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Psychological erectile dysfunction - 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 : 2008
Answered : 3391 Questions
Doctor :   Hi
User :   hello, just a min while i type
Doctor :   ok
User :   i am 31 years old and have been having a lot of problems getting and keeping an erection for almost 2 years. if i do get one its not very hard and only lasts a few seconds. I have also experenced a weaker urine stream than usual, but i am not in any pain. any ideas what could be causing this?
Doctor :   before two years was the erection good and used to maintain it for the required duration ?
User :   yes
Doctor :   are you suffering from any medical illness ?
User :   not that i no of, i just went to the doctor and they did a full blood panel and everything came back normal, and i got tested for diabetes and it was negative. but i have also had a problem for the last 2 years of major hyperhydrosis, which i have only had for 2 years as well. plus hair loss.
Doctor :   ok
Doctor :   was penile doppler examination was done ?
User :   done
User :   no i mean
User :   sorry
Doctor :   ok
Doctor :   did you suffer any major injury to spine or head or pelvis ?
User :   no
Doctor :   the good fact is there is an erection
Doctor :   and it is not maintained that all
Doctor :   not to worry much
Doctor :   the cause is mind related
Doctor :   meaning psychological erectile dysfunction
Doctor :   you require erection potentiating medications
Doctor :   like sildenafil for some time till you get the confidence back and than you can discontinue them
Doctor :   approach an urologist for the prescription of the same
Doctor :   also get the physical causes which i doubt you have for the erectile dysfunction
Doctor :   like penile doppler examination
Doctor :   and blood testosterone levels
User :   my testosterone is 972
Doctor :   its good
Doctor :   so the cause is psychological
User :   interesting. what about the weak urine stream?
Doctor :   was urinary dynamic studies conducted ?
User :   no
Doctor :   did the doctor did not find it necessary to get it done ?
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