apollo
  • male
  • 40 Years
  • 21/12/2021

How to know if my ED is physical or psychological?

Doctor 1

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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  1. 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.
  2. Physical vs Psychological Causes

    • Physical Causes: Diabetes, heart disease, hormonal imbalances.
    • Psychological Causes: Stress, anxiety, depression.
  3. Signs Suggesting Physical Causes

    • Persistent ED without situational triggers.
    • Lack of nocturnal or morning erections.
  4. 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.
  5. Diagnostic Steps

    • Medical evaluation including history and physical exam.
    • Tests: blood sugar, hormone levels, cardiovascular assessment.
    • Psychological assessment if indicated.
  6. When to See a Specialist

    • Referral to a urologist or mental health professional.
  7. Treatment Overview

    • Tailored treatment depending on cause.
    • Options include lifestyle changes, medications, and counseling.

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Answered 20/08/2025

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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.