Erectile Dysfunction

Personalised Treatment Prescribed by Doctors


Erectile Dysfunction

Erectile Eysfunction

What is Erectile Dysfunction?

The inability of a man to get and keep a penile erection during sexual intercourse, even when fully aroused is called ED or Erectile Dysfunction. Happening once or twice is not an issue, but often, it requires proper treatment.

Symptoms of ED

Decreasing interest in sexual intimacy, depression or stress, too-soon ejaculation before or after sexual intercourse, and inability to maintain an erection for a longer time during sex can be alarming signs of erectile dysfunction.

What Causes it?

The decline in testosterone hormonal levels with age, diabetes, regular smoking, drinking, junk foods, abusing drugs, hypertension and prostate cancer, along with anxiety, stress, depression, and relationship issues can contribute to ED.

How Common is it?


of men are not even aware of erectile dysfunction (ED)


of men experience some degree of ED in their lives


of men over the age of 40 experience erectile dysfunction


of men with ED seek certified treatment for ED

Want to find out more? We worked with our doctors to create this Ultimate Guide to ED

Your personalized Treatment


Our Medical Board

Dt. Zubeda Tumbi

Dt. Zubeda Tumbi

Dietician and Nutritionist

(Weight Management, Diabetology, Thyroid Disorders and Nutrition - Dietician and Nutritionist)

BHSc, MHSc, NET- SET, Ph.D Grants from IDRC Canada and TATA Chemicals, 29+ Years of Experience

Dr. Brahmita Monga

Dr. Brahmita Monga


(Dermatology, Venereology and Leprosy - Dermatologist)

MBBS, MD in Dermatology, Venereology and Leprosy, 10 Years of Experience

Dr. Ashitabh Tiwari

Dr. Ashitabh Tiwari


(Psychiatrist, Neuropsychiatrist and Addiction Psychiatrist - Psychiatrist)

M.B.B.S, M.D Psychiatry, 17+ Years of Experience

Dr. Sandeep Govil

Dr. Sandeep Govil


(Psychiatry - Psychiatrist)

"Male sexual health encompasses various issues and challenges that are often accompanied by social stigmas, hindering individuals from seeking the assistance they need. I strongly encourage people to educate themselves about matters concerning intimacy and explore comprehensive treatment options that incorporate both medical and psychological approaches."

Dr. Sharmila Majumdar

Dr. Sharmila Majumdar

Sexologist and Psychologist

(Sexology, Cognitive Behaviour Modifications, and Idiopathic Infertilty - Sexologist and Psychologist)

"Sexual health often receives insufficient attention in India, leading to the delayed seeking of medical assistance for intimacy and relationship concerns. It is crucial for individuals to proactively pursue treatment, as early intervention yields more effective and viable solutions."


Case Studies

Erectile Dysfunction
45 years

Erectile Dysfunction

A married man of 45 years with a BMI of 25.3 has been suffering from sexual issues. After the in-depth assessment of the self-assessment test, he got diagnosed with erectile dysfunction. With the free doctor consultation, he got suggested a personalized sexual wellness treatment plan of 6 months to help improve his erections and overall sexual desire. With regular follow-ups and lifestyle changes like maintaining a healthy diet and exercising daily, he noticed positive changes in his sexual performance and now he is much more confident than before. With regular follow-ups and lifestyle changes like maintaining a healthy diet and exercising daily, he noticed positive changes in his sexual performance and now he is much more confident than before.

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Erectile Dysfunction
38 years

Erectile Dysfunction

A 38-year-old man with a 23.5 BMI has been facing issues in maintaining erections and was extremely worried about his condition for the past 1-3 months. He used to feel frustrated and unsatisfied as his sexual encounters with his partner were short-lived. But after consultation, the doctor deeply examined his situation and diagnosed erectile dysfunction. On the basis of his physical and psychological condition, he got suggested a 3-month sexual wellness treatment plan customised according to his needs. After the plan, he saw improvement in his erectile function and now he is satisfied with his overall sexual performance.

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Erectile Dysfunction
50 years

Erectile Dysfunction

A 50-year-old married man with a 75 kg weight and a BMI of 26.7 used to feel worse in his marriage due to his inability to keep his partner happy, sexually. He had been suffering from erectile dysfunction for a year and above, and since then, he had not been able to feel normal. Because of his friend’s suggestion, he took a self-assessment test and consulted with a professional doctor. On the basis of his sedentary lifestyle habits, medical condition of diabetes and unhealthy diet, the doctor suggested him a personalized sexual wellness treatment plan of 9 months. As compared to before, he has seen an elevation in his sexual confidence and he is able to keep his partner a lot happier and satisfied. And this happened due to the right consultation, lifestyle modifications, and regular follow-up consultations.

