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Erectile dysfunction,varicocele present. - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Erectile Dysfunction
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2377 Questions
User :   hi

User :   hello
Doctor :   hi
Doctor :  
how can i help you?
Doctor :   please proceed with your health query
User :   I think I have erection problem
User :   I am 29 yr old
User :   78 kg weight
Doctor :  
ok
User :   i don't drink , smoke
User :   I had all the tests every thing normal
Doctor :  
could you please describe your problem in detail?
Doctor :  
ok
Doctor :  
what investigations have you had and what were the results?
User :   i had urine test, blood test, hormone test, prostate test
User :   all are normal
User :   I am not getting erections regularly
User :   i get only once or twice in a week
User :   no erections in early morning
Doctor :  
please provide your location, occupation, marital status, height and weight.
User :   houston, 5ft6 inch
User :   recently married
User :   78 kg weight
User :   all tests are normal
Doctor :  
ok
User :   but i have bilateral vercocel
User :   can this cause erection problem
Doctor :  
have you had a examination done by a urologist or an andrologist for it?
User :   please tell me
User :   yes
User :   any other examinations required
User :   but sometimes
User :   I get erections
Doctor :  
ok
User :   but not regular
Doctor :  
varicoceles are known to cause testicular atrophy
Doctor :  
which is rare cases could be responsible for the erectile dysfunction.
Doctor :   due to impaired or decreased testosterone production
Doctor :  
and also cause reduced sperms in semen.
Doctor :  
It seems you have moved out of the chat window. Please log in back if you have medical queries.
User :   yes
Doctor :   hi
Doctor :  
are you back?
User :   yes
Doctor :  
shall we continue with the discussion?
User :   yes please
Doctor :   ok
User :   i am not getting early morning erections
Doctor :  
ok
User :   is this because of varicoceles
User :   all other results are normal
User :   how to confirm it
Doctor :  
in people with varicocele which is caused testicular atrophy, can laed to erectile dysfunction
User :   my testosterone is 326
Doctor :  
as mentioned above
Doctor :  
ok
User :   is this normal
Doctor :  
it is in the lower range of the normal limits
Doctor :  
below 300 is considered bad prognosis
User :   mine is 326
Doctor :  
and requires testosterone supliments.
User :   should i use testosterone supliments
Doctor :  
since yours in in the lower range, and with varicocele, you should get a dopller ultrasound done first to see
Doctor :  
the extent of th edisease
Doctor :  
and focus on the treatment
Doctor :  
such that normal production of the testosterone can take place
User :   I had usg abdomen, usg scrotum
Doctor :  
even if you take external suplliments, the underlying disease will affect th eefficacy of the products used
User :   then only found bilateral varicocele
Doctor :  
was the usg scrotum an dopler ultrasound?
User :   i dont know
Doctor :  
the permanent remedy for treating this is surgery
User :   it is USG scrotum small parts they said
User :   oh
Doctor :  
which will improve the symptoms and give you long term benefits
Doctor :  
and after that the posiibility of testosterone suppliments can be looked into for getting the best results.
User :   do u think my case z because of this only
User :   is it a big surgery
User :   can u suggest me a good doctor in houston
Doctor :  
the causes for erectile dysfunction can be many including structural, psychological, infectious
User :   varicocele was mentioned around 2 mm something on both sides
Doctor :  
your case it could be a combination of both structural as in case of varicocele and psychological due to the stress that you are facing of not getting erections
User :   IS 2 mm is a big problem?
User :   is the surgery the only solution or any temporary solution for timebeing
Doctor :  
the varicocele of above 1mm is considered to be needing medical attention
Doctor :  
you should discuss your reports and symptoms with a andrologist
Doctor :  
and discuss the possiblity of getting the surgery done
User :   can u suggest me a good andrologist in houston
User :   is that a big surgery
User :   is that a big surgery
Doctor :  
it is not a very big surgery
User :   how many days rest is required
Doctor :  
it can be done under microscopic assitance to detect even the small ones and correct them
Doctor :   usually a rest period of a week is enough
User :   oh good
User :   what is microscopic assitance
User :   can u elaborate
Doctor :  
it means that the surgeon wil use a microscope whil edoing the surgery
User :   what is the temporary solution before the surgery
User :   ok
Doctor :  
and correct the samller ones too which are stil not detected in doppler USG
User :   sometimes i get erection properly
User :   can u suggest me a good andrologist in houston
Doctor :  
please give me some time to locate the andrologist in houston
User :   fine
User :   what is the temporary solution before the surgery ?
Doctor :   Dr. XXXXXXXX A. Anhalt, M.D., FACS; Dr. Mark D. Kalish, M.D., FACS
User :   thanks
User :   is it possible for you to provide contact information of these doctors
Doctor :  
i will try, please give me some time.
Doctor :  
the effective treatment of varicocele is surgery itself
User :   ok
Doctor :  
there is no temporary treatment
Doctor :  
you can call up on this number to fix appointment with the phycisians: 713.512.7000
Doctor :  
Is there any thing else I can help you with?
Doctor :   It seems you have moved out of the chat window. Please log in back if you have medical queries.
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