விறைப்புத் திறன் குறைபாடு (Erectile Dysfunction)

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Definition: Inability to achieve or maintain an erection sufficient for intercourse.

Causes: Diabetes, hypertension, obesity, stress, alcohol, low testosterone, nerve or vascular disorders.

Symptoms: Poor erection, decreased libido, anxiety during sex.

Investigations: Blood sugar, testosterone levels, penile Doppler, psychological evaluation.

 

Allopathy: PDE5 inhibitors (Tadalafil, Sildenafil), hormone therapy, psychotherapy.

Homeopathy: Agnus castus, Nuphar luteum, Lycopodium, Yohimbinum.

Ayurveda: Ashwagandha, Safed Musli, Gokshura, Shatavari.

Diet & Lifestyle: Eat pomegranate, walnuts, garlic, dark chocolate. Exercise daily, avoid smoking/alcohol, manage stress and sleep well.

Erectile Dysfunction (ED)

Understanding Erectile Dysfunction

Erectile dysfunction (ED)—sometimes called impotence—is the inability to achieve or maintain an erection firm enough for sexual activity.
It’s a common condition, affecting millions of men worldwide, especially as they age. While occasional difficulty is normal, persistent ED may signal an underlying health issue that deserves attention.

The good news? ED is treatable, and in most cases, men can regain healthy sexual function with the right care.


Common Causes of Erectile Dysfunction

Erectile dysfunction can result from physical, emotional, or lifestyle-related factors. Often, it’s a combination of several causes.

Physical Causes

  • Heart disease or high blood pressure – Reduced blood flow affects erection quality.

  • Diabetes – Can damage blood vessels and nerves that control erections.

  • Hormonal imbalances – Low testosterone levels can reduce libido and function.

  • Obesity – Linked to lower testosterone and circulation problems.

  • Certain medications – Blood pressure, antidepressant, or prostate drugs may affect performance.

  • Smoking, alcohol, or drug use – These can reduce blood flow and nerve sensitivity.

Psychological Causes

  • Stress, anxiety, or depression

  • Relationship problems

  • Performance anxiety

  • Fatigue or emotional burnout


Signs and Symptoms

Men with erectile dysfunction may experience:

  • Difficulty achieving or maintaining an erection

  • Reduced sexual desire or confidence

  • Emotional distress, anxiety, or frustration related to performance

If these symptoms occur often, professional help can restore both confidence and sexual health.


When to See a Doctor

It’s time to consult a healthcare provider if:

  • You have persistent erection difficulties lasting more than a few weeks

  • You experience low libido or reduced sexual satisfaction

  • You have underlying health issues like diabetes, high blood pressure, or heart disease

  • You notice changes in mood or energy that could signal low testosterone

Erectile dysfunction is not just a sexual issue—it can be an early warning sign of cardiovascular disease or other health conditions.


Diagnosis

Your doctor will begin with a confidential discussion about your symptoms, medical history, and lifestyle.
Tests may include:

  • Physical examination

  • Blood tests to check testosterone, cholesterol, or blood sugar levels

  • Ultrasound to assess blood flow to the penis

  • Psychological evaluation to identify emotional factors


Treatment Options

Treatment depends on the underlying cause—but nearly all men can find an effective solution.

1. Lifestyle and Health Changes

  • Quit smoking and limit alcohol use

  • Eat a heart-healthy diet

  • Exercise regularly to improve circulation

  • Reduce stress and get enough sleep

2. Medications

Prescription oral medications (like sildenafil, tadalafil, or vardenafil) are highly effective for many men. These work by increasing blood flow to the penis.

(Always use under medical supervision.)

3. Hormone Therapy

If low testosterone is diagnosed, testosterone replacement therapy (TRT) may improve libido and erectile function.

4. Psychological Support

Counseling or therapy can help address stress, anxiety, or relationship issues that may contribute to ED.

5. Advanced Treatments

For men who do not respond to medication, other options include:

  • Penile injections or suppositories

  • Vacuum erection devices (penis pumps)

  • Penile implants (prosthesis surgery) — safe and effective for long-term results


Preventing Erectile Dysfunction

You can lower your risk and improve performance naturally by:

  • Maintaining a healthy weight

  • Exercising regularly to improve blood flow

  • Managing blood pressure, diabetes, and cholesterol

  • Avoiding smoking and excessive alcohol

  • Staying mentally active and seeking help for stress or depression


Restoring Confidence and Intimacy

Erectile dysfunction can affect more than physical health—it can impact confidence, relationships, and overall well-being. But with today’s advanced treatments, ED is one of the most treatable men’s health conditions.

Our clinic offers discreet, personalized care to identify the cause of your symptoms and develop an effective, comfortable treatment plan.