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INTERNATIONAL JOURNAL OF LATEST TECHNOLOGY IN ENGINEERING,
MANAGEMENT & APPLIED SCIENCE (IJLTEMAS)
ISSN 2278-2540 | DOI: 10.51583/IJLTEMAS | Volume XV, Issue I, January 2026
A Retrospective Analytical Study on Erectile Dysfunction with
Homeopathic Treatment—A Case Series Evaluation Using the
International Index of Erectile Function (IIEF) Scale
Dr. Partha Sarathi Mandal
1
, Dr. Vipul Shastri
2
1
M.D(HOM), PhD scholar (Vidhyadeep University, Kim, Gujarat)
2
PhD (Hom), VC (Vidhyadeep University)
DOI:
https://doi.org/10.51583/IJLTEMAS.2026.150100087
Received: 28 January 2026; Accepted: 02 February 2026; Published: 13 February 2026
ABSTRACT
Erectile Dysfunction (ED) is quite common in India, affecting a significant portion of the male population,
with studies suggesting rates around 30-40% in various groups, increasing significantly with age and linked
heavily to lifestyle diseases like diabetes, stress, and obesity, though stigma often prevents people from
seeking help.
Erectile dysfunction (ED) is affecting men's ability to achieve or maintain an erection sufficient for satisfactory
sexual performance. The condition has multifactorial oetiology encompassing psychological, physiological, and
relational factors.
ED profoundly impacts quality of life, often leading to psychological stress, anxiety, and relationship difficulties.
Whilst conventional treatments exist, they may not address underlying causes and can present unwanted side
effects.
The Homeopathic Approach
Individualized Treatment--
Homeopathy treats individuals based on their unique physical, emotional, and mental constitution rather than
applying standardized protocols.
Constitutional approach--
Some diseases have a hereditary component and can be passed down through families. Physical and mental
character together produce the constitution of a person. Constitutionally indicated medicine should be prescribed.
Lifestyle modification
Certain behaviours can increase the risk of developing certain illnesses. Exercise, change in food habit and
change in lifestyle can help in treating disease.
Root Cause Focus
Treatment aims to restore balance to body and mind, addressing underlying causes rather than merely
suppressing symptoms.
Study Methodology
Patient Selection--
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INTERNATIONAL JOURNAL OF LATEST TECHNOLOGY IN ENGINEERING,
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• 10 male patients aged 30–60 years Diagnosed with erectile dysfunction
• Seeking homeopathic treatment
• Assessed using the IIEF scale across five domains
IIEF Scale Domains
• Erectile function (EF)
• Orgasmic function (OF)
• Sexual desire (SD)
• Intercourse satisfaction (IS)
• Overall satisfaction (OS)
Assessment Protocol
Patient/Age
Primary Complaint
Remedy
prescribed
Baseline
score
12-week
score
Outcome
Mr. A. 30
Inability to attain or sustain
erection over 6 months,
accompanied by feelings of
anxiety, stress and lack of
confidence, acidity and
flatulency aggravates in the
evening, desire for sweet and
milk. )
Lycopodium
clavatum 30
1 dose weekly
14
(Moderate
ED)
26
(Normal)
Moderate
→ Normal
Mr. B. 52
Chief complaint: Loss of
libido and impotence for one
year, linked to marital
difficulties, wants to be alone,
over thinking, great desire for
salty food, great thirst for
water
Natrum
muriaticum 200
1 dose every 2
weeks
12
(Severe
ED)
1 dose
every 2
weeks
24 (Mild
ED)
Severe →
Mild
Mr. C. 45
Presenting complaints:
Inability to erections during
coitus, diabetes under
medication and controlled,
performance anxiety, desire
for sweet, flatulency with
loud eructation, sour
belching.
