Erectile dysfunction, premature ejaculation, low testosterone and intimacy concerns, assessed and treated privately by a senior surgeon.

Sexual health affects confidence, relationships and general wellbeing, yet most men wait years before asking anyone for help. This section exists to remove that delay. Consultations happen in a closed room, the language used is plain, and nothing is written down or discussed outside that room.
Every plan begins with a proper assessment, because the same complaint can have very different causes. Difficulty with erections may come from blood vessels, sugar levels, hormones, medication already being taken, or from anxiety alone. Ejaculation problems may be lifelong or recent, and the two are managed quite differently. Guessing at the cause tends to waste both time and money.
Once the cause is clear, treatment may involve medication, hormone correction, counselling, a minimally invasive procedure or, when genuinely needed, surgery. Where a problem is likely to settle with rest, weight loss or a change of tablet, that is said openly rather than treated as an opportunity to sell something.
The concerns below make up most of the sexual health work carried out at the clinic. If a symptom points somewhere outside this list, you will be referred rather than treated approximately.
Erectile dysfunction, from occasional difficulty to complete loss of erection
Premature ejaculation, both lifelong and recently acquired
Delayed ejaculation and difficulty reaching climax
Low libido investigated alongside hormone and thyroid levels
Low testosterone confirmed on correctly timed blood testing
Performance anxiety and the physical effects of stress
Unconsummated marriage and premarital concerns
Erection problems appearing alongside diabetes or blood pressure treatment
Each page below sets out who the treatment suits, what testing is involved, how results are measured and when it is better to wait or do nothing at all.

Difficulty getting or keeping an erection is common, treatable, and often the first warning sign of…
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The most common sexual complaint in men, and one of the most treatable. Control is a…
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A non invasive, drug free course aimed at improving blood supply within the erectile tissue. It…
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The definitive treatment for severe erectile dysfunction when tablets and injections have genuinely failed. Satisfaction rates…
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Curvature, a palpable lump and pain on erection are the classic signs. Timing matters more than…
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Losing interest in sex is a symptom with a cause, not a character flaw. We test…
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Erections that work perfectly alone and fail with a partner are rarely a plumbing problem. Anxiety…
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A private, unhurried appointment before marriage to ask the questions you cannot ask anyone else, check…
View detailsThe questions men ask most often before booking a first private consultation.
Ask a QuestionVery common. Erectile dysfunction and premature ejaculation affect men across all age groups, and low testosterone becomes more frequent with age. These are medical conditions, not personal failings, and most improve considerably once the underlying cause is properly identified and treated.
Often it can be reversed, especially when linked to lifestyle, stress or hormones. When caused by long standing diabetes or blood vessel disease, it is usually well controlled rather than cured. Treatment ranges from tablets and hormone correction to shockwave therapy and, rarely, implants.
Yes, most men see clear improvement. Behavioural techniques, counselling, oral medication and local desensitising treatments all help, and they are often combined. Further options exist for stubborn cases. Choosing the right approach depends on whether the problem is lifelong or began recently.
It can. Low testosterone may reduce libido, cause fatigue, affect mood and contribute to erection problems. However, these symptoms overlap with many other conditions, so blood testing is essential before starting therapy. Treatment is advised only when levels and symptoms genuinely match.
Seek an opinion if the problem has lasted more than a few weeks, causes distress, or affects a relationship. A sudden change in erections can also be an early signal of heart or sugar trouble, so it is worth checking. Asking sooner usually means simpler treatment and better outcomes.
Yes. Consultations take place in a closed private room, records stay confidential and a secure online consultation can be used as a first step. Discretion is standard practice in this field, so you can speak openly about symptoms without any concern about privacy.
Speak with Dr. Ashutosh Shah at Elegance Clinic, Surat.