Brief Answer:
need to stop smoking and alcohol

Detailed Answer:
Hello XXXXXXX

Thanks for writing to us.

Smoking and alcohol are the commonest factors responsible for erectile dysfunction(ED).10 cigarettes per day is high enough to cause hypertension(high blood pressure) in future and which in turn also cause ED.

With this performance anxiety is likely involve in your ED.

Proper Diagnosis of ED is made when during last 6 months most of attempts of sex(at least 70-80%) are not successful.

Sometime during young age initially male cannot perform once or twice. When person consider this failure as worry and after that every time when he goes for sex his mind constantly thinks about erection. For erection to be continuous constant erotic,exciting and romantic feelings should be there in mind. If your mind is diverted to some worry(like concern about erection) penis is going to lose the erection.

Your visit to massage parlors also suggests that you are concerned bout erection too much.

- First of all there is need to check your blood pressure.

- Let me know when you wake up morning erection is present there or not ?

- After above explanation do you feel that performance anxiety is playing role in your case?

- Since when are you facing such problem?

- How many times did you have perform good enjoyable intercourse?

- Are you ready to stop smoking and alcohol not for ED only but for your health and future?

Whatever the problem it is, treatment is there. I would like to inform you about treatment aspect after getting your answers.


Regards,
Dr.Chintan Solanki.

---

Brief Answer:
if you can masturbate well, your problem is psychological

Detailed Answer:
Hi XXXXXXX

Thanks for information.

You mentioned that you masturbate regularly.Masturbation is the same process like sex just method differs. What happens to penis in vagina during sex, same happens to penis in hand while masturbation. If you can masturbate well and enjoy orgasm then you can do sex that is for sure. And in that case your ED is psychological.
Blood pressure is normal. I appreciate your attitude to stop smoking and alcohol.

Treatment of ED is there.

5- PDE inhibitor group of medicines like sildenafil or tadalafil are used. One of them should be used 2 hours prior to sex. They causes headache,stuffy nose nausea and gastric discomfort like common side effects. Proper physical check up of cardiac system should be done by a doctor before starting the same.These are prescription medicines and you need to consult doctor/psychiatrist/sexologist for the prescription.

You can use another medicine cum vitamin supplement containing pyridoxal-5-phosphate, mecobalamin and l-methylfolate (trade name tetrafol plus)is very helpful in my patients. It has shown improvement in 50-60% patients of mine with ED.You should take it after meal twice a day. If you feel some improvement in 15 days you should continue for at least 1 month. You may get this medicine over the counter as it is vitamin product.

There are some natural lifestyle measures which help to improve blood flow to penis and overall sexual performance.

- The most important factor is healthy heart. Blood is pumped in to body by heart.So regular exercise and avoidance of fatty fast food are important measures to prevent heart disease. Regular walking, swimming or running overall improves blood flow to whole body circulation including penis and keep the mind fresh.

- Good healthy food is also an important aspect. Bananas, Garlic, dry fruits(they contains vitamins), eggs, cow milk, cow butter are good food which may help in erectile dysfunction.

- Avoid smoking and alcohol. Low amount of alcohol can help in increasing blood flow but more amount can cause opposite effects. So better to avoid the same.

In conclusion you need consultation of a psychiatrist.He can provide help for ED through sex counseling and medicines as well as for deaddcition of smoking and alcohol.

Hope this answers your query.I would like to help you further.

Regards,
Dr.Chintan Solanki.

---

Brief Answer:
This is not for ED, you can continue if you wish

Detailed Answer:
Hello XXXXXXX

Mecofeel is a multivitamin and serta is an antidepressant. They are not useful in your case. If you are feeling improvement in other aspects for whcih it has given, you can continue the same. But for only ED no need to continue.

Hope this answer will help.
If still any query there, I will be happy to answer. If not, you can close the discussion and if feasible give your feedback and rating so I can improve my service. In future you can contact me directly on this site if you wish with this link:
http://bit.ly/drchintansolanki
by clicking on 'Ask me a question' on same page.

All the best and wish you good health.

Dr.Chintan Solanki.

---

Brief Answer:
this is antidepressant therapy

Detailed Answer:
Hello,

Thanks for follow up.

Taloprex contains escitalopram which is an antidepressant. Bupon XL contains bupropion which is also an antidepressant. Quogress contains COENZYME Q10 150 MG+OMEGA-3 FATTY ACID 300 MG+VITAMIN E 100 MG which all are supplements.

This therapy in my opinion will work more for depression.You are in depression due to erectile dysfunction or due to depression you have erectile dysfunction that is to be confirmed. If depression is there before ED this is good treatment regimen. However if ED was first I suggest only bupron among this with terafol plus.

Feel free to discuss further.

---