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Suggest Treatment For Erectile Dysfunction
Question: Hello doctor,
I am 38 year old male with no ailments whatsoever. I go to gym,and have a healthy life. But I am facing problem with my sex life lately. I do have erection, but I am not able to sustain it for long and have steamy sex session with my wife. It affects my confidence. I last for 3 to 5 mins..and not able to try any other position than missionary, as soon as I try to change position.. I lose my erection. Though as much I wish to make it happen .. I don't get erection to satisfy my wife. My wife has been very supportive, but I know I am missing something. Shall I try Viagra? Please suggest
I am 38 year old male with no ailments whatsoever. I go to gym,and have a healthy life. But I am facing problem with my sex life lately. I do have erection, but I am not able to sustain it for long and have steamy sex session with my wife. It affects my confidence. I last for 3 to 5 mins..and not able to try any other position than missionary, as soon as I try to change position.. I lose my erection. Though as much I wish to make it happen .. I don't get erection to satisfy my wife. My wife has been very supportive, but I know I am missing something. Shall I try Viagra? Please suggest
Brief Answer:
Please provide more details
Detailed Answer:
Dear XXXXXXX
Thanks for using Health Care Magic.
I read your query and understand your concerns.
Before we can make any conclusions I request you to provide following details so an impression can be made about the cause of problem.
1. How long you are facing this problem (ED) ?
2. How the problem started whether it was sudden in onset or build up slowly over the months or years?
3. Frequency of the problem in a week/month ?
4. In a typical month out of what number of sexual interactions/masturbation ?
5. What are the factors that increase the problem other than position?
6. Factors that relieve the problem- thoughts, situations, partner, place etc.
7. Do you get early morning erection?
8. If yes how frequent and how intense?
9. Effect on your relationship so far due to problem
10. Details of medical illness, like duration, any complications, treatment received till date.
11. Medications you are receiving currently, if any including ayurvedic homeopathic or any other.
12. Medication you received in past and their effect?
13. Do you have any psychiatric illness (like anxiety, depression, fear)?
14. Investigations done till date and reports of most latest investigations- serum testosterone, TSH, T3, T4 and any other?
I must assure you that once we identify cause it will be easy to correct it.
I look forward to see more details.
Thanks and regards
Please provide more details
Detailed Answer:
Dear XXXXXXX
Thanks for using Health Care Magic.
I read your query and understand your concerns.
Before we can make any conclusions I request you to provide following details so an impression can be made about the cause of problem.
1. How long you are facing this problem (ED) ?
2. How the problem started whether it was sudden in onset or build up slowly over the months or years?
3. Frequency of the problem in a week/month ?
4. In a typical month out of what number of sexual interactions/masturbation ?
5. What are the factors that increase the problem other than position?
6. Factors that relieve the problem- thoughts, situations, partner, place etc.
7. Do you get early morning erection?
8. If yes how frequent and how intense?
9. Effect on your relationship so far due to problem
10. Details of medical illness, like duration, any complications, treatment received till date.
11. Medications you are receiving currently, if any including ayurvedic homeopathic or any other.
12. Medication you received in past and their effect?
13. Do you have any psychiatric illness (like anxiety, depression, fear)?
14. Investigations done till date and reports of most latest investigations- serum testosterone, TSH, T3, T4 and any other?
I must assure you that once we identify cause it will be easy to correct it.
I look forward to see more details.
Thanks and regards
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Hello Doctor,
Please find my response below to your queries.
1. How long you are facing this problem (ED) ? XXXX(0000): It been more than a year now.
2. How the problem started whether it was sudden in onset or build up slowly over the months or years? XXXX 0000: It is built up over years.
3. Frequency of the problem in a week/month ? When I have errection, I have to haste to complete the action, else errection dies down.
4. In a typical month out of what number of sexual interactions/masturbation ? XXXX 0000: I make love atleast twice a week (mostly on weekends, and I face this problem)
5. What are the factors that increase the problem other than position? XXXXX 0000: As soon as I stand, it begins to die down. IF I am lying down on bed, I have better performance. All my activities happen on bed only. Unable to experiment.
6. Factors that relieve the problem- thoughts, situations, partner, place etc. XXXXX 0000: When I am on vacation, dont have this problem.
7. Do you get early morning erection? XXXXX 0000: Yes I have a good early morning errection, but wife prefers to do it at night before sleep.
8. If yes how frequent and how intense? XXXX 0000: 90% of times I wake up with an errection.
9. Effect on your relationship so far due to problem. XXXX 0000: Not significant, but shatters my confidence.
10. Details of medical illness, like duration, any complications, treatment received till date.XXXX 0000: No ailments, No Illness.
