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Suggest Treatment For Severe Erectile Dysfunction

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Posted on Wed, 2 Apr 2014
Question: Hello, I am a 40 year old male, excellent health, great diet and I exercise regularly. 6'4" 215lbs. I have recently been taking pre-workout supplements (stimulant powders, heavy Arginine, caffeine) and testosterone boosters (pill form) daily or almost daily. I also have seasonal spring allergies to pollen/etc. In the last few weeks, my sex drive has plummeted to almost nothing, and I am having severe erectile dysfunction. No matter how "hot" the situation, I am just not able to get or maintain a good erection. This also happened to me in spring of 2013. Same situation, similar supplements. I may see your answer coming, but could this be the result of the supplements? What can I do to restore sex drive/performance? Thank you so much!
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Answered by Dr. Abhishek Kapoor (37 minutes later)
Brief Answer: Supplements do not lead to erectile dysfunction Detailed Answer: Hi Thanks for using healthcare magic. I, Dr Abhishek Kapoor, would help you in this problem. I think, you have psychogenic erection dysfunction. It happens in number of patients. After premature ejaculation, this is the second most common sexual dysfunction in male. First of all, i want to tell about the basic mechanism that lead good erection. It include sexual thoughts, hormone and good penial circulation. When a person has sexual thoughts in mind, that lead to release of some hormone or chemical in body that increase circulation in penis. This lead to complete erection in penis. In absence of any of one, erection would be incomplete. Health supplements and testosterone do not lead to erectile dysfunction rather than testosterone improve sexual performance. External testosterone are usually used in case of ED and it increases the performance, so in your case, it could not be due to supplements or hormones. I think, it is happening due to underline anxiety. May be due to last episode, you were a little bit scared this time, which may have led underline anxiety and hence erectile dysfunction. Erection mainly depends upon sexual thoughts. If you do not maintain sexual thoughts, you would not get desire erection. Just follow few steps.. 1. Increase duration of foreplay. That would increase sexual urge and duration of sex. (Foreplay is also part of sex. Do not under estimate it.) 2. Try to do sex in different position like female on top, lateral position. That would help you to decrease your attention towards erection. In female on top position, your partner would help to seduce you. This variation in position would motivate both of you for sex. 3. Try to do sex in different location at home like while bathing or other location. Sometime people become anxious at particular time. That would help you decrease anxiety. 4. Can also try some drugs like tadalafil for proper erection or paroxetine to decrease underline anxiety after consultation of psychiatrist, that would help you to get erection for longer period, but remember sex does not depend upon drugs. It is a pleasure that you can get any time and any where. You just need thoughts rather than drugs. 5. You can also try oral sex. That is also one like of sexual act and give to same pleasure as vaginal sex. It would help to give you mental satisfaction and decrease underline stress related to sex. Try to follow above steps and in case, you need further help, you can ask. Regards Dr. Abhishek Kapoor Psychiatrist
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Above answer was peer-reviewed by : Dr. Yogesh D
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Dr. Abhishek Kapoor

Psychiatrist

Practicing since :2007

Answered : 2496 Questions

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Suggest Treatment For Severe Erectile Dysfunction

Brief Answer: Supplements do not lead to erectile dysfunction Detailed Answer: Hi Thanks for using healthcare magic. I, Dr Abhishek Kapoor, would help you in this problem. I think, you have psychogenic erection dysfunction. It happens in number of patients. After premature ejaculation, this is the second most common sexual dysfunction in male. First of all, i want to tell about the basic mechanism that lead good erection. It include sexual thoughts, hormone and good penial circulation. When a person has sexual thoughts in mind, that lead to release of some hormone or chemical in body that increase circulation in penis. This lead to complete erection in penis. In absence of any of one, erection would be incomplete. Health supplements and testosterone do not lead to erectile dysfunction rather than testosterone improve sexual performance. External testosterone are usually used in case of ED and it increases the performance, so in your case, it could not be due to supplements or hormones. I think, it is happening due to underline anxiety. May be due to last episode, you were a little bit scared this time, which may have led underline anxiety and hence erectile dysfunction. Erection mainly depends upon sexual thoughts. If you do not maintain sexual thoughts, you would not get desire erection. Just follow few steps.. 1. Increase duration of foreplay. That would increase sexual urge and duration of sex. (Foreplay is also part of sex. Do not under estimate it.) 2. Try to do sex in different position like female on top, lateral position. That would help you to decrease your attention towards erection. In female on top position, your partner would help to seduce you. This variation in position would motivate both of you for sex. 3. Try to do sex in different location at home like while bathing or other location. Sometime people become anxious at particular time. That would help you decrease anxiety. 4. Can also try some drugs like tadalafil for proper erection or paroxetine to decrease underline anxiety after consultation of psychiatrist, that would help you to get erection for longer period, but remember sex does not depend upon drugs. It is a pleasure that you can get any time and any where. You just need thoughts rather than drugs. 5. You can also try oral sex. That is also one like of sexual act and give to same pleasure as vaginal sex. It would help to give you mental satisfaction and decrease underline stress related to sex. Try to follow above steps and in case, you need further help, you can ask. Regards Dr. Abhishek Kapoor Psychiatrist