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Erectile dysfunction (ED) is the inability to maintain a firm penile erection (erect penis) for having sex. Erection is a neurovascular event (involves nerves and blood vessels) which happens due to sexual stimulation either by thoughts or by contact. ED is caused by many different reasons like medications, alcoholism, physical weakness, diabetes. It is a common disorder in males but not much discussed. Men with ED are reluctant to consult a doctor due to the sensitive nature of the health problem. Untreated ED can lead to psycho-social problems with the partner.

  1. What is Erectile Dysfunction
  2. Types of Impotence
  3. Erectile Dysfunction (Impotence) symptoms
  4. Erectile Dysfunction causes & risk factors
  5. Prevention of Impotence (Erectile Dysfunction)
  6. Diagnosis of Erectile Dysfunction
  7. Erectile Dysfunction (Impotence) treatment
  8. Erectile Dysfunction risks & complications
  9. Ayurvedic medicine, treatment and remedies for Erectile Dysfunction
  10. Medicines for Erectile Dysfunction
  11. Doctors for Erectile Dysfunction

What is Erectile Dysfunction

Erectile Dysfunction (ED) is a condition in which a male is unable to achieve or sustain an erect penis for a satisfactory sexual intercourse with the partner. Biologically, to sustain an erection, the penis must have adequate and consistent blood supply. Also, the nerves should be able to send impulses continuously. A penis doesn’t have a bone or a similar supporting structure for erection. The blood vessels in communication with the nervous system enable penile erection. Having a healthy sex life is a must to have a healthy and happy life. There are multiple causes for ED like an inadequate flow of blood to the penile artery, hardening of the artery due to age (atherosclerosis), diabetes, obesity, increased smoking, and alcohol intake, etc. Treatment options include medications, hormone therapy, penile implants, and counselling.

Types of Impotence

The severity of erectile dysfunction is different in different men suffering from it. The different types of ED are as follows:

  • Primary impotence
    In primary impotence, a man hasn’t had and will never have an erection spontaneously. It may be due to a physical abnormality in the structure of the penis or a damaged or trapped nerve which stimulates the erection process.
  • Secondary impotence
    Secondary impotence means that a male has had successful erections in the past but is unable to have further successful erections due to unknown reasons.
  • Situational impotence
    This means that a man can achieve an erection during a particular situation like masturbation but not during sex with a partner.
  • Partial impotence
    It is caused by an inadequate blood supply to the penile artery due to which a man achieves a partial erection but then looses the same.
  • Total impotence
    A man with total impotence can never have and has never had an erection at all.

Erectile Dysfunction (Impotence) symptoms

Symptoms related to erectile dysfunction are very few and include:

  • Inability to get an erection completely.
  • Partial inability to get an erection depending on specific situations or under specific conditions.
  • Achieving an erection but unable to sustain it for a considerable period of time to achieve a satisfactory sexual intercourse.
  • Reduced sexual desire.

Erectile Dysfunction causes & risk factors


Biologically, in a male, the process of having a sexual arousal and getting an erection is a complex process which involves the nervous system (brain and spinal cord, along with, the associated nerves associated), endocrine (hormone) system, and the cardiovascular system (heart). ED can be caused due to a disturbance in any of these bodily systems. Even a physical or structural abnormality in the penis or the testis can lead to ED. Some causes of ED are listed below:

Another classification of the causes of ED is based on the extent of libido (sexual arousal):

With reduced libido

With intact libido

  • Psychological problems, including anxiety.
  • Vascular insufficiency (atheroma).
  • Neuropathic causes (e.g. diabetes mellitus, alcohol excess, multiple sclerosis).
  • Drugs (e.g. beta blockers, thiazide diuretics, antidepressants etc).

