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What Causes Erectile Dysfunction?

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Posted on Mon, 21 Apr 2014
Question: Why don't I get any erections,had triple by pass in 2000,I've had epilepsy since I was 13 on many meds for anxiety and panic attacks
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Answered by Dr. Shafi Ullah Khan (3 hours later)
Brief Answer: Need management Detailed Answer: Thank you for asking! Erectile dysfunction is very common trouble in geriatric age limits. So age and the medicines you have been taking specially anxiety and depression meds are very common reason for the dysfunctions. Before talking about management you need some detailed sexual history with thorough physical examination and some work up like hormonal assays, and routine labs and some functional work up like direct prostaglandin instillation,NPT testing, Biothesiometry etc. Seek a Sex therapist and let him help you with this erectile dysfunctions.Discuss with some some options like Phosphodiesterase-5 inhibitors,Androgens,Intracavernosal injection of vasodilators,Intraurethral prostaglandin E1 pellets,Vascular endothelial growth factor,Yohimbine, Apomorphine and phentolamine etc. There are some External Erection-Facilitating Devices like vacuum devices and constriction devices. Surgical intervention like revascularization,elimination of venous outflow and Placement of penile implant will be the last resort. I hope it helps. Dont forget to close the discussion please. Take care
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shafi Ullah Khan

General & Family Physician

Practicing since :2012

Answered : 3613 Questions

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What Causes Erectile Dysfunction?

Brief Answer: Need management Detailed Answer: Thank you for asking! Erectile dysfunction is very common trouble in geriatric age limits. So age and the medicines you have been taking specially anxiety and depression meds are very common reason for the dysfunctions. Before talking about management you need some detailed sexual history with thorough physical examination and some work up like hormonal assays, and routine labs and some functional work up like direct prostaglandin instillation,NPT testing, Biothesiometry etc. Seek a Sex therapist and let him help you with this erectile dysfunctions.Discuss with some some options like Phosphodiesterase-5 inhibitors,Androgens,Intracavernosal injection of vasodilators,Intraurethral prostaglandin E1 pellets,Vascular endothelial growth factor,Yohimbine, Apomorphine and phentolamine etc. There are some External Erection-Facilitating Devices like vacuum devices and constriction devices. Surgical intervention like revascularization,elimination of venous outflow and Placement of penile implant will be the last resort. I hope it helps. Dont forget to close the discussion please. Take care