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Erectile dysfunction due to neuropathy - 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 : 2009
Answered : 594 Questions
User :   My penis stays hard during oral sex but gets soft during sex.I am 66 and my testosterone is currently at 216. Any suggestions ?
Doctor :   hI
User :   Hi
Doctor :   let me read your query
Doctor :   this is a very common issue
User :   I am currently using a gel
Doctor :   this could be due to a number of issues, including neuropathy
User :   it's called AndroGel
Doctor :   ok. that is a testosterone replacement gel
User :   what is Neuropathy and how could it be curred
User :   Yes it is
Doctor :   it is due to nerve related issues and a no of issues can cause it as well
User :   I have an appointment to get a Testosterone replacement on December 14
Doctor :   probably the lack of proper stimulation during penetrative sex, could be the reason
User :   yes I can feel there is very little stimulation
User :   any suggestions,maybe have the Testestrone replacement done,would that help any ?
Doctor :   You can consult your physicain, who can advice you medications to help you, to find if they can hep you
Doctor :   medications like Cialis or viagra may be helpful in your case as well
User :   he did recommend the Testestrone replacement
User :   that does work very well for me
Doctor :   that will be helpful as well
User :   but that does not solve the real problem
Doctor :   U mean, cialis or viagra ?
User :   YES
User :   so you are stay have the Testestrone replacement done
User :   it will last 6 months
Doctor :   the real problem can be solved by using either proper sexual positions as well as stimulation during sex
User :   they inject it into the butt and it disloves over a 6 month period
Doctor :   that is fine,
User :   oh ok
Doctor :   the other alternative, is using penile supports like penile rings
Doctor :   this can help you as well
Doctor :   wearing them during intercourse can help to keep the penile erection up
User :   when you say proper sexual position,such as not just the missionary position is what we use
User :   oh ok
Doctor :   yes,
Doctor :   change in position, and routine sexual practices, as well change in monotony of sexual life will help
User :   I have a penile ring but have never used it
Doctor :   Well you can start using it, and u may be satisfied with it
User :   ok
User :   so it's best to try the penile ring,Testestrone replacement and see how things work out
Doctor :   yes thats right
Doctor :   also, please check yourself, if you have medical conditions, and on medications that can affect your sex life as well
User :   seeing that my testosterone is very low would that also have an effect on my sex life ?
User :   I am not on any medication
Doctor :   antidepressents or antihypertensive meds can affect erection as well
User :   my blodd pressure is 110 over 60
Doctor :   In case u are not on any medications, then its perfect
User :   it usually runs between 110 over 70 and no lower than 110 over 60
User :   I do excerise everyday,such as jog 3 time a week.
Doctor :   it means you have a good pressure
Doctor :   thats good too
User :   you mentioned Neuropathy
Doctor :   yes
User :   define that please and do you think I may have that ?
Doctor :   eg diabetic neuropathy , etc
Doctor :   can cause erectile dysfunction
User :   I don't have diabetase
Doctor :   by the looks of it, since u get good erections by oral stimulation, it does not look to be neuropathy
User :   oh ok thank you
Doctor :   In your case, it could be testosterone def, which is being corrected by replacements
User :   so I will try what you have said and hope things will clear up
User :   any other suggestions?
Doctor :   You are welcome
Doctor :   I hope your issue be solved soon
User :   Can I have a copy of our dissucssion ?
Doctor :   yes
Doctor :   sure
User :   how would I get this copy ?
Doctor :   log in to your account and u can get the copy of your peior chat sessions
User :   oh ok thank you
User :   have a good day
Doctor :   also u can drop in a mail
Doctor :   and u can get a copy as well
Doctor :   You are welcome
Doctor :   thanks for consulting me here and bye for now
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