Sudden inability to achieve erection with penile pain or injury? Penile fracture and priapism (painful erection lasting over 4 hours) are urological emergencies — call immediately.
Erectile dysfunction, premature ejaculation, Peyronie's disease and low testosterone are common conditions seen by a sexologist in Ahmedabad — not personal failures. Each has a specific, identifiable cause and an effective treatment. We find the cause first, then prescribe the right solution.
Tell us your symptoms — we’ll guide you immediately
Male sexual dysfunction encompasses a range of conditions that affect sexual function — including erectile dysfunction (ED), premature ejaculation (PE), Peyronie’s disease (penile curvature), low testosterone (hypogonadism) and problems with ejaculation or orgasm. These are medical conditions with identifiable causes — not inevitable consequences of ageing or personal weakness — and the vast majority are treatable.
Crucially, erectile dysfunction is now recognised as an early warning sign of cardiovascular disease, which is why timely erectile dysfunction treatment in Ahmedabad matters. The penile arteries are smaller than coronary arteries and develop atherosclerosis earlier, meaning ED frequently precedes a cardiac event by 2–5 years. Every man seeking erectile dysfunction treatment for new-onset ED receives a full cardiovascular risk assessment at Trayam, not just a prescription.
Each type of male sexual dysfunction has a distinct cause, investigation pathway and treatment. Correct diagnosis is the essential first step — treatment without diagnosis is guesswork.
Many men delay seeking help for sexual health concerns — sometimes for years. These are the symptoms that warrant a consultation, and the warning signs that should not be ignored.
New-onset ED in men under 50 is a recognised early marker of cardiovascular disease. A full CV risk assessment — blood pressure, fasting glucose, lipids, testosterone — is mandatory. ED may precede a cardiac event by 2–5 years.
Erection lasting over 4 hours unrelated to sexual stimulation — a urological emergency. Ischaemic priapism causes permanent erectile tissue damage if not treated within 4–6 hours. Call immediately.
Inconsistent erections, erections that are not firm enough for penetration, or erections lost during intercourse. Most common presentation of erectile dysfunction — evaluate cause before prescribing.
Ejaculation within 1–2 minutes of penetration causing personal distress or relationship difficulty. Most common male sexual complaint globally — highly treatable. Do not accept this as normal if it causes distress.
Penile curvature (especially if new and progressive), painful erections or a palpable lump on the penis — classic Peyronie's disease presentation. Early treatment in the acute phase gives the best outcomes. Do not wait.
Reduced or absent sexual desire combined with low energy, reduced mood and fatigue — classic low testosterone symptoms. Requires morning fasting testosterone blood test on two occasions before any treatment.
Normal men have nocturnal and morning erections. Absent morning erections in a man with ED suggests an organic (vascular or hormonal) cause rather than purely psychological. Important distinguishing symptom in ED assessment.
Many common medications cause sexual dysfunction as a side effect — antidepressants (SSRIs), antihypertensives (beta-blockers, thiazides), antipsychotics, finasteride, antiandrogens. Always review your medication list before assuming a primary sexual dysfunction diagnosis.
Effective erectile dysfunction treatment in Ahmedabad is always cause-specific. A man with vascular ED, hormonal ED and performance anxiety ED all have the same symptom — but need completely different treatments. We identify the cause before prescribing.
Sexual dysfunction in Ahmedabad is treated with the seriousness it deserves — proper diagnosis, cardiovascular assessment, cause-specific treatment and complete confidentiality.
Senior Consultant Urologist & Male Sexual Health Specialist — Trayam Hospital
Dr.Renish Patel manages the full spectrum of male sexual dysfunction — from straightforward ED requiring correct PDE5 inhibitor optimisation through to complex penile implant surgery, Peyronie's disease correction and hormonal management. All consultations are conducted with complete confidentiality. The first priority is always to identify the specific cause — vascular, hormonal, neurological or psychological — before any treatment is recommended.
Erectile dysfunction is one of the most common conditions in men — and one of the most commonly mismanaged. Many men receive a PDE5 inhibitor prescription after a 5-minute consultation without a hormonal blood test, without a blood pressure check, without a cardiovascular risk assessment. This misses both the underlying cause of the ED and a significant opportunity to prevent a cardiac event.
