- 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've been really worried because I've been doing masturbation a lot, maybe more than I should, and I feel like it's affected my stamina and energy levels. I think it's also impacted my size or maybe that's just in my head. Is there something I can do to get my stamina and energy back? Any advice would really help.
It's important to understand that occasional masturbation does not cause long-term harm, but excessive behavior might lead to temporary fatigue or decreased energy. To regain stamina, focus on a balanced diet, regular exercise, adequate sleep, and stress management. If you feel persistent issues, consider consulting a healthcare professional for personalized advice.
Answered by 1 Apollo Doctors
I'm dealing with a stubborn 6 mm kidney stone at the UV junction that's causing mild hydronephrosis in my right kidney. The doctor put me on urimax 0.4 mg for 10 days. It's been 15 days now, and the back pain is still around, sometimes even getting unbearable. We're trying to flush it out by drinking lots of water, but it seems like nothing's changed. What should we do next?
The medication prescribed by your doctor, capsule Urimax 0.4 mg, is commonly used to help pass kidney stones by relaxing the muscles in the urinary tract. However, since the pain is still persistent and sometimes unbearable, it may be necessary to consider a different approach. In this case, you can discuss with your doctor about adding a medication like Tamsulosin (Flomax) to help with the passage of the kidney stone. Additionally, if the pain continues to be severe, your doctor may consider other interventions such as lithotripsy or surgery to remove the stone. It's important to keep hydrating well and follow up with your doctor for further evaluation and management.
Answered by 1 Apollo Doctors
I'm a bit concerned after a recent ultrasound showed multiple echogenic foci in my right kidney and a small single echogenic foci in my left kidney, ranging from about 3mm to 6mm in size. Does this mean I might have kidney stones, or could it be something else?
Changes in Menstrual Cycle After D&C _Normal Variations_ 1. _Temporary changes_: Menstrual cycles can be affected after a D&C, leading to changes in flow, duration, or frequency. 2. _Hormonal adjustments_: The procedure can cause hormonal fluctuations, which may influence menstrual cycles. _Possible Causes of Reduced Flow_ 1. _Uterine scarring_: D&C can cause scarring in the uterine lining, leading to reduced menstrual flow. 2. _Hormonal imbalance_: Changes in hormone levels after D&C can affect menstrual flow. 3. _Asherman's syndrome_: A rare condition where scar tissue forms in the uterus, leading to reduced or absent menstrual flow. _When to Consult a Doctor_ 1. _Persistent changes_: If your menstrual cycle doesn't return to normal after 2-3 cycles. 2. _Severe pain or heavy bleeding_: If you experience severe pain or heavy bleeding during your period. 3. _Difficulty conceiving_: If you're trying to conceive and experiencing difficulties. _Recommendations_ 1. _Wait for 2-3 cycles_: Allow your body to adjust and your menstrual cycle to regulate. 2. _Consult your gynecologist_: Discuss your concerns with your gynecologist to rule out any underlying conditions. 3. _Get a check-up_: Schedule a check-up to ensure your reproductive health is normal.
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.