Brief Answer:
See detail below

Detailed Answer:
Hello,

Thank you very much for writing me directly follow up.

First late me know how many days have you taken? If for 20 days and no response,less likely that it will help but if not taken, go for 20 -25 days.

I read questions and answers given by me and other doctor for ED.

I noticed that other doctor has told you PDE-5 inhibitor like viagra is contraindicated in your case.But I do not think so.Yes sildenafil can cause problem ,if you have hypertension(blood pressure)but tadalafil is not contraindicated even if you have hypertension, just your blood pressure should be under control.

The most important part is ," you can masturbate".It suggest your physiological system for sex is working well.For confirmation of this penile Doppler can be done.And with help of sexual counselling as I mentioned in previous discussion, you may have some improvement without medicines also.

In brief, If I were your treating doctor, I will go for tadalafil 10 to 20 mg on required basis initially for early result after physical check up with simultaneous application of sexual counselling.For this, consultation of sexologist in personal required.

I found your location in bahrain.I can understand your concern to consult doctor considering religiosity prevailing there and I respect the same.I am not personally aware about any sexologist there, otherwise I have surely recommended you.

I will be happy to help further,
regards,
Dr.Chintan Solanki.

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Brief Answer:
Ok.But see for other options also

Detailed Answer:
Hello,

Yes continue for more10-15 days.Many of my patients responded afrer 20 days.In diabetes patients ,I got results in almost 50-60% among them.Hope you will be in one of them.I have given name of drug which has been marketed in XXXXXXX by Sun Pharma only.

And please note all the points what I have narrated in answer so you can move forward also if above medicine by chance not works.

All the best,
Dr.Chintan Solanki..

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