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Suggest treatment for erectile dysfunction and low libido

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Posted on Tue, 19 May 2015
Question: 68 year old male in good health. Happily married. About 6 months ago I began experiencing considerably
diminished libido. Erection disability. No cause identified. Saw Chief of Urology at UCSF who found no medical causes. Was it simply anxiety? Was suffering anxiety partially brought on by the loss of sexual interest and my wife's reaction, coupled with cutting out all alcohol consumption. Psychiatrist put me on Wellbutrin which seems to be helping energy and situational depression. Sill no marital activity. Began masturbating to see if problem could be self-corrected. No more difficulty achieving erections. But, a noticeable difficulty with orgasm. Sometimes achieved but with no ejaculate. More stress. Sometimes ejaculation but a sensation of
having to "force it" in order to achieve it....a new and troubling phenomenon for me. Thoughts?
doctor
Answered by Dr. Ashok Kumar (13 minutes later)
Brief Answer:
Seems more releted to anxiety

Detailed Answer:
Hello,
Thanks for using healthcaremagic.


I read your query and understand your concerns.

Since you are able to achieve erection while masturbation, it is clear that there is no organic cause.

Similarly decreased libido is generally caused by lowered testosterone level so it will be worthwhile to get lab reports for serum testosterone. If it is low it can be treated with supplementation.

Regarding forced orgasm/ejaculation it may be related to wellbutrin rather than anything else. The sexual side effects are common with wellbutrin and occur in around 20% of the patients.

So to conclude you need to take care of anxiety part particularly performance anxiety. It is also necessary to have non critical partner. for both these things please meet a sex therapist or psychologist in your city.

I hope this helps you.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards
DrAshok XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ashok Kumar

Psychiatrist

Practicing since :2000

Answered : 3262 Questions

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Suggest treatment for erectile dysfunction and low libido

Brief Answer: Seems more releted to anxiety Detailed Answer: Hello, Thanks for using healthcaremagic. I read your query and understand your concerns. Since you are able to achieve erection while masturbation, it is clear that there is no organic cause. Similarly decreased libido is generally caused by lowered testosterone level so it will be worthwhile to get lab reports for serum testosterone. If it is low it can be treated with supplementation. Regarding forced orgasm/ejaculation it may be related to wellbutrin rather than anything else. The sexual side effects are common with wellbutrin and occur in around 20% of the patients. So to conclude you need to take care of anxiety part particularly performance anxiety. It is also necessary to have non critical partner. for both these things please meet a sex therapist or psychologist in your city. I hope this helps you. If you have any further query, I would be glad to help you. If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback. In future if you wish to contact me directly, you can use the below mentioned link: http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386 Thanks and regards DrAshok XXXXXXX