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Why do I have erectile dysfunction? I’m just 22!

Erectile dysfunction doesn’t depend on the age factor. Certain lifestyle habits like drinking, smoking, and drugs can be the reasons behind the issue. Apart from these, anxiety, stress, and lack of sleep can also affect. However, there isn’t anything to fear as you can talk to a professional doctor regarding your sexual issue and get a customized treatment just for you.

Can lifestyle changes improve sexual function?

Of course! Sexual functioning can be improved by modifying your lifestyle habits, such as including daily exercise, reducing stress, and quitting drinking and smoking.

Does erectile dysfunction cause impotence?

The inability to attain or keep an erection, or consistently ejaculate may result in impotence. Usually, impotence is known to be related to ED or erectile dysfunction, as the incapacity of a strong erection for sexual intercourse might lead to this condition.

Can erectile dysfunction and premature ejaculation affect my relationship?

Yes, sexual issues lke erectile dysfuction and premature ejaculation can lead to excessive stress and strain on a relationship. It can even lower you confidence and self-esteem as you might not be able to completely satisfy your partner. Therefore, it is quite important to communicate with your partner and look for apt help, if necessary, to enhance your sexual function and make your bond stronger in a relationship.

Erectile Dysfunction: Symptoms, Causes, and Treatments

Not being able to get or maintain a penile erection can be seriously daunting, especially for men in their young era where common norms like not being able to perform well sexually straightaway is a question of masculinity.  It is strange that 63% of the total population of men does not even know that such a thing as erectile dysfunction exists.  Erectile dysfunction or ED is mostly seen in older men due to age-related factors, however, its widely increasing prevalence in men aged 40 or less is quite surprising.  Most men tend to hide it out of embarrassment which can be problematic in future. For this reason, a lot of men resist erectile dysfunction treatment.   

What is Erectile Dysfunction? 

  Erectile Dysfunction or impotence is the inability to get or maintain a penile erection for a long period of time. It may not be the most important cause of concern but it is constantly leading to low self-confidence and distress, especially among youngsters.  Almost 52% of men experience ED at least once in their lifetime. It is quite crucial to understand that ED is not permanent and most of the time it is the result of some other problem. ED can occur in any age group and is nowadays more common due to changing lifestyles and unrealistic goals in bed.  Other underlying problems that can occur along with ED include premature ejaculation and problems during orgasm. 

How Common is Erectile Dysfunction?

Erectile dysfunction is quite common and affects at least one in 10 males in the long term.  But how prevalent is it? Well, it does affect a very large population of men and the underlying causes for it include changing environment, and modern lifestyle habits like drinking, and smoking.  Other factors such as stress, fatigue, low libido relationship problems and constant pressure to perform well can also contribute to ED.  It is okay to not be able to perform well in bed for consecutive days, moreover, the inability to get a penile erection less than 20% times is very normal. What is not normal is a problem getting an erection for more than 50% of the time in total attempts. Mostly in such cases, erectile dysfunction treatment is needed.  While ageing may act as a fuel to ED, it should not be considered the sole reason, therefore, ED is not entirely linked to ageing. A young man under the age of 40 should not consider that experiencing ED is a shame and doubt his masculinity. Older men may sometimes need extra stimulation for erection but it does not mean that he is suffering from ED.   

Symptoms of Erectile Dysfunction 

  Symptoms of ED are easy to spot and can be differentiated from one unlucky day when the male couldn’t perform well during intercourse. The most common symptom of ED is problems while getting an erection and the ability to maintain the erection throughout sexual intercourse. Some other symptoms that can be indicative of erectile dysfunction include: 
  • Premature Ejaculation: Release of semen even before starting, or coming before your partner would wish you to. Premature ejaculation can also happen even if you are not suffering from ED. In most cases, ED is accompanied by premature ejaculation. 
  • Delayed Ejaculation: While it may not seem to be a symptom of ED, extreme delayed ejaculation can still be a symptom. The person faces problems while ejaculating even after constant stimulation and sometimes does not ejaculate at all. 
  • Problems While Orgasm: If the male is not able to achieve climax during sexual intercourse even after enough stimulation, it can indicate erectile dysfunction. 
Are these symptoms persisting for more than three months? If yes, then you may need to get it checked. The doctor will see if the disease is very severe and if you need erectile dysfunction treatment without medications.    

