Erectile dysfunction (impotence) is the inability to get and keep an erection firm enough for sex. Having erection trouble from time to time isn't necessarily a cause for concern. Younger people can have ED problem 20% of the time and older people can have this problem 50% of the time. However if the ED problem is more than this then it can cause stress and affect your self-confidence leading to relationship problems. Problems getting or keeping an erection also can be a sign of an underlying health condition that needs treatment and a risk factor for heart disease down the road.
Erectile dysfunction symptoms might include persistent:
Trouble in getting an erection
Trouble in keeping an erection
Reduced sexual desire
When To See A Doctor
A family doctor is a good place to start when you have erectile problems. See your doctor if:
You have concerns about your erections or you're experiencing other sexual problems, including ejaculatory dysfunction, such as premature or delayed ejaculation
You have diabetes, heart disease or another known health condition that might be linked to erectile dysfunction.
The physicians are best suited to be seen primarily as they would evaluate the primarily cause and the severity of ED. If you fall in the most severe category then you might be referred for a urologist. Consulting a urologist or andrologist in the first instance will not help your cause as ED can be caused by physiological as well as psychological reasons. The physician is fully competent to medically treat any level of ED.
For many men, a physical exam and answering questions (medical history) are all that's needed for a doctor to diagnose erectile dysfunction and recommend a treatment. If you have chronic health conditions or your doctor suspects that an underlying condition might be involved, you might need further tests or a consultation with a specialist.
Tests for underlying conditions might include:
Physical exam - This might include careful examination of your penis and testicles and checking your nerves for sensation.
Blood tests - A sample of your blood might be sent to a lab to check for signs of heart disease, diabetes, low testosterone levels and other health conditions.
Urine tests (urinalysis)- Like blood tests, urine tests are used to look for signs of diabetes and other underlying health conditions.
Penile Doppler Test - In this test a colour doppler machine is used to see and measure the flow of blood into the penis. Normally the test is done before giving a papavarine injection and after giving the injection.
Overnight erection test - Most men have erections during sleep without remembering them. This simple test involves wrapping a special device around your penis before you go to bed. This device measures the number and strength of erections that are achieved overnight. It can help to determine if your erectile dysfunction is related to psychological or physical causes.
Psychological exam - Your doctor might ask questions to screen for depression and other possible psychological causes of erectile dysfunction.
Male sexual arousal is a complex process that involves the brain, hormones, emotions, nerves, muscles and blood vessels. Erectile dysfunction can result from both physiological or psychological reasons.
Physical Causes of ED
In most cases, erectile dysfunction is caused by something physical. Common causes include:
Clogged blood vessels
High cholesterol or High BP
Certain prescription medications
Alcohol or other intoxicants
Surgeries or injuries to pelvic region or spinal cord
Psychological Causes Of ED
Depression, anxiety or other mental health conditions
Relationship problems due to stress, poor communication or other concerns
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Our Team of Urologists and Andrologists provide the comprehensive range of treatment in the field of Erectile Dysfunction from medical management to surgical intervention. Dr Chandrakant Kar and Dr Deepanshu Gupta are two of the most experienced and prolific penile implant surgeons in the country having done more than 700 Penile Implant Surgeries between them. They also perform other ED surgeries like Venous Ligation. Our Medical Doctors would first evaluate the patient to see the extent of the disease and whether medical management is possible. Only when the medical management is not possible will we proceed for the surgery.
For USD 15000 you can get Penile Implant Surgery in India using 3 Piece AMS Implant. The Same surgery costs between 25-50 thousand US Dollars in other countries. Dr Raman Tanwar and Dr Deepanshu Gupta are two of the best surgeons for doing this surgery.
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Malleable Penile Implant Surgery costs USD 3500 only. The only disadvantage of this kind of implant is that you would have an erection all the time which may be a little inconvient while going to work to doing some other activity. You can get all lengths in this implant.