SEXUAL DYSFUNCTION : TYPES, CAUSES, AND AYURVEDIC TREATMENT

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SEXUAL DYSFUNCTION : TYPES, CAUSES, AND AYURVEDIC TREATMENT

Sexual Problems and Solutions

 

WHAT IS SEXUAL DYSFUNCTION?
Sexual satisfaction is of special importance in an adult life which helps in gaining pleasure as well as enhances the chances of progeny. It also helps the partners to connect at an emotional level.

However, in some circumstances, sexual satisfaction is not achieved due to physical or psychological problems.

This condition, of not attaining sexual satisfaction, is known as sexual dysfunction. Although sexual dysfunction can be found in men of all the ages, generally the risk of developing this condition increases with age due to hormonal alterations or any underlying disease.

WHAT ARE THE TYPES OF MALE SEXUAL DYSFUNCTION?
Following are the types of male sexual dysfunction:

1) Low libido:

This is a type of desire disorder when the person losses his interest in sexual activity.

This may be due to both physical and emotional causes. The physical causes include diseases such as diabetes or cardiovascular disease while emotional problems comprise disliking the female partner, fear of sexual performance, anxiety and feeling uncomfortable.

2) Erectile dysfunction: 

This is the most common type of sexual dysfunction and is classified under the category of arousal disorders.

Unlike low libido where the person does not want to indulge in sexual activity, a patient suffering from erectile dysfunction is interested in sexual activity but fails to achieve and maintain penile erection.

The penis of the patient is soft enough and is not able to penetrate the vagina. This leads to sexual dissatisfaction to both the partners.

Erectile dysfunction, apart from embarrassment and sexual dissatisfaction, may also lead to male infertility.

3) Ejaculation problems:

Ejaculation problems found their place in the category of orgasm disorders.

During the orgasm, the patient may either suffer from Premature ejaculation, delayed ejaculation or inhibited ejaculation. Any of the above problems leads to a low level of sexual dissatisfaction.

4) Pain disorders:

Pain during sexual intercourse is also sexual dysfunction. Pain in the male during sexual intercourse may be due to Genital herpes, urinary tract infections, prostatitis, and physical trauma to genital parts.

 

WHAT ARE THE CAUSES OF SEXUAL DYSFUNCTION ?

Sexual dysfunction can be caused due to both physical as well as psychological factors.

Physical causes:

1) Diabetes: Poorly controlled diabetes results in the damage of nerves and blood vessels which may hamper the penile erection.

2) Low testosterone levels: Low level of testosterone causes low sex drive, loss of libido and erectile dysfunction.

3) Cardiovascular disorders: High blood pressure and atherosclerosis (hardening of the blood vessels) alters the level of blood flow in the penile regions leading to erectile dysfunction.

4) Medications: Certain medications such as antidepressants, anti-cancer drugs, decongestants, naproxen, indomethacin, and muscle relaxant causes erectile dysfunction.

5) Neuromuscular disease: Neuromuscular conditions such as myotonic muscular dystrophy and Parkinson’s disease may cause sexual dysfunction.

6) Genetic conditions: Sexual dysfunction may also be caused due to congenital condition (conditions which are present at the time of birth). Kennedy’s disease is one such condition in which the testosterone is not transported normally within the cells.

7) Kidney failure: Approximately 80% of patients suffering from kidney failure have sexual dysfunction. It is due to various factors including alteration in the autonomic nervous system, anemia, and endothelial dysfunction.

Psychological causes:

Various psychological problems cause sexual dysfunction :

1) Sour relationships:

If both the partners are in the sour relationship or are not emotionally connected, there is a low or complete absence of libido.

2) Emotional problems:

If the patient suffers from anxiety, and depression, the risk of sexual dysfunction is significantly increased.

3) Negative sexual experience:

Patient suffering from a past history of sexual trauma such as unnatural sex or molestation have reduced interest and increased the feeling of guilt.

WHAT ARE THE SYMPTOMS OF SEXUAL DYSFUNCTION?

Various symptoms indicate the presence of sexual dysfunction.

