.
There is no fixed age for ED, it can hit at any age, but according to reports it is most common among men above 40 who are going through different health problems like high bp, diabetes, heart disease or obesity. But age is not the only cause, stress, anxiety, injuries, or lifestyle choices can also lead to ED in younger men.
ED as a Possible Warning Sign for Heart Problems
Erection inability can be an early indication of heart disease. Erection problems mainly occur due to damaging and blockage of arteries and vessels that transmit blood to the penis , same arteries and vessels also pump blood to the heart for its normal functioning, when this blood flow is disturbed it will automatically affect heart health.
Many men suffer from erection problems years before serious heart problems. That’s why doctors always check the heart health of patients going through erection problems, especially if the patient’s symptoms include high bp, high cholesterol and diabetes.
Diagnosis of Erectile Dysfunction (ED)
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Medical and Sexual History
- The doctor will ask questions about your health, the medicines you take, and your lifestyle.
- They will also ask when the erection problems started, how often they happen, and in what situations.
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Physical Examination
- The doctor will check your penis, testicles, and the area around them.
- This helps find any injury, nerve problem, or blood flow issue.
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Blood Tests
- A small blood sample is taken to check for diabetes, heart problems, hormone levels (like testosterone), and kidney or liver health.
- Low testosterone or high sugar can cause ED.
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Urine Tests
- A urine sample is checked for diabetes, infection, or kidney problems.
- This is quick and painless.
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Ultrasound (Penile Doppler Test)
- A scan uses sound waves to see blood flow in the penis.
- Sometimes, medicine is given first to create an erection so the doctor can see the blood flow clearly.
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Night Erection Test (Sleep Test)
- A small device or ring is worn on the penis while sleeping.
- If you have normal erections during sleep, the problem is probably due to stress or emotions.
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Injection Test
- A safe medicine is injected into the penis to cause an erection.
- This helps check if the blood vessels and nerves are working properly.
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Psychological Checkup
- If physical tests are normal, the doctor will ask about any stress, depression, anxiety, or relationship problems.
- Sometimes they may also talk to your partner.
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Erection Hardness Score
- You rate how firm your erection is on a scale from 1 to 4.
- This helps track changes after treatment.
Erectile Dysfunction Treatment
The best treatment approach to male sexual dysfunction is to first identify the real cause then treat it with a suitable solution. If the cause is any underlying health condition such as heart disease, diabetes, or hormone imbalance, then treat it first to improve erection.
Consult an authorized clinic like DOT Clinics Multan where an experienced Urologist Dr Muhammad Amjad will thoroughly diagnosis your problem and suggest you the best suitable Erectile Dysfunction Treatment from the following:
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Oral Medicines (PDE-5 Inhibitors)
PDE5 inhibitors are oral medications that are used as the first line treatment for ED. They commonly include Sildenafil, Tadalafil, Vardenafil and Avanafil that are FDA approved to treat ED. These medications widen the corpora cavernosa of the penis, regulate normal blood flow by relaxing blood vessels of penis , helping in getting and maintaining erection when you are sexually aroused. Some popular options are:
- Take 25 mg to 100 mg orally about 1 hour before sex. It works best when taken with an empty stomach. It works for a maximum of 6 to 8 hours.
Sildenafil (Viagra)
- You can take it daily in a dose of 2.5-5mg or take it when needed of 5 mg to 20 mg dose orally 30 minutes before sexual intercouse. It takes more time to work, around 120 minutes but also lasts a long time, up to 36 hours.
Tadalafil (Cialis)
- Orally taken 5 mg to 20 mg per day 1 hour before sexual activity. It typically works in about 45 to 60 minutes, pretty similar to Viagra and lasts for a maximum of 5 to 7 hours in the body.
Vardenafil (Levitra/Staxyn)
- Orally take 50 to 200 mg of Avanafil half an hour before sexual intercourse. It may work faster than the others, but lasts a shorter period of time, maximum 20 to 30 minutes.