Causes of Erectile Dysfunction

  Most of the men facing ED never accept the fact that they have such a problem, mostly out of fear or low self-esteem and avoid the factors causing them. Therefore, erectile dysfunction treatment becomes difficult even if the problem is not severe. Let us have a look at various causes behind erectile dysfunction which most commonly include:  
  • Physical Causes: 
Various forms of physical distress including diabetes, internal damage, problems with hormones, and fluctuating hormones causing ED can include:      Neurological Complications:
  • Nerve Damage: The brain and spinal cord play an important role in physical intimacy and sexual intercourse. Once the chemistry sparks, the brain sends signals to the nerve endings around the penis in order to initiate an erection. Sometimes when the nerves are damaged due to some reason, the signalling breaks and the male faces the inability to have an erection. 
  • Multiple Sclerosis: Nerves that serve to be a connection between the brain and the penis are damaged due to causes like diabetes or stroke. 
  • Alzheimer's and Parkinson's Diseases: Brain-related neuro-degenerative disorders can lead to ED as damaged nerves are unable to transfer signalling appropriately to the male genitalia.
  • Psychology-Related Problems: 
  • Stress, Depression, and Anxiety: Managing work with personal life can be really painful sometimes. Emotional distress, anxiety, stress, depression and feeling lonely can trigger ED and can eventually affect male sexual performance.
  • Performance Anxiety: Sometimes when the partner has not been able to perform well over a long period due to external factors leading to stress and fatigue performance anxiety may occur. Self-doubts, low self-esteem and the possibility of questioning masculinity may aggravate anxiety and eventually lead to ED.
  • Obesity:  
Obesity is not necessarily linked with ED, however, various disorders that lead to obesity like heart diseases, diabetes, high lipid count and various such problems can directly trigger ED.  Therefore diseases that cause obesity are also the same disease that largely contributes to erectile dysfunction. In such cases, erectile dysfunction treatment starts with controlling weight.   
  • Penile Complications: 
Peyronie’s Disease: It is a complication in which the shape of the penis is tilted. The erection appears to be curved and can cause excessive pain and inability to have sexual intercourse. It can occur due to injury or damage to the penis. In some cases, genetics can also play a role and the problem can occur over time.   
  • Medications:
Mediations serve to be some common reasons for ED. Most of these diseases for which one takes medications are common and can cause or worsen ED symptoms:
  • Hypertension: In order to control high blood pressure doctors prescribe medications that lower the blood flow and help in stabilising blood pressure. Since erection is caused due to high blood pressure, lowering the blood pressure can be responsible for ED.
  • High Lipid Count: Statins are widely used to manage cholesterol levels inside the body. Accumulation of cholesterol can directly cause low libido and ED. 
  • Anxiety and Stress: The medications used to manage anxiety and stress can interact with the chemical signalling of the brain and cause ED. 
  • Non-steroidal Anti-Inflammatory Drugs: These are the medicines used for the erectile dysfunction treatment of pain. Their usage over a prolonged period of time can lead to a reduction in a chemical that is responsible for erection, therefore they can cause ED. 
  • Habit Forming Drugs: Some medications that are abused are also responsible for erectile dysfunction. Some of them include: 
  • Barbiturates
  • Alcohol
  • Cocaine
  • Marijuana
  • Nicotine
  • Opioids 
It is not necessary that these medications will cause ED. They calm the person by acting on their CNS and sometimes may cause damage to the blood vessels causing erectile dysfunction.   

