Erectile Dysfunction

Erectile dysfunction is a type of sexual dysfunction, where a man is unable to get or keep an erection firm enough for sexual intercourse. It can be psychological or due to some underlying health issue. Physical causes of ED are heart problems, high blood pressure and cholesterol, obesity, diabetes, prostate cancer, etc.

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What could be the reason for ED and delayed ejaculation?

Query: Hello doctor, I am 30 years old. I am a healthy individual with no signs of BP or heart issues. I have done a healthy heart screening where they checked heart plus blood flow in legs, lipid profile, liver function test, vitamin D and everything is normal. My morning erections frequency is fine, (no...  Read Full »

Dr. Ramchandra Lamba

Psychiatrist, Sexologist, Psychologist Counsellor

Answer: Hi, Welcome to I have gone through your query and find that you are physically active and healthy. You have phimosis but that is not causing you much problem. For the last few occasions you have erection problems and delayed ejaculation, it can occur because of many issues including...  Read Full »

Why is my erection weak even after taking Tadalafil?

Query: I am 32 years old healthy male without any relevant medical history. I am married since 2 years and do not have kids. Till 3 months ago I used to have weekly sex with my wife but now since last 5 months I have been staying without her in some city so meet her only once a month. I also masturbate on...  Read Full »

Dr. Abdul Rub

Family Physician, General Practitioner

Answer: Erectile performance and ejaculation can be influenced by many factors, if you are anxious, sad or stressed this can get lower performance, if you are relaxed and happy you will have better performance because it is affected by neurotransmitters, which is influenced by mood, stress level, etc. the m...  Read Full »

Why is there variation in T hormone levels in the evening?

Query: Hello doctor, I am 41 years old. My height is 5'7" and I weigh about 74 kg. I am suffering from ED. T3-110, T4-9.4, TSH-1.37 Total cholesterol 238 (last year), and 249 recently. 25 OH Vitamin D (total) 58.87 ng/ml. Blood glucose random-104 Blood glucose post prandial 124 g/dL HbA1c 6.3 ...  Read Full »

Dr. Ramchandra Lamba

Psychiatrist, Sexologist, Psychologist Counsellor

Answer: Hi, Welcome to All your tests are normal except for high level of FSH (follicle-stimulating hormone) and LH (lutenizing hormone) and prolactin and your endocrinologist advises for no medicine. For managing your ED (erectile dysfunction) try the life style modifications and use of Silde...  Read Full »

Is it safe to increase the dose of Cialis if usual dose did not work?

Query: Hello doctor, I have been using Cialis for years with great results but recently it is not working well. What could cause this?  Read Full »

Dr. Devendra


Answer: Hi, Welcome to Tadalafil has no known interaction with the drugs you have mentioned but Magnesium must be taken two to three hours apart from the drug to prevent decreased absorption. Do you have morning erections? Is it situational difficulty or on all occasions? On a scale of 10, h...  Read Full »

I have erectile dysfunction and premature ejaculation. How can I solve this?

Query: Hello doctor, I suffer from erectile dysfunction and also ejaculate even just with holding a women. How can I solve this problem? I am a healthy person who exercises regularly, is not over weight and my lab reports are also fine. I know I suffer from lack of libido but do not know how to handle it.  Read Full »

Dr. Ramchandra Lamba

Psychiatrist, Sexologist, Psychologist Counsellor

Answer: Hi, Welcome to Your blood test are normal except low vitamin D and B12 (attachment remoed to protect patient identity). Erectile dysfunction and premature ejaculation can be due to many causes. If erectile dysfunction is more prominent then first try Sildenafil and if it is improvi...  Read Full »

Why do I get pain in right testis during sex with PME and ED?

Query: Hello doctor, I have testicular pain in the right testis. I consulted with a primary care doctor. They gave me an ultrasound which came out negative. But revealed tiny right tunica albuginea cyst. I am covered under VA health care and the urologist consultation has taken months with no follow-up. M...  Read Full »

Dr. Sandip Pramanik


Answer: Hello, Welcome to I have gone through your queries. You are having two issues. One is testicular pain. Another is PME (premature ejaculation), and ED (erectile dysfunction). Firstly, I come to testicular pain. It may be due to mild epididymo-orchitis. Or it may be due to the cyst...  Read Full »

I am not getting erection as before with premature ejaculation. Why?

Query: Hello doctor, I am a 34-year-old male in good general health. Until 20 years of age, I never experienced any issue with erections or sexual health. When I turned 20, I had an episode with my girlfriend where over two consecutive nights, we had no sex, but rather very prolonged foreplay. Due to the ...  Read Full »

Dr. Devendra


Answer: Hi, Welcome to From the events you described, you had normal erection and ejaculation but over the years it has reduced. You have difficulty in maintaining erection and premature ejaculation. Have you recently changed the partner or stress in relationship? How much time do you take bef...  Read Full »

How is the cause of erectile dysfunction diagnosed?

Query: Hi doctor, I am a 46 year old male. My weight is 75 kg and height is 6 feet. I do not have diabetes and BP. I have asthma which is under control. I am facing problems in getting erections. It is getting worse with time. I tried some treatments for depression and practiced relaxation techniques with...  Read Full »

Dr. Duraisamy Palanisamy

Andrologist, Diabetologist, Sexologist

Answer: Hi, Welcome to I understand your problem. You cannot find any immediate result for your problem. Because, erectile dysfunction is a chronic problem. It may be due to age or hormonal change, psychologic, etc. We have to rule out common problems first. If everything is there then we ha...  Read Full »

Kindly suggest a solution for erectile dysfunction and premature ejaculation.

Query: Hi doctor, I am a 29 year old male. My height is 5'11" and weight is 90 kg. I am going to be married next year. My problem is that I am suffering from erectile dysfunction and premature ejaculation. In my case the erections are there, but the ejaculation is even quick. The erections are not full. Wh...  Read Full »

Dr. Seikhoo Bishnoi

Psychiatrist, Sexologist, Psychotherapist

Answer: Hi, Welcome to Erectile dysfunction and premature ejaculation can cause significant distress to a person. If your erectile dysfunction is persistent then I would advise you to get your serum testosterone and serum prolactin done to rule out any hormonal cause. If that comes back normal ...  Read Full »

What is the remedy for poor erection on one side?

Query: Hello doctor, I think I have a certain level of erectile dysfunction. My penis becomes hard but only from the left side and refrains from staying erect. What is the remedy for this situation?  Read Full »

Dr. Seikhoo Bishnoi

Psychiatrist, Sexologist, Psychotherapist

Answer: Hello, Welcome to I can understand your concern. If there is poor erection on one side then this cannot be ignored. This could be due to some vascular issues. Have you got any injury during sexual intercourse in the recent past? Or sudden bending during masturbation? Is there any hist...  Read Full »

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Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.