Avanafil (Stendra)
You will not get instant erection after taking these medicines, you still need sexual stimulation. They are safe for most men but they can be harmful if you have any heart disease or you recently experience high-risk conditions like failure of heart, unstable angina, heart attack or heart valve problems. You should also avoid them if you take nitrates for chest pain. Common side effects include:
- Headaches
- Indigestion
- Redness of skin
- Stuffy nose
- Blurred vision
- Cough or Sneezing
Always take these medicines after consultation with a specialist.
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Intracavernosal (ICI) and Intraurethral (IU) Therapies
If PDE-5 Inhibitors are not working for you, then the second line treatment to treat erection dysfunction is another medicine known as Alprostadil which helps in normal blood flow to the penis. It can be taken in two ways:
- ICI therapy: Injected in the penis via injection
- IU therapy: A small medicated pellet is placed inside the urethra (the tube you pee from).
ICI therapy
ICI therapy is a highly effective and viable option to treat ED in which Alprostadil is directly induced into the penis via injection. This injection helps 8 out of 10 men to get erection by relaxing vascular smooth muscles and improving blood flow to the penis. Intracavernosal injection is proven 60–70% successful in the treatment of vasculogenic and 100% in neurogenic ED.
ICI therapy mainly shows results within minutes and lasts around 20–30 minutes. The main complication is long-lasting erections (over 4 hours), which needs urgent medical care. It can be self administered but first you have to take it from a specialist. Sometimes doctors combine Alprostadil with other medicines such as bimix or trimix to boost results.IU therapy
IU therapy doesn’t need a needle, instead, you place a small pellet into the urethra. It is proven effective for some men but not as much as injections. The most common side effect is a mild burning feeling. Like ICI, IU therapy should have a clinical trial before using it at home.
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Testosterone Replacement Therapy
Testosterone Replacement Therapy is prescribed by a urologist when erection difficulty is caused by low testosterone levels in a man’s body, which is a hormone that influences sex drive, energy, and moods. Testosterones can be administered in the form of a pill, patch, a gel, or by injection. Testosterone Replacement Therapy can restore erectile function, increase sexual desire, increase energy, and even improve mood. It sometimes works until testosterone levels return to normal, but most of the time it is used in combination with other ED treatments, such as Viagra, for an improved effect.
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Vacuum Devices (Penis Pumps)
Vacuum Devices or Penis Pumps is a safe and non-invasive method that helps men to achieve an erection. A pump goes around the penis and creates suction that brings blood inside, making it hard to maintain firm erection. Then you place a small ring at the base to keep it firm long enough for sex. It’s easy to use and works well for many men even if medications aren’t right for them.
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Penile Implants and Surgery
If other treatments don’t work, you can choose a Penile implant-a fluid-filled three-piece device placed inside the penis that helps men with mardana sex problems to get an erection. If other treatments don’t work, you can choose a penile implant (also called a prosthesis) inside the penis. There are two main types of penile implants:
- Semi-Rigid (Bendable) Implant – Two bendable rods are placed inside the penis. You can move them down when you’re not having sex and up when you want to.
- Inflatable Implant – Soft cylinders are placed inside the penis, connected to a small pump in the scrotum. When you press the pump, the penis becomes hard. This looks and feels natural, and you can control when and how firm it gets.
With implants, couples can enjoy more spontaneous intimacy, and sensation or orgasm usually stays the same. Another option is surgery to improve blood flow. These are usually last options because they are permanent and require recovery, but they have very high satisfaction rates.
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Advanced Treatments of Erectile Dysfunction (Non-Surgical)
Beside these treatments there are many advanced treatments (mardana kamzori ka ilaj) that are proven very effective to restore erection in men. These treatments include:
P-Shot Treatment
P-Shot or Pariapus Shot is a non surgical medical treatment in which platelets rich plasma taken from patients own blood is injected in the penis to enhance sexual performance among men. P-Shot therapy helps to enhance erection, improve blood flow, sensitivity, increase penile size and girth to overall strengthen male sexual stamina. P-Shot treatment is a quick process with natural looking benefits and minimal side effects.
Exosome Therapy
Exosomes are regenerative cells derived from mesenchymal stem cells (MSCs), and are proven highly effective to treat erectile function. Packed with growth factors they help to repair damaged blood vessels, nerve cells and tissues, promote angiogenesis to form new blood vessels that improve blood flow to the penile tissues resulting in smooth erection. Exosomes Treatment is a regenerative therapy that is minimally invasive with very few side effects.