However, the condition remains undiagnosed for months due to the fact that unlike other diseases, symptoms are not visible to others and the patient do not visit the sexologists due to embarrassment and social stigma.

Symptoms included low libido, unable to achieve or maintain a penile erection, pain during sexual intercourse, premature or delayed or inhibited ejaculation.

WHAT AYURVEDA HAS TO OFFER IN TREATING SEXUAL DYSFUNCTION?

Ayurveda deals with sexual dysfunction through a holistic approach by managing both body and mind.

Following are the approaches available in the old ayurvedic literature for treating sexual dysfunction:
1) Vajikarana therapy focuses on a healthy body as well as the mind. According to Ayurveda, managing psychological factors are equally important in attaining sexual satisfaction. This therapy helps to improve the strength and enhances the span of erection.

2) Various herbal preparations containing Ashwagandha, Shatavari, Gokshur, and Musli are available to improve sexual performance. (Please note : Do Not Self Medicate As It May Worsen Up Your Problems.)

3) Meditation should be routinely performed to take control of your mind and to remain stress-free.

4) Consumption of alcohol, drugs such as heroin and smoking should be avoided.

5) There should be a gap (optimally 2 days) between two intercourse to regain libido and strength.

6) Take good sleep to remain fresh and active.

7) Drink plenty of water to flush out toxins that may interfere in the sexual desire.

DIFFERENCE BETWEEN ALLOPATHY / MODERN MEDICINE AND AYURVEDA IN SEXUAL DYSFUNCTION :

Time and again ayurvedic has proven its efficacy in treating various disorders including sexual dysfunction and have better patient compliance as compared to Modern Medicine alias Allopathy.

Following are the advantages of using Ayurvedic mode of treatment for sexual dysfunction:

1) Ayurvedic medicine tries to find the root cause of the disease while allopathy provided management of the symptoms.

2) Ayurvedic medicines are devoid of side effects when taken as directed, while allopathy medications have several side effects such as blurred vision, hearing problems, headache and may even worsen the condition.

3) Ayurvedic medications provide holistic health to the patient, keeping a watch on both the physical and psychological factors, while allopathy is directed only to manage the physical factors.

4) Sexual dysfunction requires particular-point-of-time treatment. This is achieved more effectively through ayurvedic therapy as it can be taken for a long period without any side effects. Allopathy medicines for sexual dysfunction causes serious side effects when taken for a long time.

 

If you are having any sexual problem and looking for Best Sexologist in Delhi, or Best Sexologist in India , then you can consult Dr. Manu Rajput and Dr. Kanu Rajput at Sidri International Skin Hair & Sexology Clinic.

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About the Author

Dr. Manu Rajput
Managing Director & Chief Ayurvedic Consultant
Sidri International Skin Hair & Sexology Clinic

Qualifications:
B.A.M.S. (J D Ayurvedic Medical College & Hospital, CSJM University, Kanpur)
Reg. No.: DBCP/A/7694 – Delhi Bharatiya Chikitsa Parishad (2011)

Specialization:
Dr. Manu Rajput is an Ayurvedic Sexologist and Men’s Health Specialist with over 14 years of experience focusing on non‑surgical treatments for men’s sexual and reproductive health conditions across India. His expertise includes detailed assessment and management of phimosis, paraphimosis, balanitis, balanoposthitis, BXO, erectile dysfunction, premature ejaculation, recurrent genital fungal infections, genital warts, low sperm count and male‑factor fertility concerns.

He leads Rog Pariksha (deep diagnostic analysis), image‑based evaluations where appropriate, and structured, diagnosis‑based treatment planning. His work emphasises privacy, safety and realistic expectations, with online consultations for men across India and in‑clinic sessions in New Delhi when manual non‑surgical procedures are required.

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About the Medical Reviewer

Dr. Kanu Rajput
Managing Director & Chief Formulator
Sidri International Skin Hair & Sexology Clinic

Qualifications:
B.A.M.S. (Ramakrishna Ayurvedic Medical College, RGUHS, Bengaluru)
Reg. No.: 32413 – Karnataka Ayurvedic and Unani Practitioners’ Board

Specialization:
Dr. Kanu Rajput is an Ayurvedic Sexologist and Customised Medicines Specialist with over a decade of focused work in men’s sexual and reproductive health. He designs non‑hormonal, non‑habit‑forming Ayurvedic formulations for conditions such as erectile dysfunction, premature ejaculation, low libido, low sperm count, male infertility, recurrent balanitis and balanoposthitis, phimosis, paraphimosis, genital fungal infections and selected infections that require parallel modern‑medicine evaluation and testing.

