How to know if my ED is physical or psychological?

Answered by 1 Apollo Doctors

Dr Ranjith Darla

General Practitioner

MBBS
3+ Yrs

Consult Now

Some tests can be done to know if there is any organic or physical cause and also detailed history including psychological evaluation helps.

Dr. Ranjith Suggests...

Consult a Urologist

Find a Urologist

Answered 04/07/2025

Ask Apollo

AI powered Health Chatbot

Continue Chat

Understanding Erectile Dysfunction (ED)
- ED is the inability to achieve or maintain an erection. Common causes include physical conditions like diabetes and psychological factors such as stress.
Physical vs Psychological Causes
- Physical Causes: Diabetes, heart disease, hormonal imbalances.
- Psychological Causes: Stress, anxiety, depression.
Signs Suggesting Physical Causes
- Persistent ED without situational triggers.
- Lack of nocturnal or morning erections.
Signs Suggesting Psychological Causes
- ED linked to specific situations or partners.
- Presence of morning or nocturnal erections.
- Sudden onset related to stress or emotional issues.
Diagnostic Steps
- Medical evaluation including history and physical exam.
- Tests: blood sugar, hormone levels, cardiovascular assessment.
- Psychological assessment if indicated.
When to See a Specialist
- Referral to a urologist or mental health professional.
Treatment Overview
- Tailored treatment depending on cause.
- Options include lifestyle changes, medications, and counseling.

Recommended next steps

Consult a Urologist or Take a PPBS Test (Post-Prandial Blood Sugar) Test

Find a Urologist Book PPBS Test (Post-Prandial Blood Sugar) Test

Answered 19 days ago

More Urology Health Queries

View all

Question

I've stopped masturbating for the last 2 months, but I'm still experiencing nightfall regularly, about once a week. Sometimes it even happens twice during a single sleep session. I feel really frustrated and tired during the day because of it. What can I do about this?

Question

What are the safest and most effective ways to increase penis size both in length and girth including medications creams or surgical options I've heard mixed things and want to understand what actually works without risking my health Are there any proven non-surgical methods like oils exercises or supplements that can increase penis size I'm curious about options that don't involve surgery but still give noticeable results What should I know about penis enlargement surgery risks and recovery I'm considering it but worried about complications and whether the results are worth it Do topical treatments like ointments or oils really work for increasing girth or is it just a temporary effect I've seen ads but not sure if they're backed by science Can certain exercises or devices actually increase penis size over time or are they just myths I want to avoid wasting time on things that don't deliver real results

Question

I'm experiencing some issues with having sex for the first time. Can I use lignocaine hydrochloride gel IP for this? How should I apply it? Id really appreciate some guidance on this.