Erectile Dysfunction: Causes and Treatment

Erectile dysfunction (ED) is the inability to get or keep an erection long enough to have sexual intercourse. While occasional ED is common among most men, especially during times of stress, persistent of frequent ED can be a matter of concern. Although most men facing the problem are embarrassed of talking about it, consulting a Urologist in Lahore or your area, can help with proper treatment.


There can be many reasons for an ED including physical as well as psychological factors. Some of these include the following:

  • Cardiovascular disease
  • Obesity
  • Diabetes
  • High cholesterol
  • Hypertension, or high blood pressure
  • Clogged blood vessels (atherosclerosis)
  • Metabolic syndrome (a condition involving increased blood pressure, high insulin levels, body fat around the waist and high cholesterol)
  • Low testosterone levels or other hormone imbalances
  • Kidney disease
  • Anxiety
  • Stress
  • Depression
  • Increased age
  • Drug use
  • Consuming too much alcohol
  • Using tobacco products
  • Sleep disorders
  • Certain prescription medications (for example, those used to treat high blood pressure or depression)
  • Parkinson’s disease
  • Multiple sclerosis (MS)
  • Damage to the pelvic area through injury or surgery
  • Peyronie’s disease, which causes scar tissue to develop in the penis
  • Treatments for prostate cancer or enlarged prostate
  • Relationship problems


Erectile dysfunction can result in many complications. Some of these include:

  • An unsatisfactory sex life
  • Stress or anxiety
  • Embarrassment or low self-esteem
  • The inability to get your partner pregnant
  • Relationship problems


Having the following symptoms may mean you have erectile dysfunction:

  • Difficulty getting an erection
  • Trouble maintaining an erection during sexual activities
  • Reduced interest in sex

A person may also experience other, relate sexual problems along with ED such as premature ejaculation, delayed ejaculation, or anorgasmia (the inability to achieve orgasm after ample stimulation).


Depending on the severity of the problem, erectile dysfunction has a number of different treatments. Some of these are listed below.

  1. Drug treatments

Men can take a group of drugs called PDE-5 (phosphodiesterase-5) inhibitors. Most of these pills are taken 30 to 60 minutes before sex. The best known among these is the blue-colored pill sildenafil (Viagra). There exist many other options as well including:

  • vardenafil (Levitra)
  • tadalafil (taken as a once-daily pill called Cialis)
  • avanafil (Stendra)

PDE-5 inhibitors are only available on prescription, however. Before prescribing, a doctor will check for heart conditions and ask about other medications being taken.

Side-effects associated with PDE-5 inhibitors include flushing, visual abnormalities, hearing loss, indigestion, and headaches.

Less commonly used drug options include prostaglandin E1, which is applied locally by either injecting it into the penis or inserting it down the opening of the urethra.

  • Vacuum devices

Another option is to go for vacuum devices ( or a penis pump). Vacuum erection devices are a mechanical way of producing an erection for men who do not wish to or cannot use drug treatments, or find them ineffective.

In this case, the penis is made rigid by the use of a vacuum pump sealed around it that draws up blood that is prevented from leaving the penis by the use of an accompanying band.

However, due to the lack of spontaneity with the use of vacuum devices, many men find other treatments for ED preferable.

  • Surgical treatments

There are a number of surgical treatment options including:

  • Penile implants: his treatment involves surgically placing devices into both sides of the penis. These implants consist of either inflatable or malleable (bendable) rods. Inflatable devices allow you to control when and how long you have an erection. The malleable rods keep your penis firm but bendable. These are a final option reserved for men who have not had any success with drug treatments and other non-invasive options.
  • Vascular surgery: Another surgical option for some men is vascular surgery, which attempts to correct some blood vessel causes of ED.

However, surgery is a last resort and is only used in the most extreme cases. Recovery time varies, but success rates are high.

For correct diagnosis and treatment for ED, it is essential to consult the best Urologist in Lahore or your city. Professional guidance can help improve your lifestyle and treat the problem, aptly and timely.

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