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Suggest Treatment For Lack Of Libido And Erectile Dysfunction

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Posted on Fri, 23 Jan 2015
Question: libido and ed aged 70
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (8 minutes later)
Brief Answer:
Please provide details

Detailed Answer:
Dear XXXXXXX
Thanks for using healthcaremagic.

I read your query and understand your concerns.

Before we make any conclusions I request you to provide following details.

1. Your duration of problem
2. How the problem started whether it was on off or continuous
3. Frequency of the problem in a week or in a month out of what number of sexual interactions were failure
4. What are the factors that increase the problem
5. Factors that relieve the problem- thoughts, situations, partner, place etc
6. Do you get early morning erection
7. If yes how frequent
8. Your marital status and partner details- Is she very critical, demands sex more than what can you think, does she feel superior to you?
9. Effect on your relationship so far
10. Details of medical illness, if any
11. Medications you are receiving currently, if any

Once you post these details I will try to analyze the cause of it and will suggest you accordingly.
Thanks and regards
Dr Ashok Kumar
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Ashok Kumar Choudhary (6 hours later)
1.2years
2.persistant perhaps after taking medicine for bph
3.permanent all attempts end in zero erection
4.can t say
5.nothing releives the problem. musli power improved by 10 percent temporarily
6. yes not always testestrone 277.55 ng/dl
7. same as 6
8. married partner 32 years very cooperative
9. i feel frustrated
10. bph psa total 3.11 no sugar bp normal no mental illness
11. banshill for bph

doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (15 minutes later)
Brief Answer:
Need to stop BPH medication probably

Detailed Answer:
Hello,
Thanks for writing back to me.

From the answers you provided BPH medication is only thing that can be attributed at this level. This is a herbal medicine and you need to check with your prescribing doctor as over internet I am not getting mush information about it. Being a allopathic practitioner I do not know much about bhangsheel.
I am making this assumption as many of the medicines which used in BPH cause Erectile dysfunction in allopathy and it is possible to have similar effects with herbal medicines as they do act in similar manner.

Presence of morning time erection indicates that the vasculature to penis is intact and not much to worry.

You are advised to meet your doctor for either changing your medication or decreasing the dose for BPH.
I hope this will be useful for you.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Ashok Kumar Choudhary (13 hours later)
Can banshill or any other medicine like uromax for BPH cause libido and ed?
A professor at XXXXXXX medical has published a paper on banshill and its benifits in 1976
A cold water spray in the pelvic region gives temporary erection. Penile pumps give erection but not sustainable Is my testestrone level OK (lower side)
pl advise

doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (1 hour later)
Brief Answer:
testosterone is normal according to age

Detailed Answer:
Hello,
Welcome back to HCM.

I am not able to get literature for Bangshil and not a herbal medicine probationer. I am just getting benefits of it over internet and so asking a natural medicine practitioner is warranted. Regarding Urimax yes it affects libido as well as erection. ut I must inform you that it is side effect and not everybody gets it. The chances are one in 12 person or around 8 %. Considering this fact it is worthy to have a trial of Urimax after stopping current medication.

I understand that you have tried multiple things with partial or no response. If you have not tried Sildenafil, you should give a try as it is very effective medication in ED. In case it does not dhow any response the newer molecules can be tried which are available with name of tadalafil. As these are prescription medicines you need to get a prescription from a doctor.

Regarding your testosterone level it is perfectly normal but in lower side of range. It is physiological at advanced age and it is considered normal.

I hope this answers your question.
Thanks and regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Ashok Kumar Choudhary (7 hours later)
i have tried sidenafil(caverta) and also tednafil. The side effects such as headache and nausia pain in thigh discouraged me from using them. I was suggested by urlogist Alfusin for BPH
but that also has painful side effects. thats why i went for bansshill (Alarisin) after reading the research paper which specificaly mentions no observable side effects
urimax induced allergic sneezing
i am at a loss .Should I giveup and a ccept defeat.My wife is young (32)
I am a doctorate in chemical engg from IISc XXXXXXX
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (12 minutes later)
Brief Answer:
There is no question of accepting defeat

Detailed Answer:
Hello,
Thanks again.

I do understand that you tried multiple medicines till time and unfortunately every drug developed one or other side effect for you. Despite this I do not think you need to give up or accept defeat.

The simple for not accepting defeat or making it end is as follows.
In the sildenafil group newer molecules are available like verdenafil, udenafil which have less propensity to cause side effects in compare to sildenafil.

In case even the newer molecules are not tolerated they can be started at lower doses such as 12.5 of sildenafil or 1-25 mg of tadalafil.
It is hoped that lower dosage less likely to cause side effects.

Thirdly you can plan for surgical removal of BPH as a permanent treatment of BPH obviating the need for medication.

Hope I am able to answer your concerns.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Dr. Ashok Kumar Choudhary

Psychiatrist

Practicing since :2000

Answered : 3355 Questions

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Suggest Treatment For Lack Of Libido And Erectile Dysfunction

Brief Answer: Please provide details Detailed Answer: Dear XXXXXXX Thanks for using healthcaremagic. I read your query and understand your concerns. Before we make any conclusions I request you to provide following details. 1. Your duration of problem 2. How the problem started whether it was on off or continuous 3. Frequency of the problem in a week or in a month out of what number of sexual interactions were failure 4. What are the factors that increase the problem 5. Factors that relieve the problem- thoughts, situations, partner, place etc 6. Do you get early morning erection 7. If yes how frequent 8. Your marital status and partner details- Is she very critical, demands sex more than what can you think, does she feel superior to you? 9. Effect on your relationship so far 10. Details of medical illness, if any 11. Medications you are receiving currently, if any Once you post these details I will try to analyze the cause of it and will suggest you accordingly. Thanks and regards Dr Ashok Kumar