He reviews this content to ensure that all references to herbal combinations, formulation logic and safety align with Sidri International’s current non‑surgical protocols and evidence‑aware, referral‑friendly approach, so that Ayurvedic care is used appropriately alongside essential diagnostic and medical pathways.

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Level 1 vs Level 2: Which is right for you?

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60‑second decision rule

Start with Level 1 if you have one main concern and it is recent (about 1–4 weeks). Choose Level 2 if you have 2+ core conditions together, or your concern is months/years, or you match any Direct Level 2 situation.

All conditions we treat

Erectile Dysfunction (ED), Premature Ejaculation (PE), STDs & STIs, Low Sperm Count, Male Infertility, Phimosis, Paraphimosis, Candidiasis, Candidal Balanitis, Candidal Balanoposthitis, Balanitis & Balanoposthitis, Penile Yeast Infection, Low Libido, Genital Warts, HIV Doubt Counselling, Nightfall, Performance Anxiety, Gonorrhoea, Chlamydia.

Core conditions (Level 1 or Level 2)

Erectile Dysfunction (ED), Premature Ejaculation (PE), Phimosis, Low Libido, Male Infertility, Low Sperm Count, Performance Anxiety.

Usually Level 1 (visible / infection-type conditions)

Balanitis & Balanoposthitis (including candidal), candidiasis / penile yeast infection, other penile infections, STDs/STIs (including visible concerns), paraphimosis, nightfall/wet dreams, genital warts, and similar visible/skin/infection concerns.

Fees

Level 1: INR 1500 per slot. Level 2: INR 7000 total = INR 5500 (Online Assessment & Evaluation) + INR 1500 (Conclusive Consultation).

Same fee for everyone

We keep the same consultation fee for everyone; it does not change based on your city/country, nationality, profession, income level, or social status (student, salaried professional, businessman, or public figure).

Why we ask your location

Please share your current country/city and time zone honestly—this helps scheduling and helps us guide you better about medicine availability/courier options (if required).

Direct Level 2 situations

Unconsummated marriage; pre‑marital performance worry; international/NRI/outstation patients with sexual issues (Level 2 recommended for structured evaluation); dhat‑type worry and similar long‑standing or complex concerns; combined problems such as ED + PE, ED + PE + Phimosis, Phimosis + ED, PE + performance anxiety, low libido + ED, infertility concern + ED/PE (any 2+ core issues together).

Media / supporting inputs (Level 1 visible conditions)

For infections/skin/foreskin/visible STI lesions/warts/phimosis/paraphimosis: clear close‑up photos may be requested when needed (typically flaccid; erect only when clinically relevant). No partner is involved—only the patient. If you are not comfortable sharing a required input for that level, do not choose/book that level; you may choose a different level (with limitations) or consult elsewhere.

Media / supporting inputs (Level 2 core conditions)

For ED/PE/phimosis/low libido/fertility‑related/performance anxiety: the doctor may request supporting inputs when needed (pattern details, relevant reports such as a semen analysis if already available, and sometimes private photos/videos if clinically required). No partner is involved—only the patient. We never ask for any intercourse video. If you are not comfortable sharing a required input, do not choose/book Level 2; choose Level 1 (with evaluation limitations) or consult elsewhere.

Consent

By booking a level, you agree to its information requirements (including photos/videos where needed). If you do not agree, do not book that level.

Who sees media

Only Dr. Kanu Rajput and Dr. Manu Rajput.

Payment policy (read before paying)

Your payment reserves professional time and starts your consultation workflow, so payments are non‑refundable, non‑transferable, and not adjustable. This applies to consultation fees and also to any treatment/procedure fees (if applicable).

