- 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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View allI'm dealing with a needle-like pinch and hot sensations on the edges of my scrotum, and it's been really concerning. Plus, when I sit on a bike or even a chair, my right thigh and lower abdomen get painful. I've had a sonography done, and there's no hernia, which is a relief, but still confusing. I went to a neurologist who gave me Maxmela Forte to help, and it does reduce the pain a bit, but I still feel uneasy. This has been going on for about a month now, and I'm just not sure what's going on or what else I should be doing. Any ideas on what could be causing this or how to get more relief?
It sounds like you may be experiencing nerve-related symptoms in your scrotum edges, right thigh, and lower abdomen. The medication Maxmela Forte prescribed by the neurologist contains a combination of Pregabalin and Methylcobalamin, which helps in reducing nerve pain and discomfort. However, since you are still experiencing uneasiness, I recommend discussing with your doctor about adding a medication like Gabapentin (brand name Neurontin) at a starting dose of 300mg, gradually increasing as needed for better control of nerve-related symptoms. Additionally, you may benefit from physical therapy to address any underlying musculoskeletal issues contributing to your symptoms.
Answered by 1 Apollo Doctors
I'm really concerned about how to control pre-cum. It happens whenever I even think about anything sexual, and it's becoming a bit frustrating. I just want to understand if there's a way to prevent it or reduce the occurrence because it really bothers me. Any advice on how to deal with this?
It's normal for pre-ejaculate (pre-cum) to be released as a response to sexual thoughts or stimulation. To manage it, practicing techniques like mindfulness, relaxation, and focusing on controlling arousal through deep breathing or distraction can help. If this continues to cause concern, consulting with a doctor or therapist may offer additional strategies.
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My wife is 48 with only one ovary and tube left. I'm 55 with no bad habits and had varicocele surgery 10 years ago for mild oligospermia, but now dealing with erectile dysfunction. What tests should I get to check male fertility, and is there still a chance we can conceive naturally if her remaining tube is open?
Get semen analysis, FSH, LH, testosterone; HSG for wife—natural conception is possible if remaining tube is open.
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.