Erectile Dysfunction (ED) Care

ED is defined as the persistent inability to achieve or maintain an erection firm enough for satisfactory sexual intercourse. While occasional difficulty is normal, if it is an ongoing issue, it requires proper medical evaluation.

Male sexual arousal is a complex process. ED can result from a combination of physical and psychological factors, including:

• Physical Causes: Heart disease, clogged blood vessels, high cholesterol, diabetes, obesity, low testosterone, or nerve damage from prostate surgeries.
• Psychological Causes: Chronic stress, anxiety, depression, or relationship problems.
• Lifestyle Factors: Smoking, excessive alcohol consumption, and lack of physical activity.

Diagnosis starts with a confidential and thorough consultation. Dr. Priyabrata Adhikari may recommend:

• A detailed medical and psychological history review.
• Blood tests to check for diabetes, heart conditions, or low testosterone levels.
• A Penile Doppler Ultrasound to examine the blood flow into the penis.

There is no "one size fits all" approach. Treatment is customized based on the underlying cause and severity:

• Oral Medications: Prescription pills (like PDE5 inhibitors) that enhance blood flow.
• Shockwave Therapy (ESWT): A non-invasive treatment that uses low-intensity sound waves to improve blood flow and stimulate the growth of new blood vessels.
• Injections & Devices: Penile injections or vacuum erection devices for those who do not respond to oral medications.
• Penile Implants (Prosthesis): A highly successful surgical option for severe cases where other treatments have failed, allowing for a natural-feeling erection at any time.