- 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'm having trouble when trying to get intimate with my wife because my penis seems to go loose quickly, and I'm not sure what's happening. I've been off some medications for pseudo-seizures like Zapiz, Topicon, and Pregabid for about six months now. Any thoughts on what the issue might be and if there are any medications I should consider?
It sounds like you may be experiencing erectile dysfunction. I recommend trying a medication called Viagra (Sildenafil) at a dose of 50mg taken 1 hour before sexual activity. This can help improve blood flow to the penis and assist with achieving and maintaining an erection. However, it is important to consult with a doctor before starting any new medication to ensure it is safe for you based on your medical history.
Answered by 1 Apollo Doctors
I'm getting married in August and have a really tight foreskin. Do I need to get circumcision surgery? How long does it take to recover and how painful is it? Will the surgery affect how I walk after?
MIGHT TAKE 1-2 WEEKS .
Answered by 1 Apollo Doctors
Is forcing urine out bad?
If you have to force out urine means that there is some obstruction in outflow
Answered by 1 Apollo Doctors
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.





