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Dr. Andrew Rynne

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Exp 50 years

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Hi doctor...i am suffering from erectile dysfunction ... Symptoms -

Answered by
Dr.
Dr. Prasad

General & Family Physician

Practicing since :2005

Answered : 3137 Questions

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Posted on Sat, 26 Jan 2019 in Men's Health
Question: Hi doctor...i am suffering from erectile dysfunction...
Symptoms - I am not able to maintain hardness of my penis till the time of penetration...i get hard but not able to maintain it for pleasureabal intercourse...please help me?
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Follow up: Dr. Prasad 0 minute later
Hi doctor...i am suffering from erectile dysfunction...
Symptoms - I am not able to maintain hardness of my penis till the time of penetration...i get hard but not able to maintain it for pleasureabal intercourse...please help me?
doctor
Answered by Dr. Prasad 2 hours later
Brief Answer:
? Performance anxiety...

Detailed Answer:
Hi,

I understand your concerns. Most often erectile dysfunction is related to performance anxiety. I'd suggest starting tadalafil 10mg an hour before intercourse and see if that helps. In the meanwhile you might also consider visiting a doctor - urologist / XXXXXXX to see if there are other treatable causes.

Hope this helps. Let me know if you need clarifications.

Regards
Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Prasad 0 minute later
Brief Answer:
? Performance anxiety...

Detailed Answer:
Hi,

I understand your concerns. Most often erectile dysfunction is related to performance anxiety. I'd suggest starting tadalafil 10mg an hour before intercourse and see if that helps. In the meanwhile you might also consider visiting a doctor - urologist / XXXXXXX to see if there are other treatable causes.

Hope this helps. Let me know if you need clarifications.

Regards
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Prasad 6 minutes later
Sir can you tell me few tips like fruits that i should eat... things i should and shouldn't do to improve this situation? like i wanted to know few natural things that can help me in this situation?
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Follow up: Dr. Prasad 0 minute later
Sir can you tell me few tips like fruits that i should eat... things i should and shouldn't do to improve this situation? like i wanted to know few natural things that can help me in this situation?
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Follow up: Dr. Prasad 2 minutes later
sir one more thing that the medicine suggested by you is just of 10 mg or medicine name is tadlafil 10 mg? dont you think its less mg?
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Follow up: Dr. Prasad 0 minute later
sir one more thing that the medicine suggested by you is just of 10 mg or medicine name is tadlafil 10 mg? dont you think its less mg?
doctor
Answered by Dr. Prasad 44 hours later
Brief Answer:
Stay relaxed and calm

Detailed Answer:
Hi,

As I mentioned in the earlier reply, most likely erectile dysfunction is related to anxiety, stress and performance / results anxiety. Staying relaxed and calm is more important than diet. This is the most important treatment aspect if you wish to treat it naturally.

Talk to your partner and discuss the issue. It will ease your mind and the performance related issue. It will improve erection problem.

As far as medication is concerned, if necessary tadalafil dose may be increased to 20mg; but I would start with 10mg first. You can discuss with your local doctor about the medication.

Hope this helps. Let me know if you need clarifications.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Prasad 0 minute later
Brief Answer:
Stay relaxed and calm

Detailed Answer:
Hi,

As I mentioned in the earlier reply, most likely erectile dysfunction is related to anxiety, stress and performance / results anxiety. Staying relaxed and calm is more important than diet. This is the most important treatment aspect if you wish to treat it naturally.

Talk to your partner and discuss the issue. It will ease your mind and the performance related issue. It will improve erection problem.

As far as medication is concerned, if necessary tadalafil dose may be increased to 20mg; but I would start with 10mg first. You can discuss with your local doctor about the medication.

Hope this helps. Let me know if you need clarifications.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prasad 3 hours later
Sir as you prescribed Tadlafil 10 mg which is a temporary treatment.Is there any permanent treatment for the Erectile Dysfunction? please suggest medicines/set of medicines for permanent cure for this problem?
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Follow up: Dr. Prasad 0 minute later
Sir as you prescribed Tadlafil 10 mg which is a temporary treatment.Is there any permanent treatment for the Erectile Dysfunction? please suggest medicines/set of medicines for permanent cure for this problem?
doctor
Answered by Dr. Prasad 20 hours later
Brief Answer:
Treating the cause is the permanent soluttion.

Detailed Answer:
Treating the cause is the permanent solution.

As I mentioned earlier the most common cause found in most men is performance anxiety. You deal with it and the erection problem improves. Sometimes other causes are found. It includes medications, smoking, vascular defects, endocrine and hormonal abnormality and so on. Your local doctor will be able to evaluate for these causes once you meet one.

Until you get the cause sorted, you can continue to use tadalafil.

Hope this helps. Let me know if you need any more clarifications.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Prasad 0 minute later
Brief Answer:
Treating the cause is the permanent soluttion.

Detailed Answer:
Treating the cause is the permanent solution.

As I mentioned earlier the most common cause found in most men is performance anxiety. You deal with it and the erection problem improves. Sometimes other causes are found. It includes medications, smoking, vascular defects, endocrine and hormonal abnormality and so on. Your local doctor will be able to evaluate for these causes once you meet one.

Until you get the cause sorted, you can continue to use tadalafil.

