- 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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I'm a bit confused about the timing of precum and sperm during ejaculation. Does precum always come out before sperm, or can sperm be released before precum too? Also, is it possible for precum to be released after sperm? I'm trying to understand how it works.
Precum, also known as pre-ejaculate, is a clear, colorless fluid that is released from the male urethra during sexual arousal. It is produced by the Cowper's glands and serves to lubricate the urethra and neutralize any acidity from previous urine. Precum can be released before ejaculation, during sexual activity, or even without sexual stimulation. Sperm, on the other hand, is the reproductive fluid that contains sperm cells and is released during ejaculation. Sperm is produced in the testes and stored in the epididymis until ejaculation occurs. In the normal sequence of events during sexual activity, precum is usually the first fluid to be released, followed by the release of sperm during ejaculation. However, it is possible for sperm to be released first, especially if there is residual sperm in the urethra from a previous ejaculation, and precum to be released afterwards. It is important to note that precum itself can contain sperm, although the concentration is generally lower compared to ejaculated sperm. Therefore, it is still possible to conceive from precum if it contains sperm. If you have concerns about fertility or sexual health, it is recommended to consult with a healthcare provider for personalized advice and guidance.
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.