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What Is The Cause And Treatment For Erectile Dysfunction?
Question: Hello Doctor,
I've ED Problem started 5 months back.
With out knowining the details of the product Navartna oil (mint oil), I've applied on my penile is this the cause of ED?
I went to Urologist in month of August and doctor took penile doppler ultra sound scan and told me that my blood flow is normal with the values PSV (41.2) end is (3.8)
Doctor did say in the report that I've no significants of peryonies plaque does this means my physically normal correct? Oil that i applied did not cause any microscopic or visible injuries?
Since the ED problem started, I'm getting erection intermitentilly like somtimes continious for 10 days or for 4 days or a weekly once but I'm getting erections in my sleeep and while I wake up from bed.
In this month september,
Ist week : I was able to have intercourse with my wife starting from (Friday to Sunday) with proper ejaculations.
2nd Week: I was able to have intercourse with my wife on (Friday and Saturday )
3rd Week : I was able to have intercourse on friday couple of times ( after coming back from office and at night) I was ended up up with no ejaculations, but on saturday and sunday I got week erections and sometimes I got erections but not able to maintain it.
4th Week: Yesterday night, got erection I believe not a effective had intercourse but not no ejaculations.
I addition to this, for last 3 days in my spleep I'm getting week erections and it's not maintaining for longtime like before in this 5 months.
Why I'm seeing this varations in my erections?.
I'm using Clomid (Clomphine citrate) 25 mg alternate days, and Tadalafil(Cialis) sometimes 5 mg and 10 mg.
before my problem started 5 months back, I use to get strong and effectively when ever I want to have sexual intercourse with my wife,during my sleeps at night and while watching pronography videos all the sudden things has been changed 5 months back when my self and my wife want to have sexual intercourse i got erection and suddenly my erection became week since then i wasn't able to get strong and effective erections (when ever i want to have), sometimes I get erections at night in my sleep and during I wakeup from bed also I tried to mastrubate I didn't get any erections.
In the month of XXXXXXX I went to endocronologist and explained about my problem(Saying I was not able to get erections on my need bases), So endocronologist has written for blood test for list of hormones
1.Albumin I have 4.8 (3.6-5.1 g/dL) In range
2.FSH I have 4.1 (1.6-8.0 mIU/mL ) In range
3. LH I have 6.4 (1.5-9.3 mIU/mL ) In range
4.Testosterones I've 413 (241-827 ng/dL) In range
5.Sex harmones I have 29 (10-50 nmol/L ) In range
Shall i need to take more physical test if so let me know what they are I can talk to urologist.
Will the penile doppler test results can be vary between Aug to Sept?will there be any kind of microscopic injuries that can't be find in this test?
Please help me.
Thanks
I've ED Problem started 5 months back.
With out knowining the details of the product Navartna oil (mint oil), I've applied on my penile is this the cause of ED?
I went to Urologist in month of August and doctor took penile doppler ultra sound scan and told me that my blood flow is normal with the values PSV (41.2) end is (3.8)
Doctor did say in the report that I've no significants of peryonies plaque does this means my physically normal correct? Oil that i applied did not cause any microscopic or visible injuries?
Since the ED problem started, I'm getting erection intermitentilly like somtimes continious for 10 days or for 4 days or a weekly once but I'm getting erections in my sleeep and while I wake up from bed.
In this month september,
Ist week : I was able to have intercourse with my wife starting from (Friday to Sunday) with proper ejaculations.
2nd Week: I was able to have intercourse with my wife on (Friday and Saturday )
3rd Week : I was able to have intercourse on friday couple of times ( after coming back from office and at night) I was ended up up with no ejaculations, but on saturday and sunday I got week erections and sometimes I got erections but not able to maintain it.
4th Week: Yesterday night, got erection I believe not a effective had intercourse but not no ejaculations.
I addition to this, for last 3 days in my spleep I'm getting week erections and it's not maintaining for longtime like before in this 5 months.
Why I'm seeing this varations in my erections?.
I'm using Clomid (Clomphine citrate) 25 mg alternate days, and Tadalafil(Cialis) sometimes 5 mg and 10 mg.
before my problem started 5 months back, I use to get strong and effectively when ever I want to have sexual intercourse with my wife,during my sleeps at night and while watching pronography videos all the sudden things has been changed 5 months back when my self and my wife want to have sexual intercourse i got erection and suddenly my erection became week since then i wasn't able to get strong and effective erections (when ever i want to have), sometimes I get erections at night in my sleep and during I wakeup from bed also I tried to mastrubate I didn't get any erections.
In the month of XXXXXXX I went to endocronologist and explained about my problem(Saying I was not able to get erections on my need bases), So endocronologist has written for blood test for list of hormones
1.Albumin I have 4.8 (3.6-5.1 g/dL) In range
2.FSH I have 4.1 (1.6-8.0 mIU/mL ) In range
3. LH I have 6.4 (1.5-9.3 mIU/mL ) In range
4.Testosterones I've 413 (241-827 ng/dL) In range
5.Sex harmones I have 29 (10-50 nmol/L ) In range
Shall i need to take more physical test if so let me know what they are I can talk to urologist.
Will the penile doppler test results can be vary between Aug to Sept?will there be any kind of microscopic injuries that can't be find in this test?
Please help me.
Thanks
Brief Answer:
Your problem of ED sems to be due to Anxiety.
Detailed Answer:
Hello
Thanks for your query,based on the facts that you have posted it appears that you are facing problem of inconsistent Erectile Dysfunction since last 5 months.
