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Erection problem, getting worst from 6 months - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Erectile Dysfunction
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3621 Questions
Doctor :   Hi
Doctor :   How can I help you?
User :   I want to discuss about sex related problem
Doctor :   Ok
User :   I have recent erection issue
Doctor :   please provide your Age, Gender, Occupation, Marital status, Height and Weight

User :   34, M,, 5.5, 64kg
Doctor :   Since when are you having the problem?

Doctor :   Do you have any other health problems?
User :   its gradual deterioration...significantly since last 6 months
User :   no probs at all...I am very healthy
Doctor :   Are you not able to get an erection at all or are you unable to sustain an erection?
User :   mostly not getting...
Doctor :   Ok
User :   not really aroused
Doctor :   The most common cause is Stress and anxiety.
User :   yeh
Doctor :   Sometimes partner related issues can also play a role.
User :   is there a medicine?
Doctor :   It is better to relieve stress and anxiety by methods like yoga and meditation.
Doctor :   Also avoid smoking and alcohol.

Doctor :   Hi
Doctor :   How can I help you?
User :   this is continued from earlier chat 5 minutes before
Doctor :   Yes.
Doctor :   Please proceed.
User :   is thre a medicine?
Doctor :   The medicines for Erectile Dysfunctions are given mainly depending on the underlying condition.
User :   ok

User :   what abt viagra kind of?
Doctor :   Viagra is not effective in all circumstances
User :   ok
Doctor :   In your case the underlying cause has to be first determined
User :   i thought this is due to normal aging..I am 35
Doctor :   No, men are sexually active upto 60-70 years are age.
Doctor :   Do you have a family history of Diabetes, Hypertension or stroke?
User :   absolutely fact all above parameters were normal last month when tested
Doctor :   Ok
Doctor :   Do you have any stress or emotional issues?
User :   job stress yes
Doctor :   Ok
Doctor :   Is there proper interest in sex?
User :   mentally yes...phisically i am not getting that arousal
User :   & erection
Doctor :   Have you ruled out any partner related issues?
User :   not at all
Doctor :   Ok
Doctor :   You might need a few tests to determine the underlying cause.
User :   ok..
Doctor :   Do you have any addictions like smoking or alcohol?
User :   nothing..i dont smoke & drink may be twice in a month
Doctor :   Ok
User :   can we try with one or two medicine like viagra kind of drug?
User :   low dosage & safe ones?
Doctor :   The problem with medicines is that they have several side effects
User :   i understand
Doctor :   You can have heart problems with them
Doctor :   They have to be taken for a long term.
Doctor :   There are no safe medicines as such for this.
User :   sm low dosage ones for 1 or 2 occasions?
Doctor :   My suggestion would be to first try stress relief for at least a month and then try.
Doctor :   All the medicines are prescription based and have to be given by a Physician after physically examining you. They cannot be given online for your own safety without direct monitoring.
User :   ok..
User :   no otc ones?
Doctor :   We will first send you a document on Erectile Dysfunction.
User :   ok
Doctor :   Our advice would be to first go through this document
User :   ok
Doctor :   We will mail it to you Email : YYYY@YYYY

Patient Mobile : 0000
Doctor :   Please confirm your contact details
User :   yes..correct
Doctor :   Ok
Doctor :   Meanwhile I suggest that you try taking a vacation and relieving work stress.
Doctor :   Yoga and meditation also helps.
User :   do u think taking viagra wud be risky?
Doctor :   Try discussing with your partner regarding your problem and find out what is comfortable for both of you.
Doctor :   Yes.
User :   ok]
Doctor :   Viagra is not for everyone. It should be taken by people who have a proven vascular problem
User :   ok

Doctor :   and if they dont have the problem, other circulations in the body can be affected.
User :   ok

Doctor :   I can give you goat weed and other herbs but they are not very effective and
Doctor :   are expensive.
User :   ok
Doctor :   That would be only for your psychological satisfaction.,
Doctor :   I suggest that you get adequate sleep everyday.
User :   ok..thanks
User :   sure
Doctor :   At least 8-9 hours are mandatory.
User :   sure
Doctor :   If there is no improvement with stress relief the next step would be a thorough clinical evaluation.
Doctor :   Then you would probably need a Penile ultrasound
User :   ok

Doctor :   to check the blood flow in your penis
User :   ok
Doctor :   and a neurological evaluation has to be done
User :   ok...
Doctor :   Do you get nocturnal erections since you started having this problem?
User :   had got 3-4 occasions since last 6 months
Doctor :   Then that usually rules out a physical or vascular problem in your penis
User :   ok
Doctor :   Then drugs like Viagra are of no real benefit.
Doctor :   The most likely cause could be stress.
User :   yeh
Doctor :   You can also try to get a Serum Testosterone level tested if there is no improvement with stress reluef
Doctor :   relief
User :   ok
Doctor :   I suggest that you try to take a vacation and spend more time with your family, rather than the erection issue, try to get overall emotional rest.
User :   ok

Doctor :   Try this for a month and if there is still no improvement, you can consider an evaluation with a Urologist or a Sexologist.
User :   ok
Doctor :   Is there any thing else that I could help you with?
User :   thats all...just one question
Doctor :   Ok
Doctor :   Please fill the feedback form say done when done
User :   is there some simple medicine for stress non drug type?
User :   like ayurvedic or otc?
Doctor :   You can take the Multivitamin Tab. Neurobion forte 1 tab daily for 1 month
User :   ok
User :   thanks
Doctor :   Anything Else I can help you with?
User :   thats all .. thx

Doctor :   Thanks for consulting Healthcaremagic. Bye for now. Please refer your friends to our service.
User :   sure
Doctor :   Bye for now.
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