Risk factors

As a man’s age advances, achieving a desirable erection may take longer than usual and may not be perfect in nature (rigidity may be less). A person may need a more direct touch to maintain an erection. But, there are certain risk factors associated with ED. These are:

  • Medical conditions like diabetes mellitus or heart problems.
  • History of pelvic irradiation or surgery, including prostate surgery (radical prostatectomy in people with prostate enlargement or prostate cancer).
  • Smoking. Tobacco use restricts blood flow to blood vessels which can lead to ED in long term.
  • Obesity.
  • High blood pressure.
  • Hormonal disorders (such as hypogonadism, hypothyroidism).
  • Drug abuse (such as cocaine, methamphetamine).
  • Medications like antidepressants, antihistamines and medications for hypertension.
  • Psychological conditions like stress, anxiety or depression.
  • Chronic and heavy alcohol consumption.

Prevention of Impotence (Erectile Dysfunction)

The best possible way to prevent ED is to make healthy lifestyle changes, along with better management of existing health conditions. Here is what you can do to prevent ED:

Quit smoking completely as it linked to heart diseases which in turn are a risk factor for ED.

  • Manage your weight by taking up an exercise regimen. Make sure you stay active throughout the day. You can also take up a sport like football or tennis.
  • Since diet plays a key role in the prevention of diseases that are linked to ED, make sure you eat healthy. Increase intake of whole grain foods, low-fat foods, fruits, and vegetables. Avoid refined and fatty foods as well as foods with high sodium content.
  • Manage your blood sugar and blood pressure levels.
  • Avoid alcohol intake if you have ED or limit the intake to minimum amounts to prevent ED.
  • Manage stress as it can worsen ED. Take up relaxing activities activities like meditation, deep breathing or yoga.
  • Stay away from recreational drugs. 

Diagnosis of Erectile Dysfunction

There is no preferred or first line of diagnostic modalities for ED. Also, unlike other medical conditions, ED is not checked as part of a routine health check-up. A detailed history and physical examination are usually sufficient to make an accurate diagnosis. For the diagnosis, the doctor inquires about the onset of the disorder, any past or present medical illness which may trigger ED, any injury or strenuous physical activity that may have caused ED, and the medicines which you take for other illnesses.

 A detailed sexual history of is often the best tool to determine the cause for ED. The history focuses on details such as duration of erection, adequacy, libido, quantity of semen, as well as, appearance if possible with every ejaculation and the associated pain, penile curvature (curved penis) etc. Blood tests are also helpful in determining Diabetes mellitus or high cholesterol which could be the underlying cause of ED. (Read more - Low sperm count treatment)

There are many other investigations which may be carried out for establishing the cause of ED. Nocturnal tumescence monitoring is on such test which uses a plethysmograph placed around the shaft of the penis overnight to establish whether blood supply and nerve function are sufficient to allow erections to occur during sleep. Other investigations include intracavernosal injection of papaverine or prostaglandin E1 to test the adequacy of blood supply, internal pudendal artery angiography, and tests of autonomic and peripheral sensory nerve conduction.

Erectile Dysfunction (Impotence) treatment

Depending on the medical and personal history of the patient which the doctor evaluates, the treatment options vary in each person and mainly depend on the causative agent. If there is any underlying medical condition such as diabetes or high blood pressure, then it has to be treated with suitable medications.

Some treatment options are taking medicines such as Sildenafil (Viagra, 50-100mg), Tadalafil, Vardenafil, and Avanafil. All these medications cause relaxation of the muscles of the penis which in turn increases the blood flow and helps achieve a proper and satisfactory erection. If medicines do not work then injections in the penis or urethra, which increase blood flow, may be used.

  • Testosterone replacement therapy may be prescribed for some people with ED. It helps to prevent osteoporosis and restore muscle power and libido. Various methods used for administering testosterone are intramuscular injections, subcutaneous injections, transdermal injections or oral medications. (Read more - Natural remedies to boost Testosterone)
  • A vacuum device is used in extreme cases. It comprises of an external plastic cylinder and a vacuum pump which pulls blood into the penis which aids to achieve an erection. Sometimes an elastic ring is placed at the base of the penis to prevent backflow of blood in the body.
  • Penile implants are used rarely (fixed rod or inflatable reservoir types).
  • Vascular reconstructive surgery in young people who have a problem of reduced blood flow into the penis.
  • Psychotherapy is performed if the patient and his partner are suffering from an emotional or relationship crisis.
  • Alternative treatments include Korean red ginseng (Panax ginseng, 900 mg three times a day) which improves erection.