Shockwave Therapy
Shockwave is a restorative therapy that uses low-intensity shockwaves to restore natural erectile function. Shockwave therapy is a non-invasive treatment that promotes healing of penile tissues, formation of new blood vessels and improved blood flow to the penis to boost men’s ability to achieve and maintain an erection. SWT is generally considered safe with very little side effects.
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Counseling or Therapy
When erection problems result from mental health issues and emotional factors like stress, anxiety, daily life tensions and relationship problems then Counselling and Psychological therapies are first line treatment to treat ED. A one on one session with a qualified and licensed psychologist helps you to overcome problematic thoughts and emotions that affect your sexual performance. There are different kinds of effective therapies that can treat ED:
- Cognitive Behavioral Therapy (CBT): In CBT psychologists help to transform your negative thought patterns into positive ones to overcome stress and anxiety that affects sexual activity.
- Sex therapy: Sex therapy involves 5 to 20 hourly sessions in which therapists give you and your partner different home assignments like reading books, improving sexual communication and touching exercises.
- Couples therapy: It works on solving relationship problems that might be adding to ED.
Therapy can be done in person or online, and your doctor can help you find a qualified professional.
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Natural and Lifestyle Methods
A healthy body and peaceful mind is very important for better erectile function. Along with different medical treatments these are some natural approaches that everyone should do for better sexual performance:
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Diet and Nutrition
- Eat balanced diet adding fruits,vegetables and whole grains
- Avoid processed foods, sugary drinks and unhealthy fats
- Take more herbs and spices like ginger
- Take 8-10 glasses of water daily
- Balance consumption of sugar and salt in body
- Drink unsweetened teas, sparkling water and coffee
- Take raw foods like salads and fresh fruits
- Take Multivitamins like vitamins A, B, C, D, E, B6 and B12
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Physical Activity
- Add physical exercise in your routine like walking, jogging, swimming and cycling
- Engage in games and activities you enjoy like football, cricket,tennis and basketball to uplift both mood and strength
- Do aerobic exercise and cardio for 30 minutes daily
- Lift weights or add gym to daily routine
- Do Kegels or Pelvic Floor Exercise
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Stress Management
- Practice mindfulness and meditation like Yoga
- Connect with nature, walk in garden or observe natural things like sunset, birds etc
- Engage in your favourite hobbies like painting, drawing or playing games
- Relax your body, Give it a proper rest daily
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Other Important Lifestyle Factors:
- Maintain your body weight
- Do not smoke or completely avoid alcohol consumption
- Reduce sitting and decrease screen time
- Take 8 hours of proper night sleep
- Make good connections with friends and family
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Natural Supplements and Herbs:
- L-arginine: An amino acid that relax blood vessels to improve blood flow to the penis
- Ginkgo biloba: A herb that can help to improve blood circulation.
- Red ginseng: It is also called Panax ginseng, a traditional herb that is used for better sexual health
- Maca Root: A Peruvian herb that may help to improve erectile function.
- Horny goat weeds (Epimedium): It is also one of prescribed natural supplements that help to treat erection inability.
- Yohimbine: It is derived from the bark of African trees, helps to improve muscle growth, testosterone level and erectile function.
What to Do If I Have Erectile Disorder?
If you are suffering from erectile disorder or any mardana sex disease, always keep in mind it is a common health issue and have various effective treatment options. Don’t hesitate or feel ashamed to talk about it with your partner. Having better communication and understanding with your partner is very helpful to overcome ED.
If your symptoms continue without any improvement, talk to a male sexual health specialist or visit DOT Clinics Multan- a verified Best ED Clinic as soon as possible before the situation gets worse. Dot Clinics’specialist Dr Amjad will suggest the best suitable treatment after thoroughly examining your condition. With the right treatment, most men see major improvement and regain their confidence.
