Male Sexual Dysfunction Treatment in Delhi
Specialised evaluation and personalised treatment for erectile dysfunction, premature ejaculation, low sexual desire, ejaculation problems and other male sexual health concerns by Dr. Gautam Banga at The Center for Urethra & Penile Surgery, SCI International Hospital, New Delhi.
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Overview
What Is Male Sexual Dysfunction?
Male sexual dysfunction refers to problems that interfere with normal sexual desire, erection, ejaculation or orgasm. Common conditions include erectile dysfunction (ED), premature ejaculation, delayed or absent ejaculation and reduced sexual desire.
These problems may develop because of blood-vessel disease, diabetes, hormonal imbalance, nerve disorders, medications, previous pelvic surgery or psychological factors such as stress and anxiety. More than one factor may be involved in the same patient.
Important: Persistent sexual dysfunction should be properly evaluated rather than treated with unprescribed medicines or supplements. Erectile dysfunction in particular can sometimes be associated with underlying cardiovascular or metabolic disease.
Types
Common Male Sexual Problems
Erectile Dysfunction
Difficulty getting or maintaining a firm erection.
Premature Ejaculation
Ejaculation happens earlier than desired during sex.
Delayed Ejaculation
Ejaculation takes longer than desired during sex.
Low Sexual Desire
Reduced interest or desire for sexual activity.
Anejaculation
Orgasm occurs without semen being ejaculated normally.
Retrograde Ejaculation
Semen flows backward into the bladder instead.
Causes
Causes of Male Sexual Dysfunction
Blood Flow Problems
Poor penile blood flow can affect erections.
Diabetes
Diabetes may damage blood vessels and nerves.
Hormonal Issues
hormonal problems may affect desire and erections.
Nerve Disorders
Neurological conditions or nerve injury can affect sexual function.
Stress & Anxiety
Psychological factors can contribute to erection.
Medicines & Surgery
Prostate surgery and pelvic treatments may affect sexual function.
Symptoms
Signs & Symptoms of Male Sexual Dysfunction
- Difficulty achieving an erection
- Delayed ejaculation
- Difficulty maintaining an erection
- Inability to ejaculate
- Reduced sexual desire
- Reduced sexual satisfaction
- Premature ejaculation
- Difficulty reaching orgasm
Diagnosis
How We Diagnose Male Sexual Dysfunction
A detailed assessment helps identify the type of sexual problem and its underlying cause so treatment can be personalised.
- Medical & Sexual History – reviews erections, libido, ejaculation, orgasm and previous treatments.
- Physical Examination – evaluates genital, vascular, neurological and hormonal signs.
- Blood Sugar Testing – checks for diabetes or metabolic problems.
- Lipid Profile – evaluates cardiovascular risk factors.
- Testosterone Test – early-morning testosterone may be assessed when indicated.
- Hormonal Tests – additional tests such as prolactin or LH may be considered in selected patients.
- Penile Doppler Ultrasound – may evaluate penile blood flow in selected ED cases.
- Sexual Function Questionnaires – tools such as IIEF/SHIM can help assess erection severity and treatment response.
Treatment
Male Sexual Dysfunction Treatment Options
Why Dr. Gautam Banga
Why Choose Dr. Gautam Banga for Male Sexual Dysfunction Treatment?
Sexual Health Evaluation
Assessment considers erection, ejaculation, sexual desire and associated urological conditions.
Cause-Based Treatment
Treatment is planned after identifying possible vascular, hormonal, neurological, medication-related or psychological factors.
Medical & Surgical Options
Management may range from lifestyle modification and medicines to injections, vacuum therapy or penile implant surgery where appropriate.
Personalised Treatment Planning
Treatment is selected according to symptoms, medical history, treatment goals and response to previous therapies.
Dr. Gautam Banga
Consultant Andrologist & Genito-Urinary Reconstructive Surgeon
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Frequently Asked Questions
Male sexual dysfunction includes persistent problems involving sexual desire, erections, ejaculation or orgasm.
Erectile dysfunction is difficulty getting or maintaining an erection firm enough for satisfactory sexual activity.
Common causes include blood-vessel disease, diabetes, neurological conditions, hormonal disorders, medications, pelvic surgery and psychological factors.
Yes. Stress, anxiety and other psychological factors can contribute to erection, desire and ejaculation problems.
It can be. Erectile dysfunction is associated with cardiovascular risk, particularly when vascular disease is involved, so cardiovascular risk assessment may be appropriate.
Premature ejaculation occurs when ejaculation happens sooner than desired with difficulty controlling its timing.
Yes. Treatment varies according to the cause and may include lifestyle changes, medicines, psychosexual therapy, hormonal management, vacuum devices, injections or surgery.
No. ED medication should be used after medical assessment because suitability depends on other health conditions and medications.
A penile prosthesis may be considered when erectile dysfunction remains significant despite appropriate non-surgical treatment or when other therapies are unsuitable.
Seek evaluation when erection, ejaculation or sexual desire problems are persistent, recurrent or affecting sexual relationships and quality of life.