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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Erectile Dysfunction?

I am a 24 year old male, and i am 5'10" and 160 lbs. I have had hernia surgery. I am worried because when i try to have sex with my fiance i am not able to get hard at all. I actually have not been hard at any time in the last month. I just read online that using a laptop on your lap, can destroy your sperm. is this true? does this make you infertile? or is it able to be reversible? What other things could it be? Is this something i need to see a doctor about?
Mon, 25 Jul 2016
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Urologist 's  Response
Hello
Thanks for query .
Inability to achieve hard erection is not related to either Hernia surgery that you have undergone some time back nor to to the habit of using laptop keeping on the lap .

In majority of cases in young age this is mostly due to what is called as performance anxiety and psychogenic in nature or may be due to organic causes which needs to be rued out by doing following basic tests
1) Haemogram
2) Serum Testosterone levels
3) Thyroid hormone assessment
4) Blood sugar levels
5) Color Doppler scan of penis to rule out any arterial insufficiency or venous leak as a cause of ED.

Consult qualified Urologist for clinical assessment and get these tests done .

If all test do not reveal any organic cause for your ED it can be labelled as Psychogenic in origin .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 Sildenafil (Viagra)as on demand will help to get good hard sustainable erection and to have enjoyable sex.
Dr.Patil.



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What Causes Erectile Dysfunction?

Hello Thanks for query . Inability to achieve hard erection is not related to either Hernia surgery that you have undergone some time back nor to to the habit of using laptop keeping on the lap . In majority of cases in young age this is mostly due to what is called as performance anxiety and psychogenic in nature or may be due to organic causes which needs to be rued out by doing following basic tests 1) Haemogram 2) Serum Testosterone levels 3) Thyroid hormone assessment 4) Blood sugar levels 5) Color Doppler scan of penis to rule out any arterial insufficiency or venous leak as a cause of ED. Consult qualified Urologist for clinical assessment and get these tests done . If all test do not reveal any organic cause for your ED it can be labelled as Psychogenic in origin .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 Sildenafil (Viagra)as on demand will help to get good hard sustainable erection and to have enjoyable sex. Dr.Patil.