- 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've recently gotten my semen analysis results back and everything seems normal except for my PUS cell count, which is at 57 hpf, while the epithelial count is only present in small amounts. Could this high PUS cell count be affecting my fertility? My wife and I are having trouble conceiving, and I'm wondering if this might be the issue. Should I see a doctor for this, or can taking a good antibiotic help resolve it?
Your semen analysis shows a slightly elevated pus cell count (5-7hpf), which may indicate a mild infection or inflammation. This alone might not directly affect fertility, but its worth consulting a doctor to rule out any underlying issues. A targeted antibiotic course, if needed, could help, but additional tests might be required to assess other fertility factors for both you and your wife.
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It is normal ,nothing to worry ok.
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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.