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Suffering from erectile dysfunction. What treatment is required?

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Practicing since : 2003
Answered : 2190 Questions
Hello Dr, My penis temper losing when trying to enter. Only one time is getting temper when trying to enter. if the penis comes out (i am not saying sperm out),after that it is not getting temper and also not tempered when i wake up. i feel some difference about temper.Please advice on this. Thanks Cecil
Posted Sun, 18 Nov 2012 in Erectile Dysfunction
Answered by Dr. Jonas Sundarakumar 51 minutes later
Hello and welcome to Healthcare Magic. Thanks for your query.

Your sexual problem is Erectile Dysfunction. This is the most common sexual problem in men. Now, there can be a variety of causes for this problem and often multiple factors are involved. So, the first and most important step in management is a comprehensive evaluation. This will include a detailed medical, sexual, personal and social history, a thorough physical examination and certain investigations, as per the necessity. This is both informative to the doctor and serves as an opportunity to educate the patient and clarify his doubts.

Firstly, any organic or medical causes (like diabetes, vascular diseases, hormonal disorders, etc.) need to be ruled out. For this, you may need to undergo a few blood tests. Sometimes, patients are also advised to have a nocturnal penile tumescence testing done (this test helps to differentiate between medical and psychological causes).

Secondly, treatment is targetted according to the findings on evaluation. If there are any underlying medical problems resulting in the erectile dysfunction, then those problems have to be first treated. Also, there are certain medication which improve the blood flow to the penis and promote better erection, such as Sildenafil, Vardenafil and Tadalafil. It is important to remember that treatment involves a wholistic approach to the problem, which takes into consideration medical, psychological and social factors which are often interlinked.

I would also like to let you know that in more than 80% of cases of erectile dysfunction, psychological factors also play a major role in causing or aggravating the problem. Performance anxiety, feelings of sexual indequacy, self-doubts, guilt, past negative sexual experiences, poor communication / understanding with the partner, etc. can all affect sexual functioning and performance. So, removing the person's doubts and fears, and improving his self-confidence levels will also definitely help in improving sexual performance.

So, I would advise you to consult a psychiatrist and have a detailed assessment and evaluation done. Also, avoid alcohol, smoking or any unecessary medication and try to stay stress-free and positive.

Wish you all the best.

- Dr. Jonas Sundarakumar
Consultant Psychiatrist
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