AMV Hospitals

Erectile DysfunctionTreatment in Hyderabad

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What is Erectile Dysfunction?

Erectile Dysfunction (ED) is a common male sexual health condition in which a man is unable to achieve or maintain an erection firm enough for satisfactory sexual intercourse. While occasional erection difficulties can occur due to stress, fatigue, or anxiety, ongoing or frequent erectile problems may indicate an underlying medical or hormonal issue that requires professional evaluation and treatment.

How Do Erections Work?

  • Sexual thoughts or physical stimulation activate signals in the brain.
  • These signals travel through nerves to the penis.
  • Blood vessels in the penile tissue relax and widen.
  • Increased blood flow fills the erectile chambers of the penis.
  • The veins temporarily restrict blood from flowing out.
  • This process helps the penis become firm and maintain an erection during sexual activity.

Types of Erectile Dysfunction

Organic Erectile Dysfunction

This type is caused by physical or medical conditions that affect blood flow, nerves, or hormone levels. Common reasons include diabetes, high blood pressure, heart disease, hormonal imbalance, or low testosterone. It usually develops gradually and requires medical treatment.

Psychogenic Erectile Dysfunction

This form of ED occurs due to psychological or emotional factors such as stress, anxiety, depression, performance fear, or relationship problems. Men may have normal erections at times but experience difficulty during intercourse.

Mixed Erectile Dysfunction

Mixed ED involves both physical and psychological causes. A medical issue may initially trigger erection problems, which later lead to anxiety or loss of confidence. Treatment focuses on addressing both aspects together.

Symptoms of Erectile Dysfunction

The signs and symptoms of erectile dysfunction may vary, but commonly include:

  • Problems with ejaculation
  • Emotional stress, embarrassment, or anxiety
  • Strain in marital or intimate relationships
  • Persistent fatigue or mental exhaustion related to sexual performance
  • Difficulty getting an erection during sexual activity
  • Inability to maintain an erection for satisfactory intercourse
  • Reduced sexual desire or low libido
  • Weak or inconsistent erections

Causes of Erectile Dysfunction

Erectile dysfunction can result from a combination of physical and psychological factors. Identifying the exact cause is essential for effective treatment.

Physical Causes of Erectile Dysfunction

Physical conditions are among the most common causes of erectile dysfunction (ED) and include:

  • Chronic diseases such as diabetes, hypertension, and heart disease
  • Poor blood circulation affecting penile blood flow
  • Neurological disorders or nerve damage
  • Side effects of certain medications
  • Age-related hormonal changes, including low testosterone
  • Structural or anatomical abnormalities of the penis
  • Sleep disorders such as sleep apnea
  • Obesity and lack of physical activity

Psychogenic Erectile Dysfunction

Mental and emotional health plays a major role in male sexual performance. Psychological causes may include:

  • High stress levels and work-related pressure
  • Performance anxiety during intercourse
  • Depression or mood disorders
  • Ongoing relationship or marital issues
  • Low self-confidence or poor self-esteem
  • Past sexual trauma or negative experiences
  • Body image concerns affecting sexual confidence

How is Erectile Dysfunction Diagnosed?

The diagnosis of Erectile Dysfunction (ED) involves a detailed and step-by-step evaluation to identify the exact cause of erection problems. At AMVI Hospital, Hyderabad, our specialists focus on understanding both physical and psychological factors before planning treatment.

The doctor begins with a confidential discussion to understand the patient’s condition in detail. This includes:

  • Frequency and duration of erectile problems
  • Severity of erection difficulty
  • Presence of other sexual concerns such as low libido or ejaculation issues
  • Existing medical conditions like diabetes, blood pressure, or heart disease
  • Current medications or long-term drug use
  • Lifestyle habits such as smoking, alcohol intake, stress levels, and physical activity

This step helps in identifying possible risk factors contributing to erectile dysfunction.

A complete physical examination is performed to assess overall health. The doctor may:

  • Measure blood pressure and pulse
  • Evaluate heart and vascular health
  • Examine the penis and testicles for structural abnormalities
  • Check signs of hormonal imbalance or nerve-related issues

This examination helps detect physical causes of erectile dysfunction.

