Erectile dysfunction

What to Know about Erectile Dysfunction(Mardana kamzori/ مردانہ کمزوری)?

Erectile Dysfunction (ED), also known as impotence, in Urdu, is known as “Mardana kamzori/ مردانہ کمزوری”, which brings up the weakness/ کمزوری or loss of hardness in the sexual organ.

It is a commonly occurring problem among men, particularly as they age.

Erect & Flaccid Penis

This condition refers to the incapability of maintaining an erection that is firm enough to penetrate during sexual activity. This situation can be embarrassing and depressing for most mens, it can have a significant impact on a man’s self-esteem and overall quality of life, and he needs to get help if they are experiencing sexual disorder problems.

Types of ED:

There are two types of ED:
1 ) Acquired ( it develops with time and gradually).
2 ) life long ( it develops since the beginning of puberty).

Causes of Erectile dysfunction:

There are two common factors that can contribute to Erectile Dysfunction, men can experience ED due to Physical/Organic issues or Psychological/Emotional issues, and sometimes both can be the cause of Erectile Dysfunction.

This is very true, and we know that the aging process affects our whole body, especially our endocrine system and circulatory system, so disturbance of both of these systems play a big role in developing ED.

Physical Causes of Erectile dysfunction

For ED a general idea is that 40-60% of cases may have organic causes behind their ED. These causes could be treated or at least managed well to eliminate the effect on sex as much as possible.

Hypertension.
Hyperlipidemia
Heart diseases/Issues CVD
Overweight / Motapa. ( could be due to hypothyroidism)
Diabetes / Sugar.
Smoking
Alcohol consumption
Low testosterone levels
Injuries to penile region
Sleeping disorders.
Obesity
Hormonal disorders. ( low testosterone, prolactinemia etc )
Multiple sclerosis
Prostatic problems
Peronie’s disease, Scar formation/calcification
Vascular problems (Venous leakage / Arterial insufficiency)

Psychological & Emotional issues Causes of Erectile dysfunction

For ED 30-40% of cases may have psychogenic causes behind their ED. Just like every other physical activity, sex also needs the body and brain to work together for sexual activity. Psychological & emotional issues can break this chain and can cause ED. Some Common Emotional causes include:

Anxiety: According to a survey, anxiety affects 25% of men’s sexual performance.
Fear of performance. (could be due to past failed sexual experiences)
Stress. (of any kind even if it is not sex related)
Depression. (of any kind and any level )
Relationship problems (poor communication or other concerns between partners)
Liking & Disliking Issues of Partners
Idealism about a partner or sexual relation
Porn addiction. (unrealistic desire and ideas about sex and partner’s body/ position).
Poor sexual education. (one of the major cause of psychological issues in young men)
Lack of experience,
Misbelieving in sexual myths.(masturbation, sperm viscositiy, bent penis, size)

Risk Factor for ED

Medication: to treat high blood pressure, cancer, and pain that can cause Ed. The patient can talk about medicine’s side effects on sexual performance with their healthcare doctor.
There are also Major and minor risk factors considered to cause ED at any age.

5 Major Risk Factors

Diabetes
Smoking/Vipping
Hypertension
Drug abuse/alcohol consumption
Trauma to genital organs.

Minor risk Factors

Age (increase with Age).
Medication side effects (DM, HTN, Cancer, Psychiatric)
Pain (especially psychogenic)
Hormonal disturbances
Sleeping disorder/Less night Sleep
Poor health
Less or no exercise
Substance abuse

Symptoms of Erectile dysfunction

Common symptoms include:

Difficulty in getting or maintaining an Erection.
Not enough hardness for sexual performance.
Low Libido. (no desire for sexual activity)
The erection subsides before penetration or in some cases during coitus without ejaculation.
Erection is not as hard as before.
Erection is decreasing with time.
Erection problem with particular partner.(with other partner there is no problem but this one special partner mostly have the problem in sexual activity)
Erection problem with every partner almost every time.

Diagnosis of ED Erectile dysfunction

A good diagnosis is the key of cure. If your Doctor does not diagnose and just give you random medicine without checking that what is the cause of the problem, that means you are taking risk on your health, wealth and time.

