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Treatment for erectile deficiency - 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 : 37 Questions
User :   hello
need help please
User :   hello
User :hi
User :   I am almost 40 and just started having trouble getting an erection
User :   just 2+5
User :   Please go ahead with your query
User :   months ago we were having sex often 5-7 times a week and 2-3 times a day. now its almost every otyher time i cant get hard. and idk why
User :   its been 3 days since last sex and i shoulda been ready to go but got rock hard and when i got up to get on top oit went away as it has before
User :   then the stress and fear made it to where i couldnt even get hard at all again
User :   imn afraid this is permanant and i feel awful
User :   its been 3 days since last sex and i shoulda been ready to go but got rock hard and when i got up to get on top oit went away as it has before
User :   its been 3 days since last sex..
User :   Does it means are you getting enough erections after 3 days
User :   what
User :   i get them in the am occasionally... and usually after 3 days im very horny and ready to go..
User :   After three days are you getting enough erections
User :   well.. last week i did but not so much this week
User :   What I wqs trying to ask you is..
User :   but when we were forplaying i did get hard.. but when trying to to have sex it went away as i got up to get on top.
User :   After a period of continuous intercourse, you need some time for recovery
User :   its been 3 days
User :   since wex
User :   Is it first time
User :   i ejacuted since fri
User :   no.. its been frequent over the past month
User :   but thanksgiving we did it twice
User :   and last friday it was very hard and i could still go after i ejaculated
User :   AWHat kind of work you do?
User :   Are you stressed out?
User :   im unemployed and have a biz failure and another one im trying to work on
User :   yeah i think so.
User :   but mostly about the erection fears... thatd the most stress i feel
User :   ARe you stressed out before you go to sexual activity
User :   i ,love my fiances and want to be intimate sooo bad but cant lately and not even get it up on my own..
User :   Do you hv enay medical problems?
User :   ya.. i worry that it will not wor before hand
User :   not that i know of
User :   im afraid i have low testosterone or somehting idk
User :   Get a physical examination
User :   been taking zinc, vit e, l aginine the past week but no difrerence
User :   and few basic labs to rule out metabolic problems like hypothyroidism
User :   what wil that do
User :   what do i ask for
User :   Do these tests CBC, BUN, CR , lFTs,
User :   Serum Tstosterone levels
User :   and if im having ed is it permanent or will this work itself out
User :   i dont feel like its ed tho im experiancing it.
User :   First we are trying to fond anty treatable cause for ED
User :   If there is a reversible cause we can correct the error
User :   i mean i still get hard and can have sex but its seems that more often its a feaqr to try cuz of the times its not worked
User :   Ex if testosterone levels are low , MD will give a patch of testosterone to supplement testosterone
User :   not worked
User :   im alos not physically thatjhorny lately but mentally i am
User :   At your age avearage sexual frequency is 305 times a week
User :   Some times we over expect from
User :   And try hard and get disappointment and that leads to inferiority complex
User :   thats what i think.. but its so stressed about it whe n it doesnt work that it just goes dead and i cant get it ti work even alone sometimes
User :   I know when it fails we feeel shame
User :   Try no to do when u r not ready
User :   indeed i feel shame
User :   i feel like not a man. and i feel so upset and disapointed
User :   So I recommend you to cut down the frequency only to 3 /wk
User :   Atleast now
User :   OK
User :   my girl is very sweet and never makes me feel bad
User :   WOnderful lady
User :   But u have to be defensive
User :   crap i cut down to1-+2 times a week and am having trouble
User :   Then you need to get the testosterone levels and other labs
User :   if Harmones leve;s are low supplement will help
User :   is it possible that just out of the blue all of a sudden this can change in the couple months it has?
User :   from alot of sex to these kinda troubles
User :   If there is no reason o=for ED it u will back to normal
User :   some periods of ED are normal
User :   i would think that ed should bother me til im in my 50's or so
User :   so these problemns im having shopuld correct themelves you think>\?
User :   As the age greos , the ED possibility will be high
User :   But is not compulsory to happen
User :   Even if it happen there are different medcines
User :   No1 rule out low testosterone
User :   i dont want to have to take viagra or cialis everytime to have sex, thats just not natural
User :   Indeed that is good attitude
User :   is it poss that testosterone levels could drop over the last 2 months tothis point?
User :   So do some lab work up
User :   rule out other medical problems like B12 deficiency, Thyroid hormone deficiency,
User :   alos i smoke about 2 packs a day.. but this has neve caused a problem
User :   Yes it could be possible
User :   Smoking is one of the most imp risk factor for ED
User :   Please stop it
User :   Take extra Vit E and Vit 12
User :   should i stop taking the pilss i am herbal meds for it. its got horny goat weed and some other herbs thats arew for ed
User :   I do not have idea how they work
User :   ok
User :   But according to allpopathic literarute they are not effective
User :   so even if i do have a form of ed.. it should go away u think esp at me just turning 40?
