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Causes of erectile dysfunction and measures to avoid it - Online Doctor Chats

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

General & Family Physician
Practicing since : 2009
Answered : 593 Questions
User :   I am married for last 17 yrs and have 2 kids 16 & 13 yrs. In most part of my married life I avoided using condom , since, I did not get pleasure during the intercourse with the help of condom, by stoping the ejaculation at the time of excitment and taking out the penis.
I started developing problem of premature ejaculation and now for last 6-7 months , i am not having the erection. I am also getting a feeling that penis is hanging. Could you please help.
Doctor :   Hello
Doctor :   I am Dr XXXXhere
Doctor :   Give me a min please
Doctor :   let me read your query
User :   gud morning doctor
Doctor :   May i know your age please ?
User :   44 yrs
User :   i m working in XXXXand have XXXX and do lot traveling
User :   but never had extra marital sex
Doctor :   Ok so to get to your symptoms you are facing difficulty getting a erection and also premature ejaculation ?
User :   these days no erection
Doctor :   Do you consume alcohol ?
User :   no
User :   no smoking
Doctor :   ok
Doctor :   so let me first break down the causes for you
Doctor :   before that
Doctor :   how is your cholestrol ?
User :   but every day driving XXXX
User :   never checked but hv no history of cholestrol
Doctor :   Ok let me assure you that erectile dysfunction, which you are having right now .. is CURABLE at any age
User :   ok
Doctor :   There are two main causes . psychological and pathological
User :   ok
Doctor :   and stress is a big factor
User :   ok
Doctor :   it can really affect your sex life
User :   ok
Doctor :   how is your relationship with your wife in general ?
User :   but i do not carry much stress, normal like any executive in corporate
User :   relationship with wife is good
Doctor :   Ok, now one does have to also realize that with age man will not experiences same type or hardness like one does in younger age
User :   i understand that but for last 6-7 month no erection at all
Doctor :   now lets try to help you here, since when you saw that your not getting any erections at all ?
Doctor :   ok 6-7 months
Doctor :   ok
Doctor :   so now i will tell you a very simple test
Doctor :   its called as the stamp test and it will let us know if your problem is pathological or psychological
User :   intital i thought that i am tired , so ignored it but now it seems to be a problem
Doctor :   This test checks for the occurrence of nighttime erections, and helps to determine the cause of erectile dysfunction in men.
User :   ok
Doctor :   The ability to have an erection while sleeping indicates that a man is physically capable of this function. If a man cannot have an erection while awake, the cause may be due to physical problems, psychological factors, or both
Doctor :   For most men, erections while sleeping are the result of physical processes in the body rather than conscious control. The outcome of this test will help determine the cause of erectile dysfunction, as well as the best treatment options.
Doctor :   The test is done at home on three consecutive nights.
Doctor :   Buy some stamps in a roll
User :   ok
Doctor :   At bed time a string of several of these wrapped around the mid shaft of the penis
Doctor :   They are moistened and allowed to form a continuous ring around this portion of the penis
Doctor :   In the morning, you checks to see if the strip of stamps is broken. If so, this indicates that the shaft of the penis swelled and hardened over night
Doctor :   You understood ?
User :   no , i think you need to explain once more
Doctor :   sure
Doctor :   all you have to do is wrap some stamp on your penis like a roll over lapping
Doctor :   moistening them to stick
User :   ok
Doctor :   its like putting a tape
User :   ok
Doctor :   just in the middle of the shaft
User :   ok
Doctor :   And go to sleep , morning if you see the stamps are broken that means the problem in in your mind
User :   ok
Doctor :   and pathological you are fine
User :   but if it is pathological then ?
Doctor :   so that will help us to pinpoint
User :   ok
Doctor :   now there is also a test called as Doppler ultrasound of penis
User :   ok
Doctor :   that will tell us if the blood flow to your penis is fine
User :   ok
Doctor :   one we find the cause of the problem
Doctor :   it can be very effectively treated with medications
Doctor :   that your urologist can prescribe for you
User :   ok
Doctor :   so dont worry
Doctor :   its not that you have a permanent problem
User :   what is the normal duration of the treatment
Doctor :   also one more thing that does wonder for your condition is cardio exercise
Doctor :   as it improves the blood to your system including your penis
Doctor :   so thats very important
User :   yes this my weak area,
Doctor :   That if you can go you will see the change in 2- 3 weeks
User :   ok
Doctor :   your erections will be harder
Doctor :   also now let me go to your second problem of premature ejaculation
User :   can you suggest any good Doppler ultrasound facilities in mumbai
Doctor :   all major diagnostic centers do it
Doctor :   its a very non invasive and safe procedure
User :   ok
Doctor :   for the premature ejaculation
User :   second problem
Doctor :   do the following
Doctor :   1) Prolonged foreplay
Doctor :   Foreplay with a no sex can be helping hand to reduce hastiness and eventually holdup orgasm.