Hope this helps. Let me know if you need any more clarifications.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prasad 5 days later
Hi Sir, Will having 2.5 mg of Tadlafil everday will permanently cure my problem of Erectile Dysfunction?
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Follow up: Dr. Prasad 0 minute later
Hi Sir, Will having 2.5 mg of Tadlafil everday will permanently cure my problem of Erectile Dysfunction?
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Follow up: Dr. Prasad 2 minutes later
If no then let me know some medication other than natural cure of Anxiety problem which will take time a lot... whos regular use will improve problem of ED Medically?
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Follow up: Dr. Prasad 0 minute later
If no then let me know some medication other than natural cure of Anxiety problem which will take time a lot... whos regular use will improve problem of ED Medically?
doctor
Answered by Dr. Prasad 28 hours later
Brief Answer:
Tadalafil is symptom relief option...

Detailed Answer:
Hi,

As I mentioned earlier tadalafil is given to help you achieve and maintain erection. It is not a pill that is to be used every day, only before the planned sexual intercourse; may be once a week or once in two weeks.

I understand you are looking to address the problem and get a permanent solution. It begins by understand the cause. Anxiety as mentioned earlier is the common problem but other causes need to be ruled out. You should visit an urologist / sexologist if brief use of tadalafil doesn't rectify the problem. I'd suggest to try tadalafil for 2-3 months and if things don't get better, see a doctor. Specific long term treatment can be planned accordingly.

Hope this helps. Let me know if you need clarifications.

Regards
Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Prasad 0 minute later
Brief Answer:
Tadalafil is symptom relief option...

Detailed Answer:
Hi,

As I mentioned earlier tadalafil is given to help you achieve and maintain erection. It is not a pill that is to be used every day, only before the planned sexual intercourse; may be once a week or once in two weeks.

I understand you are looking to address the problem and get a permanent solution. It begins by understand the cause. Anxiety as mentioned earlier is the common problem but other causes need to be ruled out. You should visit an urologist / sexologist if brief use of tadalafil doesn't rectify the problem. I'd suggest to try tadalafil for 2-3 months and if things don't get better, see a doctor. Specific long term treatment can be planned accordingly.

Hope this helps. Let me know if you need clarifications.

Regards
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Prasad 35 minutes later
Doctor i am facing heat burn in stomach...how i can treat it with natural foods?
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Follow up: Dr. Prasad 0 minute later
Doctor i am facing heat burn in stomach...how i can treat it with natural foods?
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Follow up: Dr. Prasad 29 minutes later
sir this heatburn usually happens after urination...please help?
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Follow up: Dr. Prasad 0 minute later
sir this heatburn usually happens after urination...please help?
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Follow up: Dr. Prasad 1 minute later
also i want to know is it some how related to Erectile Dysfunction problem and how i can cure it? please let me know through medicines and most importantly naturally? how i can overcome these naturally?
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Follow up: Dr. Prasad 0 minute later
also i want to know is it some how related to Erectile Dysfunction problem and how i can cure it? please let me know through medicines and most importantly naturally? how i can overcome these naturally?
doctor
Answered by Dr. Prasad 21 hours later
Brief Answer:
Can you locate the area of discomfort??

Detailed Answer:
Can you locate where it hurts? Is it above the belly button or below? On the right/left or center?
Are you passing urine frequently?
Since when did you notice the problem of burning?

Awaiting answers to the above 3 questions.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Prasad 0 minute later
Brief Answer:
Can you locate the area of discomfort??

Detailed Answer:
Can you locate where it hurts? Is it above the belly button or below? On the right/left or center?
Are you passing urine frequently?
Since when did you notice the problem of burning?

Awaiting answers to the above 3 questions.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prasad 1 hour later
below belly button sir... sometimes left... sometimes right... sometimes whole of stomach...yes i am passing urine frequently...last 15-20 days
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Follow up: Dr. Prasad 0 minute later
below belly button sir... sometimes left... sometimes right... sometimes whole of stomach...yes i am passing urine frequently...last 15-20 days
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Follow up: Dr. Prasad 26 minutes later
but sir i feel it above belly button as well...is it somehow related to sexual or no? please clear me this point? please help
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Follow up: Dr. Prasad 0 minute later
but sir i feel it above belly button as well...is it somehow related to sexual or no? please clear me this point? please help
doctor
Answered by Dr. Prasad 2 days later
Brief Answer:
not related to sexual issue...

Detailed Answer:
Hi,

Increased frequency of urination with pain (burning) could be due to urinary tract infection. I'd suggest to get urine routine tests along with culture and sensitivity done. You can contact your local doctor and get the test done.
I would also suggest to get blood sugar tested if you haven't tested any recently.

In addition, I would also start esomeprazole + levosulpride (Tab Sompraz L) twice daily half an hour before food intake. It will benefit you.

Hope this helps. Let me know if you need clarifications.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Prasad 0 minute later
Brief Answer:
not related to sexual issue...

Detailed Answer:
Hi,

Increased frequency of urination with pain (burning) could be due to urinary tract infection. I'd suggest to get urine routine tests along with culture and sensitivity done. You can contact your local doctor and get the test done.
I would also suggest to get blood sugar tested if you haven't tested any recently.

In addition, I would also start esomeprazole + levosulpride (Tab Sompraz L) twice daily half an hour before food intake. It will benefit you.

Hope this helps. Let me know if you need clarifications.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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