If you are reading this, you are not alone. Erectile dysfunction (ED) affects approximately 40% of men over 40 and becomes more common with age.
But here's what matters most:
95% of cases are treatable with the right approach.
Erectile dysfunction (ED) doesn’t mean you are "less of a man." It means something in your body or mind needs attention, just like high blood pressure or diabetes. It's a medical condition, not a character flaw. It can happen due to physical causes, psychological factors, or a combination of both.
Urologist, Sexologist, Andrologist
MBBS, FCPS (Urology), FCPS (Surgery)
Urologist, Sexologist, Andrologist
MBBS, FCPS, Fellow (European Board Urology)
Urologist, Sexologist, Endourologist, Andrologist
MBBS, MS (Urology)
Erectile dysfunction (ED), also known as impotence or impotency, is the persistent inability to achieve or maintain a penile erection firm enough for satisfactory sexual intercourse. It affects millions worldwide and becomes more common with increasing age or other health conditions.
Erectile dysfunction meaning in Urdu is مردانہ کمزوری (Mardana Kamzori).
مردانہ کمزوری سے مراد یہ ہے کہ جنسی عمل کے دوران عضو تناسل میں اتنی سختی نہ آئے یا برقرار نہ رہے جو جماع کے لیے کافی ہو۔
:یہ سمجھنا ضروری ہے
Before assuming the worst, understand what actually qualifies as erectile dysfunction. You may have erectile dysfunction (ED) if you consistently experience these symptoms for more than 3 months:
You feel desire, but your body doesn't respond. Even with stimulation, achieving firmness is difficult or impossible.
You can get hard initially, but lose it during intercourse. This makes completion difficult.
You used to wake up with erections regularly, but now it rarely happens. This is mostly an early indicator.
You have started avoiding sexual situations because you are afraid of "failing" again.
Occasional difficulty is completely normal. Stress, fatigue, alcohol, relationship tension, these can all cause temporary problems. It's only considered erectile dysfunction when it happens more than half the time over several months.
If you are unsure whether your symptoms qualify as ED, the best approach is to consult a doctor who can properly assess your situation.
If you prefer to consult privately, book a confidential consultation with an experienced erectile dysfunction specialist in Pakistan today!
Knowing the cause is the first step toward the solution. Here are the common reasons for erectile dysfunction:
Some common medications can cause erectile dysfunction as a side effect:
Note: Never stop any prescribed medication without consulting your doctor, alternatives do exist.
Not all erectile dysfunction is the same. The level of severity decides what kind of help you may need.
Next step: Lifestyle changes help significantly.
Next step: Medical consultation recommended. Oral medications are highly effective.
Next step: See a specialist soon. This indicates an underlying health issue that needs attention.
If you feel ready, you can speak privately with an experienced andrologist in Pakistan and talk through what’s been happening, without judgment or pressure.
The right treatment depends on your specific cause and severity. Here's what's available in Pakistan:
Best for: Mild ED, or alongside other treatments.
Success rate: 30-40%
Timeline: 2-3 months to see results
Best for: Moderate ED, or when lifestyle changes are not enough.
The most effective erectile dysfunction tablets are PDE5 inhibitors:
Success rate: 70-80%
Timeline: Same day
Your doctor will choose based on your health profile. Tadalafil's longer duration allows lower doses, which may reduce side effects for some men.
Warning: Never take these with nitrate heart medications, it’s a dangerous interaction.
If oral medications don’t work:
For severe cases that don't respond to other treatments:
Success rate: 90%+ patient satisfaction rate
Surgery is rarely needed. Over 80% of men are successfully treated with medication and lifestyle changes alone.
Not sure which option is right for you? A specialist can evaluate your situation and recommend the best approach.
Find an ED specialist near you via Marham and book your online or in-person appointment today!
Treatment | Cost |
Doctor consultation | Rs. 1,500 - 3,500 |
Blood tests (if needed) | Rs. 5,000 - 15,000 |
Medications (monthly) | Rs. 2,000 - 8,000 |
Vacuum Device | 15,000 - 40,000 |
Injections (per dose) | 3,000 - 40,000 |
Shockwave therapy (full course) | Rs. 50,000 - 300,000 |
Penile implant surgery | Rs. 200,000 - 1,500,000 |
Most men only need consultation & medication, the most affordable options.
Many men delay seeking help because they are unsure what will happen. Here's what a typical consultation involves:
You can book online or by phone through Marham. Choose an in-clinic visit or video consultation (online consultations offer more privacy if that's a concern). The appointment is listed simply as "consultation", no details visible to others.
The doctor will ask about:
These questions may feel personal, but they are essential for accurate diagnosis. Everything you share is confidential.
It may include:
Not all appointments require physical examination, especially initial video consultations.
