Erectile Dysfunction – Types, Symptoms, Causes and Treatment


Erectile Dysfunction is the problem of men having an inability to get stimulation in the penis during sex. This problem can create a significant crisis for couples.

It can also be a sign of emotional or relationship difficulties that the doctor may have to show. Some of the causes for this include drinking too much alcohol, anxiety and exhaustion etc. There is nothing to worry about, if it does not continue.

However, if the problem of erectile dysfunction continues, it should be examined by a doctor. Men who have problems with their sexual performance may be reluctant to talk to the doctor about it. Because they feel that it can be a shameful issue.

How Many Types of Erectile Dysfunction?

There are two types of Erectile Dysfunction;

Primary Erectile Dysfunction.

This includes men who never receive or maintain erectile dysfunction. Primary impotence is a very rare condition. It is always caused by mental factors or some obvious physical disorders.

Secondary Erectile Dysfunction.

Individuals who are able to initialize in getting erectile dysfunction, but later become disabled. That situation is known as the Secondary Erectile Dysfunction.

Secondary impotence is a more common condition and in 90 percent of its cases there is organic aetiology. Secondly, most people who suffer from impotence develop reactive psychology that together creates this problem.

Signs and Symptoms of Erectile Dysfunction.

  • There is a problem in bringing excitement to the penis.
  • Difficulty in maintaining stimulation during sexual activities.
  • Lack of desire to have sex.

Other Sexual Disorders Related to Impotence Include.

  • Premature ejaculation.
  • Delay in ejaculation.
  • Inability to do orgasm even after adequate stimulation.
  • There may be some other emotional symptoms, such as feeling ashamed, shyness or anxiety and low interest in physical intercourse.

If a person is having these symptoms regularly, he is assumed to be prone to impotence.

What Could be the Complications of Erectile Dysfunction?

The complications that result from impotence may include the following;

  • Unsatisfactory Sex Life.
  • Stress or anxiety.
  • Lack of self-esteem or feeling embarrassed.
  • Relationship problems.
  • Inability to make a partner pregnant.

When to Consult a Doctor?

If you have any of these symptoms, you should consult to your doctor. Especially if these symptoms are going on for two or more months. Your doctor may determine which underlying condition the cause of your sexual dysfunction and which treatment are required.

If you have diabetes, heart disease or any other problem that may be associated with erectile dysfunction.

Cause of Erectile Dysfunction?

The function of normal erectile dysfunction can be affected by any problems associated with the systems below;

There are many possible causes of impotence. It can comprise both emotional and physical disorders. Most erectile dysfunction is related to vessels, neurological, psychosis and hormonal disorders. Using drugs etc., can also be one of the reasons. Some common reasons are;


Pelvic surgery and prostate surgery, especially for prostate cancer, which are required to obtain and maintain erectile dysfunction.(1)


It is a common cause of impotence. Depression is a physical disorder as well as a psychiatric (mental illness). Depression can also have physical effects. If you feel you are not comfortable in sexual situations, it can have physical effects.(2),(3),(4)

Injury to the Spinal Cord or Pelvic.

Injury can cut the vein that stimulates the erectile dysfunction.(5),(6)

Alcohol Addiction.

Prolonged alcohol addiction can develop impotence, even if there is no alcohol in the bloodstream while having sex.(7),(8)

Hormonal Disorders.

Testicular failure, pituitary gland problems or the intake of certain types of drugs may reduce testosterone level in the body (male sex hormone).(9)

Circulatory Problems.

Erectile dysfunction happens when the penis is filled with blood. After filling the blood, the valve in the base of the penis closes, so that the blood stops inside. Diabetes, high blood pressure, cholesterol and atherosclerosis (arteries numbness), etc., can interfere with the process of erection.(10)

Such circulatory problems are the number one reason for impotence. Often erectile dysfunction is considered to be the first noticeable symptom of cardiovascular diseases.

Anxiety of Performance.

Being concerned about performing well during sexual intercourse, most men may have erectile dysfunction problems at some points. If this is happening frequently, the anticipation of sex (prognosis) triggers nerve reactions and does not cause erectile dysfunction. The whole process starts to work as a faulty cycle.

Peyronie’s Disease.