At the outset let me state that since all your blood reports and Penile Doppler Ultrasound Scanning are within normal range Hence it is certain that your problem of Ed is not due to any organic cause.
Assuming that you do not have diabetes or hypertension your problem of Ed is most likely to be due to what is called as performance anxiety.
Following measure will help you to boost up your confidence and getting good erection.and delay ejaculation.
1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.
2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc
3)Take anti oxidants like Almonds 5-6 everyday..
4) Avoid alcohol and smoking..
Taking help of a qualified Psychiatrist and Counselling will help you to resolve your problem of ED.
In the mean while continue taking Cialis .
Hope I have answered your query. Please feel free to write if you have more questions I shall be happy to help you .
Thanks and Regards .
Dr.Patil.
Your problem of ED sems to be due to Anxiety.
Detailed Answer:
Hello
Thanks for your query,based on the facts that you have posted it appears that you are facing problem of inconsistent Erectile Dysfunction since last 5 months.
At the outset let me state that since all your blood reports and Penile Doppler Ultrasound Scanning are within normal range Hence it is certain that your problem of Ed is not due to any organic cause.
Assuming that you do not have diabetes or hypertension your problem of Ed is most likely to be due to what is called as performance anxiety.
Following measure will help you to boost up your confidence and getting good erection.and delay ejaculation.
1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.
2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc
3)Take anti oxidants like Almonds 5-6 everyday..
4) Avoid alcohol and smoking..
Taking help of a qualified Psychiatrist and Counselling will help you to resolve your problem of ED.
In the mean while continue taking Cialis .
Hope I have answered your query. Please feel free to write 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
Hello Doctor,
Before I got married, I was lot more under stress and anxiety with various reasons but then I use to get erection with in no time while I see pronography or when ever I like to mastrubute to get relief my self from stress.
In 2013 XXXXXXX I got married, I still see the same erection behavior and was able to have sexual intercourse with my wife with out any issues, I believe my ED problem is started in April only after I applied Navarthana oil (Mint Oil) unfortunately, since then I was started thinking only about my ED problem.
but from penile doppler ultrasound report shows every thing normal.
I still believe there is something missing in the report which was not identified by urologist or there might be any microscopic injuries happened to penile due to mint oil i applied.
my question is :
I don't smoke and will drink alcohol occasionally, I was not under any medication before, I do workout on and off for 1 hr and my penile doppler report says every thing is normal then why I'm not getting my erection like before my marriage or like before problem started.
Is my ED problem caused because of Navartna oil (Mint Oil) do I need to go through with any further physical test's to know the cause of my ED problem.
Please suggest me.
Before I got married, I was lot more under stress and anxiety with various reasons but then I use to get erection with in no time while I see pronography or when ever I like to mastrubute to get relief my self from stress.
In 2013 XXXXXXX I got married, I still see the same erection behavior and was able to have sexual intercourse with my wife with out any issues, I believe my ED problem is started in April only after I applied Navarthana oil (Mint Oil) unfortunately, since then I was started thinking only about my ED problem.
but from penile doppler ultrasound report shows every thing normal.
I still believe there is something missing in the report which was not identified by urologist or there might be any microscopic injuries happened to penile due to mint oil i applied.
my question is :
I don't smoke and will drink alcohol occasionally, I was not under any medication before, I do workout on and off for 1 hr and my penile doppler report says every thing is normal then why I'm not getting my erection like before my marriage or like before problem started.
Is my ED problem caused because of Navartna oil (Mint Oil) do I need to go through with any further physical test's to know the cause of my ED problem.
Please suggest me.
Brief Answer:
It is not due to Navaratna oil
Detailed Answer:
Hello
Thanks for follow up.
Navaratna oil will not cause any damage or micro injury to erectile tissue .Any abnormality in vascular element in penile circulation would have been detected in Colour Doppler Ultrasound Scanning of Penis. Scan .
You may repeat it at some other centre for your perusal and to allay your anxiety.
Will you please post complete report of your Penile Doppler Scan to make precise comments.
Thanks and Regards.
Dr.Patil.
It is not due to Navaratna oil
Detailed Answer:
Hello
Thanks for follow up.
Navaratna oil will not cause any damage or micro injury to erectile tissue .Any abnormality in vascular element in penile circulation would have been detected in Colour Doppler Ultrasound Scanning of Penis. Scan .
You may repeat it at some other centre for your perusal and to allay your anxiety.
Will you please post complete report of your Penile Doppler Scan to make precise comments.
Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Doctor,
Sure, I can check with the urologist to repeat the penile scan test again in other center.
I'm posting my Penile doppler ultrasound doctor procedure/report which took in month of Aug.
Please let me know your findings.
Thanks
Sure, I can check with the urologist to repeat the penile scan test again in other center.
I'm posting my Penile doppler ultrasound doctor procedure/report which took in month of Aug.
Please let me know your findings.
Thanks
Brief Answer:
Your Penile Doppler scan is absolutely normal.
Detailed Answer:
Hello
Thanks for posting the report .
There is no reason to suspect about the report .You do not have either arterial insufficiency or Venous leak as a cause of your ED .
I Can reiterate that your problem is more of a Psychological origin and needs to consult qualified Psychiatrist for counselling .
Thanks and Regards.
Dr.Patil.
Your Penile Doppler scan is absolutely normal.
Detailed Answer:
Hello
Thanks for posting the report .
There is no reason to suspect about the report .You do not have either arterial insufficiency or Venous leak as a cause of your ED .
I Can reiterate that your problem is more of a Psychological origin and needs to consult qualified Psychiatrist for counselling .
Thanks and Regards.
Dr.Patil.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
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