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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Erectile Dysfunction. On Cialis, Andriol, Vitamin D. History Of Diabetes, Low Testosterone. Treatment?

i am having diabetes since year 2000 and now erection is not there .I have to take cialis lower strength 10mg and stimulate to get hard to penetrate. i checked my testosterone levels and they were low so am taking oral andriol 40mg twice daily since a month. i also found vitamin d levels which were only 19.5 instead of 30 (which they say ok) could this also have effect on erection as i had pain in legs also...now with calcium and vit d supplements 2000 IU a day is gone will this treatment and better sugar control help to revive my erection..I am also taking nervogen twice a day along with diabetes medicine Please suggest regards
Fri, 19 Apr 2013
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Psychiatrist,  's  Response
Hi there ~

I understand your concern. I hope your diabetes is under control as this can hugely impact your sexual health. You have a very common problem of erectile dysfunction and probably premature ejaculation and it can be easily treated with medications available during this time. The class of medication is called selective serotonin reuptake inhibitors and it also helps with decreased libido which is a result of depression if you are going through one. I advise you to consult with a qualified psychiatrist who might be able to help in this regard. You might need an increase in the dose of Cialis. I hope this helps.

Take care and have a lovely day!
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Erectile Dysfunction. On Cialis, Andriol, Vitamin D. History Of Diabetes, Low Testosterone. Treatment?

Hi there ~ I understand your concern. I hope your diabetes is under control as this can hugely impact your sexual health. You have a very common problem of erectile dysfunction and probably premature ejaculation and it can be easily treated with medications available during this time. The class of medication is called selective serotonin reuptake inhibitors and it also helps with decreased libido which is a result of depression if you are going through one. I advise you to consult with a qualified psychiatrist who might be able to help in this regard. You might need an increase in the dose of Cialis. I hope this helps. Take care and have a lovely day!