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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Erectile Dysfunction

Hi, i m Ahmed, having a problem of errectile dysfuction. I used viagra for about 4 years and it worked good. but now i m facing the problem of errection. I felt my penis to become partially flaccid and at intercourse time not properly errect even i take viagra. premature ejaculation is also a big problem. please help me in this case
Thu, 9 Jul 2015
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Psychiatrist,  's  Response
Hello thanks for asking from HCM for your health related queries

I can understand your concern. In a lot of individuals anxiety is found to be the cause behind erectile dysfunction and premature ejaculation. So relief of anxiety results in improvement in symptoms in most cases. But in your case the problem is persistent and even viagra or Sildenafil is not resulting in full effects. In such case I'd advise you to consult a psychiatrist for evaluation.

Get your proper workup done to rule out hypertension, diabetes and any other vascular illness. These are common causes of erectile dysfunction. Blood free testosterone levels can also provide a detail about hormonal imbalance if any. If everything comes normal then most likely cause of your symptoms is psychological. If Sildenafil is not working then other PDE-5 inhibitor like Tadalafil or Verdanafil can help. Tadalafil have relatively better efficacy than Sildenafil in erectile dysfunction. Please consult a psychiatrist for prescription of these drugs.

Thanks, I hope this helps you. Take care

Dr. Seikhoo Bishnoi,
Psychiatrist.
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Suggest Treatment For Erectile Dysfunction

Hello thanks for asking from HCM for your health related queries I can understand your concern. In a lot of individuals anxiety is found to be the cause behind erectile dysfunction and premature ejaculation. So relief of anxiety results in improvement in symptoms in most cases. But in your case the problem is persistent and even viagra or Sildenafil is not resulting in full effects. In such case I d advise you to consult a psychiatrist for evaluation. Get your proper workup done to rule out hypertension, diabetes and any other vascular illness. These are common causes of erectile dysfunction. Blood free testosterone levels can also provide a detail about hormonal imbalance if any. If everything comes normal then most likely cause of your symptoms is psychological. If Sildenafil is not working then other PDE-5 inhibitor like Tadalafil or Verdanafil can help. Tadalafil have relatively better efficacy than Sildenafil in erectile dysfunction. Please consult a psychiatrist for prescription of these drugs. Thanks, I hope this helps you. Take care Dr. Seikhoo Bishnoi, Psychiatrist.