Erection doctor: 10 useful tips in 2025!

Erection doctor For many men it sounds like a far-fetched idea. Yet every year thousands of men silently seek help for erectile dysfunction. And rightly so. Because an erectile dysfunction is not a sign of weakness, but a serious physical or psychological signal that deserves attention. In this blog we will take you step by step through what an erection doctor does, what you can expect during a consultation and how you can be helped in a professional and discreet manner.

What is an erection doctor?

An “erection doctor” is not an official medical term, but in common parlance it refers to a doctor who specializes in treating erectile dysfunction. This may be a general practitioner with experience in this area, but often it is a urologist or sexologist who focuses on male sexual health.

This doctor not only looks at the physical aspect, but also examines the mental, relational and lifestyle factors that can influence the erection. Because what many people do not know: erection problems are often the result of a combination of physical and psychological factors.

Why is it important to seek help?

Many men wait years before seeking help. Shame, pride or the idea that it will go away on its own ensure that they continue to walk around with a problem that puts pressure on their self-confidence and relationships. That is a shame and unnecessary. Because the sooner you seek help, the greater the chance of successful treatment.

An erection doctor can help you with:

• Making the correct diagnosis
• Ruling out underlying conditions such as diabetes, high blood pressure or heart problems
• Advising on treatment options: from erection pills to therapy or devices
• Providing psychological support when stress or anxiety play a role

What happens during a consultation with an erection doctor?

An initial consultation is usually an exploratory conversation. The doctor will ask questions about your complaints, lifestyle, possible illnesses, medication use and sexual situation. This can be followed by a physical examination, and sometimes also blood tests to detect hormonal or physical causes.

Important: it is confidential. Everything you discuss is covered by medical confidentiality.

What are the most common causes of erectile dysfunction?

Erectile dysfunction can be caused by:

• Poor circulation or vascular diseases
• Hormonal imbalance (such as low testosterone)
• Stress, anxiety or depression
• Relationship problems
• Medication use
• Excessive alcohol or drug use

In the next section we will delve deeper into the various treatment options that an erection doctor can advise from medications to natural therapies.

1. Medication the best known option

Most men are familiar with erection pills such as Viagra (sildenafil), Cialis (tadalafil) and Levitra (vardenafil). These agents provide better blood flow to the penis during sexual stimulation. They are often prescribed as a first step, especially if the cause is physical.

How do these pills work?

PDE5 inhibitors (such as sildenafil and tadalafil) inhibit an enzyme responsible for breaking down substances that maintain an erection. As a result, blood remains in the erectile tissue of the penis for longer, making it easier to achieve and maintain an erection.

Popular choices:

• Viagra 100mg: fast acting, lasts 4–6 hours.
• Cialis 20mg: works up to 36 hours, also suitable as a daily pill in low dosage.
• Levitra 20mg: often well tolerated, with slightly fewer side effects.

👉 These resources are also available without a prescription through reliable online stores such as kamagra-original.eu, where you Viagra 100mg you can order discreetly and quickly.

2. Injection therapy

If pills don't work or can't be used, an erection doctor may suggest injection therapy. This involves injecting a drug (e.g. alprostadil) into the side of your penis. This sounds scary, but is often effective and relatively painless. The erection will occur within 5 to 15 minutes.

3. Penis ring or vacuum pump

Mechanical aids such as a penis pump or erection ring are safe alternatives without medication. A vacuum pump sucks blood into the penis; a ring holds it. Especially suitable for men who cannot or do not want to use medication.

4. Hormonal therapy

For low testosterone levels, an erection doctor may recommend testosterone therapy, in the form of gel, injections or capsules. This is only effective if there is actually a hormone deficiency, determined by blood tests.

5. Psychological guidance

If psychological causes such as anxiety, fear of failure or trauma play a role, an erection doctor can refer to a psychologist or sexologist. Therapy is then often the key to recovery.

1. Medication: PDE5 inhibitors

The most well-known and often first choice are erection pills, such as:

• Viagra (Sildenafil)
• Cialis (Tadalafil)
• Levitra (Vardenafil)
• Spedra (Avanafil)

These drugs cause the blood vessels in the penis to dilate, resulting in a stronger erection during sexual arousal. The erection doctor will work with you to determine which drug works best, in what dosage, and whether there are any possible interactions with other medications.

Please note: always use on prescription and do not be tempted to make unreliable online purchases without medical supervision.

2. Hormonal treatment

In some men, the cause lies in a hormonal imbalance, such as low testosterone. In that case, the erection doctor can:

• Have a blood test done
• Consider testosterone replacement (e.g. via gel or injections)

This is only done if there is a demonstrable deficiency. Using testosterone without reason is dangerous and not allowed without supervision.

