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Erectile Dysfunction Treatment

Effective treatment for erectile dysfunction in Kathmandu. Oral medications (Viagra, Cialis), shockwave therapy, penile injections, testosterone therapy, and psychosexual counseling. Confidential care for all men.

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Erectile Dysfunction TestingBalanitisPremature EjaculationLow LibidoLow TestosteroneMale InfertilityDelayed Ejaculation

Medically Reviewed

Expert Verified
Dr. G.P. YadavNMC: 15834
MBBSMD
Reviewed: Jun 1, 2025
Updated: Jun 1, 2025
Symptoms of Erectile Dysfunction Treatment
  • Difficulty achieving erection
  • Difficulty maintaining erection
  • Reduced erection firmness
  • Loss of morning erections
  • Low sexual confidence
  • Relationship strain from ED

Testing & Treatment

ED evaluation includes medical history, physical exam, morning testosterone and hormonal blood panel, cardiovascular risk assessment, IIEF-5 questionnaire, and penile Doppler ultrasound if vascular cause suspected.

First-line: PDE5 inhibitors (Sildenafil/Viagra, Tadalafil/Cialis, Vardenafil/Levitra). Second-line: Low-intensity shockwave therapy (LI-ESWT), vacuum erection devices, penile injection therapy. Third-line: Penile prosthesis surgery. Plus: Testosterone therapy if low T, psychosexual counseling, lifestyle changes.

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Emergency Situations

If you think you may have a medical emergency, call your doctor or emergency services immediately. In Nepal, call 102 for emergency services or go to the nearest hospital emergency room.

Emergency Contact Information:

National Emergency:

102 (Ambulance)

Our Clinic:

+977-9700682800 (WhatsApp available 24/7)

Bir Hospital Emergency:

+977-1-4412400

TU Teaching Hospital:

+977-1-4434320

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Never disregard professional medical advice or delay in seeking it because of something you have read on this website. If you have any specific questions about any medical matter, you should consult your doctor or other professional healthcare provider.

Treatment and Diagnosis

Do not use the information on this website to diagnose or treat any health problem or disease. The descriptions of treatments and medications provided are for general informational purposes only and do not constitute medical advice.

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This website is operated in Nepal and is intended for users in Nepal. The medical information provided may not be applicable to healthcare systems outside Nepal. Always consult with local healthcare providers familiar with Nepal's healthcare system and regulations.

Last Updated: June 16, 2026 |Clinic: STD Treatment Clinic |License: 15834

Frequently Asked Questions About Erectile Dysfunction Treatment

What is erectile dysfunction (ED)?
Erectile dysfunction (ED) is the inability to achieve or maintain an erection firm enough for satisfactory sexual intercourse. Occasional difficulty is normal, but regular occurrence over 3+ months may indicate a medical condition requiring evaluation.
What causes erectile dysfunction in men?
ED can be caused by physical factors (heart disease, diabetes, high blood pressure, obesity, low testosterone, neurological conditions), psychological factors (stress, anxiety, depression, performance anxiety), or a combination of both. Lifestyle factors like smoking, alcohol, and lack of exercise also contribute.
Can erectile dysfunction be cured?
Yes, ED is highly treatable. Depending on the cause, treatment options include oral medications (Sildenafil/Viagra, Tadalafil/Cialis), lifestyle changes, counseling, low-intensity shockwave therapy, vacuum devices, penile injections, or surgery. Most men respond well to treatment.
What is the best treatment for erectile dysfunction?
The best treatment depends on the underlying cause. PDE5 inhibitors (Viagra, Cialis) are first-line therapy. Shockwave therapy can improve blood flow long-term. Testosterone therapy helps if low T is the cause. Psychosexual counseling addresses psychological factors. Our clinic offers a comprehensive evaluation to determine the optimal treatment for you.
Is erectile dysfunction a sign of heart disease?
Yes, ED can be an early warning sign of cardiovascular disease. The blood vessels in the penis are smaller than those in the heart, so erectile issues often precede heart problems by 2-5 years. An ED evaluation should include cardiovascular risk assessment.
Does erectile dysfunction affect younger men?
Yes, ED increasingly affects younger men. Studies show 10-20% of men under 40 experience ED. Common causes in younger men include performance anxiety, pornography-induced ED (PIED), stress, relationship issues, and lifestyle factors like poor diet and lack of exercise.
How is erectile dysfunction diagnosed?
ED is diagnosed through medical history, physical examination, blood tests (testosterone, blood sugar, cholesterol), and specialized tests like nocturnal penile tumescence test, penile Doppler ultrasound, and psychological assessment when indicated.
Can lifestyle changes cure erectile dysfunction?
Lifestyle changes can significantly improve or even resolve ED in many cases. Regular exercise, weight loss, quitting smoking, reducing alcohol, managing stress, and improving sleep quality can improve erectile function, especially when combined with medical treatment.
How much does ED treatment cost in Nepal?
ED treatment costs vary by method. Consultation: Rs. 800-1,500. Sildenafil (Viagra): Rs. 200-800 per tablet. Tadalafil (Cialis): Rs. 500-1,500 per tablet. Shockwave therapy: Rs. 5,000-15,000 per session (multiple sessions needed). Testosterone therapy: Rs. 3,000-8,000 per month. Counseling: Rs. 1,000-3,000 per session.
Can diabetes cause erectile dysfunction?
Yes, diabetes is a major cause of ED. Men with diabetes are 2-3 times more likely to develop ED. High blood sugar damages blood vessels and nerves over time. Good diabetes control can reduce ED risk. ED treatments still work well for many men with diabetes.
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