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Suggest Treatment For Erectile Dysfunction
Question: I'm 45 and in a great marriage and normally would have sex ~3 times per week. However for the past 18-24 months, my erection quality has really taken a hit. It doesn't stop our sex lives, but its really is frustrating and takes away from what it could be. And its constantly on my mind on how to fix it. Here are my main of my problems:
1. The glans doesn't inflate until the moment I'm climaxing
2. The underside, the corpus spongiosum, also does not fill up and get as firm as it used to. I realize its not supposed to get as hard as the cavernosa.
3. When I lay on my back, I go from a 90% erection to a 75 or 80%.
I've tried things like cialis and viagra, l-arginine and they don't do anything for the CS/glans problem, or the lying down on my back problem.
I had an event about 6 months ago where I took a large does of L-Arginine and had an amazing erection. It literally looked bigger than when I was a teenager, longer and thicker. My wife even commented on it. The glans was full, everything was perfect. Since then i've tried to duplicate it and have not been able to.
1. The glans doesn't inflate until the moment I'm climaxing
2. The underside, the corpus spongiosum, also does not fill up and get as firm as it used to. I realize its not supposed to get as hard as the cavernosa.
3. When I lay on my back, I go from a 90% erection to a 75 or 80%.
I've tried things like cialis and viagra, l-arginine and they don't do anything for the CS/glans problem, or the lying down on my back problem.
I had an event about 6 months ago where I took a large does of L-Arginine and had an amazing erection. It literally looked bigger than when I was a teenager, longer and thicker. My wife even commented on it. The glans was full, everything was perfect. Since then i've tried to duplicate it and have not been able to.
Brief Answer:
More information required
Detailed Answer:
Dear,
Welcome to HCM
As I can understand here your major problem is concerned regarding not able to obtain complete erection like before.
Before committing to any opinion, I would need to know
1) are you taking any drug for erection other than mentioned, any dope before sex?
2) are you having hypertension or diabetes, smoking problem?
3) any medications for any other medical problem?
4) is this problem bothering you severe enough to cause anxiety prior to sex?
5 are you both satisfied with your sexual life?
Information in these regards will help and is required
Kindly follow up with answers.
Thank you
Regards
More information required
Detailed Answer:
Dear,
Welcome to HCM
As I can understand here your major problem is concerned regarding not able to obtain complete erection like before.
Before committing to any opinion, I would need to know
1) are you taking any drug for erection other than mentioned, any dope before sex?
2) are you having hypertension or diabetes, smoking problem?
3) any medications for any other medical problem?
4) is this problem bothering you severe enough to cause anxiety prior to sex?
5 are you both satisfied with your sexual life?
Information in these regards will help and is required
Kindly follow up with answers.
Thank you
Regards
Above answer was peer-reviewed by :
Dr. Yogesh D
1) are you taking any drug for erection other than mentioned, any dope before sex?
I'm not taking any drugs. Occasionally, I'll try more L-arginine about 20-30 minutes before sex.
2) are you having hypertension or diabetes, smoking problem? - No
3) any medications for any other medical problem? - No
4) is this problem bothering you severe enough to cause anxiety prior to sex?
I would say a bit of anxiety. But more so the pleasure is diminished. The glans is very sensitive and when it doesn't inflate, there is less friction and less feeling.
5 are you both satisfied with your sexual life?
My wife says she is. I could use a bit more variety and "spice", but I'm still very attracted to her.
I'm not taking any drugs. Occasionally, I'll try more L-arginine about 20-30 minutes before sex.
2) are you having hypertension or diabetes, smoking problem? - No
3) any medications for any other medical problem? - No
4) is this problem bothering you severe enough to cause anxiety prior to sex?
I would say a bit of anxiety. But more so the pleasure is diminished. The glans is very sensitive and when it doesn't inflate, there is less friction and less feeling.
5 are you both satisfied with your sexual life?
My wife says she is. I could use a bit more variety and "spice", but I'm still very attracted to her.
Brief Answer:
no apparent cause, further investigations might help
Detailed Answer:
thanks for the information.
Well, from your information it appears, that there are no apparent reasons to suggest any erectile dysfunction. by definition if you are able to have sex and if both the partners are satisfied with each others, in such case there is no dysfunction.
In ability to maintain erection as before could however be a very subjective. Besides excessive use of performance enhancing drugs like L arginine , viagra, cialis may produce tolerance and on withdrawal of which there could be failure to perform similarly as before.
To suggest you any, I would say
1) Get investigated for LIPID PROFILE, thyroid function test,
2) Blood sugar levels, to rule out diabetes.
3) Avoid any use of performance enhancing medicines, use only on doctors advice.
If it continue to create mental tension and anxiety I would suggest you to visit a local sexologist expert.
no apparent cause, further investigations might help
Detailed Answer:
thanks for the information.
Well, from your information it appears, that there are no apparent reasons to suggest any erectile dysfunction. by definition if you are able to have sex and if both the partners are satisfied with each others, in such case there is no dysfunction.
In ability to maintain erection as before could however be a very subjective. Besides excessive use of performance enhancing drugs like L arginine , viagra, cialis may produce tolerance and on withdrawal of which there could be failure to perform similarly as before.
To suggest you any, I would say
1) Get investigated for LIPID PROFILE, thyroid function test,
2) Blood sugar levels, to rule out diabetes.
3) Avoid any use of performance enhancing medicines, use only on doctors advice.
If it continue to create mental tension and anxiety I would suggest you to visit a local sexologist expert.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.
Above answer was peer-reviewed by :
Dr. Pradeep Vitta
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