Erection difficulty, early ejaculation and lost desire rarely have a single cause. This programme tests for the factors that are actually present, then treats them in a sensible order.

Men usually arrive expecting one answer. In practice the picture is almost always mixed. Blood vessel health, hormone levels, sleep, weight, medication taken for something else and simple anxiety all contribute, and treating only the most obvious of them gives a short lived result.
The programme starts with an unhurried consultation and proper testing, because guessing is what leads men to buy capsules for years without improvement. The findings decide what follows. That may be medication, it may be pelvic floor training, it may be changing a tablet prescribed elsewhere, and it very often includes work on anxiety.
You agree to each stage separately. The full route is written down so you can see where it leads, but nothing commits you beyond the step you are entering, and progress is measured against how you started rather than against anyone else.
Which of these you need is decided by the consultation and the test results, not by a fixed package.
Most men complete the first stage within eight to twelve weeks. Longer standing problems take longer, and that is said at the outset.
It suits men whose difficulty has lasted long enough that one tablet is unlikely to settle it.
A programme is the wrong tool for some situations, and you will be told so rather than enrolled anyway.
Related reading, and the pillar page that explains the conditions behind this programme.
Honest answers about testing, treatment and how long improvement takes.
Ask a QuestionUsually both, in some proportion. Anxiety makes a physical difficulty worse, and a physical difficulty creates anxiety. Testing separates the two, which is why blood work comes before any prescription rather than after it.
Often not. Where the cause is weight, sleep, alcohol intake or an unrelated medication, correcting it can restore function on its own. Where treatment is needed long term, that is explained honestly before you start rather than discovered later.
Many men notice a change within the first few weeks, particularly where anxiety was a large part of it. A fair review needs eight to twelve weeks, because habits, sleep and blood vessel health respond over months rather than days.
It helps but it is not required. Many couples find that one honest conversation removes a great deal of the pressure. If you prefer to attend alone throughout, nothing is disclosed to anyone else without your written consent.
They are options at the far end of the scale, used when tablets and lifestyle correction have genuinely failed. Most men never reach that stage. Anything of that kind is discussed in full, with the limitations stated plainly.
Yes, when both are present, which is common. The two are assessed together because treating one alone often leaves the other worse. Technique work, pelvic floor training and medication are combined according to what the assessment shows.
Speak with Dr. Ashutosh Shah at Elegance Clinic, Surat.