11. Medications you are receiving currently, if any including ayurvedic homeopathic or any other. XXXXX 0000: I tried StayON capsules
12. Medication you received in past and their effect? XXXX 0000: I tried StayON and Zandu Vigorex, but not much effect.
13. Do you have any psychiatric illness (like anxiety, depression, fear)? XXXX0000: No illness
14. Investigations done till date and reports of most latest investigations- serum testosterone, TSH, T3, T4 and any other? XXXX0000: No tests done lately.
Please find my response below to your queries.
1. How long you are facing this problem (ED) ? XXXX(0000): It been more than a year now.
2. How the problem started whether it was sudden in onset or build up slowly over the months or years? XXXX 0000: It is built up over years.
3. Frequency of the problem in a week/month ? When I have errection, I have to haste to complete the action, else errection dies down.
4. In a typical month out of what number of sexual interactions/masturbation ? XXXX 0000: I make love atleast twice a week (mostly on weekends, and I face this problem)
5. What are the factors that increase the problem other than position? XXXXX 0000: As soon as I stand, it begins to die down. IF I am lying down on bed, I have better performance. All my activities happen on bed only. Unable to experiment.
6. Factors that relieve the problem- thoughts, situations, partner, place etc. XXXXX 0000: When I am on vacation, dont have this problem.
7. Do you get early morning erection? XXXXX 0000: Yes I have a good early morning errection, but wife prefers to do it at night before sleep.
8. If yes how frequent and how intense? XXXX 0000: 90% of times I wake up with an errection.
9. Effect on your relationship so far due to problem. XXXX 0000: Not significant, but shatters my confidence.
10. Details of medical illness, like duration, any complications, treatment received till date.XXXX 0000: No ailments, No Illness.
11. Medications you are receiving currently, if any including ayurvedic homeopathic or any other. XXXXX 0000: I tried StayON capsules
12. Medication you received in past and their effect? XXXX 0000: I tried StayON and Zandu Vigorex, but not much effect.
13. Do you have any psychiatric illness (like anxiety, depression, fear)? XXXX0000: No illness
14. Investigations done till date and reports of most latest investigations- serum testosterone, TSH, T3, T4 and any other? XXXX0000: No tests done lately.
Brief Answer:
It seems more of psychogenic Erectile dysfunction
Detailed Answer:
Dear XXXXXXX
Thanks for reverting back to me.
I have reviewed your answers and there is ample evidence of Psychogenic Erectile dysfunction which means there is no structural abnormality but stress and low confidence is responsible for failure.
I must inform you that medications have little role in this and it will be appropriate to go for counselling.
I hope this helps you.
If you have more questions feel free to write back to me.
If not please close the query and rate the answer for my future patients.
Thanks and regards.
It seems more of psychogenic Erectile dysfunction
Detailed Answer:
Dear XXXXXXX
Thanks for reverting back to me.
I have reviewed your answers and there is ample evidence of Psychogenic Erectile dysfunction which means there is no structural abnormality but stress and low confidence is responsible for failure.
I must inform you that medications have little role in this and it will be appropriate to go for counselling.
I hope this helps you.
If you have more questions feel free to write back to me.
If not please close the query and rate the answer for my future patients.
Thanks and regards.
Above answer was peer-reviewed by :
Dr. Yogesh D
Hello Doctor,
Thanks for the advice. But that seems a long term solution. For short term can i take pills like viagra? can u suggest someone for councelling in XXXXXXX
regards
XXXXX
Thanks for the advice. But that seems a long term solution. For short term can i take pills like viagra? can u suggest someone for councelling in XXXXXXX
regards
XXXXX
Brief Answer:
Yes it can be taken
Detailed Answer:
Dear XXXXXXX
Thanks for reverting back to me.
For time being Viagra 25 mg can be taken but as I said it is no a solution and need to be avoided. It will give you a good strength and confidence to perform adequately in bed.
In regard to counselors in XXXXXXX this website do not permit me to name any doctor or hospital. The service is available almost all the hospitals attached to medical colleges and big hospitals from government as well as private sector.
Hope I am able to answer your concerns.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for my future patients.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.
Yes it can be taken
Detailed Answer:
Dear XXXXXXX
Thanks for reverting back to me.
For time being Viagra 25 mg can be taken but as I said it is no a solution and need to be avoided. It will give you a good strength and confidence to perform adequately in bed.
In regard to counselors in XXXXXXX this website do not permit me to name any doctor or hospital. The service is available almost all the hospitals attached to medical colleges and big hospitals from government as well as private sector.
Hope I am able to answer your concerns.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for my future patients.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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