- 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 allMy 71-year-old father was diagnosed with prostate cancer after a biopsy showed grade 24. The doctor recommended removing his prostate gland and testis, but he's currently taking homeopathic medicine like sabal serulata 200. Is surgery really necessary at this stage, or can his condition be managed with medicines? We're open to homeopathy, Ayurveda, herbal treatments, or even combining them with allopathy if it helps avoid surgery.
yes surgery is advised
Answered by 1 Apollo Doctors
My dad has borderline prostatomegaly his ultrasound showed an enlarged prostate at 31x38x34 mm with a volume of 224cc but no focal lesions. He had TURP surgery back in 2009. Is TURP needed again or are there other treatment options we should consider?
For a case of borderline prostatomegaly, with a prostate volume of 224cc and a prior TURP, a repeat TURP may not be the first course of action. Other treatment options, like watchful waiting, medications, or even a different surgical procedure, should be considered. The best approach depends on the severity of symptoms and other factors
Answered by 1 Apollo Doctors
I've been wondering about a couple of things and I'm a bit concerned. I'm 24 and I've noticed that my penis size is less than 2 cm when not erect, and about 11 cm when it is erect. Should I be worried about this? Also, when I masturbate, I usually ejaculate within one minute, and I do this about twice a week. Is this something I should be concerned about?
Penis size can vary among individuals and what you have described is within the normal range. There is no need to be concerned about the size difference. Ejaculating quickly during masturbation is a common issue known as premature ejaculation. To help with this issue, you can try using medications like Dapoxetine. Practicing techniques like the start-stop method or the squeeze technique may also be helpful.
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.