ED is the perpetual inability to attain and maintain a firm erection. It is significantly diminishing the sexual function and overall quality of life.

The most common reason for ED are psychological stress and physical trauma. As we grow old, our sexual function declines. From arousal to erection, and ejaculation to the sperm quality, everything goes downhill.

Erectile dysfunction is a treatable condition, and various therapies are available for the same. But it is essential to diagnose the probable cause behind the deteriorating sexual health.

Finding the best doctor for your erection issues is necessary.  The advisable way is to see an ED doctor and openly discuss your case and get a suitable treatment. Your ED doctor might ask to get tests and scans before jumping to the final diagnosis. A promising prognosis depends on the accuracy of diagnosis. You can be asked to see a urologist or endocrinologist, depending on the severity and underlying cause.

When to consult a Psychologist?

Psychogenic factors include depression, stress, partner dissatisfaction, social pressure, and performance anxiety. Sound mental health is a quintessential part of living and can prevent the onset of and sometimes relapse of certain medical conditions. Evidence of erectile dysfunction is directly related to the amount of stress we take. Seeing a psychologist or a counselor may help you overcome your anxieties and fears, and ED can resolve on its own.

When should you see a Urologist?

A Urologist is a specialist for ailments related to Urinary tract and Reproductive health. ED has a multifactorial etiology. The dismissal of psychological stress, trauma indicates the urological disorders that may aggravate this sexual condition. Benign Prostate hypertrophy and lower urinary tract infection are independent factors leading to ED. A urologist will enquire the following questions:

  • Frequency of Urine
  • Color of Urine
  • Pain associated while micturition
  • Presence of bleeding during urination
  • The feeling of numbness or heaviness in that region

He may conduct a thorough physical examination and advise you on a course of medication until the symptoms disappear.

When to refer an Endocrinologist?

An endocrinologist is a specialist for any hormonal imbalance or neural dysfunction. Hypogonadism, Diabetes Mellitus, Hyperprolactinemia, and Disturbed Thyroid profile are factors that require attention from an endocrinologist. Erectile dysfunction is often an indicator or a ‘tell-tale sign’ for the significant underlying disorder. An endocrinologist will plan the course of treatment accordingly and improvising your well-being.

Hypogonadism, in an aging male, will present the following symptoms:

  • Decline in libido
  • A decrease in muscle mass
  • Decrease strength
  • Low on energy
  • Irritability
  • Hot Flushes

Increased thyroid levels will decrease libido and cause gynecomastia. The low level of Testosterone leads to neurological dysfunction, which caused Erectile dysfunction.

Other specialties that may require intervention are cardio-vascular or nephrology. A sedentary lifestyle, alcohol intake, smoking, and personal attitude necessitate the holistic approach to achieve desired results.

The co-existence of Erectile dysfunction and underlying disease needs to be evaluated by specialists. Counseling and lifestyle modifications will mitigate the impact of Erectile dysfunction on the patients.

Medically reviewed by Rishabh Verma, RP