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Suggest Treatment For Erectile Dysfunction

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Posted on Mon, 14 Nov 2016
Question: Hello, I'm married 33 yrs old & have four kids. I'm super fit athlete & enjoy great health in all aspects. I have an excellent relationship with my wife & make love with my wife almost daily. I had few really stressful days two months ago & during those days i started facing problem in love making. I've been unable to achieve hardness or sometime maintaining it. I consulted a local doctor regarding this issue & i got my thyroid test, lipid profile , fasting blood sugar & testestorene. All tests were within normal range but testestorene was 334 which is within normal range but close to low level. Doctor advised me arcalion 200mg x 2 in breakfast & Ginko Biloba syrup twice a day. It really helped in the start. I felt energetic again & also successful in love making. I stopped medication after one week as advised. I got testestorene test again which was 581 this time. These days I'm able to achieve & maintain hardness in the morning but in the night i have no desire for love making. What I should do to overcome this issue? Thanks & Regards XXXX.
doctor
Answered by Dr. Dr. P. T. Patil (1 hour later)
Brief Answer:
The Erectile dysfunction that you have is Psychological Inhibition .

Detailed Answer:
hello
Thanks for query .
Based on the facts that you have described the Secondary Erectile Dysfunction that you had was primarily Psychological in nature than any other organic cause .To get erection in the morning itself is a strong indication that you have no ED

Marginal low levels of testosterone should not cause loss of libido in a adult young man .

It is natural and normal for every individual to have secondary ED at some time or other in sexual life and is nothing to be worried about as it gets resolved spontaneously over a period of time .

Taking Sildenafil (Viagra) or Cialis as on demand will help to get good hard sustainable erection and to have enjoyable sex.Else you may continue the medications that you are taking now .

Hope I have answered your query ,please feel free to ask if you have more questions , I shall be happy to help you .
Thanks and Regards.
Dr.Patil.




Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. P. T. Patil (29 hours later)
Hello , thank you very much for your detail answer. I have a friend who is also doctor but he is still doing specialization in medicine.
He says that excessive stress & intense sports workout have put strain on my adrenal gland. Do you think this can be the root cause of my ED issue? I remember i used to feel pain in my feet & back when this issue started with me.
Also in early days of this issue i used to feel low energy for every routine activity.
I never faced this issue in my entire married life & morning is still fine. Do you think stress has caused ED ? Should i get treatment for stress management ?
How often i can use viagra & will it cause dependency on long term use ?
Thanks & Regards
doctor
Answered by Dr. Dr. P. T. Patil (47 minutes later)
Brief Answer:
Stress is the first and foremost cause for ED.

Detailed Answer:
Hello
Thanks for follow up .

Psychological stress is the main cause of all sexual problems and it accounts for 90% of ED.

In a otherwise healthy man other symptoms like loss of libido ,low energy are due to anxiety

Consult qualified Psychiatrist for counselling and medical treatment(if required ).

You can use Viagra once daily one hour before planned sexual activity .and dicontinue taking it once you start getting normal erection .It is not habit forming .drug.

Thanks and Regards.
Dr.Patil.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
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Dr. Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10586 Questions

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Suggest Treatment For Erectile Dysfunction

Brief Answer: The Erectile dysfunction that you have is Psychological Inhibition . Detailed Answer: hello Thanks for query . Based on the facts that you have described the Secondary Erectile Dysfunction that you had was primarily Psychological in nature than any other organic cause .To get erection in the morning itself is a strong indication that you have no ED Marginal low levels of testosterone should not cause loss of libido in a adult young man . It is natural and normal for every individual to have secondary ED at some time or other in sexual life and is nothing to be worried about as it gets resolved spontaneously over a period of time . Taking Sildenafil (Viagra) or Cialis as on demand will help to get good hard sustainable erection and to have enjoyable sex.Else you may continue the medications that you are taking now . Hope I have answered your query ,please feel free to ask if you have more questions , I shall be happy to help you . Thanks and Regards. Dr.Patil.