Brief Answer:
medicines are there, reduce weight and control BP

Detailed Answer:
Hello XXXX,

Thanks for writing to us. I can understand your concern.

In patients with blood pressure, problem of erectile dysfunction is common.
Considering your history I first recommend reducing weight. Your weight should not be more than 80 Kg.
Proper control of blood pressure is also necessary for erection.

Medical treatment for ED:

5- PDE inhibitor group of medicines are used for this purpose which includes sildenafil or tadalafil. It is proven drug for male erectile dysfunction. One of them should be used 2 hours prior to sex. They cause headache, stuffy nose nausea and gastric discomfort like common side effects. Proper physical check-up of cardiac system should be done by a doctor before starting the same. These are prescription medicines and you need to consult doctor/psychiatrist/sexologist for the prescription.

Another medicine cum vitamin supplement containing pyridoxal-5-phosphate, mecobalamin and l-methylfolate (trade name tetrafol plus)is very helpful in my patients. It has shown improvement in 50-60 patients of mine with blood pressure. You should take it after meal twice a day. If you feel some improvement in 20 days you should continue for at least 2 months. You may get this medicine over the counter as it is vitamin product.

There are some natural lifestyle measures which help to improve blood flow to penis and overall sexual performance.

- The most important factor is healthy heart. Regular exercise and avoidance of fatty fast food are important measures to prevent heart disease. Regular walking, swimming or running overall improves blood flow to whole body circulation including penis and keep the mind fresh.

- Good healthy food is also an important aspect. Bananas, Garlic, dry fruits (they contains vitamins), eggs, cow milk, cow butter are good food which may help in erectile dysfunction.

- Avoid smoking and alcohol. Low amount of alcohol can help in increasing blood flow but more amount can cause opposite effects. So better to avoid the same.

As you are likely form XXXXXXX I would like to also mention ayurvedic medicine option. Tentex forte is the medicine which is used for ED. No side effects have been reported.


At present I would recommend tetrafol plus and tentex forte. You can go for tadalafil after consulting your doctor and proper cardiac check up for immediate improvement.

To guide you further , I need more information.

- How is control of your blood pressure?

- What medicines are you taking for blood pressure, pleases mention with dose and duration as many medicines also cause erection problem as a side effect?

- As you are obese I recommend going for free and total serum fasting testosterone level.

Hope I have answered your query, I will be happy to help further.
Regards,
Dr.Chintan Solanki.

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Brief Answer:
diet management is required

Detailed Answer:
Hi,

Thanks for information.

Medicines you are taking for BP are fine almost. If no specific indication is there ask your doctor to remove metoprolol from Prolomet Am 50.

For weight reduction you need to consult nutritionist and modify your food habits. With proper diet modifications and regular exercise calorie deficit can be created and weight can be reduced.

For nervousness and time management you need to consult psychologist or psychiatrist for stress management and relaxation.

You can go with tetrafol plus and tentex fort.

All the best.

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Brief Answer:
2 tablets of each per day

Detailed Answer:
Hi,

Tetrafol plus should be taken 1 tablet after meal two times a day.
Tentex should be taken 2 tablets at night with one cup of milk (preferably cow milk).

Follow other healthy lifestyle measures.

All the best.

If you complete, please close and rate the query.

In future you can contact me directly with this link

Http://bit.ly/drchintansolanki

By clicking on Ask me question.

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Brief Answer:
for 1 month

Detailed Answer:
Hello XXXXXXX

Thanks for asking your doubt.

You should take the supplements for 1 month after that re-evaluation is needed. If improvement is there, better to continue for 1 month more.

As such masturbation is not a problem. Masturbation is natural and normal thing. It is done by 95 of the males in the world, mostly before marriage as well as when wife is away, in menses or pregnant after marriage. It is not at all harmful. Frequency of masturbation done by an individual varies from once a day to once a week. It depends upon individual libido, wish and timing. It neither causes any weakness nor any problem in sexual activity.

When masturbation becomes compulsion and you have to do at cost of your daily routine or it make suffer your work, intervention is needed.

Please let me know,

- Your frequency of masturbation.

- Duration of masturbation each time.

- Why do you feel that you are addicted to masturbation?

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