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Erectile dysfunction, depression, taking Orexis and VigRx, normal reports of blood and hormone tests. Treatment?

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Orthopaedic Surgeon
Practicing since : 2011
Answered : 4583 Questions

I'm a 21 year old male, 196 cm tall and around 85 kg of weight. I am active in sports and I am currently studying. The last couple of months my libido and endurance has been extremely low, and as a result of that I have suffered from depression, anxiety, sleep disturbances, eating disturbances and low self-esteem. Luckily I am getting better and I leave a normal life now. But still I have low libido, and ofcourse this bothers every man.

I have been trying to find out how and why this happened, as my libido, strength and endurance has always been high. As a result of this I have been taking huge amounts of blood samples, testosterone and all kinds of hormones, iron, blood preasure... but every sample showed normal values. I didn't know what to think, as I had almost lost all my libido and interest in girls. My testicles has shrinked and I was not feeling like a man anymore.

Than one day I sat down and I thinked hard, what was the reason for my loss of libido, and mental strength? Than suddenly something struck me, in September/October 2010, almost a year ago I started taking this natural sex enchanchement pills called Orexis, VigRx, VigRx plus and some others. I remember that my libido got really high the first one week, but than suddenly it started to get lower. I just haven't thought about this yet. But now I can definitely tell that this is the reason.

So my question to you is; is there any way I can get my libido, endurance and strength back? I eat healthy, I sleep 9-11 hours every night and I train 3-4 times a week. But still I suffer from low libido, erectile dysfunction and low strength.
Posted Fri, 20 Apr 2012 in Erectile Dysfunction
Answered by Dr. Aashish Raghu 25 minutes later

Thanks for the query.

1. Are you still taking these medicines like VigRx, VigRx plus and Orexis? And what made you take these medicines a year ago?
2. How is your sexual performance, has it changed after taking the medicines?
3. Any headaches, recent change in weight, recent change in appetite?
4. Have you been sleeping a little more than usual, feel tired most times of the day? How was your mood before you started taking these medicines, have you been depressed or of low mood before?

Based on your description, it is evident that you may be suffering from possible side effects of VigRx, VigRx plus. Even though they are claimed to be natural products, side effect profile is not well documented.

It has certain herbs like 'Gingo biloba', 'Damiana', etc which have powerful aphrodisiac effects and also help in getting stronger erections. Although there is hardly any study done to document side effects of these herbs. The effects of the drugs on mind, mood and even organs of sexual function are not known. So it would be best if you stop using these medicines which are sold without any proper licensing and no knowledge of side effects.

Apart from this few other medical illness could be the cause, such as:
1. Depression - It is associated with decreased energy, increased/decreased sleep, increased/decreased appetite, constantly low mood, feeling of weakness and lethargy for most time of the day, lack of interest in doing activities which previously pleasurable as well. It can also lead to low libido and erectile dysfunction.
2. Diabetes - can also contribute to erectile dysfunction.

It would be wise to consult a Urologist to find possible causes of erectile dysfunction by proper evaluation and tests like cavernosometry which can find if you have blood vessel problem or abnormal nervous system which can cause erectile dysfunction. Good medication and other treatment are available to treat erectile dysfunction with evidence and well documented safety and side effect profiles.

Eat healthy. Avoid fatty, junk food. Eat more fresh fruits and XXXXXXX leafy vegetables. Drink plenty of water. Continue exercising for good health.

I hope I have answered your query. I will be available to answer your follow up queries.

Above answer was peer-reviewed by
Follow-up: Erectile dysfunction, depression, taking Orexis and VigRx, normal reports of blood and hormone tests. Treatment? 2 hours later
Hi again, thanks for the quick reply. As I wrote above I have had depression - and I might still have some of it, but I think I am done with the worst. However it all started with these natural supplements, which I should never have taken in the first place.

1. No I am not taking these "natural supplements" anymore. I stopped taking them after a month. But they have surely caused some big trouble for me. I have previously read warning signs about VigRx and Orexis, about the awefull side-effects but at that time I completely ignored them, because I was unexperienced and didn't think it could cause more harm than good. The reason I started taking these pills in the first place was probably lack of self-esteem, and the will to be big and strong, - to get the ladies if you know what I mean.

2. At the moment my sexual performance from a scale from 0-10 is 0. My libido has never been worse and I feel generally weak and bad all the time.

3. I had troubles with trauma and depression some weeks ago, and therefore I lost appetite and got trouble with loosing some weight. But I am done with this, and I am now eating as normal. And luckily my appetite has been restored.

4. Because I feel extremely tired and have a lack of energy especially in the evenings its not a problem to fall asleep. But I normally wake up 2-3 times each night for unknown reasons. I won't say I am oversleeping, I just need that amount of sleep in order to be functional at the moment.

I do not think that I have a big problem with depression at the moment, and noone in my family has ever had diabetes, so I really doubt that. But they are good theories. I have never had any problems with anything like depression, anxiety or low sex drive before I started taking Orexis, and VigRx. What a peace of bullshit!

I need to get my libido and strength restored to what it was two years ago!

Answered by Dr. Aashish Raghu 7 minutes later

As you have mentioned that low self-esteem could be the reason to want to take this medication. Also it is possible that your depressive symptoms have begun surfacing once you didn't get the desired result but actually got worse.

Since you are having loss of libido and possible erectile dysfunction it would be best to consult with a competent Psychiatrist to get a thorough evaluation to find out what the problem may be and get an adequate solution so that you can have a chance to get back to being normal like before. You may need psychological counselling to help with self-esteem issues.

Continue with healthy diet and exercise regime. Also practice Yoga for stress relief. Avoid taking any such medication without knowledge of it's therapeutic benefit and safety profile first.

Wishing you good health.
Above answer was peer-reviewed by
Follow-up: Erectile dysfunction, depression, taking Orexis and VigRx, normal reports of blood and hormone tests. Treatment? 12 hours later

I do not think that I no longer have problems with low self-esteem. This was for about one year ago, and I have sorted things out, so my self-esteem is definitely higher than it was last year. I don't think I need psychological counselling at this time.

My main concerns now is low libido and erectile dysfunction. I may still have some degree of depression, but I don't know if depression is the primary cause of low libido or secondary, the other way around.

I will continue with a healthy diet and exercise regime, and I have learned a lesson when it comes to taking all kinds of "natural supplements" or medicines, and I will never do it again!

You mention that I should "consult with a competent Psychiatrist to get a thorough evaluation", does this mean physical examination of testicles and penis? I will certainly try to avoid this type of evaluation, but if you think there might be something wrong with my gonads, I guess there is no choice...
Answered by Dr. Aashish Raghu 1 hour later

Thanks for writing again.

Your disease is seems mostly Psychological in aetiology because Serum Testosterone is normal. It is less likely due to testis problem so immediate evaluation of gonads is not necessary.

You need a Psychiatric evaluation which means the Doctor needs to assess your mind and the psychiatric factors which is the source of depression and possibly erectile dysfunction. Erectile dysfunction could also be due to problems in penile vasculature and nervous system diseases which can be ruled out as well. If there is organic problem with penis, you will be referred to Urologist to get tested.

I am glad to know that you will avoid further experimentation with drugs and also deciding to continue with healthy lifestyle.

I hope this answers your query.

Wishing you good health.

Above answer was peer-reviewed by
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