User :   If thet wrk for u u can take them
User :   i just dont get y i can get hard and then mount her and it goes away..
User :   if u dont see any effect stop them
User :   ED is some times episodic
User :   and in some it is chorinc
User :   ive alos gained 20 pound over thelast 1-2 months
User :   But a health man usually have no resons
User :   but i was fat 52 yeatrs ago and never had any problems
User :   2 years ago
User :   But if there is Diabetes, high BP and on multiple medicines the chances are high
User :   no diabetes
User :   blodd press is alway low pre hyp tens 70-80's over 120 to 37
User :   Vital are stable
User :   As the person ages, the freqency decreases
User :   how major is smoking to affect this issue
User :   1-2 times /wk of successful intercourse will be regarded as good performance
User :   if i quit tomorrow will i notice a change down there soon
User :   Smoking is a major risk factor for ED
User :   If you quit in next 3 mo. you will notice major changes
User :   does what i describe sound like i have a bad problem>
User :   and whats with getting hard anf then it going away when i sit uo?
User :   up
User :   You have ED, smoking
User :   and performace anxiety
User :   *performance
User :   how do i make it go away
User :   will it go away3
User :   ?
User :   Because you have failed some times you developed anxiety of doing successful act
User :   will nicorette gum cause the same problem? I mean is it the smoke and tar or the nicoteen>?
User :   I think XXXXXXXX gum has no cardiovascular influence
User :   so gimme some hope here.
User :   The penis has arterial supply and nerve supply
User :   do i sound episdal or chronic
User :   Any thing tha t effect blood vessesland nerves effects blood flow to penis
User :   u sound episodic
User :   what can i do to get over the anxiety issue
User :   Cut down the frequency
User :   Do rgular execrside
User :   *regular
User :   *exercise
User :   * Do breathing exercises or Yoga to over come some stress
User :   Take Warm water bath before having intercourse
User :   Listen slow music
User :   All these life style changes , exercise, smoking cessation. taking Vit 12, Vit E will help
User :   As the age gorw, the chances of low testosterone r alos low
User :   so get it checked
User :   is low test treatable
User :   Absolutely it is tretable
User :   can any md test for this
User :   *treatable
User :   Yes
User :   is my problem treatable without having to take pills everyday
User :   other than vitamins
User :   we were discussing the possibilities of having low testosterone , Hypothyroidism . If there are no medical problems, it is just age related.
User :   ok if age related how can it change so quick in a few months and if age issue... can io expect this to happen often whe i want sex
User :   this problem is making me wanna not even try anymore
User :   your current problem my not be age related because you had multiple successful sexual intercourse
User :   EVen the problem may not be due to any hormonal deficiency
User :   It might be flow arterial flow deficiency
User :   You can get Penile Doppler flow studies
User :   You may again sy I had good intercourse before
User :   So What I counsel is : User :   1 get a physical exmination and get the basic labs done first
User :   2. Change your sexual habits 2-3 /wk
User :   3 Good rest, good nutrition, good sleep
User :   i got all those things
User :   4. If everything fails Consult Urologist , he may advice Doppler Penile study to see blood flow
User :   Ok
User :   The what is your next Q
User :   im at 2-3 times a week already :/
User :   Iok
User :   *ok
User :   But they are not succesful
User :   That is why I am advising some tests and tips
User :   Do you follow me?
User :   ya
User :   im just clearly devestaed by this
User :   I completely understand as a man. but always feel a hope
User :   There are effective mangement for ED
User :   It was once a problem
User :   now it can be over come
User :   being that its been 3 days since ejaculation should i clean it out before trying sex again
User :   ya know lijke too much semen build up or something to aleviated
User :   If you want I can send you different modalities of management of ED
User :   ok
User :   how can u send it
User :   confirm your email id
User :
User :
User :   yes
User :   thanks.
User :   I will send useful info to you r email id
User :   i appreciate it
User :   Do you understand what all I said? Do you what you are going to do to get help from MD?
User :   i hope im not beginning a long journey of ed.. i wanna just be normal
User :   ya. i will go see a dr..
User :   tomorrow if poss
User :   ok
User :   i fear treatment may be too expensive
User :   yes I agree it is expensive
User :   where do you live?
User :   houston area
User :   Do u have insurance
User :   bye
User :   hello
Doctor :   Hi
Doctor :   Are you there?
User :   do u hav help avail for me
User :   ?
Doctor :   I have no real contacts at Houston, hence you can contact a general physician/urologist(the specialist) who will able to examine you, do the necessary tests and prescribe you necessary hormone supplements(if necessary)
Doctor :   Based on your history, its more likely that stress factors/ lack of energy along with age factors may be the cause.
Doctor :   The tests suggested are to rule out other known causes.
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