3. Psychosexual therapy

If psychological factors such as stress, fear of failure, trauma or relationship problems play a role, the erection doctor may refer you to:

• A sexologist
• A psychologist specializing in sexual disorders
• Relationship therapy

Many men experience improvement after just a few conversations, especially if performance pressure turns out to be the cause.

4. Tools and alternatives

In addition to medication, there are other aids such as:

• Penis pumps: mechanical device that sucks blood into the penis and holds it with a ring.
• Injections in the penis with active substances such as alprostadil.
• Internal suppositories with an erection-stimulating effect (e.g. MUSE).
• Implants (in severe and persistent cases).

The erection doctor will always discuss with you what is most suitable and comfortable. Often a combination of therapies is the most successful.

5. Lifestyle advice

Sometimes the key to recovery lies in your daily choices. Think about:

• Losing weight if overweight
• Move more
• Less alcohol
• Quit smoking
• Avoiding stress and over-fatigue

The erection doctor will encourage you to address these factors – possibly with the support of a lifestyle coach or dietician.

Part 3: Physical or psychological? How to recognize the cause

One of the first things an erection doctor will discuss with you is the probable cause of your erectile dysfunction. Is it physical, psychological, or a combination of both? Often you can make an assessment yourself before you visit the doctor.

Physical Causes of Erectile Dysfunction

With physical causes there are often clear signals:

• You never or rarely have a spontaneous morning erection anymore
• Your erections are always limp, even during masturbation
• You are suffering from chronic diseases such as diabetes, high blood pressure or heart problems
• You are taking medication that has erectile dysfunction as a side effect (such as antidepressants or blood pressure lowering drugs)

Physical problems often arise gradual and will get worse if left untreated. The erection doctor will in this case do a physical examination, check your blood values and possibly refer you to a urologist or endocrinologist.

Psychological Causes of Erectile Dysfunction

In case of mental causes notice other patterns:

• You do have an erection when masturbating, but not with your partner
• An erection is possible for one partner, but not for the other
• You are suffering from stress, tension or relationship problems
• You constantly think about failing during sex

Psychological causes come often suddenly set in, for example after one time that it didn't work. You then store that experience as fear, which makes it a vicious circle.

In this case, the erection doctor will mainly talk and possibly call in a sexologist. Often it helps enormously to talk about it openly.

Combination of both

In many cases, physical and psychological factors play a role at the same time. For example:

• You have an incipient physical cause, such as reduced blood circulation, and this makes you feel insecure
• You use medication, but you also worry about your performance
• Your relationship is tense and you have an unhealthy lifestyle

The erection doctor will always look at the total picture and not just a pill. Sometimes small adjustments in multiple areas are enough to solve the problem.

Simple home test: track morning erection

A tip that much doctors advise: keep track of whether you still have morning erections for two weeks. This says a lot about the physical functioning of your erection mechanism. No more erections in the morning? Then a physical cause is likely. Erections in the morning but not during sex? Then there is probably a psychological component.

The first consultation What can you expect?
Making an appointment with an erection doctor can be daunting. Many men wait a long time before seeking help out of shame or insecurity. But the first consultation is often enlightening, reassuring and solution-oriented. Here you can read step by step what you can expect.

Preparing for your appointment
Before your first consultation, you can already list a few things:

Since when have you had complaints?

Are there times when it does work?

Are you taking any medications?

How is your general health?

How is your relationship (if you have one)?

Do you have stress or psychological complaints?

By thinking about these questions in advance, you can be open and honest during the conversation, making it easier for the doctor to provide the right help.

The intake interview: openness is crucial
During the consultation, the doctor will calmly talk to you about:

The nature of your complaints

Your medical history

Your lifestyle and sexual health

Any psychological tension or fear of failure

A good erection doctor does not judge. The conversation is discreet and professional. Everything you say remains confidential. The goal is to find the cause together and to draw up a treatment plan that suits you.

Physical examination and testing
Depending on your story, the doctor may decide to do a physical examination. This may include:

Blood pressure measurement

Examination of the penis and testicles

Blood test (including testosterone, sugar, cholesterol)

Possibly cardiac examination or a Doppler ultrasound of the penis

These tests are painless, quick and provide important information about your physical health.

Psychological evaluation
If psychological causes are suspected, a short psychological questionnaire is sometimes also administered. This allows the doctor to assess whether there is:

Fear of failure

Stress or burnout

Depressive feelings

Sexual traumas

In some cases, a referral will be made to a sexologist or psychologist who has experience with sexual problems.

First treatment proposals
If the cause is clear, the best approach is looked at together. This can be:

Lifestyle changes

Conversations with a therapist

The temporary or structural use of erection pills (such as sildenafil, tadalafil or vardenafil)

Physiotherapy or pelvic floor training

Adjustment of existing medication

The erection doctor does not automatically choose a pill, but looks at what works for you in the long term.

