Q. I get hard spontaneous erections with stress in my penis. Do I have erectile dysfunction?

Answered by
Dr. Raveendran Sr
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jun 21, 2021

Hi doctor,

I feel I have erectile dysfunction because I get hard spontaneous erections with stress in my penis, but I cannot maintain hardness in masturbation. So I will be thankful for your advice.



Welcome to

I can understand your concern about your symptoms. However, according to your complaints, you may have erectile dysfunction. Reasons for erectile dysfunction are,

  1. Stress due to work or family-related, night duties, etc. Practice regular exercise and yoga.
  2. Depression.
  3. Varicocele.
  4. Fear of failure - Having one episode of erectile dysfunction once may make you feel it lasts forever.
  5. Low self-esteem (chronic masturbation).
  6. Homosexuality.
  7. Religious constraints.
  8. Smoking and alcohol.
  9. Long-term illness – Cardiac disease, thyroid, kidney disease, or any other disease with long-term medication.
  10. Negative attitude towards your partner.
  11. Hormonal issue – thyroid issue and low testosterone.
  12. Long-term drug usage.
  13. Diabetes and hypertension.

You need to check Doppler of the penis, USG (ultrasonography) of the pelvis and scrotum, blood pressure, RBS (random blood sugar), free T3 (triiodothyronine), free T4 (tetraiodothyronine), testosterone, and TSH (thyroid-stimulating hormone).

Please share more details regarding the above reasons, and we can work on diagnosis and treatment. For a temporary solution, I suggest Mildfil 5 mg (Tadalafil) twice a day.

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