You should understand how this system works then you will understand the importance of proper diagnosis. For ED there are 4 different types of tests to check 4 different systems of your body that play key role in running your sexual system and give you the results you want, these tests are done to confirm which system is disturbed and how much is it disturbed to cause your ED. Because it is important to evaluate that which system is actually disturbed, these 4 systems are,

Neurological system (Brain , spinal cord and nerves),
Circulatory system (Heart and arteries and veins),
3-Hormonal system (sex hormones) and
4-Signaling pathways (neurotransmitters) .

Now just imagine if your 4-Signaling system is the one which is causing you ED and your Doctor / Hakeem/ homeopathic gives you treatment for 2- Circulatory system, then you will not see any improvement in your erection because the treatment he gave you does not work on the signaling system. So wise decision is to check first then start the treatment. For that, you might need 1 or more than 1 of the following diagnostic tests

1- STT stress tolerance test. (don’t mix it with cardiac stress tolerance test that is for different purpose and in different disease)
2- NPT Nocturnal penile tumescence. (to check the system that gives you morning woods or morning erections even when your brain is sleeping and not in thinking mode)
3- PSD Penile doppler study. (to check your penile Muscles (pathay) , Arteries and veins (عظو کی رگیں)
4- Lab tests. (blood tests to check hormones and important vitamin, minerals and systems who play vital role in your sexual system)

Treatment of Erectile Dysfunction at Men's Care Clinics in Karachi

If you are living in Karachi and looking for a specialized clinic and experienced doctors for Erectile Dysfunction(mardana kamzori/ مردانہ کمزوری), then no need to go anywhere. Men’s care clinics one of the best men’s care Clinic in Karachi near Bahadurabad, offers a range of tests and treatments for erectile dysfunction and other male sexual disorders. Here’s what you need to know about Men’s Care Clinics’ treatment process.

The first step in treating ED is to get an appointment, your basic history will be done by professional staff, then you will consult our specialist, then to Diagnose the problem you will be explained which Tests and why they need to be done in your case. These tests may include a Physical examination, Lab tests, STT(Stress Tolerance Test), NPT (Nocturnal Penile Tumescence), and PDS(Penile Doppler Study), The results of these tests will help the doctors to diagnose and determine the best treatment plan for your specific case.

Depending on the test results your treatment options may include one or more than one of the following options.

Medication (Nutritional supplements, no drugs, so no side effects on your health)
Therapy sessions (latest machines) ESWT, US, Cryo, Diathermy so on
Counseling (pre or post-marriage / comprehensive or partial)
Lifestyle changes. (Exercise and eating habits).

Complications of untreated Erectile Dysfunction

It may include the following complications:

An unsatisfactory sexual relationship. (god forbid usually ends up in divorce)
Stress or anxiety. (daily going home is a nightmare )
Embarrassment or low self-esteem. (due to performance anxiety)
Relationship problems. (family life becomes mess, endless and pointless fights and arguments between partners)
The inability to get your partner satisfied or pregnant. (causing infertility eventually)

How to Prevention of Erectile Dysfunction

The best way to prevent sexual problems is to discuss about them with your health care provider. (better to talk with a professional sexologist, who understands your feelings and condition rather than just listen to you for a minute or two and give you a slip to try for a week and come back next week for more medicines.)

Maintaining a healthy lifestyle by eating a balanced diet, exercising regularly, excessive drinking, quitting smoking, and tobacco will help full for sexual performance.
Manage chronic medical conditions such as diabetes or heart disease with proper treatment to reduce the risk of ED.
Learn stress-management techniques such as meditation or deep breathing exercises to reduce stress and anxiety, which can contribute to ED.
Communicate openly with your partner about your sexual health and any concerns you may have to reduce stress and improve sexual function.
See your doctor regularly for check-ups to identify and manage any risk factors for Ed.
Avoid using illicit drugs like cocaine or marijuana, which can increase the risk of ED.

When to visit doctor?