Argentum
nitricum
30
1 dose daily
3days
10 (Severe
ED)
23 (Mild
ED)
Severe →
Mild
Mr. D. 35
Erectile dysfunction after the
death of his sister from CA
lung, tongue clean, thirstless,
feeling distant emotionally
Ignatia amara 30
1 dose every 3
days
15
(Moderate
ED)
26
(Normal)
Moderate
→ Normal
Mr. E. 44
Inconsistent erections
disturbed by indulging in
excess alcohol, great desire
for spicy food, sleep late in
Nux vomica 200
1 dose weekly
13
(Moderate
ED)
23 (Mild
ED)
Moderate
→ Mild
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INTERNATIONAL JOURNAL OF LATEST TECHNOLOGY IN ENGINEERING,
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the night, quarrelsome, angry,
irritable., constipation with
sensation as if not finished
Mr. F. 42
Erectile dysfunction in
relation to depression and
stress at work, Presence of
sexual desire but a weak
erection, Rapid or
premature ejaculation,
Exhaustion and weakness
after intercourse,
Involuntary seminal
emissions.
Sepia
officinalis 30
1 dose daily
9 (Severe
ED)
21 (Mild
ED)
Severe →
Mild
Mr. G. 46
Decline in erectile function
with increasing age and in
absence of medical
conditions, great desire but
can’t perform satisfactorily,
less erection
Selenium 30
1 dose weekly
18 (Mild
ED)
24 (Mild
ED)
Mild →
Mild
(improved)
Mr. H. 54
Lack of confidence and loss
of erection, no medical
history of impotence, desire
for sweet, acidity, flatulence
Argentum
nitricum
30
1 dose weekly
16
(Moderate
ED)
28 (Normal
Moderate
→ Normal
Mr. I. 60
Decreased libido, inability to
attain a full erection, along
with emotional stress due to
family matters, depressed, sad
thinking that can’t satisfy
partner.
Aurum
metallicum
30
1 dose every 3
days
11 (Severe
ED)
25
(Normal)
25
(Normal)
Mr. J. 32
Lean, thin, slender person
easily catches cold. With
erection problem. Weak,
delicate in nature, chilly.
Phosphorus 30
1 dose weekly
14
(Moderate
ED)
27
(Normal)
Moderate
→ Normal
Follow-up assessments conducted at base line or starting of treatment and 12 weeks of treatment to monitor
progress. Treatment protocols based on individual response and symptom evolution.
Statistical evaluation
Wilcoxon Signed-Rank Test performed
Baseline
IIEF
Difference
14
5.5
12
5.5
10
8.5
15
2.5
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13
2.5
9
5.5
18
1
16
5.5
11
10
14
8.5
R = 55
N = 10
Mean= n(n+1)/4 = 27.5
Sd = √n(n+1) (2n+1)/24 =9.8107
Z = │R-Mean│/Sd = 2.803 P (Z≤2.80) = 0.99744
So, p= 1- P (Z≤2.80) = 0.00256
Now, p-value is less than 0.05, proves that result is significant.
Formal Results Statement: “A Wilcoxon Signed-Rank Test was conducted to evaluate changes in IIEF
scores before and after 12 weeks of individualized homoeopathic treatment. All participants demonstrated
improvement in post-treatment scores. The analysis revealed a statistically significant increase in IIEF
scores indicates a robust improvement following treatment.
Discussion and Clinical Implications
Treatment Efficacy--
RESULTS
suggest individualized homoeopathic medicine can be a viable option for the treatment of ED. The IIEF scale
provided objective measurement, demonstrating significant improvements in erectile function across all cases.
Holistic Benefits
The individualized approach addresses not only physical aspects but also underlying emotional and
psychological factors contributing to ED.
Safety Profile
High patient satisfaction with no reported side effects supports the safety profile of homoeopathic
interventions. This represents a significant advantage over conventional pharmacological approaches.
Limitations and Future Research Directions
Study Limitations---
Small sample size (n=10) limits generalizability of findings
Absence of control group prevents comparison with placebo or standard treatment Reliance on self-
reported data may introduce response bias
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Single-centre study design
Future Directions
Randomized controlled trials with larger sample sizes Comparison studies with conventional ED
treatments and Long-term follow-up to assess sustainability of improvements Multi-centre collaborative
research is required.
CONCLUSION
This study is preliminary a observational case series. Individualized homoeopathic treatment, as assessed
by the IIEF scale, appears to be an useful intervention for erectile dysfunction. Further rigorous clinical
trials are wanted to validate these findings.
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