Lifestyle management

Psychotherapy that involves couple counselling is most useful to discuss psychological problems. Neuropathy and vascular disease are unlikely to improve, but several treatments are available. Oral medications are also available. Surgery may be attempted to improve the patient’s condition.

Lifestyle changes which can be undertaken are:

  • Start cardio exercises. Walk and run to get rid of obesity and lose weight easily.
  • Opt for a healthy diet. Healthy foods like fruits, vegetables, whole grains, and fish help to decrease the chances of ED.
  • Treat the underlying disease. Diabetes Mellitus and hypertension are two major causes of ED. So, proper treatment with medicines and dietary changes, as well as, exercises help to solve ED.
  • Try lower body and pelvis exercises such as Kegel exercises. These exercises help in maintaining an adequate muscle tone in the pelvis (waist) and lower body parts.
  • Manage stress and get adequate sleep.
  • Limit smoking and alcohol.

Erectile Dysfunction risks & complications

Prognosis of ED mainly depends on two factors. Firstly, identification of the problem and not neglecting it and secondly, consulting your doctor and sharing your health problems which can help in receiving proper treatment. Systemic conditions are one of the major reasons for ED. So, receiving a healthy treatment plan for diabetes or hypertension and keeping the systemic disorders under control helps in treating the disorder. People with unhealthy dietary habits and other adverse habits like smoking and alcoholism have a poor prognosis. Post-surgical prognosis is generally good. Psychotherapy and counselling have the best possible prognosis.


Complications pertaining to ED are mostly psychological. It leads to depression, low self-esteem, emotional disturbances, social awkwardness, as well as, relationship problems with the partner. It leads to sterility (the inability to produce children). Penile atrophy (degeneration of penis muscles) is also caused due to lack of blood supply in case of any injury to the penis or scrotum.

Dr. Vimal Raj

Dr. Vimal Raj

सामान्य चिकित्सा

Dr. Sanjay Jindal

Dr. Sanjay Jindal

सामान्य चिकित्सा

Dr. Om Shah

Dr. Om Shah

सामान्य चिकित्सा

Medicines for Erectile Dysfunction

Medicines listed below are available for Erectile Dysfunction. Please note that you should not take any medicines without doctor consultation. Taking any medicine without doctor's consultation can cause serious problems.

