Dr. Samhitha Reddy
Consultant Proctologist & Laparoscopic Surgeon
MBBS, MS, FMAS, FISCP, DMAS
- 8 Yrs
- ASCRS Member
Urology · Men’s Health
Erectile Dysfunction Treatment in Hyderabad: Confidential Care at Lux Hospitals
Erectile dysfunction is common, treatable, and almost never talked about. Most men manage it silently for years, and a good proportion never seek help at all.
It is also frequently the first warning of something else. ED often precedes heart disease by three to five years, because the arteries supplying the penis are smaller and narrow earlier. Our urologists at Lux Hospitals, HITEC CITY treat the problem and check for what may be underlying it.
- Completely Confidential
- Underlying Causes Checked
- Effective Treatment
What is Erectile Dysfunction?
Erectile dysfunction is the persistent inability to achieve or maintain an erection sufficient for satisfactory sexual activity. The word persistent matters: occasional difficulty is normal and universal, and is not a medical condition.
An erection is a vascular event. Arteries dilate to fill the erectile tissue with blood while veins compress to hold it there, coordinated by nerves and hormones. Anything that impairs those arteries, nerves or hormones can cause ED, which is why it so often reflects a wider health problem rather than an isolated one.
The most clinically important fact about ED is what it predicts. The arteries supplying the penis are considerably narrower than the coronary arteries, so they become symptomatic first. ED frequently precedes a cardiac event by three to five years, which makes it a genuine early warning worth acting on rather than a purely quality-of-life issue.
Causes of Erectile Dysfunction
Most cases in men over forty have a physical basis, often with a psychological component layered on top.
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Cardiovascular disease
Narrowed arteries reduce blood flow to the penis. The commonest physical cause, and the reason ED is treated as a cardiac warning sign.
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Diabetes
Damages both the small blood vessels and the nerves controlling erection. ED is considerably commoner and often more severe in diabetic men.
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High blood pressure and cholesterol
Both damage the arterial lining, and several of the medications used to treat them contribute independently.
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Smoking
Directly damages the arteries supplying the penis. One of the most significant and most reversible causes.
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Obesity and inactivity
Associated with lower testosterone, worse vascular function and higher rates of ED. Weight loss and exercise measurably improve it.
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Low testosterone
Reduces desire and contributes to ED. Worth measuring, since it is straightforward to treat where genuinely low.
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Medications
Beta blockers, thiazide diuretics, antidepressants (particularly SSRIs) and some prostate medications all commonly contribute.
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Psychological factors
Stress, anxiety, depression and relationship difficulties. Often the primary cause in younger men, and a secondary layer in older ones.
Performance anxiety frequently develops on top of a physical cause, creating a cycle where the worry itself becomes part of the problem. Treating the physical side often breaks that cycle on its own.
Symptoms & Patterns
The pattern of the problem is more informative than its severity, because it distinguishes physical from psychological causes.
Common symptoms
- Difficulty achieving an erection
- Difficulty maintaining an erection long enough for intercourse
- Erections that are less firm than they used to be
- Reduced sexual desire
- Premature or delayed ejaculation alongside the difficulty
- Anxiety and avoidance of sexual situations
Patterns that suggest the cause
- Gradual onset over months or years, usually a physical cause
- Sudden onset with a clear trigger, usually psychological
- Morning erections preserved: points toward a psychological cause
- Morning erections absent: points toward a physical cause
- Problems with one partner but not alone: psychological
- Consistent difficulty in every situation: physical
Whether you still get morning erections is one of the most useful questions in the whole consultation. Their presence suggests the machinery works and the problem is elsewhere.
How Erectile Dysfunction is Assessed
The assessment establishes the cause and (importantly) screens for the cardiovascular and metabolic disease that frequently underlies it.
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History and IIEF score
The pattern, onset, morning erections, medications and relationship context, with a standard questionnaire to quantify severity.
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Physical examination
Blood pressure, body habitus, genital examination for Peyronie’s plaques or testicular abnormality, and peripheral pulses.
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Blood tests
Fasting glucose, HbA1c, lipid profile, morning testosterone, thyroid and kidney function: screening for the common underlying causes.
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Cardiovascular risk assessment
ED is an arterial marker. Assessing cardiac risk is a genuine part of this consultation rather than an aside, and may prompt cardiology referral.
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Penile Doppler ultrasound
Measures arterial inflow and venous leak after an injection. Used where the cause is unclear or where implant surgery is being considered.
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Nocturnal erection testing
Confirms whether erections occur during sleep, which distinguishes physical from psychological causes objectively.
A man presenting with ED and undiagnosed diabetes or hypertension has had something genuinely valuable found. That is not an incidental finding: it is often the more important half of the consultation.
Treatment Options
Treatment is highly effective. Most men respond to oral medication, and there are reliable options for those who do not.
Non-surgical
Lifestyle, medication and devices
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Lifestyle modification
Stopping smoking, losing weight, regular exercise and controlling diabetes and blood pressure. These genuinely improve erectile function, not just general health.
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PDE5 inhibitors
Sildenafil, tadalafil and similar drugs. Effective in around seventy per cent of men, and the first-line treatment. Tadalafil can be taken daily at low dose.
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Reviewing existing medications
Switching a beta blocker or antidepressant that is contributing, in discussion with the prescribing doctor.
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Testosterone replacement
Where testosterone is genuinely low on morning testing. It restores desire and improves the response to PDE5 inhibitors.
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Vacuum erection device
A pump drawing blood into the penis with a constriction ring to maintain it. Effective, drug-free, and useful where medication is contraindicated.
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Psychosexual counselling
For performance anxiety and relationship factors. Frequently combined with medical treatment rather than used alone.
Advanced
Injections, shockwave and surgery
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Intracavernosal injections
Alprostadil injected into the penis before intercourse. Highly effective even where tablets have failed, and easily self-administered once taught.
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Intraurethral pellets
Medication placed into the urethra, an alternative for men who prefer to avoid injections.
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Low-intensity shockwave therapy
Acoustic waves applied to the penis to promote new blood vessel formation. Non-invasive, with encouraging results in mild vascular ED.
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Penile implant
An inflatable or malleable prosthesis surgically placed inside the penis. The definitive treatment for severe ED, with very high satisfaction rates.
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Vascular surgery
Reconstruction of arterial supply in selected younger men with a discrete post-traumatic arterial injury. Rarely applicable.
Penile implant surgery is the last step and consistently reports among the highest satisfaction rates of any urological procedure (over ninety per cent) because it reliably works when nothing else has.
What Treatment Looks Like in Practice
Treatment is a sequence rather than a single procedure, and most men do not need to progress far along it.
Stepped treatment programme
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Confidential consultation
A private discussion of the pattern, duration and context, with a genital examination and blood pressure check.
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Screening bloods
Glucose, HbA1c, lipids and morning testosterone. This is where undiagnosed diabetes or a treatable hormone problem is frequently found.
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Addressing modifiable factors
Stopping smoking, adjusting contributing medications, controlling diabetes and blood pressure, and starting exercise.
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First-line medication
A PDE5 inhibitor, with clear instruction on how to take it: timing, food effects and the need for sexual stimulation. Most apparent failures are actually incorrect use.
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Optimising the trial
Trying the maximum dose on at least four to six separate occasions before concluding it does not work, and considering a daily low dose instead.
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Second-line treatment
Injections, vacuum device or shockwave therapy where tablets are insufficient, with training in technique.
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Considering an implant
Discussed where nothing else has worked, with a full explanation of what is involved and its permanence.
A great many men conclude the tablets do not work when they have taken them incorrectly: too soon after a heavy meal, without stimulation, or only once. Getting the technique right rescues a substantial proportion.
Why Choose Lux Hospitals for ED Treatment?
ED deserves a proper medical assessment rather than a prescription handed over a counter. Here is why patients trust us:
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Confidential and unembarrassed
Private consultations with urologists for whom this is an everyday conversation, not an awkward one.
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The cause investigated
Screening for diabetes, cardiovascular disease and low testosterone, because ED is frequently the first sign of one of them.
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Comprehensive care
From the first consultation through to post-treatment follow-up, with one team throughout.
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Convenient location
Our hospital is in HITEC CITY, near IKEA: easily reachable from across Hyderabad.
What to Expect
Most men see improvement within weeks. The lifestyle changes take longer but produce the most durable benefit.
- Weeks 1–2
Assessment complete and first-line medication started. Contributing drugs reviewed and lifestyle changes begun.
- Weeks 2–6
Medication trialled properly across several occasions at optimal dose. Most men who will respond have done so by this point.
- Weeks 6–12
Where tablets have not worked, second-line options are introduced. Lifestyle changes begin showing measurable effect.
- Months 3–6
Weight loss, exercise and better diabetic control produce genuine improvement in erectile function independent of medication.
- Long term
Ongoing management of the underlying cardiovascular and metabolic risk, which matters well beyond the sexual symptom.
Aftercare
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Take the tablets correctly
Sildenafil on an empty stomach an hour before; tadalafil lasts far longer and is less food-dependent. Sexual stimulation is still required: they do not work by themselves.
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Exercise regularly
Aerobic exercise improves erectile function measurably. It is one of the few interventions that treats the cause rather than the symptom.
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Stop smoking
Directly damages the arteries supplying the penis. Stopping produces improvement, and it is among the most effective single changes.
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Take the cardiac warning seriously
ED often precedes heart disease by three to five years. If cardiac assessment is advised, it is worth having.
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Never combine with nitrates
PDE5 inhibitors with nitrate heart medication can cause a dangerous drop in blood pressure. Always disclose your full medication list.
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Involve your partner where you can
Relationship factors and performance anxiety respond considerably better when addressed together than alone.
Beware of unregulated clinics and online products promising instant cures. ED is straightforward to assess and treat properly, and the assessment frequently uncovers something more important than the symptom itself.
When Should You See a Urologist?
Book a consultation if any of the following apply.
- Difficulty with erections persisting for more than three months.
- The problem affecting your confidence or relationship.
- ED alongside diabetes, high blood pressure or heart disease.
- A sudden change in erectile function.
- ED with reduced desire, fatigue or low mood: worth checking testosterone.
- A curved or painful erection: this needs separate assessment.
Cost of ED Treatment in Hyderabad
Assessment and first-line treatment are inexpensive. Costs rise only for the advanced options a minority need.
| Procedure | Estimated Cost |
|---|---|
| Consultation Private and confidential | ₹800 – ₹1,500 |
| Screening blood tests Glucose, lipids, testosterone and thyroid | ₹2,500 – ₹6,000 |
| PDE5 inhibitor medication Per month, depending on the drug and frequency | ₹400 – ₹2,000 |
| Penile Doppler ultrasound Where the cause is unclear | ₹4,000 – ₹9,000 |
| Intracavernosal injection therapy Per month, including training | ₹1,500 – ₹5,000 |
| Shockwave therapy course Six to twelve sessions | ₹35,000 – ₹80,000 |
| Inflatable penile implant Includes the device; two nights’ stay | ₹4,50,000 – ₹8,00,000 |
What changes the estimate
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Which step you need
Most men are treated with tablets at a few hundred rupees monthly. Only a small minority progress to implant surgery.
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Underlying conditions found
Where diabetes or heart disease is diagnosed, treating that is a separate but genuinely more important cost.
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Device costs
A penile implant is dominated by the price of the prosthesis, and inflatable devices cost considerably more than malleable ones.
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Room category
A shared ward, a twin-sharing room or a private suite: the largest single swing in most estimates.
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Insurance & TPA cover
We are empanelled with most major insurers, and our team files the pre-authorisation for you.
Every figure above is an indicative range, not a quote. After your consultation you are given a written, fixed-cost estimate, and that is the number you pay, with no additions once treatment begins.
Other Urology Treatments
Our Surgeons
Erectile Dysfunction Specialists at Lux Hospitals
The urologists who treat erectile dysfunction at our HITEC CITY hospital.
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Dr. Vipin Reddy B
Consultant Urologist & Andrologist
MBBS, MS, DrNB (Urology)
10 years experience
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Dr. Sreeniketh Reddy
Consultant Urologist & Andrologist
MBBS, MS, MCh (Urology)
9 years experience
Testimonials
What Patients Say About Their Treatment
Reviews from patients treated for urological and men’s health conditions at Lux Hospitals, Hyderabad.
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Got Questions?
Frequently Asked Questions
Common questions about erectile dysfunction, its treatment, and what care costs at Lux Hospitals.
What is the best treatment for erectile dysfunction?
For most men, a PDE5 inhibitor such as sildenafil or tadalafil combined with lifestyle changes: these work in around seventy per cent of cases. Where tablets are insufficient, intracavernosal injections are highly effective, and a penile implant is the definitive option for severe ED, with satisfaction rates above ninety per cent.
Why is erectile dysfunction considered a warning sign?
Because the arteries supplying the penis are much narrower than the coronary arteries, they become symptomatic from atherosclerosis earlier. ED frequently precedes a cardiac event by three to five years. Presenting with ED is therefore a genuine opportunity to have cardiovascular risk assessed before something more serious happens.
Can nerve damage cause erectile dysfunction?
Yes. Diabetes is the commonest cause of nerve-related ED. Multiple sclerosis, Parkinson’s disease, spinal cord injury and pelvic surgery (particularly radical prostatectomy) can all damage the nerves controlling erection. Nerve-related ED often responds less well to tablets and may need injections or an implant.
Does erectile dysfunction mean I have low testosterone?
Usually not. Most ED is vascular rather than hormonal. Low testosterone typically reduces desire more than erectile capacity, and the two often occur together without one causing the other. It is worth measuring on a morning sample, since it is easily treated when genuinely low.
Why did the tablets not work for me?
Most apparent failures are actually incorrect use. Sildenafil needs an empty stomach and about an hour; sexual stimulation is still required, since the drug does not produce an erection by itself. A proper trial means the maximum dose on at least four to six separate occasions before concluding it does not work.
Is shockwave therapy effective for ED?
Low-intensity shockwave therapy shows encouraging results in mild to moderate vascular ED, promoting new blood vessel formation. It is non-invasive with no significant side effects. The evidence is less established than for tablets or injections, so it is offered as an option rather than a first choice.
What foods help with erectile dysfunction?
No single food treats ED, and claims otherwise should be treated sceptically. What does help is a Mediterranean-style diet (vegetables, fruit, whole grains, fish and olive oil) which improves vascular function measurably. The benefit comes from the overall pattern rather than any individual item.
Is a penile implant a reasonable option?
For severe ED that has not responded to other treatments, yes: it consistently reports among the highest satisfaction rates of any urological procedure, above ninety per cent, because it reliably works. It is permanent and irreversible, since the natural erectile tissue is altered during placement, and that is discussed fully beforehand.
How much does erectile dysfunction treatment cost in India?
Assessment with blood tests is ₹3,000–₹7,500. PDE5 inhibitors cost ₹400–₹2,000 monthly. Injection therapy is ₹1,500–₹5,000 monthly, a shockwave course ₹35,000–₹80,000, and an inflatable penile implant ₹4,50,000–₹8,00,000 including the device.
How can I book a confidential appointment at Lux Hospitals?
You can book by calling us, messaging us on WhatsApp, or walking into Lux Hospitals, HITEC CITY. Consultations are private, and it helps to bring a list of your current medications since several commonly contribute.
Still have questions? Call us at 079 6908 4422
Still have questions? Message us on WhatsApp at 079 6908 4444
Book a Confidential Consultation in Hyderabad
Private assessment of erectile dysfunction including screening for the causes behind it, with costs shared upfront.
Plot No.116, Lumbini Avenue, HITEC CITY, Near IKEA, Hyderabad – 500032