WhatsApp group (Level 2 only)

We keep one group for tracking. If deleted/exited, restart required (same fee applies).

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Sensitive media handled as per Privacy Policy.

Last updated

February 2026

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Details

Erectile Dysfunction (ED)

Erection is not hard enough, not lasting, or difficult to get repeatedly.

Premature Ejaculation (PE)

Ejaculation happens too quickly; difficulty delaying; frustration/stress due to timing.

Phimosis

Foreskin is tight and does not retract easily; pain/tightness; redness or repeated irritation/infections under foreskin.

Low Libido

Low interest in sex; reduced desire/thoughts; sex feels forced or “not in mood” often.

Male Infertility

Trying for pregnancy for a long time without success; may have no symptoms except difficulty conceiving.

Low Sperm Count

Usually known from semen report; may be linked with difficulty conceiving.

Performance Anxiety

Fear of failure; overthinking during sex; erection issues mainly with partner due to stress.

Nightfall (wet dreams)

Semen discharge during sleep; frequent episodes causing worry or weakness feeling.

Dhat syndrome type worry

Excess worry about semen loss (in urine/nightfall) with anxiety, weakness feeling, or sexual concerns.

Repeated UTI‑type symptoms

Burning urination, frequent urination urge, lower abdominal discomfort; episodes keep coming back.

Unconsummated marriage

Unable to have intercourse after marriage due to fear, pain, erection issue, or penetration difficulty.

Pre‑marital performance worry

Strong fear “what if I fail the first time” causing stress symptoms before marriage/first intercourse.

Paraphimosis

Foreskin pulled back and stuck behind the glans; swelling and pain/tight ring (needs urgent evaluation).

Candidiasis / Penile Yeast Infection

Itching, redness, burning; white deposits/discharge sometimes; recurrent irritation.

Balanitis / Balanoposthitis

Redness/swelling/pain of glans (and foreskin); burning, odor/discharge sometimes.

STDs / STIs

Discharge, burning urination, sores/ulcers, rash; sometimes no symptoms (tests may be needed).

Genital warts

Small bumps/growths on genitals; may increase over time.

HIV Doubt Counselling

Anxiety after exposure; confusion about risk/testing windows; repeated fear.

Gonorrhoea

Burning urination; yellow/green discharge sometimes; testicular pain sometimes.

Chlamydia

Often no symptoms; burning urination/discharge sometimes; testicular discomfort sometimes.

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Proper time with doctor (face-to-face clarity)

The consultation is the same kind of structured discussion you would do face‑to‑face—history, symptoms, timeline, and clear explanation—but on a call many patients feel less anxiety/pressure and can describe the real situation more comfortably.

Better comfort & privacy

You can consult from home, avoid travel/waiting, and speak more openly about sensitive problems.

Real‑life performance understanding

In a normal clinic visit, erection or ejaculation cannot practically be observed; a structured history of what actually happens at home gives a more realistic understanding.

White‑coat anxiety reduced

Many people cannot get or maintain an erection in a clinical environment due to anxiety; discussing from home reduces pressure and helps describe the real situation.

Time, travel and cost saved

No commuting, no waiting, no repeated visits just for follow‑ups; helpful for working professionals, outstation patients and NRIs.

After‑office convenience

You can usually coordinate consultation timing around office hours.

Follow‑up becomes easier

Follow‑up consultations can be done via WhatsApp/call, with the same consultation fee per follow‑up slot (INR 1500).

Transparency (tests, labs, pharmacies, medicines)

We do not do tie‑ups with labs or pharmacies for commissions, so if tests are needed you may choose any reputable lab of your choice. You may also buy prescribed medicines from any Ayurvedic store you prefer—offline or online; only the consultation fee is charged by us. Customised Ayurvedic medicines (when recommended after evaluation and mutually agreed) are prepared separately and charged separately.

Verified trust (reviews)

Before booking, you can read patient feedback on Practo, Lybrate, JustDial and Google Reviews to understand our consultation process and patient experience.

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What you get

A structured consultation focused on symptoms and case history—similar to what you would share face‑to‑face.