Medicine NamePack SizePrice (Rs.)
AlpostinAlpostin 500 Mcg Injection6372.0
BioglandinBioglandin 500 Mcg Injection5850.0
Prostin VrProstin Vr 500 Y Injection106.0
EdgonEdgon 10 Mg Tablet36.92
EscotEscot 100 Mg Tablet57.0
Adams DelightAdams Delight 100 Mg Tablet13.0
AlsigraAlsigra 100 Mg Tablet121.0
AnytimeAnytime 100 Mg Jelly47.0
AssuransAssurans 20 Mg Tablet173.0
BigfunBigfun 100 Mg Jelly10.0
BisonBison 50 Mg Capsule88.0
CavertaCaverta 100 Mg Tablet235.0
DilkhushDilkhush 100 Mg Tablet11.0
DrxDrx 100 Mg Tablet58.0
DuragaDuraga 100 Mg Tablet120.0
EdegraEdegra 100 Mg Tablet117.0
ErecErec 50 Mg Tablet37.0
ErixErix 100 Mg Tablet27.0
EuniceEunice 100 Mg Tablet11.0
ExgraExgra 100 Mg Tablet108.0
ExigraExigra 100 Mg Tablet12.0
ExygraExygra 100 Mg Tablet8.0
IntagraIntagra 100 Mg Tablet8.0
Jean SiagraJean Siagra 100 Mg Tablet100.0
JoshilaJoshila 100 Mg Tablet35.0
JuanJuan 100 Mg Tablet222.0
Manforce TabletManforce 100 Mg Tablet232.0
ManpilManpil 100 Mg Tablet11.0
NyteNyte 50 Mg Tablet75.0
PahPah 20 Mg Tablet110.0
Powerman (Psychotropics)Powerman 100 Mg Tablet10.0
Power VegraPower Vegra 100 Mg Tablet54.0
SatisfactionSatisfaction 100 Mg Tablet150.0
SatisfilSatisfil 50 Mg Tablet68.0
SdfSdf 100 Mg Tablet10.0
SelegSeleg 25 Mg Tablet145.0
S FilmS Film 50 Mg Tablet885.0
SildaprepSildaprep 25 Mg Tablet165.0
Tuf N TightTuf N Tight 100 Mg Tablet14.0
Viagra TabletViagra 100 Mg Tablet1055.0
VigreksVigreks 100 Mg Tablet120.0
VigronVigron 50 Mg Tablet11.0
VistagraVistagra 100 Mg Tablet12.0
VygexVygex 100 Mg Tablet37.0
WavegraWavegra 100 Mg Tablet12.0
WingoraWingora 100 Mg Tablet10.0
ZeagraZeagra 100 Mg Tablet125.0
ZestograZestogra 100 Mg Tablet11.0
1 2 31 2 3 100 Mg Tablet12.0
AgraAgra 100 Mg Tablet10.0
AlivherAlivher 25 Mg Tablet149.0
AndrozAndroz 100 Mg Tablet124.0
Double ForceDouble Force Tablet30.0
DuragraDuragra 50 Mg Tablet13.0
EnthusiaEnthusia 100 Mg Tablet14.0
ErevaEreva 25 Mg Tablet142.0
EriactaEriacta 100 Mg Tablet14.0
HonygraHonygra 50 Mg Tablet73.0
KamagraKamagra 100 Mg Tablet131.0
LupigraLupigra Tablet10.0
OptithikOptithik 25 Mg Tablet149.0
Penegra TabletPenegra 100 Mg Tablet183.0
Penegra XpressPenegra Xpress 25 Mg Tablet139.0
Powerman (Abbott)Powerman 50 Mg Tablet125.0
PrograProgra 100 Mg Tablet73.0
PulmodayPulmoday 20 Mg Tablet86.0
PulmosilPulmosil 0.8 Mg Injection1605.0
RezumRezum 50 Mg Tablet40.0
RockyRocky 50 Mg Tablet75.0
RomentoRomento 100 Mg Tablet134.0
SexigraSexigra 100 Mg Tablet8.0
SidnakindSidnakind Tablet13.0
SilagraSilagra 100 Mg Tablet132.0
SildaflowSildaflow 20 Mg Tablet100.0
SildenafilSildenafil 50 Mg Tablet7.0
Sildenafil CitrateSildenafil Citrate 50 Mg Tablet80.0
SilnafilSilnafil 25 Mg Tablet179.0
SpegraSpegra 100 Mg Tablet105.0
Suhagra TabletSuhagra 100 Mg Tablet175.0
Target PlusTarget Plus Tablet16.0
ToniteTonite 100 Mg Tablet22.0
UnigraUnigra 100 Mg Tablet14.0
UpliftUplift 50 Mg Tablet61.0
