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Facing erectile dysfunction problem. Was smoking earlier. Feeling pain in back of head. Suggest the treatment?

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Practicing since : 2003
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Hi Doctor,
I am facing ED problem, I used to have cigarette's. One day I felt some pain at the back of my head. from that day onwards I am facing ED problem. I am feeling to end my life. I am guilty of having cigarette's in the past.

can you please help. I will tell you in detail ones I get reply from you.
Posted Sun, 18 Aug 2013 in Erectile Dysfunction
Answered by Dr. Nehal Shah 38 minutes later
Thanks for using healthcare magic.

I have gone through you history. Please revert to mewith more detailes regarding pain you had at back of head.

Erectile dysfunction is common condition affecting many men during their sex life. The causes may wary from physical causes like testosterone deficiency or local ifection or injury to psychological causes like stress or depression.
You should consult sexologist or psychiatrist for detailed evaluation. It seems more to have psychological reasons in your case but doctor may rule out physical causes like diabetes or testosterone deficit by expert examination and blood tests.
Treatment would be directed as per cause.
Drugs like depoxetine, peroxetine and to some extent, fluoxetine may help in delaying ejeculation .
Psychotherapy like master and XXXXXXX therapy may XXXXXXX be useful.

So you should not think of ending life as your problems are treatble.

I hope i have addressed your concern.

Feel free to revert to me in case if you have any query.

Above answer was peer-reviewed by
Follow-up: Facing erectile dysfunction problem. Was smoking earlier. Feeling pain in back of head. Suggest the treatment? 2 days later
Hi Doctor,

Thank you for the reply.

Let me now tell you everything in detail.

3 years back when i was having a cigarette i dont know what happened at the back of my head i felt some pain at the same time when happened i saw my frenulum of prepuce swelling and i felt difficulty in erection. i was tensed after that i did not inform home. i did not want to tell i was having cigarette's. my left leg little & third finger as well as my left hand little and third finger used to feel numbness. my left hand used to shiver when i used lift a glass of water it was often. it wasn't everyday. i used to feel the effect some times. but now i dont have all these symptoms. i am better now. but im still facing ED.

after three months one day i fell at the same portion of my head some heat and a boil and some thing coming out through the boil. it was not liquid but some small pieces from the back of my head for few seconds. it was like a puncture. i was feeling better. but i was still facing ED, some times i used to get erection and some times not. i was not knowing what is happening.

i want to disclose something else also i was liking a girl but i just broke up the relation because of my problems and i was in depression, i also started lossing my hair after that. i was in a very bad situation.

i had met some doctors also i met a neurosurgeon i told him only about the pain at the back. i did not tell him about swelling in frenulum of prepuce, he told me its just stress i was having and his prescription (only to relieve depression)
did not work on both of my problems. then i had met another doctor he told me he is checking my blood circulation and he injection something in my penis and my penis was hard like a rock in few seconds when i saw some porn magazines.
he said im absoluetly fine. after that i came home same ED problem. then i met another doctor he checked my penis he said the penis structure is absolute fine there should be no problem in erection and i had also told him about the pain at the back of the head. he also said it is absolutely fine.

i was treating my hair fall problem also i had some medicines line cutimin forte and finax. finax caused a major problem in ED, i had only one tablet of finax and stopped all my hair treatment medicines.

i want to tell you properly. whenever i feel sleepy i get erection in my penis. and i have noticed that it remains for long. when i try to masturbate my penis it fails to get complete erection i see blood filling in my penis to some point it stops meaning my penis size is 4.5". i see blood filling my penis for 1.5 inch and erection process stops. if i still continue masturbating on that same size it gets stimulated and at the time of ejaculation the penis gets full 4.5" erection and then ejaculates.
actually in fact it should first get erection of 4.5" and then feel the masturbation then the ejeculation. so that is what worring me
can you please help frenulum of prepuce is not having any swelling.

i am really worried. the problem is in brain. my brain does not process my sexual arosual process properly because of the bad habit i had. i have quitted smoking since then. i still have some feeling at the back of my head

i have also noticed that if the feeling at the back of my head is not there i get proper erection it happened some times and before getting pain at back of my head whenever i used see a nude girl on website or mag my penis used get erection with little stimulation now that has also stopped.

if my feeling at the back of my head goes my ED problem will get solved. please help me.

when one of the doctor has injected in my penis i felt my frenulum of prepuce was very sensitive and it erected very fast it lasted for half an hour.

please help me.
Answered by Dr. Nehal Shah 35 minutes later
Thanks for reverting to me.

You pain in back of head as well as erectile dysfunction are linked to your stress and performance anxiety.
You should consult sexologist or psychiatrist for detailed evaluation and management.

Drugs like peroxetine or fluoxetine should be off good help to you.

You should do stress management and breathing exercise for better control over stress.

Do not focus excessively in measuring length of penis as your penile structure has to be normal.

I hope I have addressed your concern.

Feel free to revert to me in case if you have any query.

Above answer was peer-reviewed by
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