Developing scar tissue inside the penis.(11)

Situational Psychological Problems.

Such problems occur to some people with certain situations. Because of difficulties in relationships, some men are not able to get complete erectile dysfunction with their spouse, even though they don’t have erectile dysfunction.(12)


Smoking narrows the blood vessels. Which reduces the flow of blood in the penis and causes erectile dysfunction.(13)


Cancer can interfere with the functions of nerves and vessels that are essential for the erectile process.(14)

Risk Factors that Develop Impotence.
  • Fatness.
  • High blood pressure.
  • Smoke.
  • Lack of exercise.
  • High cholesterol in the bloodstream.
  • Diabetes.
  • Using tobacco.
  • Metabolic syndrome.

How can Erectile Dysfunction be Prevented and Cured Naturally?

A number of changes can be made in the methods of eating and drinking, etc., which have a positive effect on erectile health.

It may also be that you don’t even know, that these things are related to erectile dysfunction, but a lot of people found that some changes in these factors have improved their erectile dysfunction. These changes may include;

Stop Smoking.

As mentioned above, that smoking normally has a negative effect on blood flow, which can lead to problems such as impotence.

Reducing Stress Levels.

Stress can leads issues related to blood pressure. But it can also interfere with those signals, sent to erectile dysfunction by the brain.

Decreasing the Amount of Alcohol.

Reducing or stopping alcohol has a positive effect on other health benefits as well as impotence.

Consuming a Healthy and Balanced Diet.

Malnourished does not upsurge the likelihood of erectile dysfunction. But if you do not eat a healthy diet, you end up having diseases like cholesterol, high blood pressure or diabetes. These diseases also increase the likelihood of impotence.

Losing Weight.

It won’t help everyone. But being overweight can promote the problem of impotence.

Diagnosis of Erectile Dysfunction.

Your doctor will ask you questions about the symptoms and health history. They can test to determine the reason behind your condition.

In many individuals, the doctor needs to ask for physical tests and some questions (related to previous information) to test the erectile dysfunction and to prescribe treatment for the same.

If you have a long-term health problem or your doctors think there is any underlying problem. So, in such a situation, you may have to get another test or go to an expert.

Tests for underlying conditions may also include;

Blood Test.

Your blood sample can be take and sent to the lab to check heart disease, diabetes, low cholesterol levels or other conditions.(15)

Urine Test.

Urine samples like blood tests are also used to check diabetes and other health problems.


This test is usually carried out by a specialist in a hospital or lab. In this test, a stick-like device is used, called Transducer. The transducer is inserted from the top of the vessel that carries blood in the penis.

A video image is produced by this procedure, which shows the doctor if there is a vascular problem. This test is done several times with an injection into the penis. This injection stimulates the penis, thereby increasing the flow of blood for the process of erectile dysfunction.(16)

Physical Examination.

This test can carefully examine your penis, testes and check the nerves to determine the stimulation. You can be tested, in which the sounds of the heart and lungs are examined.

In addition, blood pressure is checked. In this test tested are checked, rectal exam (anal test) can also be performed to check the prostate.

Psychological Tests.

Doctors may ask some questions about them to find out other psychological causes of stress and impotence.

Nocturnal Penile Tumescence (NPT) Test.

A portable device is used for NPT test, battery-powered device that you attire on your thigh while you sleep. The device evaluates the quality of night stimulation and stores data, which your doctor can access later. Your doctor may use this details to better understand the procedure and impotence of your penis.(17)

Night stimulation occurs when you are sleeping and which is a normal part of a healthy penis.

How Can Erectile Dysfunction Be Treated?

Treatment for erectile dysfunction will depend on its cause. You may also have to use a combination of treatments including medicines, lifestyle changes or therapy.

Medication for Erectile Dysfunction.

Your doctor may prescribe a medicine to manage the symptoms of impotence. You may need to try some medications first to find out which medicine will work.

These medicines may have side effects so if you are experiencing side effects, talk to your doctor. They can recommend other medicine.

The following medications stimulate blood flow to your penis to help treat impotence;

*Note: Do not take any medicine without your doctor’s advice.

