Brief Answer:
you need treatment for depression, stop smoking

Detailed Answer:
Dear XXXXXXX

Thanks for writing to us.

You have very well narrated your problem. From history it is clear that your erection problem is not primary. You are in stress and that is the factor responsible for your erection problem.It is psychological problem than physical problem.

It seems that you are suffering from depression. You have adapted masturbation as a stress relieving factor rather than pleasurable act. In general masturbation is natural and normal thing. It is done by 95% of the males in the world, mostly before marriage as well as when wife is away, in menses or pregnant after marriage. It is not at all harmful. Frequency of masturbation done by an individual varies from once a day to once a week. It depends upon individual libido, wish and timing. It neither causes any weakness nor any problem in sexual activity.However when it is used as stress coping mechanism or becomes compulsion should be treated.

Erectile dysfunction is due due to depression and in that case depression should be treated first.
Smoking is also increased. Smoking it self is also wrong stress relieving factor and contributes to erectile dysfunction. So you need to stop smoking also.

Being bisexual is not a disorder but it is problem when social issues arise. At present I suggest to use condom always. If you feel it is abnormal it can be corrected with counseling and behavior therapy.

Eyesight problem and hair fall can be due to stress, depression, hormonal changes.

Ultimately you need to consult psychiatrist. Detail history and mental status examination are needed to diagnose problem. Doctor can treat your depression, erectile problem as well as do deaddiction of smoking. Medicines and detail psychotherapy are needed to make you normal.

You are very young and aware about your problems. I am sure that you can live normal life after treatment.

Hope this answer is helpful and feel free to discuss further. And yes sorry for delayed response due to some technical reason.

Regards,
Dr.Chintan Solanki.

---

Brief Answer:
let me know your location

Detailed Answer:
Hi,

Most of the medicines for psychiatric problems and erectile dysfunction are prescription medicines and you cannot get the same without legal written prescription.
Online prescription is not valid. I am sorry for limitation from our side. It is better to take medicine after consulting local doctor so any side effect occurs by chance doctor can provide immediate help.

If I were your treating doctor from available history I would like to start bupropion or desvenlafaxine with low dose anti anxiety benzodiazepine. Some vitamin supplement like tetrafol plus also can be added.I would also like to counsel for smoking deaddiction and masturbation control.
You also need to take regular meals, do exercise daily and enough sleep and all of these should be done at scheduled time.

Please let me now your exact location so I can suggest you some psychiatrist.

Take care.

---

Brief Answer:
you consult one of the following doctors

Detailed Answer:
Hi XXXXXXX

I can understand your situation. I have already mentioned limitation from my side about prescription of medicines. And I would like to evaluate further then only I can suggest specific treatment. I have mentioned medicines which are likely going to help in your problem for all aspects like depression, erection problem and deaddiction. As well as to counsel you on this forum is not feasible.

Please consult psychiatrist personally.

You can find psychiatrist near to you with following link.

http://doctor.healthcaremagic.com/doctors/Psychiatrists-in-Ghaziabad/L19412S35

Among them Dr. N. K XXXXXXX and Dr. XXXXXXX Bansal I would prefer.

Yes you can take viagra or cialis after consulting doctor. But main treatment is needed for depression.


All the best.

---