If you are experiencing symptoms of erectile dysfunction (mardana kamzori/ مردانہ کمزوری) and it is affecting your sexual satisfaction or overall quality of life, it is recommended to speak with your healthcare provider. Here are some following situations you should consider before making an appointment:

Visit a sexologist if you have difficulty in getting and maintaining an erection.
Other reasons to seek medical advice include reduced libido, reduced sexual pleasure, premature ejaculation, or delayed ejaculation.
Chronic medical conditions, such as diabetes or high blood pressure, can contribute to ED and warrant a visit to the doctor.
Taking medication that may cause ED as a side effect is another reason to seek medical advice.
Psychological symptoms such as anxiety, depression, or stress can also affect sexual function and require medical attention.

Note: Finding the best sexologist can be difficult. However, there are several factors to consider when choosing your doctor for sexual problems. Look for an experienced doctor who is an expert in diagnosing and treating Male sexual problems, not just prescribing you a bunch of medicines without any test or diagnosis. It is also important to choose a doctor and clinic to whom you feel comfortable talking about your sexual problem. By working with an experienced doctor or specialist, firstly you will be able to find the cause of your problem and indirectly will educate yourself about your sexual system secondly, you can find the best treatment plan for your particular sexual problem and improve your overall sexual health.

Why choose Men's Care Clinics?

If you are looking for a specialized clinic and experienced doctors to help you with the treatment of Erectile Dysfunction(mardana kamzori/ مردانہ کمزوری), then you can trust the professionals of Men’s care clinics. Men’s care clinics are one of a kind which mainly and only focus on male sexual health, and offer a range of diagnostic tests mentioned above. And this much detailed checkup is not possible in any random clinic or hospital nor any random Doctor is able to do these tests, and after your problem is diagnosed then state-of-the-art types of equipment being used in the world are available in Men’s care clinics to treat Erectile Dysfunction and other Male Sexual Disorders such as Premature Ejaculation, Low Sex Drive, Nightfall, Infertility, Jiryan, Size and Shape problems Performance anxiety and so on.

Author: Dr, Aslam Naveed

FAQS

What are the common causes of Erectile Dysfunction?

The causes of Erectile Dysfunction can be both physical and psychological:

Physical causes: diabetes, high blood pressure, obesity, hormonal imbalance, smoking, or low testosterone.
Psychological causes: stress, anxiety, depression, performance fear, poor communication with partner, and porn addiction.
At Men’s Care Clinic Karachi, we perform advanced diagnostic tests to identify the exact cause before starting treatment.

How is Erectile Dysfunction diagnosed at Men’s Care Clinic Karachi?

Diagnosis is the key to effective treatment. Our specialists perform a detailed evaluation that may include:

STT (Stress Tolerance Test)
NPT (Nocturnal Penile Tumescence)
PDS (Penile Doppler Study)
Hormonal & blood tests
These tests help determine whether the problem is due to the nervous system, blood circulation, hormones, or psychological factors.

What treatment options are available for Erectile Dysfunction in Karachi?

At Men’s Care Clinic Bahadurabad Karachi, we provide personalized, non-invasive treatments for ED, including:

Therapeutic sessions using ESWT, ultrasound, cryotherapy, or diathermy.
Natural medication and nutritional supplements (vitamins, minerals, herbal formulas).
Psychosexual counseling for anxiety, depression, or marital stress.
Lifestyle guidance on exercise, diet, and habits for better sexual performance.
We focus on treating the root cause — not just symptoms — for long-lasting results.

Can Erectile Dysfunction be cured permanently?

Yes — in most cases, Erectile Dysfunction can be treated or reversed. The success depends on the underlying cause. With the right diagnosis, therapy, and lifestyle improvements, many patients at our Karachi Men’s Care Clinic regain normal sexual function and confidence.

Where is Men’s Care Clinic located in Karachi?

📍 Men’s Care Clinic is located in Bahadurabad, Karachi, easily accessible from all major areas including PECHS, Tariq Road, and Gulshan-e-Iqbal.
We offer confidential consultations for Erectile Dysfunction (Mardana Kamzori), Premature Ejaculation, and Male Infertility.

📞 Book Appointment: Call or WhatsApp +92 343 282 1919
📍 Location: Men’s Care Clinic, Bahadurabad, Karachi
🕒 Timings: Monday–Saturday, 10 AM – 9 PM