Consultation time (slot + usual duration)

Level 1 is booked as a 20‑minute paid slot (INR 1500). In most cases, the doctor may extend the consult to around 20–30 minutes if medically needed to understand your situation and explain clearly; in rare cases it may finish in 15–20 minutes if everything is already clear. If time gets misused due to repeated/irrelevant questions (or adding new issues), an additional paid slot may be required so the next patient’s appointment time is respected.

Best suited for

One main issue, early-stage concerns, and visible/skin/infection-type penile conditions that can be evaluated well with clear close‑up photos when needed.

What happens next

The doctor explains the concern, advises lifestyle/hygiene changes when needed, and provides a prescription-based plan; medicines (if any) are paid by the patient separately from any Ayurvedic store/website of their choice.

Follow‑ups

Follow-up consultations are available when needed and are charged at the same consultation fee per slot (INR 1500).

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What Level 2 is

A deeper Online Assessment & Evaluation followed by a Conclusive Consultation, designed for complex or long‑standing sexual health concerns.

Who should consider Level 2

Not improved after Level 1, months/years of problems, multiple sexual issues together, unsatisfactory self/other treatments, unconsummated marriage, pre‑marital performance worry, or NRI/international/outstation patients in these categories.

What is evaluated (safe wording)

Multiple aspects of sexual function and difficulty patterns (erection quality, ejaculation timing, desire, anxiety/stress factors, and penetration‑related difficulty as described in history). We never ask for intercourse videos, and we do not ask for any partner‑involved content.

What you submit

Detailed case history with answers to guided questions, plus photos/videos or other supporting inputs when required so the main problem and severity can be understood accurately.

Conclusive consultation

Findings and severity are discussed, then the doctor helps decide whether prescription medicines and/or customised Ayurvedic medicines are suitable, and what the next steps and expected commitment look like.

Conclusive consultation duration

The conclusive consultation is booked as a paid slot (INR 1500), and may extend up to around 40–50 minutes when the doctor feels it is necessary to explain properly; in rare cases it may finish earlier if everything is already clear. If time is misused or many new issues are added, an additional paid slot may be needed to protect other patients’ appointment times.

Fees

Level 2 total = INR 7000 (INR 5500 for Online Assessment & Evaluation + INR 1500 for Conclusive Consultation).

Validity & discipline

Level 2 payment is valid for 30 days. Within this period, you must share the required details/media so the conclusive consult can be meaningful and timely; delays beyond the validity may require re‑payment and restarting the process.

WhatsApp group continuity (Level 2 only)

For Level 2, we keep communication in one WhatsApp group so everything stays clear and trackable in writing for your benefit. If the group is deleted/exited, the process must be restarted and the same fee applies again.

Aspect

Details

Level 1 (visible / infection-type)

For visible penile skin/inflammation/infection concerns (balanitis/balanoposthitis including candidal, candidiasis, penile yeast infection, visible STI lesions, genital warts, phimosis/paraphimosis), clear close‑up photos may be requested when needed (typically flaccid; erect only when clinically relevant).

Level 2 (functional / pattern-based)

For ED/PE/performance anxiety and some complex cases, the doctor may request short, private supporting media only when needed to understand patterns better; it is never an intercourse video and never involves a partner.

Comfort & consent

Only what the patient is comfortable sharing is requested, and it is used only for medical evaluation as part of the consultation. If you are not comfortable sharing a required input for that level, do not book that level; you may choose Level 1 with limitations (where applicable) or consult elsewhere.

No partner involved (important)

Any requested photos/videos must be of the patient only. No partner should be present or involved, and we never ask for intercourse videos. Share only what the doctor asks for, and you may keep the frame limited to the affected area only (no face, no identifying background).

Who sees media

Only Dr. Kanu Rajput and Dr. Manu Rajput.

Privacy

Sensitive media is handled as per the Privacy Policy link in the Global Widget.

Book a confidential online consultation with our Delhi-based senior doctors

Discuss your concern privately, get a case-based plan, and receive follow-up support on WhatsApp.

What you get :

Senior doctor-led consultation (no junior handoff)

Level 1 / Level 2 options (as per complexity)

Courier delivery of medicines (where applicable)

WhatsApp follow-up support