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Suggest Remedies For Erection Problem

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Posted on Mon, 3 Oct 2016
Question: I AM NOT GETTING PROPER ERECTION SINCE LAST 2 MONTHS.
doctor
Answered by Dr. Chintan Solanki (43 minutes later)
Brief Answer:
provide more details

Detailed Answer:
Hello XXXXXXX

Thanks for writing to us. I can understand your concern.

You have used only ayurvedic preparations for erection problem. Though they help in some cases there are no specific scientific studies to prove their effectiveness in erectile dysfunction.

To help you I need more information, let me know more details:

- Are you married?
If yes duration of marriage?And how was overall sex life with wife?
If not married, provide details about sex life with girlfriend. Where and in which circumstances you do sex?

- How did problem start? Any specific incidence was there?

- Do you pay more attention to erection while trying for intercourse?

- Do you have any physical illness?

- How is relationship with your partner? Any emotional or social problem is there?

- Is morning erection present?

- Is there any history of smoking or alcohol?

- Is there any difficulty in urinating?

- When did you do successful intercourse last?

- Is there any history of masturbation? If yes, how was pleasure/orgasm during masturbation?

- What type of neck and spine problem was there?Can you provide brief details (like MRI report)?

- What medication did you take for muscle spasm?

I will be happy to help further after your response.
Regards,
Dr.Chintan Solanki.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chintan Solanki (27 minutes later)
- Are you married? - yes.
If yes duration of marriage?And how was overall sex life with wife? - 10 yrs. pretty smooth until last 2 months.
If not married, provide details about sex life with girlfriend. Where and in which circumstances you do sex? NA.

- How did problem start? Any specific incidence was there?. EXPERIENCED FIRST TIME WHEN I WAS TAKING MEDICATION FOR MUSCLE SPASM.

- Do you pay more attention to erection while trying for intercourse? NO.

- Do you have any physical illness? NO.

- How is relationship with your partner? Any emotional or social problem is there? NO.

- Is morning erection present? FOR SOME DAYS IT HAD TOTALLY STOPPED. BUT AGAIN IT HAS STARTED RECENTLY. I HAVE ALSO STARTED HAVING WATER MELON, ONION, POMOGRENATE ALONG WITH XXXXXXX MEDICINE. MAY BE BECAUSE OF THE ABOVE.

- Is there any history of smoking or alcohol? ALCOHOL 2 -3 TIMES IN A YEAR.

- Is there any difficulty in urinating? NO.

- When did you do successful intercourse last? 2 MONTHS BACK.

- Is there any history of masturbation? If yes, how was pleasure/orgasm during masturbation? NORMAL. BUT THE ERECTION IS NOT HARD ENOUGH.

- What type of neck and spine problem was there?Can you provide brief details (like MRI report)? I HAD DONE ONLY X RAY. AND DOCTORS SAID IT WAS MUSCLE SPASM. I TOOK MEDICINES FROM 3-4 SPECIALIST BUT NOT MUCH RELIEF WAS THERE. THEN I WENT TO XXXXXXX THEY SAID IT IS FARTO VAA IN GUJRATI, MAY BE ATHRITIS IN ENGLISH I AM NOT SURE. AFTER TAKING THEIR MEDICINE I HAD RELIEF.

- What medication did you take for muscle spasm? THEY GAVE ME MUSCLE RELAXANT & PAIN KILLERS. SOME MEDICINES TO NAME : T. BACLOF OD 20;T. ZULU 4; TANZ;TIZAN 2;ROBINAXOL;PREDMET 4MG;AGOPOSE;NEVROKEM NT50;UGESIC;SIRDALUD 2MG;
doctor
Answered by Dr. Chintan Solanki (2 hours later)
Brief Answer:
likely side effect of drugs, go for serum testosterone level

Detailed Answer:
Hi,

Thanks for information.

Among the drugs you have taken baclofen can cause erection problem while predmet (methylprednisolone - a steroid) can cause hormonal disturbance and contribute to erectile dysfunction.

Lack of morning erection initially during the problem suggests possibility of low testosterone level.In that case you should go for Serum testosterone level : Fasting morning sample should be given and free and total testosterone should be assessed. If deficiency is there, supplement can be given.

Improvement in morning erection suggests there is no major problem and you will recover fast.

Treatment of Erectile dysfunction:

Medical treatment for ED:

5- PDE inhibitor group of medicines are used for this purpose which includes sildenafil or tadalafil. It is proven drug for male erectile dysfunction. One of them should be used 2 hours prior to sex. They cause headache, stuffy nose nausea and gastric discomfort like common side effects. Proper physical check-up of cardiac system should be done by a doctor before starting the same. These are prescription medicines and you need to consult doctor/psychiatrist/sexologist for the prescription.

Another medicine cum vitamin supplement containing pyridoxal-5-phosphate, mecobalamin and l-methylfolate (trade name tetrafol plus)is very helpful in my patients. It has shown improvement in 50-60 patients of mine. You should take it after meal twice a day. If you feel some improvement in 20 days you should continue for at least 2 months. You may get this medicine over the counter as it is vitamin product.

There are some natural lifestyle measures which help to improve blood flow to penis and overall sexual performance.

- The most important factor is healthy heart. Regular exercise and avoidance of fatty fast food are important measures to prevent heart disease. Regular walking, swimming or running overall improves blood flow to whole body circulation including penis and keep the mind fresh.

- Good healthy food is also an important aspect. Bananas, Garlic, dry fruits (they contains vitamins), eggs, cow milk, cow butter are good food which may help in erectile dysfunction.

- Avoid smoking and alcohol. Low amount of alcohol can help in increasing blood flow but more amount can cause opposite effects. So better to avoid the same.

I recommend tadalafil for fast relief in your case and tetrafol plus for overall long term improvement. You can continue ayurvedic medicines with these.In ayurvedic I suggest Tentex forte which is used for ED. You can take two capsules at night with milk for 1 month (if you would not take your current ayurvedic medicines).

Revert back to me with your testosterone level.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Chintan Solanki

Psychiatrist

Practicing since :2007

Answered : 2406 Questions

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Suggest Remedies For Erection Problem

Brief Answer: provide more details Detailed Answer: Hello XXXXXXX Thanks for writing to us. I can understand your concern. You have used only ayurvedic preparations for erection problem. Though they help in some cases there are no specific scientific studies to prove their effectiveness in erectile dysfunction. To help you I need more information, let me know more details: - Are you married? If yes duration of marriage?And how was overall sex life with wife? If not married, provide details about sex life with girlfriend. Where and in which circumstances you do sex? - How did problem start? Any specific incidence was there? - Do you pay more attention to erection while trying for intercourse? - Do you have any physical illness? - How is relationship with your partner? Any emotional or social problem is there? - Is morning erection present? - Is there any history of smoking or alcohol? - Is there any difficulty in urinating? - When did you do successful intercourse last? - Is there any history of masturbation? If yes, how was pleasure/orgasm during masturbation? - What type of neck and spine problem was there?Can you provide brief details (like MRI report)? - What medication did you take for muscle spasm? I will be happy to help further after your response. Regards, Dr.Chintan Solanki.