image erectile dysfunction in a young male may NOT BE erectile dysfunction. Sexologist Dr. Ashok Koparday explains that loss of erection on some occasions or with some partners is a temporary phenomenon that responds well to psycho sexual therapeutic methods. You don't have to depend upon Viagra. You are not impotent.


Be with the Best: Sexologist Mumbai Dr. Ashok Koparday
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Date last updated: October 19, 2016

Erectile Dysfunction Cure Naturally Without Medicines

When to meet ED doctor?
When ED is persistent or distressing.

These are temporary or occasional erection problems, which get labeled as erectile dysfunction. If not managed correctly the erection problem worsens. The psychological or situational erectile dysfunction has high rates of complete cure even without medicines.

Erectile Dysfunction Psychological, Situational, Temporary, Psychogenic

It is BEST to meet experienced sexologist

Erection is controlled by mind. When there is fear of failure or doubt about one's own sexual capacity this causes failure to get strong erection
Erection is lost when there is self doubt.

How to identify Psychological/Situational Erectile Dysfunction

Here I will tell you how to identify those problems in erection where there is no structural abnormality or damage to nerves, blood vessels or penile tissue.

When a young male below 30 calls me saying he has erectile dysfunction it usually means he DOES NOT HAVE erectile dysfunction.

erectile dysfunction situational picture showing how brain switched on causes erection and how brain cluttered with doubts and fear causes reduction in erection
Click to see BIG picture

Erection in the penis depends upon the most important sex organ, your brain. Doubts and fear decrease erection. Shamelessness & carefree mind gives maximum erection

Erectile Dysfunction Cure Naturally Without Medicines

Young male often labels himself as having erectile dysfunction after Google search because he couldn’t get it up with his girl friend. Not being able to rise to some occasions or with some partners is not because of structural damage to the tissues in the penis. Your instrument is strong and with proper guidance from an expert you can enjoy sex to the maximum. You don’t need to be dependent on Viagra (c). You are not impotent.

Erectile dysfunction (psychogenic) situation related

Emotional/Psychological/Situational Erectile Dysfunction has high cure rate. Complete cure without medicines is possible.

Treatment: Caution for doctors, especially urologists

Don’t do
Telling the guy, “Don’t worry,” is the worst way of managing ED. I assure you he won’t worry if it was happening with you.
Don’t prescribe Viagra (or similar medicine) and send him off in 5 minutes.
Do what?
His anxiety factors have to be identified by detail case history, which takes time. The underlying issue is to be addressed. If this is not done wither of the two will happen.
He will be happy with the magic pill. Without the Viagra he won’t be able to do sex, which is a natural activity.
Other unfortunate thing is he will fail to respond to Viagra (or similar PDE 5 inhibitor). This causes him to believe he has serious problem. An incurable erectile dysfunction. Patients often suffer marital distress and can go in deep depression.
Give time, give privacy and listen to the circumstances of his erection problem. Address the cause. He will be grateful to you all his life.


This emotional or psychogenic erectile dysfunction is different from organic erectile dysfunction.
Erectile Dysfunction Cure Naturally Without Medicines

Treatment: Caution for patients:

When you have difficulty getting erection it is important

  • to know the cause of not getting good erection.
  • avoid self medication with Viagra, Penegra, Cialis, Forzest.
  • to consult doctor about treatment.

Erectile Dysfunction Cure Naturally Without Medicines

Taking medicines like Viagra without consulting doctor has risks. One of the risks is becoming dependent on medicine lifelong.

Why do I not get erection? Some common causes with examples.

Occasional or Situational Erectile Dysfunction

Erectile Dysfunction Cure Naturally Without Medicines
Psychogenic Ed
When on some occasions a person doesn’t get good erection as expected by him he is shaken up. He does Google search and wrongly labels himself as having “Erectile Dysfunction”.


Examples of situational erectile dysfunction


Before marriage he had good erection. After marriage he finds difficulty in getting erection.


A guy has good erection when alone, but not with sexual partner.


A guy staying abroad has no erection problem, but when he returns after long time he does not get good erection.


A guy is meeting his ex girl friend after long time. At the time of sexual intercourse the erection wanes.


He is tired/exhausted/drunk/irritated and finds that the tool, which worked well till date fails to rise to the occasion.


He has unrealistic expectations about sexual function. Such as he believes his erection, penis size, duration of sex is inadequate to satisfy his partner.


He has wrong ideas/beliefs about what satisfies a woman and thinks he is inadequate.


First sex / Newlywed


With a prostitute
(She usually tells him to drink beer before visiting. Some others scare you.)


