Suggest Treatment For Erectile Dysfunction
Please provide more detals
Detailed Answer:
Hello,
Thanks for using Healthcaremagic.
I read your query and understand your concerns. Although you provided lot of information but I think there is need for more information.
Before we can make any conclusions I request you to provide following details so an impression can be made about the cause and solutions of the problem.
1. How long the problem is there ? I understand it is for years but I like to when you first noticed the problem?
2. How the problem started ? What could be the factor according to you for onset of problem?
3. Frequency of the problem in last one year ? What number of sexual intercourse/masturbation failed in last one month/year?
4. Do you had similar problem in past lasting for one or more occasions? I mean before marriage or during your teenage years?
5. What are the factors that increase the problem? Do you think stress could be a factor?
6. Factors that relieve the problem- you can describe them in detail if any?
7. Do you get early morning erection?
8. If yes how frequent and how intense? Please answer this necessarily.
9. Details of past medical illnesses, like duration, any complications, treatment received till date.
10. Do you take any substance of abuse?
11. Investigations done till date and reports of most latest investigations- serum testosterone, TSH, T3, T4 and any other? You mentioned injection please name the injection if you have records?
12. Do you have any psychiatric illness?
13.Any other problem you like to report
I must assure you that once we know the cause I can you guide you better in regard to treatment.
I look forward to see above details.
Thanks and regards
1. How long the problem is there ? I understand it is for years but I like to when you first noticed the problem?
Approximately since 5 to 6 years
2. How the problem started ? What could be the factor according to you for onset of problem?
I can't say how the problem started. I thought that the problem started because of physical weakness in my body.
3. Frequency of the problem in last one year ? What number of sexual intercourse/masturbation failed in last one month/year?
It has been one year since my marriage. We attempted sex for not more than 10 times altogether, in the first 3 months of marriage but I failed every time. After that we never attempted sex but only had foreplay. Even while masturbating also (which I usually do by lying on the bed) I noticed that many times the erection did not last but subside quickly. After March we did not attempt for sex. In March we went to an XXXXXXX in XXXXXXX Dr. XXXXXXX XXXXXXX He examined me and tested me. He told that I have phimosis, penile curvature and penile torsion, and varicocele. He said that I require multiple surgeries which would cost approximately 3 to 4 lakhs rupees. We did not have that much money. So we decided not to get operated. But we thought that we will attemt sexual intercourse after I undergo circumcision operation because I was feeling lot of pain moving my foreskin back and forth because it was very tight. At last I had circumcision operation on November 26. Now we are waiting to recover from my surgery. We are planning to attempt sexual intercourse in another 3 to four weeks after I am fully recovered from my circumcision surgery.
4. Do you had similar problem in past lasting for one or more occasions? I mean before marriage or during your teenage years?
In teenage I never had this kind of problem. In fact upto the age of 28 I did not have this problem. It was very rare that I was not able to have erection when I was really having the desire.
5. What are the factors that increase the problem? Do you think stress could be a factor?
I think stress is a factor for my problem.
6. Factors that relieve the problem- you can describe them in detail if any?
Worry-free, happy mood, I think can relieve my problem to some extent.
7. Do you get early morning erection?
Once upon a time I used to get early morning erections daily. Now I am not getting them daily.
8. If yes how frequent and how intense? Please answer this necessarily.
In the past I used to get very intense early morning erections. But now that intensity is not there. My early morning erections are only half-hard. Now a days, my early morning erections are fully hard only rarely. In the recent past I even observed that on some days I woke up with very less intense or absolutely no erection at all.
9. Details of past medical illnesses, like duration, any complications, treatment received till date.
7th standard - Dehydration (Admitted in Hospital for one week)
8th standard - Food Poisoning (Admitted in Hospital for one month)
9th standard - Jaundice
10th standard - Diagnosed with Low Blood Pressure and Vertigo
From 11th standard onwards to upto the age of almost 20 - occasional loose motions and vomitings.
At the age of 25 - Admitted into hospital for swollen left testicle (Doctors asked whether I had sex, but I did not have sex. I told them that I did not have sex. Was cured and discharged from hospital after 10 days).
10. Do you take any substance of abuse?
I don't take any substance of abuse. I never smoked or drank alcohol in my life. Neither did I take any drugs in my life.
11. Investigations done till date and reports of most latest investigations- serum testosterone, TSH, T3, T4 and any other? You mentioned injection please name the injection if you have records?
I have reports of TSH, T3, and T4 and I have uploaded them for your reference. I think I don't have test results of serum testosterone. I am not sure.
Injection test was performed on my Dr. XXXXXXX XXXXXXX an XXXXXXX in XXXXXXX in March. He said that it was for testing the quality of my erection. I don't have reports of it.
12. Do you have any psychiatric illness?
I don't have any psychiatric illness.
13.Any other problem you like to report
My mother did not agree to my marriage but my father agreed to my marriage. My parents got separated long back and I am living with my father. I have strong guilt in me that I married against the will of my mother. This guilt is affecting me much and on the other side even the responsibility of taking care of finances for my family is keeping me under pressure. These may be affecting the quality of my erections. I am not sure about this.
Dear Sir,
I have answered honestly and to the best of my knowledge. Thanks.
XXXX XXXXXXX
Please get the following reports from nearby laboratory
Detailed Answer:
Dear XXXX,
Thanks for reverting back to me.
I read the provided detailed answers and attached reports.
I am of the opinion that although psychology is contributing for poor sexual performance we need to rule out other causes.
For doing same I request you to undergo following tests from nearby laboratory
1. Serum testosterone
2. Serum Prolactin
3. Serum LH
4. Serum FSH
5. Penile doppler study to rule out leakage
I understand this is somewhat costly procedure (may cost you 5000-6000) but I think this is the minimum I need to say it conclusively.
Thanks and regards.
Thanks for the reply. I will get back to you as soon as I get the reports for the tests that you have prescribed.
Thanks,
XXXX
You are always welcome
Detailed Answer:
Dear XXXX,
Thanks for reverting back to me.
I am glad to know that you decided to act on the inputs provided by me.
I will be glad to assist you further.
If there is need to put further query I will request you to use my friendly url so the query is posted directly to me which can be answered with little wastage of time.
My friendly url is
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.