Depending on your situation, the doctor may order:
Many men don't need extensive testing. Your doctor will recommend tests only if they will change the treatment approach.
Based on the consultation, your doctor will:
All medical consultations are completely confidential. Doctors cannot share your information with anyone, including family members, without your explicit consent. This is both an ethical obligation and a legal requirement.
If you are concerned about privacy:
Ready to take the first step? Book a confidential consultation with an ED specialist now!
See a doctor if:
See a doctor urgently if:
Treatment | Cost |
Doctor consultation | Rs. 1,500 - 3,500 |
Blood tests (if needed) | Rs. 5,000 - 15,000 |
Medications (monthly) | Rs. 2,000 - 8,000 |
Vacuum Device | 15,000 - 40,000 |
Injections (per dose) | 3,000 - 40,000 |
Shockwave therapy (full course) | Rs. 50,000 - 300,000 |
Penile implant surgery | Rs. 200,000 - 1,500,000 |
Most men only need consultation & medication, the most affordable options.
Kegels (most important):
Squeeze the muscles you use to stop urinating.
Hold 5 seconds, release 5 seconds.
Repeat 10-15 times, 3x daily.
Studies show significant improvement after 3-6 months of daily Kegels.
Aerobic exercise: 30 min of brisk walking, running, or swimming, 4x a weekly, directly improves cardiovascular health and erectile function.
Many men delay seeking help because they are unsure what will happen. Here's what a typical consultation involves:
You can book online or by phone through Marham. Choose an in-clinic visit or video consultation (online consultations offer more privacy if that's a concern). The appointment is listed simply as "consultation", no details visible to others.
The doctor will ask about:
These questions may feel personal, but they are essential for accurate diagnosis. Everything you share is confidential.
It may include:
Not all appointments require physical examination, especially initial video consultations.
Depending on your situation, the doctor may order:
Many men don't need extensive testing. Your doctor will recommend tests only if they will change the treatment approach.
Based on the consultation, your doctor will:
All medical consultations are completely confidential. Doctors cannot share your information with anyone, including family members, without your explicit consent. This is both an ethical obligation and a legal requirement.
If you are concerned about privacy:
Ready to take the first step? Book a confidential consultation with an ED specialist now!
ایریکٹائل ڈس فنکشن کو اردو میں مردانہ کمزوری کہتے ہیں۔ اس کا مطلب ہے کہ مرد کو تناؤ (سختی) آنے میں مشکل ہو یا وہ زیادہ دیر برقرار نہ رہے، جس کی وجہ سے ازدواجی تعلق ٹھیک طرح قائم نہیں ہو پاتا۔ کبھی کبھار یہ مسئلہ تھکن یا ذہنی دباؤ کی وجہ سے ہو سکتا ہے، لیکن اگر بار بار ہو تو ڈاکٹر سے مشورہ کرنا بہتر ہوتا ہے۔
In many cases, yes. When ED is caused by lifestyle factors (smoking, obesity, lack of exercise) or psychological factors (stress, anxiety), addressing these root causes can result in complete recovery. When physical conditions like diabetes are involved, ED can be effectively managed with ongoing treatment.
Yes, when prescribed by a doctor. PDE5 inhibitors (Sildenafil, Tadalafil) have been used safely by millions of men. However, they can interact dangerously with nitrate heart medications, which is why medical consultation is essential before starting treatment.
You should see a urologist or andrologist specializing in male reproductive health. A sexologist can also help if psychological factors are involved. Many ED specialists in Pakistan now offer confidential online consultations.
A doctor consultation typically costs Rs. 1,500-3,500. Monthly medication costs Rs. 2,000-8,000 depending on the type and dosage.
Yes. Although more common after 40, ED can affect men at any age. In younger men, it's mostly related to stress, anxiety, or lifestyle factors and usually responds very well to treatment.
Absolutely. Doctor-patient confidentiality is legally protected. Your information cannot be shared with anyone without your permission.
Stay physically active. Regular exercise improves blood flow, reduces stress, and helps control weight. Besides that, limit alcohol and avoid drugs. Excessive drinking and recreational drug use can worsen erection problems, so reducing or stopping them can improve symptoms.
Nerve-related problems are a common cause like diabetes, chronic alcoholism, multiple sclerosis, spinal cord injuries, or nerve damage from pelvic surgeries. Exposure to heavy metals can also affect nerve function. In addition, certain medications can lead to drug-induced erectile dysfunction, making it harder to get or maintain an erection.
The first signs of erectile dysfunction include difficulty getting an erection, trouble maintaining it during sex, reduced sexual desire, and less firmness than usual.
Erectile dysfunction can be an early warning sign of serious conditions like diabetes or heart disease. The blood vessels in the penis are smaller than those in the heart, so damage often shows up there first. Getting evaluated for ED might catch other problems early.