Did you know? Nine out of ten people don’t get erection at least once by the age of forty.


Erectile Dysfunction Cure Naturally Without Medicines

How erection problem worsens

When a man labels himself as having erectile dysfunction part of his mind keeps watching his own performance. This is called spectatoring. Spectatoring further decreases erection because he is not totally carefree and focused on sexual pleasure. Each failure of getting erection pulls the man 10 steps behind. Not getting an erection once upon a time is itself the cause of not getting erection.
The germ called ‘self doubt’ creates erectile problems in healthy adult men.
When there is performance anxiety even normal man with normal penis can have difficulty in erection.


Though this Erectile Dysfunction can be cured Naturally Without Medicines it is a major crisis for people. It is BEST to meet experienced Sexologist rather than waste time in distress or buying medicine yourself.
Erectile Dysfunction (previously called IMPOTENCE) causes such a marked dissatisfaction that it can lead to severe distress amounting to depression and can even lead to considerable impairment in work and relationships. Marriages are at a risk of getting broken in well meaning, educated newly wed couples.

A boy/man/guy afflicted with ED (Erectile Dysfunction) can have difficulty that spills in to other areas of his life (aspects other than sexual life) 24 x 7. The mind becomes unquiet even if he imagines he has ED, that is in the absence of proven ED. ED, unfortunately, becomes a self fulfilling prophecy.

Erectile Dysfunction Cure Naturally Without Medicines


Erectile Dysfunction Cure Naturally Without Medicines
What this means is – IMPORTANT –
A man may not really have ED, but the doubt, the apprehension, the belief, just the imagination, fear or worry of ED (impotence) can lead to impotence/erectile dysfunction.
The other causes of situational ED are
inadequate sexual arousal (no mood)
disturbance (some physical or emotional disturbance as having had a bad day or the mood is not just right).

Often in this type of ED the sexual act is mechanical (without enough sexual arousal) or forced attempt at sexual intercourse, that is, attempting sex in the absence of high sexual arousal, as in situations when sex is motivated mainly by intention of pregnancy or when the Doctor has recommended certain dates for sexual intercourse to facilitate conception or to avoid pregnancy.

It may also occur just because he/she believes he/she is expected to do sex (important situational reason) as on occasions such as the first night after wedding (Suhagrat) when he is really not prepared for it.

Erectile Dysfunction Cure Naturally Without Medicines


Fear of failure is a common cause of Erectile Dysfunction.
It is well known that PERFORMANCE ANXIETY causes impotence or failure to obtain or sustain erection.
If the boy (guy/man) is under pressure resulting from too much desire to impress her, example, as in extra marital affair (includes premarital affair) or during honey moon (wrongly believing that first impression is the last impression).


The process below works well with most of my patients.
In couple therapy understanding and cooperative female partner is a huge help.
In the first step the guy goes into sex play with full zest. However, in the entire sex play insertion of penis in vagina is prohibited. Both enjoy mutual masturbation to get orgasm.
This first step of no genital penetration is done on 7 occasions.
Next step follows.
Later during the sex play he inserts a finger in the vagina. If the finger easily glides in it means there is no vaginismus and there is adequate lubrication.
She then holds the erect penis and directs it to the vaginal orifice.
This prevents inadvertent trials of incorrect insertion.
Most couples are able to enjoy satisfactory sexual intercourse from this point on wards.

If there is rapid discharge on insertion do not get discouraged. Simply increase the frequency of sexual intercourse. This delays ejaculation.

Sex joy therapy restores man’s SELF CONFIDENCE.

(The above SEX JOY THERAPY is taken from my contribution to YAHOO answers
Happiness doctor,
Ashok Koparday
Samadhan Health Studio

Erectile Dysfunction: MYTHS MISCONCEPTIONS

He may be stressed out due to high expectation from one self or lack of confidence of one’s sexual ability or misconception, myth or wrong belief about genitals or their ability.


GOOD NEWS is almost often, especially under the guidance of an experienced counsellor (Sex Therapist), this man’s ED is curable.


Situational Erectile Dysfunction (ED) is TEMPORARY inability in obtaining and or maintaining Erection good enough for satisfactory sexual intercourse.

Note that this ED is temporary and almost always curable even without medicines usually with the help of an expert marriage or sex counselor.

Differential Diagnosis – WHAT IS NOT SITUATIONAL ED?

In contrast to situational ED is ORGANIC ED, that is ED, which is because of causes such as actual damage caused by disease processes such as Diabetes or Hypertension. Thus, pathological process is implicated in the causation of Organic Erectile Dysfunction.