These medicines do not automatically develop erectile dysfunction. They first need to develop sexual stimuli to release nitric oxide from the veins of the penis. These drugs increase the signals that develop sexual stimulation, which some men begin to work properly in the erectile dysfunction process.

Oral drugs of erectile dysfunction (tablets and capsules etc.) are not aphrodisiacs. These drugs do not create enthusiasm and men whose erectile dysfunction is functioning normally should not take these medicines.

Talk Therapy for Erectile Dysfunction.

A common reason of erectile dysfunction is psychological factors, including:

  • Anxiety.
  • Post-traumatic stress disorder (PTSD).
  • Tension.
  • Depression.

If you are experiencing impotence for a psychological reason, you may get benefit from the treatment of talk therapy.

This therapy can help you to manage your mental health. You’ll have to work with your doctor over multiple sessions and your doctor will help you emerge from major stress or anxiety factors, feelings around sex or factors affecting your sex life related to subconscious struggles.

If your relationship is also affected by impotence, you can also talk to a relationship counsellor. The advice taken for a relationship can help you to reconnect emotionally with your partner. This can also improve the problem of erectile dysfunction.

Other Cures for Impotence or Erectile Dysfunction.


Acupuncture can help to treat impotence related to psychological. You may have to take an appointment several times from the doctor before you notice any kind of improvement.

Testosterone Replacement.

Erectile dysfunction can be more complicated due to low levels of testosterone hormone in some males. Testosterone replacement therapy is often advised for such a condition. This therapy can be performed as a first therapy or in conjunction with any other therapy.

Pelvic Floor Muscle Exercise.

Medium to vigorous aerobic activity can improve erectile dysfunction. However, some men get less benefit from this activity, including those who have a heart-related disease or any other special medical problem.

Even regular doing less strenuous exercise can reduce the risk of this dysfunction. Increasing the level of activities can further reduce the risk of impotence.

The pelvic floor starts to improve the functions of the penis by regular muscle exercise, which can also lead to the normal erectile process.

Kegal exercise is a very simple exercise, which can strengthen the pelvic floor muscles. The following are the ways to exercise;

First identify the pelvic muscles. Try to stop the flow in the middle while urinating to identify them. When you try to stop the stream of urine in the middle, the muscles used to stop are of the pelvic floor. Your testes also rise upwards while narrowing these muscles.

Now you have identified the pelvic floor muscles. So compress these muscles by 5 to 20 seconds and leave it in normal condition.

Do this process for 10 to 20 times continuously. Practice these exercises minimum three to four times a day.

Make sure that you are breathing naturally during this process and do not insist on urinating. Bring the muscles together in the speed of narrowing.

Prostatic Massage.

Some men use a technique of massage therapy called prostatic massage. Doctors massage your groin (the middle part of the abdomen and thigh) into and surrounding tissues to boost blood flow to your penis.

Change your Medications.

In some cases, medications that treat other diseases may cause this dysfunction. Consult to your doctor about the medicines you are taking. There may be any other medicines that you can take instead.

*Note. Do not stop taking medicines without consult to your doctor.

Frequently Asked Questions.

1. Which blood pressure medicine can cause erectile dysfunction?

There are many BP drugs that can cause sexual dysfunction, like;

  • Beta blockers.
  • Thiazide diuretics.
  • Loop diuretics.

It decrease the blood flow to the penis and make difficulties for penis to erect. Other BP drugs like;

  • Angioten-sin receptor blockers.
  • Alpha blockers.
  • ACE inhibitors.

Those drugs are rarely cause sexual dysfunction.

Bottom Line.

Sometimes it is not uncommon to have stimulation in the penis. If there is a failure at times to keep or maintain erectile dysfunction, it is a common problem. Many men experience this during stress. Repeated erectile dysfunction may be a sign of health problems that require treatment.

If you have problems with erectile dysfunction or impotence, you must talk to the doctor about it, even if you are ashamed. Sometimes it is enough to cure impotence through the right treatment.

Treatment of impotence includes oral-gaping drugs (usually tablets) injection and counselling in the penis etc.

Uttam - Author

Uttam - Author

Connected with a leading Defence Organization. Earned Degree from a reputed institution from Kolkata with 10 years of experience in the Fitness World.

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