VasosureVasosure 20 Mg Tablet164.0
VegaVega 100 Mg Tablet15.0
VigoraVigora 100 Mg Tablet116.0
VigoreVigore Spray170.0
VirahaViraha 100 Mg Tablet12.0
WowWow 50 Mg Tablet56.0
ZenegraZenegra 100 Mg Tablet9.0
Zenegra RedZenegra Red Red 100 Mg Tablet3.0
Ed SaveEd Save 20 Mg Tablet39.0
ForzestForzest 10 Mg Tablet78.0
MegalisMegalis 10 Mg Tablet142.0
MildfilMildfil Tablet129.0
ModulaModula 5 Mg Tablet162.0
PulmopresPulmopres 20 Mg Tablet275.0
Super ManforceSuper Manforce 20 Mg Tablet140.0
TadactTadact 10 Mg Tablet88.0
TfilTfil 10 Mg Tablet98.0
ZydalisZydalis 10 Mg Tablet Md104.9
Bigfun 36Bigfun 36 Tablet16.25
EdonEdon 10 Tablet96.08
FildaFilda 10 Mg Tablet81.93
FilgudFilgud 10 Mg Tablet72.82
GetgoGetgo 10 Mg Tablet68.0
PopupPopup 20 Mg Tablet86.53
TadacipTadacip 10 Mg Tablet73.86
TadafilTadafil 10 Mg Tablet80.47
TadafloTadaflo 5 Mg Tablet250.0
TadaforceTadaforce 20 Mg Tablet280.0
Tadalis SxTadalis Sx 20 Mg Tablet53.0
TadoraTadora 20 Mg Tablet18.75
TadovasTadovas 20 Mg Tablet238.1
TafilTafil 5 Mg Tablet120.0
TazzleTazzle 10 Mg Tablet752.0
Td 36Td 36 10 Mg Tablet72.32
T FilmT Film 10 Mg Disintegrating Strip147.5
TtabTtab 5 Mg Tablet124.11
UprizeUprize 10 Mg Tablet80.21
UpwardzUpwardz 10 Mg Tablet96.0
TadaTada 20 Mg Tablet25.31
Tadalafil 20 Mg TabletTadalafil 20 Mg Tablet7.63
TadilTadil 180 Mg Tablet50.47
Anas DeeAnas Dee Gel37.17
BiocaineBiocaine 2% Injection12.5
Lignocaine (Neon)Lignocaine 2% Injection17.0
Lox HeavyLox Heavy 2% Injection18.75
LoxicardLoxicard 2% Infusion52.0
NummitNummit 15% W/W Spray220.0
WocaineWocaine 2% Gel27.06
Xylocaine AdrenalineXylocaine Adrenaline 2% Injection30.7
Xynova LonzengeXynova Lonzenge 200 Mg Tablet52.56
AnescaineAnescaine 2% Gel38.0
LidfastLidfast 2% Injection31.25
LidocynLidocyn Gel53.9
Lidocyn PlusLidocyn Plus Injection41.5
LignoxLignox 1% Injection26.97
Lox (Neon)Lox 2% Injection32.5
OculanOculan 1% Injection144.2
ResocaineResocaine 2% Gel29.0
Xylo(Astra)Xylo 2% Infusion36.22
XylocaineXylocaine 1%W/V Injection34.5
Xylocaine HeavyXylocaine Heavy 5% Injection4.5
XylocardXylocard 2% Injection43.0
XyloxXylox 0.2% Gel37.17
AlocaineAlocaine Injection18.0
LcaineLcaine Injection30.0
NircaineNircaine Injection80.92
UnicainUnicain 2% Injection14.5
Wocaine AWocaine A Injection583.31
XylonumbXylonumb 2% Injection26.0
XynovaXynova 2% Gel39.65
ZelcaineZelcaine Injection16.58
Lignocaine (Azp)Lignocaine (Azp) 4% Cream11.87
LignocareLignocare Gel19.37
OcukaneOcukane 4% Solution27.48
PilenilPilenil 0.70% Ointment80.0
BiosoreBiosore 2% Gel38.5
CalignoCaligno Jelly37.5
GesicainGesicain 5% Ointment29.76
Suhagra DuralongSuhagra Duralong Spray264.0
Vigora SprayVigora 15 Gm Spray170.0
Xynova EndoXynova Endo 200 Mg Lozenges59.0
Zenegra LidoZenegra Lido Spray69.87
ZyloZylo 5% Ointment18.75
CaldobCaldob 500 Mg Capsule120.0
PaparinPaparin 2 Ml Injection14.52
UdzireUdzire 100 Mg Tablet1150.0
Alivher EsAlivher Es 1 Mg/25 Mg Tablet0.0
