Erectile Dysfunction (ED), also called impotence, is one of the most common sexual health concerns affecting men of all ages. It is defined as the persistent inability to achieve or maintain an erection firm enough for satisfactory sexual performance.

ED is not only a sexual issue — it can affect self-esteem, relationships, and overall quality of life. The positive news is that it is highly treatable, and in many cases, reversible.

What Is Erectile Dysfunction?

ED occurs when blood flow, nerve signals, hormones, or psychological factors interfere with normal sexual arousal. Occasional difficulties are common, but when the problem persists for weeks or months, it may be diagnosed as ED.

Symptoms of Erectile Dysfunction

• Difficulty achieving an erection

• Trouble maintaining an erection during sexual activity

• Reduced sexual desire or interest

• Anxiety or stress about sexual performance

Causes of Erectile Dysfunction

Physical Causes

• Cardiovascular disease (high blood pressure, atherosclerosis)

• Diabetes

• Obesity and metabolic syndrome

• Hormonal imbalances (low testosterone)

• Neurological conditions (Parkinson’s, multiple sclerosis)

• Side effects of medications (antidepressants, antihypertensives)

Psychological Causes

• Stress and performance anxiety

• Depression or other mood disorders

• Relationship conflicts

• Past trauma or negative sexual experiences

Lifestyle Factors

• Smoking

• Excessive alcohol use

• Lack of physical activity

• Poor diet

Diagnosis of Erectile Dysfunction

A healthcare provider may:

• Take a detailed medical and sexual history

• Perform a physical examination

• Order blood tests (diabetes, testosterone, cholesterol)

• Assess psychological and relationship factors

Treatment Options for Erectile Dysfunction

Medical Treatments

• Oral medications (PDE5 inhibitors like sildenafil, tadalafil)

• Testosterone replacement therapy (when indicated)

• Injections or vacuum erection devices

• Penile implants (for severe or treatment-resistant cases)

Psychological & Relational Treatments

• Sex therapy to reduce performance anxiety

• Couples therapy to improve intimacy and communication

• Cognitive-behavioral therapy (CBT) and mindfulness techniques

Lifestyle Changes

• Regular exercise and weight management

• Quitting smoking and reducing alcohol intake

• Adopting a balanced, heart-healthy diet

• Stress management (yoga, meditation, breathing exercises)

Outlook

ED is highly treatable. Addressing underlying health conditions, improving lifestyle, and seeking professional support often restores healthy sexual function. An integrated approach — medical, psychological, and relational — leads to the best outcomes.

✅ If you’re struggling with ED, you’re not alone. Quick fixes rarely address the root cause, but comprehensive care can. Our clinic provides confidential, evidence-based support tailored to your health, your relationship, and your goals.

Dr. Srinivas Rajkumar T
MD (Psychiatry), AIIMS New Delhi
Consultant Psychiatrist – Child, Adult & Geriatric Psychiatry
Apollo Clinic, Velachery, Chennai

📞 Contact/WhatsApp: 85951 55808