Erectile dysfunction (ED) is the persistent difficulty getting or keeping an erection firm enough for sex. It affects a large share of men at some point in life — and in most cases it is a medical condition with a medical solution, not a verdict on your masculinity. It can also be an early signal of heart or metabolic health worth checking.
When to seek help
- Difficulty getting an erection, or keeping it during sex
- Erections that are softer or briefer than before
- Needing much more stimulation than earlier
- Loss of confidence, avoiding intimacy
Common causes
- Vascular: reduced blood flow (diabetes, hypertension, cholesterol, smoking)
- Hormonal: low testosterone, thyroid imbalance
- Neurological: nerve injury, post-surgery changes
- Psychological: stress, performance anxiety, relationship strain
- Medication side-effects and lifestyle factors
Comprehensive ED assessment
ED is a symptom, not a diagnosis. We establish the mechanism — arteriogenic, neurogenic, hormonal, psychogenic or mixed — with a penile Doppler study and vascular and endothelial assessment, because the cause decides the treatment.
Diagnosis at Ankur
A confidential consultation, focused physical examination and targeted tests — blood work (sugar, lipids, hormones) and, where needed, penile Doppler ultrasound to assess blood flow. We look for the cause, not just the symptom.
Treatment options
Lifestyle & risk-factor correction
Addressing diabetes, blood pressure, smoking and fitness — often improves erections meaningfully on its own.
Medical therapy
Evidence-based oral medication chosen and dosed for you, with proper follow-up — not trial-and-error from the internet.
Intracavernosal & device options
Injections, vacuum devices and other second-line options when tablets aren’t enough.
Shockwave therapy (Li-ESWT)
Low-intensity shockwave treatment aimed at the penile blood supply, for suitable men with vasculogenic ED. A course of sessions, assessed on response.
Regenerative therapies (PRP / stem cells)
Platelet-rich plasma and cell-based options, offered selectively and only after assessment — with an honest account of what the evidence does and does not yet show.
Penile rehabilitation
A structured programme to preserve and recover erectile tissue, particularly after prostate or pelvic surgery.
Combination treatment
Most men do best on more than one modality. We sequence and combine them rather than switching blindly.
Penile implant surgery
For men who don’t respond to other treatment — a discreet, highly effective permanent solution performed by experienced andrology surgeons.
Counselling support
For the anxiety and relationship strain that often travel with ED.