Erectile Dysfunction - Causes, Myths, and Facts
Sexual Health

Erectile Dysfunction - Causes, Myths, and Facts

Written by
Dr. Vaibhav
and medically reviewed by Dr. Sneha Kannan

27 May 2019  -  1 min read



One of the most frequent queries by a young adult male is about erectile dysfunction, which causes a significant amount of stress with disturbed personal life and loss of self-esteem. Quest of correct treatment and reliable advice leads to loss of time, financial suffering, and even more disturbing thought process. Correct knowledge of expectation and reality can save lots of hassle.

Since early ages, sexual gratification has been a source of pleasure, well-being, and even confidence in a man's life. With the advent of modern lifestyle and diet, erectile dysfunction is on a rapid rise. Most of the patient who visits an andrologist or urologist with the complaint of erectile dysfunction are advised mere counseling and few vitamins, thus leaving most patient unsatisfied and end up trying unorthodox methods.

However unreal it may seem, it remains the fact that the maximum number of patients mentioned above are dealing with an unrealistic expectation from their body. Source of such high expectation being the adult movies or stories which glorify the sexual act and make common people feel disgusted with their own personal capabilities.

On the other hand, other illnesses like thyroid problems, deranged lipid profile, smoking, alcohol, obesity, stress, hypertension, diabetes, and vascular diseases can lead to erectile dysfunction. Thus treating the underlying problem would automatically improve the erection status, and no special treatment is required for erectile dysfunction. But it must also be remembered that a 40 year old body will not function like an 18 year old body, so realistic expectation with a healthy lifestyle, proper treatment of chronic disease, and maintaining BMI in the normal range are the best available remedies for erectile dysfunction.

In cases where medical drugs are needed to treat the condition, it should be strictly done under the guidance of a qualified urologist or andrologist, as these group of medication (Phosphodiesterase inhibitors) have high side effect profile including an adverse effect on the cardiac vascular system. Those patients who are already on the drug should remember that this medication only helps erection rather than causing one. Thus good foreplay and emotional attachment with the partner and positive mind frame have higher and better success rate with medical therapy.

Occasionally, in people with long-standing diabetes or vascular disease, the normal dose of this medication might not have maximum effect. In such cases, your physician may advice drug combination or higher doses. So, if initial medicine has not given the best possible effect, one should not be disappointed and stop the treatment. Visiting your doctor and having detailed discussion about the lack of effect is advised.

Last reviewed at:
27 May 2019  -  1 min read


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Related Questions & Answers

Why am I having problems with erection?
Query: Hello doctor, I am a 26-year-old male with a weight of 85 kg and a height of 5 feet 10 inches. Recently, I was not able to get an erection while doing sex and was also ejaculating very soon. This happened two days ago with my current partner while we were having sex for the first time and also with...  Read Full »
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Answer: Hello, Welcome to Poor erection in most individuals occurs due to psychological reasons. But sometimes hormonal issues, diabetes, hypertension also worsen the problem. Did you get yourself checked for serum testosterone, prolactin, and blood sugar levels? Do you have any other associ...  Read Full »
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Answer: Hello, Welcome to Penile injections are tried in severe cases of erectile dysfunction (ED). Usually, it is prescribed by a urologist, since tests like penile doppler and others have to be done, to rule out any other issues. It is an option if nothing else works. But again, it is not ver...  Read Full »
Why am I not having a proper erection?
Query: Hello doctor, How are you doing? I hope you are good. My age is 29, from the last 8 to 9 days, I did not have a proper erection. This did not happen with me earlier. I am a bit worried because of this issue, also I am sleeping at 4 O'clock in the morning and waking up at 9 O'clock in the morning. Pl...  Read Full »
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Answer: Hi, Welcome to The cause of poor erection is due to poor blood to penile vasculature. The main cause is that a young person like you is psychological in nature like anxiety or tension due to poor communication between the partner or due to depression, fatigue, stress. The medical cond...  Read Full »
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