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Causes of erectile dysfunction and its treatment - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Erectile Dysfunction
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   hi sir i am 28 year old and i am masturbation since 14 year till now what is the effect of this                              
Doctor :   hi
User :   hi sir r u there
Doctor :   Dr. XXXXXXXX here
Doctor :   what problems are you facing at present?
User :   will u help me on this problem
Doctor :   in general the effects of overmasturbation leads to problems of erectile dysfunction, premature ejaculation, anorgasmia.
User :   i was doing masturbation since 14 year till now
Doctor :   ok. what is the frequency of masturbation per week?
User :   at that time i am not able to get erection
Doctor :   are you having any problems with achieving an erection?
User :   yes some time
Doctor :   please provide your marital status
User :   not married but getting marriege aftre one month
Doctor :   could describe in detail what problems you are facing while masturbation?
User :   i am not able to get erection in my penile what will i do
Doctor :   are you able to get an erection?
User :   i am feeling very nervous that will i get marriage or not ?
Doctor :   or are you able to get erection and not able to sustain it?
User :   some time but for two min
Doctor :   psychological apprehension wil make the problems worse. i suggest you calm down first and tell me the details that I need to know to be able to help you better
Doctor :   the average erection time lasts around 6 and half minutes
Doctor :   if you are not able to get an erection, there could be two reasons, 1) psychological apprehension, 2) lack of nervous response to stimulation due to over masturbation.
User :   sir when i am feeling some shot of excitement the erection will come only for 2 min
User :   only for half mion
Doctor :   what you facing can be rectified, you need to calm down, and avoid thoughts about your performance.
User :   sir r uthere
Doctor :   Yes, as I am chatting with some patients simultaneously. Please bear with us for a reply
User :   ok
User :   i am not able to get erection
User :   when i want
Doctor :   i will explain, there are many reasons of not being able to get an erection
User :   ok
Doctor :   1) arteriogenic: Where the arteries that supply blood to the penis do not bring in enough blood to cause an erection
Doctor :   2) Venogenic: Where the veins of the penis leak out the blood and prevent the development of a rigid erection
Doctor :   3) neurogenic: where the nerves supplying the arteries and veins have some problem which could be due to many reasons.
User :   how i will rectify it
Doctor :   4) Endocrine or hormonal: in this there is an imbalance or insufficiency of sex hormones in the blood that do not allow proper erection
User :   is it possible
Doctor :   5) psychogenic: When there is no organic factor involved as mentioned earlier and the problem lies purely in the mind
Doctor :   6) Mixed: when more than one of these factors are involved
Doctor :   the reatment and rectification
Doctor :   will involve proper examination and investigations
User :   yes
Doctor :   to find out which of these causes are present in your case
User :   so how it is possible
Doctor :   and then proceed with the appropriate treatment
Doctor :   you require to be examined by a urologist or andrologist to look for the cause
Doctor :   along with a doppler scan to detect any blood flow anomalies, and
User :   i feel some burn in my penile
Doctor :   blood testosterone levels and urine analysis to see for any hormonal or infective cause.
Doctor :   have you followed what i have said?
Doctor :   is there anything else you would like to ask me?
Doctor :   are you there?
User :   ya sir
Doctor :   have you followed what i have said?
User :   so what i have to do i have only one month of my marrige
User :   is there solution of that problem
Doctor :   as i have said earlier you require an examination and investigatio s to find out the cause and treat it.
Doctor :   the faster you act upon the advise given the better and quicker will be your relief
User :   there is any urologist near by my place
User :   i am in XXX
Doctor :   i will try to locate an urologist . please give me sometime.
User :   ok sir but how much
Doctor :   you can meet urologist in the nearest city, either in XXX
Doctor :   WWW.WWWW.WW Doctor :   this link will give you details of doctors in XXX
User :   will u keep my chat history
Doctor :   your chat history will be availabe to you on the accounts and setting page
Doctor :   under option 'chat history'
Doctor :   you an go through it anytime you need to
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