Erectile dysfunction medication: the best-known approach

The most well-known and often first step in treatment is erection pills, such as:

• Sildenafil (Viagra)
• Tadalafil (Cialis)
• Vardenafil (Levitra)
• Avanafil (Spedra)

These drugs work as PDE5 inhibitors and ensure better blood flow to the penis. They are prescribed for physical and psychogenic erectile dysfunction, provided there are no contraindications (such as certain heart medications).

Cenforce 200mg, a powerful form of sildenafil, for example, is a popular alternative and available from reliable online stores.

💡 Tip: Always pay attention to side effects and consult your doctor about the correct dosage and timing of intake.

2. Local therapy: creams or injections

When oral medications do not work or are not tolerated, there are local alternatives:

• Alprostadil cream or injection: this substance relaxes the blood vessels and is applied directly in or near the penis.
• MUSE suppository: a small rod that is inserted through the urethra.

These methods often have a faster effect but are used less often due to practical inconveniences or sensitivity.

3. Pelvic floor therapy

For some men, a weakened pelvic floor is a (partly) physical cause of their erectile dysfunction. In that case, pelvic physiotherapy can make a big difference:

• Exercises to improve muscle control
• Improved blood flow and nerve conduction
• Increased sensitivity in the genital area

This is a proven effective approach that is often forgotten.

4. Psychological guidance

In many cases, anxiety, stress or relationship problems play a role. The erection doctor therefore often works together with:

• Sexologists
• Psychologists
• Relationship therapists

Psychogenic erectile dysfunction can often be treated well, especially if the man is open to conversation and willing to work on himself.

5. Lifestyle changes

Although it sounds simple, lifestyle choices have a huge impact on erections:

• Quit smoking
• Moderation of alcohol
• More exercise
• Losing weight if overweight
• Healthier food
• Better sleep
• Stress reduction

Many erectile problems even disappear complete with improvement of lifestyle. The erection doctor will always discuss this as part of the treatment.

6. Relationship therapy or sexual counseling

If the cause of the problem lies in the interaction between partners or in negative sexual experiences, a conversation with a specialist can provide a solution:

• Improving communication
• Reducing performance pressure
• Restoring Sexual Intimacy

A sexological trajectory helps many couples to reconnect.

What can you do yourself before going to the doctor?

Before you make an appointment with an erection doctor, you can take many steps yourself. Some men even notice improvement by simply adjusting certain habits or discussing matters with their partner. In this section, we provide practical tools for self-examination and preparation for your consultation.

1. Keep an erection diary

An erection diary is a powerful tool for both you and your doctor. For 1-2 weeks, write down:

• When do you get spontaneous erections?
• How is your morning erection?
• How often does intercourse succeed?
• What are your thoughts at those moments?
• Do you use alcohol, drugs or medication?

This kind of information is extremely helpful in determining the cause.

2. Analyze your lifestyle

Erectile dysfunction is often a reflection of your overall health. Ask yourself the following questions:

• Do I exercise enough (at least 30 minutes/day)?
• How healthy do I eat?
• How much sleep do I get per night?
• Am I often stressed or tense?
• Do I smoke or drink regularly?

Write this down honestly and think about where you can make small improvements.

3. Discuss it with your partner

Many men try to hide erectile dysfunction, but this can lead to misunderstandings. Open communication with your partner can actually provide relief:

• Explain that your problem is physical or psychological – and not due to lack of attraction.
• Ask for support.
• Discuss together the step of visiting a doctor.

It often feels less loaded and shameful then.

4. Try to temporarily reduce stress

Stress is one of the biggest enemies of a healthy erection. Some direct tips:

• Breathing exercises or meditation (for example 4-7-8 breathing)
• Walk 20 minutes daily
• Let go of work and phone after a certain time
• Make time for relaxation, hobbies or moments of rest

5. Pay attention to medications and supplements

Some medications have erectile dysfunction as a side effect, including:

• Certain antidepressants (SSRIs)
• Blood pressure lowering drugs
• Prostate medication

Make a list of everything you use, including natural supplements. The erection doctor will definitely ask about this.

6. Check online: self-test for erectile dysfunction

There are reliable online questionnaires, such as the IIEF-5 (International Index of Erectile Function) that will give you insight into the severity of your problem. Print the results and bring them to your appointment.

7. Temporarily avoid porn and masturbation

Especially in younger men, excessive consumption of porn can lead to 'porn-induced erectile dysfunction'. As a test, you can:

• 2 weeks no porn
• Not or rarely masturbating
• Allow only real intimacy

Some people notice improvement quickly.

8. Try mild erection pills or natural alternatives

If you are medically healthy, you may consider mild erectile dysfunction drugs to try. Think about:

• Lovegra for women
• Kamagra 100mg (of which you can try half a pill)
• Cenforce 50mg or 100mg
• Natural remedies with ginseng, maca, or L-arginine

Please note: Only use this if you are certain you have no heart problems or contraindications. If in doubt, always consult a doctor first.