- male
- 40 Years
- 21/12/2021
How to know if my ED is physical or psychological?
Answered by 1 Apollo Doctors
Some tests can be done to know if there is any organic or physical cause and also detailed history including psychological evaluation helps.
Dr. Ranjith Suggests...
Consult a Urologist
Answered 04/07/2025
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Understanding Erectile Dysfunction (ED)
- ED is the inability to achieve or maintain an erection. Common causes include physical conditions like diabetes and psychological factors such as stress.
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Physical vs Psychological Causes
- Physical Causes: Diabetes, heart disease, hormonal imbalances.
- Psychological Causes: Stress, anxiety, depression.
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Signs Suggesting Physical Causes
- Persistent ED without situational triggers.
- Lack of nocturnal or morning erections.
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Signs Suggesting Psychological Causes
- ED linked to specific situations or partners.
- Presence of morning or nocturnal erections.
- Sudden onset related to stress or emotional issues.
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Diagnostic Steps
- Medical evaluation including history and physical exam.
- Tests: blood sugar, hormone levels, cardiovascular assessment.
- Psychological assessment if indicated.
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When to See a Specialist
- Referral to a urologist or mental health professional.
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Treatment Overview
- Tailored treatment depending on cause.
- Options include lifestyle changes, medications, and counseling.
Recommended next steps
Consult a Urologist or Take a PPBS Test (Post-Prandial Blood Sugar) Test
Answered 20/08/2025
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More Urology Health Queries
View allI have a 4.2mm and 4.5mm kidney stone in my left kidney with hydronephrosis and calyceal separation of 9mm. My prevoid volume is 289cc and PVR is 20cc which they say is insignificant. Can you explain what the 9mm and 20cc measurements mean? Do I need surgery for this or can it be treated with medication?
The 9mm refers to hydronephrosis severity, and 20cc PVR is normal; stones this size often pass or dissolve with meds.
Answered by 1 Apollo Doctors
I'm having this consistent mild pain in my testicle, mostly on the left side. My doctor thought it might be epididymitis and put me on antibiotics, but it's been three weeks and I'm still in pain and feeling uncomfortable. I've had ultrasounds for my scrotum, kidneys, and bladder, and everything seems normal. I also got my testosterone levels checked, and it's at 327 ngdL. Is this a normal situation, or should I be worried about something else going on?
A testosterone level of 327 ngdL is not typically a cause for concern, and it is not usually linked to epididymitis. If your symptoms persist despite antibiotic treatment, it's important to follow up with your doctor, as there may be other underlying factors contributing to the ongoing pain.
Answered by 1 Apollo Doctors
I had varicocele surgery two months ago but still have testicle pain. The recent scan shows some veins are still there and it's now grade 1. Do I need another surgery or are there other options to manage this?
It's understandable to be concerned about ongoing pain after varicocele surgery, especially with a grade 1 varicocele still present. While some vein persistence is normal, persistent pain warrants further investigation. While repeat surgery could be an option, other conservative measures and interventions should be considered first
Answered by 1 Apollo Doctors
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.