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Treatment options for sexual dysfunction - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Erectile Dysfunction
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2568 Questions
User :   hello doctor
User :   This is XXXXXXXX XXX from XXX
Doctor :   Hi
User :   nobody is there
Doctor :   Iam.DrXXX
User :   good afternoon sir
Doctor :   Please post your query
Doctor :   Good afternoon
User :   I had erection problem during intercourse time
User :   my age is 45
Doctor :   ok
Doctor :   Are you diabetic?
Doctor :   Are you taking any medicines?
Doctor :   Since when you have this?
User :   no
User :   no medicines
User :   from the last 6 months
User :   no bad habits like smoking and drinking
Doctor :   is it premature ejaculation
User :   no mental and physical stress also
Doctor :   ok good
User :   never
Doctor :   Is it that what you have?
Doctor :   ok good
User :   erected after sometime before doing sex it was soft
Doctor :   ok
User :   I don't know the reason dr
Doctor :   Sexual dysfunction can sometimes be caused by disorders such as diabetes, high blood pressure, vascular disease, heart disease, nervous system disorders, and depression as well as an unwanted side effect from some medications.
User :   but I don't having all the three
Doctor :   ok
User :   I am a healthy person
User :   I don't take any medicine even for cold also
User :   I take healthy food
Doctor :   ok
User :   I am very much worried about that
User :   pls help me
Doctor :   Treatment options include sexual counseling, medications, external vacuum devices, hormonal therapy, penile injections, or intraurethral suppositories
User :   pls explain in detail about penile, and external vaccum devices
User :   I am from XXX city
Doctor :   ok
Doctor :   the external vacuum devices
Doctor :   creates an artificial vacuum in to
Doctor :   which the penis is inserted
Doctor :   so due to the vacuum
User :   ok
User :   is it painful test
Doctor :   the erection stands for long
Doctor :   and if you try for long
User :   ok
Doctor :   it can help
Doctor :   not painful;
Doctor :   painful
User :   and second one is
Doctor :   but a suction will be there
Doctor :   the medical therapy comes with the use of viagra drugs
User :   ok
User :   what is penile
Doctor :   Inserting medications into the urethra (intraurethral suppositories)
Doctor :   penile is penis related
User :   how the test done
Doctor :   are you overweight?
User :   no
Doctor :   ok
User :   my height is 5'4 and weight is 65
Doctor :   Medications for erectile dysfunction include
Doctor :   ok
User :   ok
Doctor :   its fine
Doctor :* testosterone,
* oral phosphodiesterase type 5 (PDE5) inhibitors (sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis),
* intracavernosal injections,
* intraurethral suppositories.
User :   for this treatment I consulted which speclisation doctor
Doctor :   you need to meet an urologist
Doctor :   Men who present with diminished libido and ED may be found to have low serum testosterone levels.
User :   can u tell me urologist in XXX
Doctor :   Hormone replacement may be of benefit to those with severe hypogonadism and possibly as adjunctive therapy when other treatments are unsuccessful by themselves.
Doctor :   ok sure
Doctor :   give your email;
Doctor :   i will email you
User :   YYYY@YYYY
Doctor :   ok
Doctor :   XXX
Tel: 000-0000 Web: WWW.WWWW.WW
User :   what r the tests I have to attend
Doctor :   XXX
Tel: 0000-0000
Doctor :   Dr. XXXXXXXX XXX
User :   thanks
Doctor :   you will have to undergo some hormonal study
User :   like blood test
Doctor :   to check your teststerone levels etc
Doctor :   yes
User :   how they do it
Doctor :   Investigate the hypothalamic-pituitary-gonadal axis by evaluating testosterone levels (a morning serum free and total testosterone level is suggested) in most patients, especially if the patient has a history of reduced libido.
Doctor :   A serum thyroid-stimulating hormone evaluation is appropriate in select patients.
Doctor :   A urinalysis looking for RBCs, WBCs, protein, and glucose is also important.
Doctor :   Ultrasonography of testes may help in disclosing abnormalities in testes and epididymides. Transrectal ultrasonography can disclose abnormalities in the prostate and pelvis that may interfere with erectile function.
Doctor :   These are the usual tests done
Doctor :   rest you can discuss with your urologist
Doctor :   Thanks for consulting...
Doctor :   Bye for now....
Doctor :   Take care......
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