Endothik EsEndothik Es 1 Mg/25 Mg Capsule0.0
PrimiwalPrimiwal 2 Mg/25 Mg Tablet0.0
Prostium EsProstium Es 2 Mg/25 Mg Capsule Dr0.0
EndonormEndonorm Tablet218.25
AnomexAnomex Suppository54.0
CorectCorect Suppository66.0
PileumPileum Suppository60.0
AnovateAnovate Cream83.5
Pilo GoPilo Go Cream55.0
Proctosedyl BdProctosedyl Bd Cream58.85
ProctosedylProctosedyl Ointment53.6
AudoticAudotic Ear Drops58.78
Obpex Eye DropsObpex Eye Drops29.0
OtiflamOtiflam Ear Drops51.6
OtorestOtorest Ear Drop52.0
Otras OtOtras Ot Drops42.0
Bestoflox ClBestoflox Cl Ear Drops33.93
Clodibiotic Ear DropClodibiotic Ear Drop48.0
DrepDrep Ear Drop46.55
Myclin OMyclin O Ear Drops30.5
CandibioticCandibiotic Ear Drop65.0
Orecure PlusOrecure Plus Ear Drops59.7
AlbioticAlbiotic Ear Drop52.0
GlybioticGlybiotic Ear Drop45.0
MycoticMycotic Ear Drop48.0
OtidropOtidrop Ear Drops25.33
OtocinOtocin Ear Drop39.6
Smuth SuspensionSmuth Suspension65.15
Dejac TDejac T Tablet213.0
Td PillTd Pill Tablet230.0
UpholdUphold 10 Mg/30 Mg Tablet234.0
DepofilDepofil Tablet200.0
DentacainDentacain 8.7%/2% Gel58.0
CurasilCurasil Gel32.0
Orogard SgOrogard Sg Ointment20.0
SelenoSeleno Gel45.0
LidocamLidocam Mouth Wash84.75
Lignocad AdrLignocad Adr Injection12.5
Lignox+AdrenlineLignox+Adrenline 0.005 Mg/2% Injection25.86
XicaineXicaine 0.022 Mg/2% Injection21.5
Mugel Freshora 8.7%W/W/2.0%W/W GelMugel Freshora 8.7%W/W/2.0%W/W Gel40.0
Oraflora LaOraflora La 8.70% W/W/2% W/W Gel48.4
ViloralViloral 8.7%W/W/2%W/W Gel51.9
Anabel CtAnabel Ct 8.7% W/W/2% W/W Gel53.0
DentogelDentogel 8.7%/2% Gel57.7
MyclinMyclin 1%W/W/2%W/W Ear Drops25.0
RaystatRaystat 1%W/W/2%W/W Eye/Ear Drops44.45
NumbexNumbex Cream160.0
XyloplusXyloplus Ointment37.0
AsthesiaAsthesia Cream530.0
DolocaineDolocaine Cream137.9
Xynova PXynova P Cream144.0
Orabliss 2%/2% GelOrabliss 2%/2% Gel61.0
Otobiotic Sf 0.3%W/V/1%W/V/2%W/V Eye DropOtobiotic Sf 0.3%W/V/1%W/V/2%W/V Eye Drop39.0
Quik KoolQuik Kool Gel65.0
Ora FastOra Fast Cream40.0
Orex LoOrex Lo Gel58.3
Sd PillSd Pill 50 Mg/30 Mg Tablet240.0
DaposureDaposure 50 Mg/30 Mg Tablet200.0
Da Sutra 30 XDa Sutra 30 X 50 Mg/30 Mg Tablet220.0
DuraforceDuraforce 50 Mg/30 Mg Tablet190.47
Kutub 30 XKutub 30 X Tablet220.0
Manforce StaylongManforce Staylong Condom Pineapple24.92
PowerforcePowerforce 50 Mg/30 Mg Tablet62.25
Suhagra ForceSuhagra Force Tablet199.0
SustimaxSustimax Tablet201.45
ThrilpilThrilpil Tablet230.0
Viglast SViglast S 50 Mg/30 Mg Tablet190.47
Softee(Leo)Softee Laxative Syrup94.9
Sufrate LaSufrate La Cream75.0
TricozolTricozol Ear Drop50.5
Tympalin CTympalin C Drops45.0
PilcarePilcare Cream29.0
Lignocaine 2% InjectionLignocaine 2% Injection15.13
Lignocaine (Cdl)Lignocaine 213 Mg Injection10.0
Lignocip 2 % InjectionLignocip 2 % Injection29.96
XcinXcin Gel138.1
HadensaHadensa Capsule40.0

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