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Suggest Treatment For Erectile Dysfunction While Planning For Pregnancy

Posted on Tue, 29 Aug 2023

Question: Hi I am asking on behalf of my husband. He is 32 year old facing erectile dysfunction from last 1 year. Tried ayurvedic medicine but doesn't work. His sperm count is good as checked. We are planning for baby. Please help

Answered by Dr. Soujanya (1 hour later)

Brief Answer:
My suggestion.

Detailed Answer:

Hi,

I advise you to get Doppler ultrasound done as normal erection mainly depends upon proper blood flow to the Penis on sexual arousal.

If this is normal, then we can think about nitric oxide production which helps in sustaining of erection.

And I would like to know some details about his medical condition like diabetes, hypertension etc. as it may play an important role in proper erection.

Depending on this, I can advise phosphodiesterase inhibitors like sildenafil if required as it helps in the production of nitric oxide.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Soujanya, Psychiatrist

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Soujanya (50 minutes later)

He doesn't have any disease you mentioned. He don't drink or smoke. He is alright.

Answered by Dr. Soujanya (2 hours later)

Brief Answer:
My suggestion.

Detailed Answer:

Hello,

So, that is fine as medically he is stable.

Get that investigation that is Doppler ultrasound done and if you feel he has any anxiety problem, please let me know to help you.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Soujanya, Psychiatrist

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Soujanya (1 hour later)

Ok I will get that done. gynecologist who is doing my treatment gave him penegra last month n said it's all mental issue. I am attaching medical test report which was done. Please don't disclose it publicaly

Answered by Dr. Soujanya (3 hours later)

Brief Answer:
My suggestion.

Detailed Answer:

Hello,

l couldn't find anything abnormal, all the parameters were normal.

So, let me know if he is anxious during sexual activity like any nervousness, lack of confidence, sweating etc.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Soujanya, Psychiatrist

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Soujanya (21 minutes later)

not exactly he said he wants to do it from inside but his penis don't support. usaka pet BHI kharab rahata hai as khane k bad he goes to toilet vo BHI din me 3 To 4 time. usake fart kafi smelly hire hai jaise khana sadata ho andar. baki to koi aise issue nai hai. He is normal

Answered by Dr. Soujanya (23 minutes later)

Brief Answer:
Then let him check his NPT once.

Detailed Answer:

Hello,

I understood that he is interested and may not be anxious.

We can get a clear idea if his NPT is normal.

That is pens get erected in the early mornings during sleep, which is a normal phenomenon occurs in males.

If this is normal, there is no doubt he would have probably some psychiatric issue.

Hope I have answered your query.

Regards,
Dr. Soujanya, Psychiatrist

Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Prasad