Organic erectile dysfunction is when there are abnormalities in the penile arteries i.e, usually due to atherosclerosis, or trauma of the arteries and veins these are most common causes of erectile dysfunction and veins i.e, poor ability to maintain erection is often an early sign called as venous leak. The malfunction is of smooth muscles around the veins.There are many other causative factors for erectile dysfunction such as diabetes, depression, neuralgic conditions , drug induced and also hormone induced. The common symptoms include trouble getting erection, trouble keeping erection, reduced sexual desire, premature or delayed ejaculation. Risk factors are heart diseases, diabetes, sleep disorders, tobacco use, alcohol intake, obesity, surgeries that affecting pelvic area, clogged blood vessels, increased blood pressure, increased cholesterol levels, Parkinson's disease, metabolic syndrome like increased insulin levels in body, fat around waist drugs, inflammation of penis.

The Diagnosis is based on detailed medical and sexual history to distinguish between erection, ejaculation, orgasm and sexual desire. Secondary sexual characters such as hair pattern can point hormonal problems Circulatory problems like aneurism. Lab tests such as blood count, urine analysis, lipid profile, creatinine,liver enzyme, measuring testosterone levels when there is diabetes or decreased libido. At star homoeopathy the symptomatic individualized treatment given helps in direct inhibition of the spinal erection center which increases the penile smooth muscle tone to prevent the relaxation necessary for erection in case of psychogenic erectile dysfunction and in hormonal induced erectile dysfunction the treatment given is such that it acts on the hormonal level which helps in maintaining the testosterone levels without hormonal therapy. The treatment here is given based on the cause and the symptoms and may take few months to years depending on the type of dysfunction present and the level of the dysfunction or condition and when once treated the cure is permanent.