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Dr. Andrew Rynne

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Suggest treatment for erectile dysfunction

Answered by
Dr.
Dr. Ashok Kumar

Psychiatrist

Practicing since :2000

Answered : 2717 Questions

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Posted on Thu, 9 Mar 2017 in Sexual Health
Question: Hi Doctor,

For the past two months I am having erectile dysfuction. I am getting into the mood and could get excited but not able to sustain the erection during intercourse . Also, I cannot enjoy my sex life as I ejaculate very early. I am on statin and BP medicines. I am also alcoholic and smoker. my latest testosterene levels are 3.06 ng/ml. I am really worried . Please suggest me some good medicines . Can I opt for Dabur Shilajit gold ....is there any side effects..
doctor
Answered by Dr. Ashok Kumar 19 minutes later
Brief Answer:
Please provide more details

Detailed Answer:
Dear XXXX,
Thanks for using Icliniq.

I read your query and understand your concerns.

I request you to provide following information point wise so the diagnosis can be made and suitable remedy can be offered.

1. Have you experienced similar issues in the past?

2. How the problem started ? It was built up slowly or abruptly?

3. What could be the factor according to you for onset of problem?

4. Frequency of the problem in last one month ? What number of sexual intercourse/masturbation failed in last one month?

5. What are the factors that increase the problem?

6. Factors that relieve the problem- you can describe them in detail if any?

7. Do you get early morning erection?

8. If yes how frequent and how intense? Please answer this necessarily.

9. Details of past medical illnesses, like duration, any complications, treatment received till date.

10. Investigations done till date and reports - please attach them.

11. Do you have any psychiatric illness?

12.Any other problem you like to report

14. Your body weight and height


I must assure you that once we know the cause I can you guide you better in regard to treatment.

Thanks again

I look forward to see above details.
Thanks and regards.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Ashok Kumar 10 hours later
1. Have you experienced similar issues in the past?
I do not remember anything like that.

2. How the problem started ? It was built up slowly or abruptly?
It started slowly I guess for the last few months. Normally during winter I normally used to be highly sexual active . But this time it wasnt like that

3. What could be the factor according to you for onset of problem?
a) I was a bit dipressed due to my health (BP/Cholestrol).
b) Was not getting enough sexual support from my spouse.
c) Stress
d) A fear of early death due to health reasons.


4. Frequency of the problem in last one month ? What number of sexual intercourse/masturbation failed in last one month?
I normally used to be highly sexual active. For the past few months, I am getting exicted but could not hold on to the erection. Some times I feel that I do not even get stiffness while urinating may be it is in my mind. It failed couple of times where I was very active during foreplay but the could not thold on to the erection as soon as condom is put. I have to thrust a lot to get my self active to keep the erection but could not. I ejaculate but not satisfied.

5. What are the factors that increase the problem?
Not sure

6. Factors that relieve the problem- you can describe them in detail if any?
I mastrubate by seeing porn movies where I cum satisfactorily but still erection is not sustained.

7. Do you get early morning erection?
Yeah many times.

8. If yes how frequent and how intense? Please answer this necessarily.
Very frequest and it is intense some times. I get myself relived by watching porn before going to office.

9. Details of past medical illnesses, like duration, any complications, treatment received till date.
I have vertigo/sinusitis very often. Had H.Pylori infection a month back and gone through HP Kit. I am on BP and cholestrol medicines.

10. Investigations done till date and reports - please attach them.
Attached my last full check up details.

11. Do you have any psychiatric illness?
Some times, i get dipressed . I am alcoholic/chew tobacco/smoke

12.Any other problem you like to report

14. Your body weight and height
96KG/172 cm.

doctor
Answered by Dr. Ashok Kumar 1 hour later
Brief Answer:
Follow up

Detailed Answer:
Dear XXXX,
Thanks for reverting back to me with valuable details.

As per the available description there are multiple factors which might be affecting your sexual performance and each need to be tackled in efficient way

1. Stress
2. Smoking
3. Alcohol
4. High blood pressure
5. Cholesterol
6. Obesity


Although Dabur Shilajit is one option but it can not be considered as complete treatment due to multiple factors. In my opinion target your weight to 70 Kg and that could be the final solution for many of your issues. In addition there is need to stop alcohol and tobacco without giving a second thought. This is most important thing as stress, smoking spirit are the biggest killers of your sex life.

I hope this answers you.
If you have more questions I will be glad to assist you further.
If you do not have more questions, please close the discussion and if possible 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.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Ashok Kumar 1 hour later
Hi,

Thanks for your guidance. I will reduce my weight and gradually cut down on all the bad habits.


1) What are the dosages of Shilajit. How long will it should be taken . Does it have immediate effect.

2) Can I take Caverta 50 mg. How does it work. What are the side effect of it. Can I take it with my BP and Statin medicines. When it has to be taken.

3) Do you have any alternate medicines for now, which can simulate my sex life now. as it will give confidence to reduce weight and happy life. I am highly depressed

-XXXX XXXXXXX


doctor
Answered by Dr. Ashok Kumar 1 hour later
Brief Answer:
Folow up

Detailed Answer:
Dear XXXX,
Thanks for reverting back to me.

1. The dose of Shilajit depends on multiple factors including body weight, height, metabolism, general health and food choices. The dose is calibrated with starting from low and increasing till there is maximal effect. It acts naturally but not immediately. I must acknowledge that this part of question can be answered by a Ayurvedic doctor in better way.

2. I do not think Caverta is safe option when there is high blood pressure.

3. Cialis 5 mg after consulting your doctor as it will require prescription.

I hope this helps you.
Thanks again.


Above answer was peer-reviewed by : Dr. Kampana
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