Erectile disfunction - #9294

Sai

Let me know the reason and solution for ed and hope ill get my query’s get solved here. Iam 24 years old and having ed problem kindly help me with the solution as i cannot consult and visit any doctor due to insecurity

Age: 24

Chronic illnesses: No

Let me explain briefly

200 INR (~2.35 USD)

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Doctors’ responses

Dr. Charan Kumar Pottem

I pursued my MD in Psychiatry at NIMHANS, one of the most esteemed institutes in the field. During my training, I gained extensive exposure to a diverse range of adult psychiatric cases, addiction disorders, and neurodevelopmental challenges. This comprehensive experience has equipped me with a deep understanding of the complex interplay between biological, psychological, and social factors that influence mental health. I adopt a patient-centered approach, integrating evidence-based practices with compassionate care to develop personalized treatment plans. My focus is on delivering holistic psychiatric care that not only addresses symptoms but also supports overall well-being. I continuously update my knowledge and skills to ensure that I am at the forefront of modern psychiatric advancements, thereby offering my patients the most current and effective treatment options available. Through a commitment to excellence in clinical practice and a passion for mental health advocacy, I strive to help each individual achieve a better quality of life and improved mental resilience.

52 days ago

Hello Sai. First of all, there are lot of questions to be answered before coming to the diagnosis and concluding cause for the same. Erectile dysfunction occurs when sufficient erection fails to happen either in terms of time duration or turgidity (hardness). Broadly speaking, it can be of 2 types - Lifelong (when ED is occuring since the first sexual encounter) or Acquired (ED occuring after an initial period of normal functioning). Lifelong ED can be due to mainly (but not always) medical causes like increased cholesterol levels, vascular insufficiency, hormonal causes like low testosterone, diabetes, etc. Acquired ED could be mainly (again not always) due to psychological reasons like stress, depression, anxiety, marital issues, inadequate foreplay and few other reasons. One more indicator of psychological causes is when ED does not occur with masturbation and occurs only with the partner. Most often than not, ED is also associated with Premature ejaculation which needs to be answered.
Management includes
1) Hormonal assays and basic investigations like CBC, Lipid profile, blood glucose levels and thyroid tests to rule out medical causes
2) Drugs like Sildenafil (Viagra) / Tadalafil along with SSRI like Dapoxetine if PE co-exist.
3) Sex therapy
4) Lifestyle modifications
5) Testosterone supplementation in case of low testosterone 
Kindly consult nearest psychiatrist/ sexologist for further assessment and management.
Regards,
Dr. Charan Kumar,
MD Psychiatry (NIMHANS).

Accepted response

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Dr. Alan Reji

I am Dr. Alan Reji, a passionate dentist dedicated to providing exceptional patient care and advancing dental education. A graduate of Pushpagiri College of Dental Sciences (2018 batch), I have always been committed to delivering high-quality, accessible dental care that prioritizes patient comfort and long-term oral health. As the founder of Dent To Smile, a modern dental clinic in Palakkad, my vision is to create a welcoming environment where advanced technology meets compassionate treatment. I believe in a patient-first approach, ensuring that every individual receives personalized care tailored to their unique dental needs. Whether performing routine check-ups, restorative treatments, or cosmetic procedures, my focus remains on enhancing smiles while maintaining optimal oral health. With a deep interest in dental education and preventive care, I strive to empower my patients with the knowledge they need to make informed decisions about their oral hygiene. I also take pride in incorporating the latest advancements in dentistry, from minimally invasive techniques to state-of-the-art diagnostic tools, ensuring precise and effective treatments. My practice is built on trust, transparency, and a commitment to excellence. At Dent To Smile, my goal is to make high-quality dental care accessible to everyone while ensuring a comfortable and stress-free experience.

49 days ago

Erectile dysfunction (ED) at the age of 24 can be distressing, but it's actually more common than many people realize—especially due to psychological factors like stress, performance anxiety, overthinking, or even watching too much adult content. Other causes may include lack of sleep, poor diet, excessive screen time, smoking, or low physical activity. Since you mentioned no chronic illness, it’s likely that your ED is functional (non-organic), which means it can be reversed with lifestyle and mindset changes.

To start improving, focus on a healthy routine—regular exercise (especially cardio and pelvic floor/kegel exercises), balanced diet, cutting down on junk food, and managing stress through meditation or mindfulness. Avoid overuse of pornography and practice screen-free time before sleep. Good sleep and hydration also help. Supplements like vitamin D, zinc, and L-arginine may support circulation naturally

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Erectile disfunction - #9294

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