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Trial package of medicines for erectile 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 : 2408 Questions
User :   I have a question about obtaining a trial package of medication for ED.
Doctor :   hi
User :   hello
Doctor :   Dr XXX here
User :   thank you for discussing this with me.
Doctor :   may i know which medication are u specifically interested in ?
User :   Viagra or cialis
Doctor :   basically to get a trial pakage of any medicine , u can get registred in any website of cialis or viagra
User :   had some bad experiences the last few times.
Doctor :   and then, if available by nay promotional means, then u can avail this benefit
User :   trial packages require prescription? finding it very difficult to discuss this with my doctor. I'm 34 years old.
User :   It's not a matter of cost.
Doctor :   also, you can ask your GP, who will have contacts of the company represnetatives , who will provide the cards of trial medications
User :   is it possible to have a medical evalution/discussion with a doctor (such as through this forum) online?
Doctor :   you mean to say that u find it hard to talk to ur dctor ?
User :   yes
Doctor :   yes .
User :   how/where?
Doctor :   u can get evaluated based on ur symptoms and then come to a differential diagnosis, of what ur problem could be
User :   Extremely stressful job - a major contributing factor I think.
Doctor :   and we can suggest how the condition can be treated specifically
User :   can we do that now?
Doctor :   may i know , your symptoms currently
Doctor :   yes we can
User :   difficulty getting/maintaining erections.
Doctor :   let me ask u a few questions ?
User :   ok...
Doctor :   do u get early morning erections ?
Doctor :   or erections during sleep ?
User :   sometimes...much less frequent
User :   rarely during sleep.
Doctor :   are u able to masturbate and have proper erections ?
User :   I can climax, but not always completely hard.
Doctor :   Do u have any conditions like diabetes, hypertension, ?
Doctor :   r u taking any other medications ?
User :   had my gall bladder out this summer. dr. said I needed to be aware of diabetes because of family history/etc. Hypertension - never a formal diagnosis, but maybe.
User :   take excedrine migrane sometimes, but that's it.
Doctor :   ok
Doctor :   at a age of 30 +, it is very common to have issues with erection
User :   feeling like a very old 34 year old.
Doctor :   70% of men have this at any point in their life
User :   that helps...but seems a little too often lately.
Doctor :   learning to control erection and have a stronger erction needs a balance, between mind , and body
User :   had an encounter last night where I very much wanted to peform - very attracted to her, but couldn't no matter what she tried. Horrible!
Doctor :   Do u feel that u have any performance anziety ? and are u often stressed after work ?
User :   Yes, and YES
Doctor :   did u try any oral stimulation ?
Doctor :   has this situation been with any other lady ?
User :   yes we did, and that almost always has worked in the past, but ineffective last night. Horrible!
Doctor :   i would tell u that this is completely ok
Doctor :   no need to panic at all
User :   a few times, more since age 30.
Doctor :   for having a very good sex, try to set the mood by a good amout of foreplay , and plan the evening and be stressfree
User :   As you can tell, pretty upset/stressed about this problem.
Doctor :   once the mood is set, and dont think that u cant do it properly
User: started in a jacuzzi last night....I wondered if that could have had anything to do with it?
Doctor :   the more u fear the condition, the more are the chances that u will defintiely face that
User :   see how difficult these questiosn would be to ask my family doctor face-to-face?
Doctor :   having confidence before u start it is 90 % of teh work done
Doctor :   if u have performance worry, at the start, then u r not focussed on enjoying the evening
User :   and difficult to have a lot of confidence when you are worried based on prior "inability to perform"
Doctor :   then the worry gets to u, & then u basically fail, and then have to face what u initially feared about
User :   a vicious circle.....
Doctor :   yes,
Doctor :   So get to the bottom of this ,
Doctor :   never think of that as an issue
Doctor :   and make sure that u r flexible and not concious of ur body when u r with the woman
User : you think that some medication to help obtain good solid erections would be beneficial / possibly be a "confidence booster"
Doctor :   when u think that the lady, will not find u applealing, then u are already in the mode to accept defeat
User :   ok....good advice....
Doctor :   most medications, will have a factor of placebo, effect
User :   we found a way for her to enjoy things....but I have to say I'm mortified when I think about it now.
