Hello,
Thanks for your query.

I appreciate your efforts for medical consultation in so much distress.

Important aspects of your query are:
•     28 year old male
•     Known case of Genital Warts on homeopathic treatment for 2 months
•     Complaints of: Low sexual desire and difficulty to sustain erection.

Erectile dysfunction can be a result of a psychological or physical problem.

Psychological causes: Most common cause in young patients. These include performance anxiety, emotional weakness, inferiority complex, stress, marital or relationship problems, low mood, feelings of guilt, and the effects of a past sexual and emotional trauma. Men with psychological problem usually have normal nocturnal erections and erections upon awakening, whereas men with physical problem often do not.

Physical causes: Include neurological disorders, alcoholism, drug abuse, side effects of certain medicines, hormonal imbalances, diabetes, hypertension, blood vessel disease and chronic diseases.

What I can understand from your query is that you are not able to sustain hard erection which is required for intercourse. You are 28 years of age and at this age, difficulty in getting or maintain an erection is due to psychological reasons in many cases. I hope you are not taking any alcohol or smoking as sometimes these can also cause erectile dysfunction.

From your history one thing is clear that your problem starts after homeopathic treatment for warts. Warts can itself lead to sexual aversion due to their appearance. Confirm from your doctor regarding sexual side effects homeopathic medicines although these medicines known for not having side effects but we can not deny it same time.

I will describe some simple measures which you can incorporate and these should help you:
-First of all, quit smoking and alcohol (if you are taking any).
-Eat a healthy diet, fruits and milk daily.
-Have faith in yourself and do not take any stress. You can talk to your partner openly and indulge in plenty of foreplay before sex.
-Exercise, particularly aerobic exercise is very effective.

We need to rule out certain medical conditions. These include diabetes, high blood pressure, heart or thyroid conditions, poor circulation, penile venous incompetency and neurological causes. For that comprehensive evaluation and tests, help of other specialist may also needed.

The commonly prescribed drug by the doctors is sildenafil (Viagra) or Tadalafil (Megalis), which causes erections to be stronger and long lasting. It is important to rule out medical conditions specially related to cardiovascular system before starting such treatment. Both of these medicines have excellent result in physical causes of erectile dysfunction.

Apart from that in person evaluation and examination by psychiatrist may be necessary in your case to identify and treat psychological cause of ED.

I hope this information has been both informative and helpful for you. In case of any doubt, I will be
available for follow ups.

Wish you good health.
Regards,

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Hello again,

Thanks for follow up,

First it is important to consider side effects of current medicines as your problem started only after initiating medicines. If you can not ask for side effect because of social reasons, then it is better to wait for some time till your treatment of wart get completed rather than worry as worry lead to performance anxiety and erectile dysfunction itself.

With your alcohol use pattern it will not affect your desire.

We need to rule out certain medical conditions. These include (with lab tests required in your case):
-diabetes: Fasting blood sugar level
-high blood pressure: Get measured from nearby physician
-thyroid conditions: Serum T3/T4/TSH level
-poor circulation, penile venous incompetency: Penile Doppler study
-other important hormonal tests: Serum estrogen, total testosterone, prolactine level

In your case cause of low desire need to be treated whether it is side effects of medicine, physiological disturbance, hormonal imbalance, stress or substance use. It is good we could narrow down causes (like excluding stress and substance use) from your description. But if we miss the other causes then there will not be fast outcome. For erection you can use sildenafil (Viagra) or Tadalafil (Megalis) after prescription, as advised in primary query.

Please accept my answer in case there are no further queries and recommend our services to your friends too if you have found it helpful.

Wish you good health.
Regards.

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