Myths and Facts Related to Erectile Dysfunction

  Myth: ED becomes very common with age and you cannot escape it Fact:  ED is relatively more prevalent among old males. However, erectile dysfunction treatment is available regardless of the age factor and men do not necessarily have to compromise with sex life after an age.    Myth:  ED never happens to men in younger years  Fact: Nowadays, young men experience more ED than they used to a decade back. It is due to changing lifestyle problems. More common are the men above 40 but young men have also sought erectile dysfunction treatment for the same.     Myth: It’s in your head and ED is not such a big problem.  Fact: ED itself is a health complication, moreover, it can indicate more serious problems such as diabetes and CNS-related diseases. In order to avoid serious complications in future, get your ED checked by your physician and take erectile dysfunction treatment if needed.    Myth: Erectile dysfunction happens because you are no longer in love with your partner.  Fact: Low libido can be because of various other reasons including work stress or fatigue. It has nothing to do with what you feel for a person. You can have a low libido even if you have strong sexual desires for a person. Moreover, alcohol and drug abuse can be a strong reason for ED.    Myth: There is only one way to treat ED and that is prescription medication.  Fact: Prescription drugs are only required when the case is severe and persists for a very long time. In most cases, erectile dysfunction treatment can include simple lifestyle changes and maintaining a healthy diet. Managing stress and adding exercise to your routine can also help in coping with erectile dysfunction.   

