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Anxiety, ejaculation issues, unable to give erections. On herbal medication. Masturbation habit. Help?

Good morning doctor,
I am an Engineer facing ED problems form last 3 years visted to sexologists/Urologists..they all say its psychological as i have night erections and ED problem is due to PE problem i faced in earlier sexual encounters and anxiety of not getting hard on several occassions...
i tried herbal medicines they helped me as soon as i stop my conditions are back to original condition..I tried tadafil 10 give good erections but as i stop taking medicine conditions recturns to original state..i believe earlier i masturbated like every day 2 times even now also wen occasionally i get erections then i masturbated heavily...is it the reasons dat my erections are softer..please help
Asked On : Fri, 5 Apr 2013
Answers:  1 Views:  47
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Diseases and Conditions
Drug/Medication
General & Family Physician 's  Response
Jun 2015
Hello dear,

First of all remove all myths & misconceptions from your mind about masturbation.
In fact, Masturbation is completely normal & doesn't have any bad effect to the body and mind.
Regarding the problem of Erectile dysfunction, it is due to decreased blood supply to the penis.

Tadalafil is pharmacologically a Phosphodiesterase inhibitor, which dilates the blood vessels in the penis, increases the blood flow & maintains the erectile state of penis.
Presence of increased erections on taking the medication & flaccid state on discontinuation can be attributed to improper blood supply in the penile arteries.
Investigations like color Doppler study can be done to detect any organic cause.

Other than psychological, the reasons for difficulty in maintaining erection can be many such as Hypertension, Diabetes mellitus, Atherosclerosis of the arteries, Neurological problems, Chronic illness, Prolonged intake of drugs, Stress, Smoking, Alcohol, etc.
So, investigations like Complete blood count, estimation of blood pressure & blood sugar levels, lipid profile will be helpful in this regard.

Wishing you a Healthy Life.
Take care.
Answered: Sat, 15 Jun 2013
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