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ANDROLOGY

Erectile Dysfunction (ED)

Erectile Dysfunction is the inability to achieve or maintain an erection firm enough for sexual intercourse. It is very common affects nearly 40% of men by age 40 and 70% by age 70. ED is not a sign of weakness. It is a medical condition that can be successfully treated. 

Causes Of Erectile Dysfunction (ED)

1. Physical / Medical Causes

2. Psychological Causes

3. Lifestyle Cause

Treatment Options for Erectile Dysfunction

1. Lifestyle & Medical Optimization

2. Oral Medications

3. Testosterone Therapy

4. Vacuum Erection Device (VED)

5. Penile Injection Therapy (ICI)

6. Shockwave Therapy (Low-Intensity ESWT)

7. Penile Implants (Prosthesis Surgery)

Premature Ejaculation (PE)

PE occurs when ejaculation happens sooner than desired, often within

  • 1 minute of penetration (lifelong PE), or
  • Earlier than expected due to stress, anxiety, or medical issues (acquired PE).

It is the most common sexual problem in men, often causing frustration, stress, and reduced confidence.

Causes Of Premature Ejaculation (PE)

1. Psychological Factors

2. Physical Factors

Treatment Options for Premature Ejaculation

1. Behavioural Therapy

2. Topical Anesthetic Sprays or Creams

3. Oral Medications

4. Treat Associated Erectile Dysfunction

5. Counseling / Psychotherapy

6. Pelvic Floor Exercises

Male Infertility Evaluation

Male infertility is treatable in many cases. Causes include lifestyle, varicocele, hormonal
imbalance, infections, or blockage

Treatment Options:

  • Semen analysis
  • Hormonal correction
  • Varicocelectomy
  • Treating infections
  • Sperm retrieval techniques
  • Lifestyle improvement plans

Varicocele

Enlarged veins in the scrotum that affect sperm quality and can cause pain.

Treatment Options:

  • Microsurgical Varicocelectomy —  gold standard.
  • Laparoscopic varicocele ligation
  • Pain management

TESE / Micro-TESE for Sperm Retrieval

Used when there is azoospermia (no sperm in semen).

  • TESE — small biopsies to find sperm
  • Micro TESE — microscope-guided,       highest success rates.

Treatment Options:

  • Frozen sperm storage
  • Coordinated IVF/ICSI treatment
  • Hormonal treatment for select cases

Non-Scalpel Vasectomy

A safe, stitch-less male sterilization procedure. Fast recovery, very low risk, and minimal discomfort.

Treatment Options:

  • Day care procedure 
  • Anaesthesia not required in majority of cases.
  • Need to use contraception post procedure till repeat semen analysis shows no sperms in semen.