Diagnosis of Erectile Dysfunction

A number of causes can be the reason behind ED which may be directly or indirectly related to erectile dysfunction. Sometimes it is some external factor that is causing ED and sometimes ED is a side effect of a severe disease therefore it is very important to know the root cause of the disease. The correct diagnosis helps us to understand and manage the disease.  Your physician will review your medical history before starting to examine you. The doctor will take a session with you over your overall sexual health and may ask questions that might seem intrusive.  The questions will include information about the following: 
  • Medicines you have used previously and are currently taking. It will include all the medications or supplements you take.
  • Problems you have been facing that Are leading to stress or anxiety. 
  • For how long has the patient been experiencing symptoms of ED?
  • The count and frequency of ejaculations in a single sexual encounter. 
  • A number of possible erections you had in a while.
  • If you are experiencing any serious problems related to your relationship.
  After a detailed session, the doctor might further ask you to follow some tests for diagnosis. These tests include: 
  • Complete Blood Count (CBC): Low blood count can be due to a number of possible reasons. One of which could be anaemia leading to fatigue and ED. 
  • Lipid Profile: A high lipid profile indicates high levels of cholesterol in the body. The cholesterol deposits in the walls of the blood vessels make them less flexible and restrict the blood flow to the penis leading to ED.
  • Liver Function Test: The test can give an idea about which component inside the body is abundant and is causing ED.
  • Urine Test: A complete urine analysis can give an idea of overall body health. Since the by-products of bodily processes are eliminated via urine, one can get it tested for the analysis of levels of various components inside the body including cholesterol, testosterone, sugars, etc. It will give an idea if the patient is suffering from any disease such as low testosterone, cholesterol, or diabetes which may possibly lead to ED. 
  • Thyroid Test: Thyroid hormones regulate the production of sex hormones and therefore, a thyroid test can suggest if a low sex hormone count is causing low libido and ED.
  • Blood-Hormone Test: A simple blood test can give an overview of the levels of different hormones inside the body. Increased levels of prolactin or decreased levels of testosterone can indicate low libido and can further lead to ED.
  • Ultrasound: Ultrasound is a one-stop diagnostic technique for a number of complications that gives accurate results. A collection of pictures demonstrating penile tissues can be collected using Ultrasound. A physician can easily check issues like tissue scarring, venous puncture, and hardened blood vessel walls leading to ED. 
  • Nocturnal penile tumescence (NPT): The test is used to monitor a man’s erection activity at night. A normal person experiences erection almost 5 to 6 times while sleeping. A set of plastic bands are placed around the penis before the person is about to sleep. The bands are of varying sizes and strengths. It gives an account of erections occurring at night depending upon the number of bands that break overnight. 
Erectile Dysfunction Treatment Since erectile dysfunction is a symptom of various other serious problems, your doctor will first try to diagnose the main problem, if any. Once the problem is diagnosed, your doctor will prepare a list of diseases that need treatment. It could be some serious problem that needs prior assistance therefore the erectile dysfunction treatment will first focus on the main cause. The erectile dysfunction treatment includes: 
  • Change of medicines if they are unwantedly causing ED
  • Counselling to help in stress and anxiety management
  • Oral prescription medications help in increasing the blood flow of the penis
  • External vacuum penile pump: a device used to create suction to help in a better erection
  • Prosthetic implants 
  • Hormone therapy to increase the levels of testosterone
  Let us read more to understand approaches taken for erectile dysfunction treatment:   Natural ED Treatments
  • Physical activities: Increasing physical activities and indulging in exercise in daily routine can improve erection and help in erectile dysfunction treatment. 
  • Quit Smoking: Smoking can seriously affect sexual performance and can cause ED. Quitting smoking is the first step for erectile dysfunction self-care. Your doctor may suggest nicotine replacement chewing gums to cope with smoking cessation. 
  • Lose Weight: Excess weight and high cholesterol can be reduced to improve sexual life quality and for erectile dysfunction treatment.
  • Stress Management: Sharing your concerns with a reliable person and taking out your concerns can help in managing stress and eventually improve erection. 
  • Working Out with Your Partner: It is best to share concerns with your partner and make her understand your problems. Even if you are facing performance anxiety, your partner can help by comforting you which is probably the best natural cure for ED.
  Non-Invasive Erectile Dysfunction Treatment
  • Medication: Your doctor may prescribe you some medications that help in improving blood flow to the penis by dilating your blood vessels. One should take these medications at least one hour before performing sexual activity. The dose should be controlled and taking high doses every day is not recommended.
  • Placing a rubber ring around the penis: The rubber ring can increase the rigidity of the penis and can help in a better erection. It is recommended when the person is not able to maintain a desired erection for a considerable period. It is best to consult a doctor before using it.
  Minimally Invasive Erectile Dysfunction Treatment Injections Some medicines when directly injected into the penis can increase blood flow. The reaction develops about 10 minutes after the injection and can last up to the next hour. The user should consult a doctor before self-injection. Testosterone replacement therapy (TRT) Testosterone replacement therapy can be used for patients to increase levels of testosterone inside the body. The doctor will first determine the cause behind low testosterone levels.   Surgical Erectile Dysfunction Treatment When other methods are not working, a patient can choose to opt for surgical treatments. The preferred surgical erectile dysfunction treatment includes: 
  • Penile Implants:
Penile implants are devices that are surgically implanted inside the penis. They are available in two forms: Rod-like implants and Inflatable implants.  The implants help in getting an election within 20 to 30 seconds before intercourse. Inflatable implants are more natural-looking and stay inflated even after the climax. It is attached to an internal release valve which helps in getting rid of an erection after intercourse. They are comfortable and work for a lifetime.  
  • Rod-shaped implants:
They help in the correct placement of the penis during intercourse. They are semi-rigid and help in keeping the penis erect for a long period.  These implants can help in erection but they do not change the size of male genitalia and also they do not increase the sexual drive.   
  • Vascular Surgery:
The last hope to fix the erectile dysfunction problem is vascular surgery. The surgery involves repairing blood vessels that supply blood to the penis.  Although it is not recommended due to the complex procedure, youngsters who suffer from ED due to some accidental trauma may opt for this procedure.   Prevention of Erectile Dysfunction It is better to take preventive measures than to look for an erectile dysfunction cure. A person can make small lifestyle changes that can help in managing the complication. For example: 
  • Take proper care and treatment for managing diabetes, heart disease, and other chronic problems. 
  • Go through regular screenings and medical checkups to keep track of your health. 
  • Quit bad habits such as smoking, alcohol and drug abuse. 
  • Exercise regularly.
  • Take steps to manage stress.
  • Go for counselling to eliminate anxiety, depression and mental health problems.
  Only 33% of the total population of men are vocal about the problem and seek erectile dysfunction treatment. It is important to understand that ED does not question masculinity and can occur even if your reproductive system is working completely fine. ED cure is possible by simply understanding the root cause only by getting the right consultation, treatment and precautions. Making necessary lifestyle changes, eating healthy, and indulging in s many physical activities to improve stamina and reduce accumulated fat can improve your sexual life and overall health.    References:  https://www.ncbi.nlm.nih.gov/books/NBK562253/ https://www.betterhealth.vic.gov.au/health/healthyliving/erectile-dysfunction https://my.clevelandclinic.org/health/diseases/10035-erectile-dysfunction https://www.allohealth.care/treatments/erectile-dysfunction https://www.healthline.com/health/erectile-dysfunction#treatment https://www.mayoclinic.org/diseases-conditions/erectile-dysfunction/symptoms-causes/syc-20355776#:~:text=Erectile%20dysfunction%20(impotence)%20is%20the,necessarily%20a%20cause%20for%20concern. https://www.1mg.com/diseases/erectile-dysfunction-245?wpsrc=Google+Organic+Search https://www.mayoclinic.org/diseases-conditions/erectile-dysfunction/diagnosis-treatment/drc-20355782