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Suggest Treatment For Erectile Dysfunction
Question: Hello, My age is 29 & I have erection problem I did all tests and all results are good, not showing any problem in any test, my problem is i don't have any morning erections but i can fully erect when masturbate. I am an alcoholic and smoker also doing excessive masturbation from 14 years. Taking regularly alcohol from 10 years (last 4 years heavy drinking), smoking from 12 years. Alcohol, Smoking & excessive masturbation can cause erection problem? & is it reversible? I am also taking 2 tabs topaz-50 & 1tab nexito 5 mg from last 8-10 months. I have phimosis from birth & still not circumcised.
I am very stressful about my sex life and depressed & hopeless because I think I have many bad habits & so I cant enjoy sex life. I am continuously thinking about my erection & sex problem so I am unable to enjoy or live fulfill my day to day life also.
I am very stressful about my sex life and depressed & hopeless because I think I have many bad habits & so I cant enjoy sex life. I am continuously thinking about my erection & sex problem so I am unable to enjoy or live fulfill my day to day life also.
Brief Answer:
Need evaluation by psychiatrist
Detailed Answer:
Hello Mr. XXXXXXXX,
I read your problem in detail and can understand your concern.
Smoking and alcohol of course affect erection capacity in long run. You have been taking alcohol since 10 years and smoking since 12 years, so these factors has affected your erection capacity until now.
Masturbation is natural process like sex and it does not affect erection capacity at all.
You are taking topaz and Nexito, which are used for depression and headache. In depression erectile dysfunction can occur as one of the symptoms and vice-a - versa erection dysfunction can cause depression. Is there any other information in your case I need to know?
Nexito can cause erection problem in 60% of patients. So is there any relation with that? Have you suffered problem after taking medicine or before?
You seem to be depressed due to your erectile dysfunction and treatment for the depression also require.
Your problem is reversible or not that can be told specifically after detail history physical examination and some investigations only.
You can erect well during masturbation that is positive point. Medicines can be changed to bupropion(for depression) and tetrfol plus(vitamins containing drug for erection problem).
Please revert back to me with above details I asked as well as following information:
Are you married? If yes how is your relation with wife? If not, do you do sexual intercourse with your girlfriend or any other sexual exposure?
What is frequency of masturbation?
May I know your education and occupation?
Waiting for your reply to help you further.
Regards,
Dr.Chintan Solanki.
Need evaluation by psychiatrist
Detailed Answer:
Hello Mr. XXXXXXXX,
I read your problem in detail and can understand your concern.
Smoking and alcohol of course affect erection capacity in long run. You have been taking alcohol since 10 years and smoking since 12 years, so these factors has affected your erection capacity until now.
Masturbation is natural process like sex and it does not affect erection capacity at all.
You are taking topaz and Nexito, which are used for depression and headache. In depression erectile dysfunction can occur as one of the symptoms and vice-a - versa erection dysfunction can cause depression. Is there any other information in your case I need to know?
Nexito can cause erection problem in 60% of patients. So is there any relation with that? Have you suffered problem after taking medicine or before?
You seem to be depressed due to your erectile dysfunction and treatment for the depression also require.
Your problem is reversible or not that can be told specifically after detail history physical examination and some investigations only.
You can erect well during masturbation that is positive point. Medicines can be changed to bupropion(for depression) and tetrfol plus(vitamins containing drug for erection problem).
Please revert back to me with above details I asked as well as following information:
Are you married? If yes how is your relation with wife? If not, do you do sexual intercourse with your girlfriend or any other sexual exposure?
What is frequency of masturbation?
May I know your education and occupation?
Waiting for your reply to help you further.
Regards,
Dr.Chintan Solanki.
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
Thank you Doctor,
I am taking Topaz & Nexito because of Biopolar disorder. I am suffered after taking medicines (almost lost morning erection).
I am not married & I dont have experience of any sexual intercourse because of Phimosis.
I was mastrubate 3-4 times in a day sometime 5-6 times but from last 3 months (1 time in a day)
Education : HSC & doing job in private company.
Quit smoking, alcohol & masturbation can helpfull for me?
I am taking Topaz & Nexito because of Biopolar disorder. I am suffered after taking medicines (almost lost morning erection).
I am not married & I dont have experience of any sexual intercourse because of Phimosis.
I was mastrubate 3-4 times in a day sometime 5-6 times but from last 3 months (1 time in a day)
Education : HSC & doing job in private company.
Quit smoking, alcohol & masturbation can helpfull for me?
Brief Answer:
Go for circumcision, deaddiction will help
Detailed Answer:
Hello XXXXXXX,
In bipolar disorder nexito has probably no major role (rather it may worsen the problem). It may be added when depression is not responding with mood stabilizer and in that case is also used with mood stabilizer. And role of topiramate is also as adjunct medicine in bipolar, not as mood stabilizer. So I think re-evaluation is needed for diagnosis.
For phimosis you should go for circumcision. It is minor surgical procedure. And it may solve your problem up to some extent.
Yes smoking and alcohol deaddiction (stopping them and maintaining abstinence for at least one year called deaddiction) will be surely helpful for you in erectile dysfunction and rather more in terms of healthy life in future.
Stopping masturbation completely is not going to helpful. Your frequency of masturbation was high 3-4 times a day. But reduction to once a day can help by preserving your energy as well as semen storage in seminal vesicles.
Hope I have answered your query, I will be glad to help further.
Dr.Chintan Solanki.
Go for circumcision, deaddiction will help
Detailed Answer:
Hello XXXXXXX,
In bipolar disorder nexito has probably no major role (rather it may worsen the problem). It may be added when depression is not responding with mood stabilizer and in that case is also used with mood stabilizer. And role of topiramate is also as adjunct medicine in bipolar, not as mood stabilizer. So I think re-evaluation is needed for diagnosis.
For phimosis you should go for circumcision. It is minor surgical procedure. And it may solve your problem up to some extent.
Yes smoking and alcohol deaddiction (stopping them and maintaining abstinence for at least one year called deaddiction) will be surely helpful for you in erectile dysfunction and rather more in terms of healthy life in future.
Stopping masturbation completely is not going to helpful. Your frequency of masturbation was high 3-4 times a day. But reduction to once a day can help by preserving your energy as well as semen storage in seminal vesicles.
Hope I have answered your query, I will be glad to help further.
Dr.Chintan Solanki.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
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