Question: I am 27 years old men and suffering from Erectile Distinction.

Till I was 25 I was getting very healthy erections.But that was a time when (due to wrong advice) I started using very tight supporter/undergarment while doing exercise in Gym.I was very uncomfortable in wearing those tight supporter but foolishly I continued with it. I found that I was losing my erection quality (both frequency and intensity wise). Later I changed to more comfortable supporter but it was too late and my erection problem continued to worsen. I started losing morning erections (from mild to zero right now). I am also finding my penis is getting shrinked. Its size is reduced to almost 1inch when I do running etc or even at normal times. When penis gets shrinked ,skin on penis is in folded/collapsed state.It looks like balloon with no air. (though my observation is size of scrotum has not changed much with respect to size it had when I was normal) .

I have always lived healthy lifestyle (No smoking/junk food/alcohol, regular exercise). I do regular excerice and take balanced diet.I am very fit and athletic person. I don't have other medical problems like diabetes/BP etc. A doctor had prescribed be Tadadil tablet and it gave me firm erections but of course they were temporary and at this stage of my life I wish to solve my problem holistically/from root. ( I have also observed that I sometimes get mild erections when I eat garlic cloves).I have even tried doing keggles exercises/Yoga but it has been of no use.

My basic blood reports are normal- CBC,creatinine, liver profile etc. My testosterone level is about 425. Vitamin D levels were below normal (though I continue to take Vitamin D3 supplement as prescribed by doctor and continue to take sunbath.)

My diagnosis of ED is from zero morning erections (and now almost no erections otherwise also),reduced penis size . I don't think my problem is psychological. I don't have any pain in my genital area or any other symptoms at any other parts of the body. I get good sleep.I do not feel weak at any point of time. My problem is from 2 years. ( I am not yet married but might get married within a year so more desperatI am 27 years old men and suffering from Erectile Distinction.

Till I was 25 I was getting very healthy erections.But that was a time when (due to wrong advice) I started using very tight supporter while doing exercise in Gym.I was very uncomfortable in wearing those tight supporter but foolishly I continued with it. I found that I was losing my erection quality (both frequency and intensity wise). Later I changed to more comfortable supporter but it was too late and my erection problem got continued to worsen. I started losing morning erections (from mild to zero right now). I am also finding my penis is getting shrinked. Its size is reduced to almost 1inch when I do running etc or even at normal times. When penis gets shrinked ,skin on penis is in folded/collapsed state.It looks like balloon with no air. (though my observation is size of scrotum has not changed much with respect to size it had when I was normal) .

I have always lived healthy lifestyle (No smoking/junk food/alcohol, regular exercise). I do regular excerice and take balanced diet.I am very fit and athletic person. I don't have other medical problems like diabetes/BP etc. A doctor had prescribed be Tadadil tablet and it gave me firm erections but of course they were temporary and at this stage of my life I wish to solve my problem holistically/from root. ( I have also observed that I sometimes get mild erections when I eat garlic cloves).I have even tried doing keggles exercises/Yoga but it has been of no use.

My basic blood reports are normal- CBC,creatinine, liver profile etc. My testosterone level is about 425. Vitamin D levels were below normal (though I continue to take Vitamin D3 supplement as prescribed by doctor and continue to take sunbath.)

My diagnosis of ED is from zero morning erections (and now almost no erections otherwise also),reduced penis size as I had described earlier . I don't think my problem is psychological. I don't have any pain in my genital area or any other symptoms at any other parts of the body. I get good sleep.I do not feel weak at any point of time. My problem is from 2 years.

Kindly guide.

Thanks for reply.Answering your questions.

1) Do you get hard erection while masturbating ?-
-When first time I realized about my problem ( started 2 years ago due to use of 'tight undergarments/supporter' ) ,I realized that I am not getting firm erections while masturbating compared to I used to get earlier. At that time erections were like semi-hard. Also I realized that time/days between my next erection/masturbating got significantly increased. As time passed ,I found that erections were becoming moderate hard to mild. And now situation is like that I am able to masturbate only once a week with that too with very mild erection. I read one quote regarding penis -' Use it or lose it'. I feel that I am under vicious cycle where less erections are deteriorating further erections. So, whatever natural hard/semi-hard erections I had were at initial phase of my problem whereas I am lucky enough to get hard erection in recent times only when I had a dose of Tadafil.( After consuming Tadafil I am not fan of porn but when I watched it just to test erections, I have had mild erections only.

2) Do you have normal sexual desire (Libido)?
-Yes.

3) Have you ever attempted sexual intercourse with female partner ?
-With my partner I get emotional urge but not able to attempt sexual intercourse (because my penis remains in flaccid condition even when we are in physically close, that's why I wasn't able
to go ahead..)

4) Do you have any stress factor at work place or in personal life ?
-No. Both my personal/professional life is very peaceful.

As regards your doubt about not getting morning erection it is has to be confirmed by a scientific test of Nocturnal penile tumescence and rigidity studies.
-Via internet,I got to know about 'Postal stamp method', where I used to stick postal stamp to penis before going sleep to see its position in morning. My observation is - As I had mention earlier regarding deteriorating hardness wrt time regarding masturbating ,I feel that my morning erections has also been deteriorated in a same way( semi hard to mild to almost zero).

Consult a qualified Urologist.
- Sir I am thankful for this forum & doctors here, because here patients are getting a chance to narrate all things regarding their illness/problems and doctors are also answering in detail.
(When I had visited 2 renowned urologists in XXXXXXX they did not give chance to explain problem beyond 30 second and their reply was in one line-ED has no other cure & just use Tadafil when in need!).
So thankful to you for being patient and good listener.

2) Color Doppler Ultrasound scanning of penis to rule out any Vasculogenic cause for your ED .
-Just asking what's generally next course of action is if reports shows Vasculogenic cause.
-One of my doctor friend had advised Heyforte/Heyforte plus Capsule. Would u prescribe it and at what dosage/ for how many days
-Any other Ayurvedic/allopathic medicine you like to advise (as I had stated earlier that consuming garlic cloves has started giving some mild erections.)
-Is it true that drugs like tadafil/Viagra becomes ineffective after using for 3-4 years in many of users
-If problem is really psychogenic then what should I do? Any medicine or shall I consult sexlologist?
- If I am getting hard erections after taking Tadafil, is there might be issue related to Nitric Oxide production in body?

Kindly Guide.