Blood pressure, fasting glucose, lipid profile and testosterone are checked before any PDE5 inhibitor is prescribed. ED is a vascular symptom — its cause and cardiovascular implications must be assessed, not ignored.
Testosterone is measured before starting any ED treatment. Low testosterone makes PDE5 inhibitors ineffective and requires a completely different treatment approach. This one test prevents the most common cause of treatment failure.
Sexual health consultations are fully confidential. Separate appointments, private consultation rooms, no information shared without consent. Many men wait years — we make it straightforward to seek help early.
Struggling with ED, PE or low testosterone?
All consultations are completely confidential. Bring any previous investigations or medication lists if you have them — we’ll do the rest.
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Most risk factors for erectile dysfunction and sexual health decline are modifiable with timely erectile dysfunction treatment in Ahmedabad and lifestyle changes. The same lifestyle changes that protect cardiovascular health protect erectile function. Start now — it takes 3–6 months to see measurable improvement.
Yes — ED is a recognised early warning sign of cardiovascular disease. The penile arteries are smaller than coronary arteries and develop atherosclerosis earlier, meaning ED often precedes a heart attack or stroke by 2–5 years. Any man with new onset ED should have a full cardiovascular risk assessment — not just a prescription for PDE5 inhibitors.
PDE5 inhibitors are effective in 60–70% of men with ED. They are less effective in men with severe vascular disease, uncontrolled diabetes, post-prostatectomy nerve damage or very low testosterone. For non-responders — low-intensity shockwave therapy, intracavernosal injections, vacuum devices or penile implants are effective next-line options.
Peyronie’s disease is fibrous plaque inside the penis causing painful erections, curvature and in severe cases — inability to have intercourse. In the acute phase (under 12 months), collagenase injections and traction therapy are effective. In the stable phase, surgical correction (Nesbit, grafting or penile implant) gives excellent outcomes.
A penile implant is a surgically placed device enabling erection on demand. Inflatable 3-piece implants are most natural — a scrotum pump inflates two penile cylinders. Indicated for ED unresponsive to oral medication, injections or vacuum devices. Patient satisfaction exceeds 90%.
On-demand dapoxetine (SSRI) is the most effective pharmacological option — delaying ejaculation 3–5 fold. Daily low-dose paroxetine or sertraline for lifelong PE. Topical anaesthetic sprays and behavioural techniques (start-stop, squeeze) are effective first-line options. Combined approach gives the best long-term outcomes.
Reduced libido, erectile dysfunction, fatigue, reduced muscle mass, increased body fat, mood changes, reduced beard/body hair, gynaecomastia and reduced semen volume. Diagnosis requires morning fasting testosterone on two occasions. Treatment with TRT shows significant improvement within 4–8 weeks.
TRT is safe when properly monitored. PSA, haematocrit, liver function and cardiovascular risk are assessed before starting. TRT is not suitable for men wishing to remain fertile (suppresses sperm production), men with prostate cancer or significant cardiovascular disease. Annual monitoring is essential.
Yes — performance anxiety, depression, relationship issues and stress are common causes, particularly in younger men. Distinguished from organic ED by presence of normal morning erections and situational pattern. CBT, sex therapy and PDE5 inhibitors as a confidence-builder are effective. Organic and psychological causes frequently coexist.
Investigations and surgical procedures (penile implant, Peyronie’s correction) are covered by most Indian health insurance policies. Oral medications (PDE5 inhibitors) are generally not covered. Trayam is empanelled with all major insurers.
ED affects 40% of men at 40 and 70% at 70. But ED is not inevitable with ageing — it is a symptom requiring evaluation. In men under 40, psychological and lifestyle causes predominate. In men over 50, vascular and hormonal causes are more common. Any age of onset warrants proper assessment.
All consultations are completely confidential. Bring any investigations or medication lists — or we start fresh. Cause-specific treatment, cardiovascular risk assessed, complete privacy guaranteed.