Doctor :   you can try it some nights
User :   ok
Doctor :   2)Distraction - Gentle cases of premature ejaculation can frequently be resolved by knowledge of the art of distraction. This includes spiraling your brain to something otherwise when you sense you are approaching to the climax.
User :   ok
Doctor :   3) Sex after ejaculation: Having ejaculated once, either by masturbation or during sex, men generally take longer to achieve arousal and climax again
User :   these days i am not getting aroused again and also ejaculation too happens very fast
Doctor :   well just follow these and i am sure you will do well . remember to be patient, there is no miracle drug all you need to get your sex life back is to have patience and calmness
User :   ok
Doctor :   non arousal is usually means that you have something on your mind
Doctor :   thats bothering you
Doctor :   try to be calm
Doctor :   dont make it like a routine, enjoy it
Doctor :   and its ok the problems you have told me are faced by 90% of men in their life time
Doctor :   so its not that you are alone and there is no cure
Doctor :   just relax and do all i have told you
User :   but doctor i am really more comfortable in last 2-3 yrs as compared to my earlier part of life, means more happy
Doctor :   and i am sure you will see the results
Doctor :   And most important dont think too much on it
Doctor :   the more you do the more pressure you feel
Doctor :   Just get the tests i told you and these days the medications are amazing and you will be cured
User :   in fact , i have moved to higher position,role , which i always wanted, my daughter did very well in her boards and family is all fine, ther is no point of worry. job is also going smoothly.
Doctor :   Dont forget the importance of exercise
User :   ok
Doctor :   I am sure you will do fine
User :   i shall start immediately
Doctor :   ok thats good
User :   doctor if you do not mind may i know your speciality
Doctor :   I am a general physician
User :   ok
User :   infact , i come from family of doctors only but subject is such i do not want to discuss it with them
Doctor :   We have specialist too in our panel. who can give you more in depth knowledge based on your specific case
Doctor :   i can understand
User :   pls advise how to approach you or specialist in future
Doctor :   But in my expertise i can assure you, you will be fine
User :   ok
Doctor :   you can ask for me here , my name is Dr XXXX , and i am not busy with other patients i wll be glad to help you
Doctor :   and for the specialist you have the link on the website
User :   ok
Doctor :   Every thing is 100% confidential just between you and me.
User :   can i have your no & your location
Doctor :   i am based in Bangalore
User :   that is great
User :   ok
Doctor :   and you can call me at the customer care number from the site
Doctor :   they will guide you
User :   ok
Doctor :   i am glad i could be of help to you
Doctor :   just follow my advice
User :   is it possible that i f i come to Bangalore, i can meet you
Doctor :   and you will be fine
Doctor :   i am sorry this wont be possible as this is only online and on phone service
User :   ok
User :   thank you doctor for your valuable advise
Doctor :   your most welcome and your feedback will be highly appreciated
Doctor :   Take care of your self
User :   sure
Doctor :   Bye
Doctor :   Is there anything else i can help you with ?
User :   bye
User :   do we still have sometime?
Doctor :   i am not aware of the time period.
User :   Thesedays, i am having problem with my eyes also, i am finding it difficult to keep my eyes opened , though , i have good night sleep.
Doctor :   my aim is to make sure you have all your query answered in the allotted time
Doctor :   You should get your thyroid lever tested
Doctor :   level **
Doctor :   its a simple blood test
User :   is it level 2?
Doctor :   no its a test to see the thyroid level in your blood
Doctor :   any lab can do it
User :   ok
Doctor :   also a complete lipid profile
User :   how does thyroid affect our eyes?
Doctor :   when was the last time you got checked for diabetes ?
User :   may be about a year before
Doctor :   get that done too along with a lipid profile
User :   ok
Doctor :   These tests will help us to get a pinpoint of your present health condition
User :   ok
Doctor :   and then once the results are in we can always discuss further.
User :   may be i come back to you after complete health check
Doctor :   Sure you can
User :   thank you doctor
Doctor :   Your welcome
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