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Can The Inability To Maintain An Erection Still Show A Reversal Of Diastolic Flow?

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Posted on Wed, 8 Nov 2017
Question: I had a penile doppler test conducted but my experience was confusing. I was given an injection and asked to stimulate with hand but ibdid not get erection, then i was asked to stand up and shown a porn clip i achieved a very weak full flaccid erection, one reading was taken then, doctor said erection is not developed. I stood up again and masturbated vigorously to another clip and a better erection was achieved, another reading was taken. Erection starting diminishing while i shifted from standing to lying down position. Then i was asked to masturbate till ejaculation and after that another reading was taken. And test was said concluded, doctor looked tensed upon my asking for explanation but said that there is no leakage and peak systolic velocity is good but erection came late that is the problem. I did not have a sustained good quality erection during the test but still passed test as normal. Also end diastolic velocity was not mentioned in the report or resistivity index. Only it was written that there was reversal of flow. I am confused wether the test is showing correct value. Doctor did not looked convinced at all while saying that there is no leakage. I have read that the readings are to be taken in erection state in 5 min interval. If i was not able to sustain a good erection how can it show reversal of diastolic flow. I wanted this test to give me a confirmation that there is nothing organic as my hormone tests are normal. I think i am still confused so looking for a second opinion from another radiologist
doctor
Answered by Dr. Indu Kumar (35 minutes later)
Brief Answer:
Your doppler findings are absolutely normal.

Detailed Answer:
Hello,
Thanks for writing to HealthcareMagic,
I've gone through your query and understand your concern,

Your doppler findings are absolutely normal.
You are rightly informed that late stimulation may be due to anxiety which is the commonest cause.

There are different phases of evaluation after infection.Most important is reversal of diastolic flow which is present in your case.This shows normal findings.

Though RI is not mentioned,systolic and diastolic flow appears normal.Spectral wave of doppler study appears normal.

I don't think there are any reasons to be worried about. Organic cause is unlikely.

Psychological factors are most important in your age group which may need evaluation.

Hope I have answered your query.
Further queries are most welcome.
Please rate may answer if you are satisfied.

Take Care
Dr. Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Indu Kumar (18 hours later)
Thanks doctor, my endocrinologist also said that the test is normal and problem is psychological. He also sail the glans of penis are very sensitive. I feel an uncomfortable tingling almost like pain sensation when i rub penis head. I lose erection when i try to rub the glans. I can get erect by masturbating using my foreskin but not with rubbing head or blowjob. Doctor has advised me to massage the head regularly. Any other suggestions from your side sir??
doctor
Answered by Dr. Indu Kumar (20 hours later)
Brief Answer:
You may need psychological counselling by a psychologist if needed.

Detailed Answer:
Hello,
Thanks for writing to HealthcareMagic,
I've gone through your query and understand your concern,

Don't think much.Much you think about,it will aggravate problem.
Glans is the most sensitive part of penis and you have normal findings.

You may need psychological counselling by a psychologist if needed.
It is important to know about your sexual life means whether there is any problem during intercourse.

Hope I have answered your query.
Further queries are most welcome.
Please rate may answer if you are satisfied.

Take Care
Dr. Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
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Dr. Indu Kumar

Radiologist

Practicing since :2004

Answered : 6729 Questions

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Can The Inability To Maintain An Erection Still Show A Reversal Of Diastolic Flow?

Brief Answer: Your doppler findings are absolutely normal. Detailed Answer: Hello, Thanks for writing to HealthcareMagic, I've gone through your query and understand your concern, Your doppler findings are absolutely normal. You are rightly informed that late stimulation may be due to anxiety which is the commonest cause. There are different phases of evaluation after infection.Most important is reversal of diastolic flow which is present in your case.This shows normal findings. Though RI is not mentioned,systolic and diastolic flow appears normal.Spectral wave of doppler study appears normal. I don't think there are any reasons to be worried about. Organic cause is unlikely. Psychological factors are most important in your age group which may need evaluation. Hope I have answered your query. Further queries are most welcome. Please rate may answer if you are satisfied. Take Care Dr. Indu XXXXXXX