Erectile Dysfunction (ED): Causes, Symptoms, Diagnosis, Treatment & Prevention
- Dr. Arun
- Jun 4
- 4 min read
By Dr. Arun | MBBS, MD, DSM | Leading Sexologist in Agra
✅ Introduction
Erectile Dysfunction (ED), also known as impotence, is one of the most common and yet under-discussed sexual health issues affecting men globally. It is defined as the inability to achieve or maintain an erection firm enough for satisfactory sexual performance.
At Dr. Arun’s clinic in Agra, we understand that ED can be more than just a physical issue—it often impacts mental health, relationships, and self-esteem. The good news is that ED is treatable at all stages, and in many cases, fully reversible.
🔍 What is Erectile Dysfunction?
Erectile dysfunction is not a disease—it's a symptom of an underlying problem, whether physical, psychological, or both. It can happen occasionally due to stress or fatigue, but if it occurs consistently, it needs medical evaluation.
An erection requires healthy blood vessels, nerves, hormones, and mental health. A disruption in any of these areas can lead to ED.
📉 How Common is ED?
ED becomes more common with age, but it is not just an “old man’s issue.”
About 30% of men over 40 experience some form of ED
Increasingly, men in their 20s and 30s are reporting erectile problems due to stress, poor lifestyle, and pornography addiction
In India, millions of men suffer in silence due to social stigma or misinformation
🧠 Psychological Causes of ED
Performance anxiety or fear of failure
Depression and low self-esteem
Relationship issues or lack of intimacy
Porn addiction or unrealistic expectations
Stress from work, finances, or family
🩺 Physical and Medical Causes
Diabetes mellitus (high blood sugar damages nerves and blood vessels)
High blood pressure and heart disease
Obesity and high cholesterol
Smoking and alcohol abuse
Hormonal imbalances (low testosterone or thyroid dysfunction)
Nerve damage from injury or surgery
Side effects of medications (antidepressants, antihypertensives, etc.)
Peyronie’s disease (penile curvature due to fibrous tissue)
⚠️ Symptoms of Erectile Dysfunction
Difficulty in getting an erection even with arousal
Inability to maintain erection during sexual activity
Reduced sexual desire (low libido)
Premature or delayed ejaculation (often associated)
Embarrassment, frustration, or relationship stress
If these symptoms persist for more than 4 weeks, consult a specialist like Dr. Arun for evaluation.
🧪 Diagnosis at Dr. Arun’s Clinic
Dr. Arun conducts a confidential and comprehensive evaluation, which includes:
Detailed sexual history and psychological screening
Physical examination for signs of hormonal or vascular issues
Blood tests (testosterone, sugar levels, lipids, thyroid, prolactin, etc.)
Penile Doppler Ultrasound – checks blood flow and vascular health
Nocturnal Penile Tumescence Test – assesses spontaneous erections during sleep (if needed)
💊 Treatment Options for Erectile Dysfunction
The goal of treatment is not just to restore erections, but to rebuild confidence, satisfaction, and intimacy. Treatment is personalized based on the root cause.
✅ 1. Lifestyle Modification
Weight loss, regular exercise, and quitting smoking
Reducing alcohol and avoiding drugs
Adequate sleep and hydration
Healthy, balanced diet rich in antioxidants
Limiting screen time and managing stress
✅ 2. Counseling and Sex Therapy
Individual or couple’s therapy
Helps address performance anxiety and emotional barriers
Psychological coaching by Dr. Arun with evidence-based methods
✅ 3. Medical Management
PDE5 Inhibitors (e.g., Tadalafil, Sildenafil) – improves blood flow
Hormonal therapy if testosterone is low
Ayurvedic or herbal options may be suggested in mild cases under supervision
Supplements with L-arginine, ginseng, zinc, or CoQ10
Intracavernosal injections for resistant cases (advanced)
✅ 4. Shockwave Therapy (Available at Dr. Arun’s Clinic)
Non-invasive
Improves vascular health
Long-lasting benefits
No downtime
✅ 5. Vacuum Erection Devices (VED) and Penile Implants
Considered in advanced or irreversible cases
Surgical implants are only recommended when all other treatments fail
🛡️ Preventive Measures
Manage chronic conditions like diabetes and hypertension
Avoid overuse of porn and masturbation
Regular health checkups
Prioritize mental and emotional health
Avoid steroid misuse and self-medication
🩺 Why Choose Dr. Arun for ED Treatment?
Dr. Arun is an MBBS, MD, DSM-qualified sexologist with years of experience in treating thousands of men suffering from ED and related disorders.
No judgement, no embarrassment
Holistic approach with medical + psychological care
Advanced diagnostics and customized treatment plans
Confidential and ethical care in a safe clinical environment
Trusted across Agra and North India by professionals, couples, and newlyweds
📞 When to Seek Help?
If you’re struggling with:
Consistent erection issues
Reduced confidence or sexual satisfaction
Relationship stress due to performance issues
Feeling less "manly" or energetic than before
It’s time to break the silence and get help. Erectile dysfunction is nothing to be ashamed of—it’s a medical condition, and it’s treatable.
📌 Final Words
Erectile dysfunction is a deeply personal issue, but you’re not alone—and you’re not helpless. With early diagnosis and the right treatment, you can regain confidence, intimacy, and full sexual health. At Dr. Arun’s clinic, you will receive the care, support, and discretion you deserve.
📍Visit us at:
www.bestsexologistinagra.com📍Agra | 📞 Call for Appointments: +91-9927005959
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