Which doctor to see for ED in young man?

Erection Problem in a Young Person calls for treatment from an experienced sexologist

Do not go to a Urologist, Psychiatrist or a Gynecologist. Your best bet is an experienced Sexologist says Top Sexologist in India Dr. Ashok Koparday Ex. Teaching Faculty K.E.M. & J.J. Hospital, University of Mumbai


Dr. (Mr.) Ashok Koparday

M.B.B.S., F.C.S.E.P. (International)
Ex. Teaching Faculty





Psycho-Sexual Medicine
Marriage counselor
Published by Ashok Koparday

Best Treatment Center for Sexual Health

Senior Sexologist (Experience 20 years)
Consulting Hours:

Samadhan Health Studio

A1, Namdeep, Barrister Nath Pai Road,
Near Vikrant Circle, Barrister Nath Pai Nagar,

Mumbai , Maharashtra, India400077

Note: Prior Appointment is Essential
Consultant in Sexual Medicine
Call or WhatsApp ONLY at 8 pm
Telephone: 02225060061
Mobile: +91 9867788877
Email: ask[@]mydoctortells[dot]com on mobile on pc

License: CC-BY-NC-SA-4.0 Attribution as given here:
By Ashok Koparday with a link to

erectile dysfunction cure naturally without medicines
Date published:
Date created: 2008

Address: Samadhan India

Connect with the Best Sexologist Mumbai: Dr. Ashok Koparday

7 Replies to “erectile-dysfunction-situational”

  1. Usmani

    Hello sir

    I had faced the issue with ed when I was going to do sex with gf. sex karne se pahle mera penis khada tha jb me usko kisa kr rha tha or sari activity kr rha tha.but kareen 1 ghante bad jb sex krne ka time aya to mera penis down ho gya or kafi koshish k bad bhi nhi khada hua. me bahut sharminda hua.

  2. Msssxxz asszedfs

    I am facing erection problems, i am not able to keep it firm and hard full erections, before intercourse my erection fades away or even if i have managed to do intercourse i ejaculate immediately.Sir i showed myself to a urologist in mumbai dr bijoy abrhem in kokilabhen hospital. he advised me to take tazzle 20 mg and clonil 10 mg for a month 1′s a day i took it for 4 days and results were good so i stopped it immediately, so that i didn’t wanted to become medicine prone.After a month i have again started facing the same problem in not getting full erections issues,I think i dont even receive erections in the night while sleeping. Sir please help i am going to get married in next 2 months. please sir help me with a permanent and safe soultion HELP ME SIR.



  3. kishor r. p.

    Sir, recently I m facing ED problem.
    Previously i had done sex with women n men (mainly with men).
    I got married 1 week before. Two days before, when i goes near to my wife, i face ED.
    I got shock. Not even think of this.
    Before marrige, i m little worried how i m going to manage sex life with my wife.
    Now i feel depressed n guilty
    Please help me out of this dilemma

    kishor r. p.

  4. kavi

    I am 53yrs old and of-late I amhaving a problem with sex .I workout regularly, have a healthy diet, I smoke 5-6cigarette a day n a glass of wine on weekend.Till last year i used to have twice week sex but offlate I am trying to avoid even if i want to..
    The stiffnes in my penis has reduced in the bargain it is becoming difficult to penetrate there by creating embracing situation for me..
    Tried X-vita of vaidyanath taken 40pils no result, taken garlic pearls no result.
    Need urgent advice

    • Premier World Class Best Treatment Sexual Health Center Samadhan India By Ashok Koparday, Sexologist and Marriage Counselor, Sex Therapist, Accredited

      Hi Kavi ,

      I workout regularly, – – -This is certainly good for sex.

      have a healthy diet, – – – -This too is good for sex
      I smoke 5-6cigarette a day – – – – Damaging in the long run. By the way 95% people with pulmonary cancer are smokers.

      n a glass of wine on weekend. – – – This too is fine (if you invite me.)

      Tried X-vita of vaidyanath taken 40pils no result, – – – – very useful for the manufacturer, useless for you.
      taken garlic pearls no result. – – – – Useless.
      Need urgent advice

      Kindly do Blood glucose levels fasting and postprandial.
      Check Blood pressure on three different occasions. Note the reading on a piece of paper and tell me.

      We have to rule out other illness that are causing or affecting your erectile dysfunction.
      We will take it from there.

      Dr. Ashok Koparday
      Consultant Sex Therapist
      Marriage Counselor

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