Prevention and Complications
Erection inability or impotence can be prevented by managing
- Healthy wight
- Blood Sugar level
- High blood pressure
- High Cholesterol
- Mental health issues
If erection problems will not be treated on time, it will have some complications that include:
- Low Self Esteem
- Low Confidence
- Relationship problems
- Poor quality of life or
- Cardiovascular Diseases
When should I see a Doctor?
If you are facing an erection problem with extreme pain and discomfort that continues for more than a few weeks, penile dysfunction without any previous history, or unstable mental health due to poor sexual performance then you should consult a urologist as soon as possible for the immediate treatment to avoid any lasting erection difficulty.
Men’s Health Care at DOT ClinicsOur expert team at DOT Clinics provides advanced, personalized treatments for men’s health concerns including Erectile Dysfunction, Premature Ejaculation, Peyronie’s Disease, and more. Visit our Men’s Health Services page to get started.
What Questions Doctor will ask During Consultation
During consultation your healthcare specialist or urologist will commonly ask following questions:
- From how long you are going through this condition?
- Are there any other health problems you are going through?
- How often do you face erection problems?
- Does your partner have any sexual problems?
- Do you have any stress on tension or any ongoing mental health condition?
- Do you smoke or take alcohol, if yes- how often?
- Are you taking any medicines?
- How is your relationship with your partner?
What Questions Can You Ask from a Healthcare Provider?
Whenever you visit health specialist ask following questions to get complete awareness about the problem and its treatment:
- How can you tell if I have Erectile Disorder?
- Is it normal to have erectile dysfunction?
- What are the necessary treatment options?
- Can impotence lead to other conditions that affect my sexual health?
- Can I prefer a sex therapist?
- Can I have a penile implant procedure?
FAQ's
There are many physical, environmental and psychological factors that contribute to erection problems:
- Medical problem: Heart problems,Blood sugar disorder, Obesity and High BP.
- Psychological factors: Emotional burden, Restlessness and Despair.
- Hormonal Fluctuation: Deficiency of Testosterone Hormone.
- Medication: Certain medicines can affect sexual activity.
- Unhealthy habits: Alcohol,smoking, drugs intake and poor physical exercise.
- Aging: Natural decline in Blood flow and Vascular circulation with age.
Best way to treat erectile disability is healthy lifestyle changes like
- Quit Smoking
- Do physical activity daily
- Manage weight
- Avoid alcohol and other drugs
- Improve relationship with your partner
Have open communication with your partner, emotionally support him and make him understand that he can talk about his problems with you anytime he wants. Emotional support and good mental health can improve low erectile quality.
According to patient feedback, there are many advanced Erectile dysfunction treatments that are proven highly effective which include P-Shot therapy, Shockwave therapy and Exosome therapy. Which treatment is best suitable for you will be decided by your doctor after examining your overall medical history.
Yes, all treatments are medically approved and are safe if performed by trained specialists under clinical considerations.
Yes, you can treat erection inability naturally without using medicines with several lifestyle changes:
- Eating healthy and balanced diet
- Doing regular exercises
- Managing stress and anxiety
- Avoiding smoking and alcohol
- Improving relationship communication with partner
References
- Erectile Dysfunction (ED) - National Institute of Diabetes and Digestive and Kidney Diseases - Source
- Erectile Dysfunction - National Library of Medicines (NIH) - Source
- PDE5 Inhibitors - StatPearls - Source
- Phosphodiesterase-5 (PDE5) Inhibitors In the Management of Erectile Dysfunction - Source
About Author
Verified by Dr Muhammad Amjad, Written by Aroma Irshad
Dr Muhammad Amjad
Urologist, Male Sexual Health Specialist & Sexologist
Dr. Muhammad Amjad is a PMC-certified Urologist and Endoscopic Surgeon, with an MS in Urology and advanced expertise in erectile dysfunction (ED) and men’s health treatments. With experience at Nishtar Hospital Multan and now leading male sexual health at DOT Clinics, he is trusted for safe, effective, and patient-focused care.
Aroma IrshadPsychologist & Professional Content Writer
Aroma Irshad is a qualified psychologist and content writer dedicated to raising awareness about health and wellness. She works with aesthetic and ED clinics, creating clear and reliable content that helps people feel informed, supported, and confident in their care choices. Contact on: linkedIn