Blood tests play a crucial role in ED diagnosis and may be done to:

  • Measure testosterone and other hormone levels
  • Check blood sugar levels for diabetes
  • Evaluate thyroid function
  • Identify cholesterol abnormalities
  • Detect hormonal imbalances affecting sexual performance

These tests help rule out internal medical conditions.

If emotional or mental factors are suspected, a psychological assessment may be advised. This helps identify:

  • Stress or performance anxiety
  • Depression or mood disorders
  • Relationship or marital concerns
  • Emotional factors affecting sexual confidence

Psychological causes are common and highly treatable when diagnosed early.

In certain cases, advanced tests may be recommended to evaluate blood flow or nerve function in the penis, such as:

  • Penile Doppler Ultrasound:
    A painless imaging test that uses sound waves to assess blood circulation in the penile arteries and veins.
  • Nocturnal Penile Tumescence (NPT) Test:
    This test measures erections that occur naturally during sleep, helping differentiate physical and psychological erectile dysfunction.
About doctor

Dr Shaivalini Kamarapu – IVF & Fertility Specialist

Gynecologist, Fertility Specialist, Robotics & Laparoscopy Surgeon

About Dr Shaivalini Kamarapu (IVF Specialist)
  • Dr. Shaivalini Kamarapu is a highly experienced infertility specialist at AMVI Hospital, Hyderabad, with over 20 years of expertise in male and female reproductive health.
  • She specialises in the diagnosis and treatment of Erectile Dysfunction-related male infertility, offering personalised, evidence-based care for men with low sperm count, poor sperm motility, and abnormal semen parameters.
  • Her clinical expertise includes comprehensive male infertility evaluation, hormonal profiling, advanced semen analysis, and interpretation of scrotal Doppler ultrasound for accurate varicocele diagnosis and grading.
  • Dr. Kamarapu has extensive experience managing complex fertility cases, including varicocele associated with azoospermia, repeated IVF failures, and unexplained male infertility.
  • She provides expert guidance on varicocele treatment options, including conservative management, surgical referral for varicocelectomy, and assisted reproductive techniques such as IVF and ICSI, based on individual fertility goals.
  • Known for her ethical and patient-centric approach, she ensures transparent counselling and realistic expectations for couples undergoing treatment for varicocele and infertility in Hyderabad.
  • In addition to male fertility care, she is skilled in laparoscopic surgery and treats associated female fertility conditions such as endometriosis, fibroids, and tubal blockages, helping improve overall reproductive outcomes.
  • Dr. Shaivalini Kamarapu is also a Consultant at Rainbow Hospitals, Apollo Hospitals, and Ankura Hospitals.

How is Erectile Dysfunction Treated?

Erectile Dysfunction (ED) treatment depends on the underlying cause, severity, and overall health of the patient. At AMVI Hospital, Attapur and Puppalguda, treatment plans are personalized to provide safe, effective, and long-term results.

Improving daily habits plays an important role in restoring erectile function. Doctors may advise:

  • Regular physical activity
  • Maintaining a healthy body weight
  • Quitting smoking and tobacco use
  • Reducing alcohol intake
  • Managing stress and anxiety
  • Improving sleep quality

These changes help enhance blood flow, hormone balance, and overall sexual health.

Certain supplements such as zinc, L-arginine, and antioxidants may be recommended in selected cases. Herbal formulations like Shilajit, ginseng, or traditional medicines are sometimes used, but their effectiveness is limited. Supplements should only be taken under medical supervision to avoid side effects or interactions.

  • PDE-5 Inhibitors:
    Commonly prescribed medicines such as sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra), and avanafil help improve blood flow to the penis, enabling stronger and longer-lasting erections.
  • Testosterone Replacement Therapy:
    For men with low testosterone levels, hormone therapy may be advised to improve sexual desire and erectile strength.
  • Alprostadil Therapy:
    This medication may be given as a penile injection or urethral suppository to increase blood circulation and induce erection.
  • Other Medical Options:
    In some cases, topical creams or hormone patches may also be considered based on individual needs.

