Milann Fertility Hospital Helps Couple Reclaim Intimacy After Six Years of Struggle

~Medical science and determination came together to restore erectile function and strengthen

relationships~

A 34-year-old man had been married for six years, but the marriage remained non-
consummated due to erectile dysfunction (ED). His wife, who was healthy and emotionally
supportive, longed for a happy fulfilling relationship but grew increasingly distressed over the
situation. As time passed, the emotional distance between them increased, and the couple even
considered separation.

At this turning point, the husband decided to take his health seriously and visited Milann
Fertility Center, Bengaluru. He consulted Dr. Praveen B. Joshi, Chief Uro-Andrologist and
Urological Surgeon of Milann Fertility Hospital, Bengaluru. After a thorough evaluation, he
was diagnosed with vascular erectile dysfunction, which is a form of erectile dysfunction (ED)
caused by poor blood flow to the penis due to damaged or narrowed blood vessels.
Although he was also mildly hypotensive which is low blood pressure, but the primary cause
was identified as his long-term smoking habit of nearly 15 years.

The patient underwent comprehensive hormonal testing and a penile Doppler evaluation.
This is a specialized ultrasound that checks blood flow in penile arteries and veins. As part of
this, he received an intracavernosal injection, where a vasoactive drug was directly injected
into the erectile tissue to stimulate an erection. The test served both diagnostic and therapeutic
purposes, showing a brief initial response. However, medications including phosphodiesterase
inhibitors (like sildenafil or tadalafil, which enhance blood flow) failed to produce satisfactory
results.

With limited improvement from medical management, Dr. Praveen B. Joshi, recommended
penile prosthesis surgery, specifically, a three-piece inflatable implant designed to mimic
natural erectile function. The minimally invasive surgery was performed successfully, and the
patient’s post-operative recovery was smooth. He recovered physically within two weeks and,
over the next two and a half months, became comfortable using the device.
The outcome was life-changing; after six years of struggle, the couple was finally able to
consummate their marriage. Today, they share a healthy and happy relationship.

Dr. Praveen B. Joshi emphasizes, “Today advancement in science has cured almost all
diseases. Similarly, Erectile dysfunction is a treatable condition. With proper timely diagnosis,
and the right approach, couples can regain intimacy and rebuild their relationships. This case
also highlights how chronic smoking can severely damage vascular health, leading to erectile
dysfunction that may not respond to medication.”

The Patient shared, “I’m extremely thankful to Dr. Praveen, who didn’t let us lose hope. We
believed him, and his treatment. And today, we are both happy with each other and our
relationship has strengthened from before.”

In today’s fast-paced lifestyle, irregular eating habits, lack of sleep, stress, and peer pressure
often lead individuals toward smoking or alcohol. It’s crucial to prioritize regular health check-
ups, exercise, and mindful living to prevent lifestyle-related conditions such as erectile
dysfunction.