Doctor :   i would suggest u to try with some sex toys, which are freely availble in the US
Doctor :   try penile rings , which will help u to maintain ur erection for a longer time
Doctor :   using a penile ring, will make both of u safe and have a great sex
Doctor :   and then reduce the dependence on medicines
Doctor :   once u get the confidence that everything is working fine
User :   I am skeptical....
Doctor :   then u can stop using and i guess u will get back ibnto ur originalk rhythm
User :   what good is a penile ring if you can get it hard to begin with?
Doctor :   there is always a point when u need to try new things
Doctor :   keep ur mind open for betterment
User :   easier said than done.......
User :   there is another issue...
Doctor :   a penile ring is used on a flaccid penis and to make it erect
User :   never had a great deal of confidence about my size. 5-5.5 fully erect.
Doctor :   Also, get yourself tested with some blood tests like liver function tests, TSH, T3, T4, prolactin, to rule out other conditions
which can affect erectile function
Doctor :   also size does not matter when u want to satisfy a woman
User :   think my liver function was evaluated during recent gallbladder matter and was a-ok
Doctor :   ur penis size, is within the 95th percentile of the normal range
Doctor :   ok thats good
Doctor :   and if u can find the clitoris, which is just on the surface and then satisfy a woman, then u dont need to worry at all
User :   so I understand - do you think that I am not a good candidate for a trial of e.d. medication?
Doctor :   also only the first 1.5 inches of the vagina is the most stimuated part
Doctor :   trial of ED MEDS can be given to any one with ED
Doctor :   but once taken, then u may be dependent on it for the rest of the life
User :   My interest would be to evaluate the difference with/without the medication.
Doctor :   for a trial of ed meds, U can see ur doc, and ask him to give a trial of meds
Doctor :   as a matter of fact, if u dont tell him, how can ur doc help u
Doctor :   yes , first try without the meds
Doctor :   if there is no effect, then it means there is a need of meds and then u can take medicines
User :   I have spent the first 34 years without - I think I have a pretty good idea of what its like without. Was hoping to try with
Doctor :   if u feel ur doc is not responsive, then change ur GP
Doctor :   as a matter of fact, cialis and viagra are given more as samples by GPs
Doctor :   In that case, u can definitely try it out
User :   I want you to understand I am not seeking a "free" sample. I am willing to purchase it for sure. See all over online where you can do that, but I do not want to violate the law.
Doctor :   I did not mean that u seek illegal meds
User :   understood...just explaining.
Doctor :   i understand ur situation, totally
User :   feeling low.....
Doctor :   no need to as wel
Doctor :   there is always help around
Doctor :   u just need to ask
User :   "help" being my doctor / others who I would find difficult/impossible to talk to about these matters face to face.
Doctor :   if u first tell him, then there would not be any issues at all
Doctor :   or u can call first and then tell him, that u have such a issue
Doctor :   and u would like to talk abt it in detail
Doctor :   when u come to the officve
Doctor :   that shd break the ice
User :   he usually spends about 1-2 minutes with you, and you have to explain all of this to his nurse, then he breezes in and out.
Doctor :   hmmmm
User :   small town with a great hospital and piss poor gp's.
Doctor :   i guess , that ur doc may not be free with u or so or has communication issues
Doctor :   i understand ur situation
User :   maybe need to just give up on it for awhile I guess.
Doctor :   y , u dont
Doctor :   just write it in a piece of paper and then give it to the doc, or the nurse
User :   an impossible situation with no viable solution.
Doctor :   the issue will get solved then and there
Doctor :   ur doc will understand and help u accordingly
User :   not possible to get even a 3-pill trial package based on our conversation here? I think you can tell that I've poured my heart out here with honesty. Not some drug freak looking for pills. A real person with a real problem.
Doctor :   i understand ur situation
User :   hope so....
Doctor :   but since i cant get you a physical prescription over an online discussion,
User :   can it be phoned in to a pharmacy?
User :   Dr XXX - this is so frustrating.
Doctor :   i am sorry, it cannot be done by calling in the pharmacy, without physically examining you and detemining the cause of your Erectile dysfunction
User :   I understand. Was hoping there was a way of answering the questions online with a doctor and obtaining a trial with a prescription. Will have to consider options and decide how (or if) to proceed. Thank you for your time.
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