Vacuum devices create negative pressure around the penis, drawing blood into the erectile tissue and helping achieve an erection. These devices are safe and non-invasive when used correctly.

For men who do not respond to other treatments, surgically implanted penile prostheses may provide a permanent and reliable solution. This option is usually considered after thorough evaluation.

When stress, anxiety, depression, or relationship concerns contribute to ED, counselling or sex therapy can be highly effective. Treatment may include:

  • Individual counselling
  • Couples therapy
  • Sexual performance counselling

This approach helps restore confidence and emotional well-being.

Some patients may benefit from supportive therapies such as pelvic floor (Kegel) exercises, acupuncture, or complementary treatments. Results vary, and these methods should always be used under medical guidance.

In rare cases where erectile dysfunction is caused by severe blood vessel damage, surgical procedures such as penile revascularization or vascular repair may be recommended.

What Should You Do to Prevent Erectile Dysfunction?

Following healthy habits can significantly reduce the risk of erectile problems:

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Our centers in Hyderabad

Puppalaguda

Attapur

Testimonials

AMVI Hospital truly helped me regain my confidence. The doctors explained everything clearly and treated me with complete privacy. One of the best hospitals in Hyderabad for men’s health.

Rahul S

I was suffering silently for years. AMVI Fertility & Maternity gave me proper diagnosis and treatment. I’m extremely satisfied with the care and support.

Suresh

Best hospital in Hyderabad for erectile dysfunction treatment. Very professional doctors and polite staff. I felt comfortable from day one.

Anil R

AMVI Hospital treated me with respect and understanding. My condition has improved a lot. Highly recommended for male health problems.

Vikram Reddy

I visited AMVI Fertility & Maternity in Attapur after reading reviews online. The results were excellent. One of the most trusted hospitals in Hyderabad.

Ramesh

Very clean hospital, experienced doctors, and genuine treatment. AMVI Hospital is truly one of the best fertility and men’s health centers in Hyderabad.

Karthik

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FAQs related to Erectile Dysfunction

Yes, erectile dysfunction is a very common condition. It affects many men, especially after the age of 40, but younger men may also experience it due to stress, lifestyle habits, diabetes, or hormonal imbalance.

There is no fixed age for erectile dysfunction. While it is more frequently seen in men above 40 years, it can occur at any age depending on health, stress levels, and medical conditions.

If not treated, erectile dysfunction may lead to emotional stress, low confidence, relationship problems, and reduced quality of life. It may also indicate underlying health issues that require medical attention.

In mild cases caused by temporary stress or fatigue, ED may improve on its own. However, persistent erection problems usually need proper medical evaluation and treatment for lasting improvement.

Erectile dysfunction does not directly affect sperm count or sperm quality. However, it may make natural conception difficult. Fertility support at AMVI Fertility & Maternity Hospital can help couples plan pregnancy.

Yes, pregnancy is possible if ejaculation occurs and sperm parameters are normal. Doctors at AMVI Hospital guide couples with suitable fertility options when needed.

You should see a specialist if erection problems persist for more than a few weeks, affect your confidence, or interfere with your relationship. Early treatment gives better and faster results.

Physical ED usually develops gradually and occurs consistently. Psychological ED often appears suddenly and may vary depending on situation or stress. Proper tests at AMVI Hospital, Hyderabad help identify the exact cause.

Yes. Performance anxiety and constant worry can interfere with normal erection signals, making the condition worse. Medical guidance and counseling can help break this cycle.

Men with ED may experience embarrassment, anxiety, frustration, or low self-esteem. These feelings are common and treatable with professional support and proper care.

ED medicines are generally safe when taken under medical supervision. At AMVI Hospital, medications are prescribed only after thorough health evaluation to minimize side effects.

Being supportive, patient, and communicative is very important. Encouraging medical consultation and avoiding blame can help improve both emotional well-being and treatment outcomes.

You can schedule an IVF consultation at AMVI Hospital at the Attapur or Puppalguda location by contacting the hospital directly and sharing any previous fertility records.

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