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Suggest Treatment For Erectile Dysfunction

Posted on Thu, 28 Sep 2017

Question: for the past months i have been experiencing e.d. symptoms. i woke up one morning had sex just fine later that afternoon wouldnt work and its been like that since...literally out of know where. i still get hard enough to pemetrate but its know where near normal...i went and saw a dr. who ordered blood tests which came back normal test levels were also within range... he prescribed me viagra to see if it would jump start me and no difference hard but not to full potential... i am a diagnosed bipolar manic which comes with depression and anxiety and i am currently going through a situation which has increased these symptoms BUT ive dealt with those issues my whole life before finally getting help and never had this problem...i dont know which way to go now and im wondering if its permanent ezpecially being this young

Answered by Dr. Dr. Muhammad Sareer Khalil (1 hour later)

Brief Answer:
Erectile dysfunction

Detailed Answer:
Hello and Welcome

I appreciate your concern

Based on your description, I don't believe its permanent. I would advise psychotherapy sessions in addition to the sildenafil which is advised. If there is no organic cause such as diabetes or peripheral arterial disease or peripheral neuropathy the a psychological cause is most likely. The medication you are taking need to be assessed if there is any adverse effect related to ED. If sildenafil doesn't work then tadalafil can be tried. I would advise you to consume at least 4 almonds and cashew nuts daily with a glass of warm milk, if available. Most likely you will get back on track sooner than expected.

Wishing you best of health

Thanks

Let me know if you have any query

Please consult your doctor before deciding on any further course of action.

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Dr. M.S. Khalil

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (42 minutes later)

im am currently not and have not been on my prescribed medication for the bipolar manic situation i took myself off over a year ago so it cant be that.... im really put of ideas here and dont know who i should go see...viagra is so expensive and its not making my situation any better same results hard but not completely hard....my fiance says its fine but it is bothering me more than anything because it has effected how and where we can do it....and when recieving oral goes completely soft....and if i dont act right away when i am hard it will go soft fairly quickly...i also realized i dont wake up with an erection anymore at all....my sex drive is fine i want to and have the urge to....is there someone specifically i should see for further tests or should i go back and start seeing my pyschiatrist??? i dont know what to do

Answered by Dr. Dr. Muhammad Sareer Khalil (21 hours later)

Brief Answer:
Explained

Detailed Answer:
Hello again

I would advise you to go back to your psychiatrist if no organic cause is identified and viagra isn't giving much benefit. If you were not having ED issues while on the bipolar meds then perhaps you should consider restarting them in consultation with your doctor.

Thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (19 minutes later)

ok....so what i am describing is this permanent and also is there a specific type of dr. i should see that might be able to do further testing?

Answered by Dr. Dr. Muhammad Sareer Khalil (54 minutes later)

Brief Answer:
Explained

Detailed Answer:
Hello again

No, based on your description , its unlikely to be permanent.

A urologist with special interest in erectile dysfunction or a sexiologist can help you do further workup in this regard.

Thanks

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar