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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes loss of erection during intercourse?

Answered by
Dr.
Dr. Ashok Kumar

Psychiatrist

Practicing since :2000

Answered : 3119 Questions

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Posted on Fri, 16 Sep 2016 in Sexual Health
Question: Need some medicine for lack of stamina
doctor
Answered by Dr. Ashok Kumar 20 minutes later
Brief Answer:
Please provide more details

Detailed Answer:
Dear XXXXXXX
Thanks for using Healthcaremagic.

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 and solutions of the problem.

1. What you mean by Lack of samina? Please describe in possible detail? Do you have any difficulty in achieving erection? If yes what are the difficulties?

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?

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 concerns (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 know the cause I can you guide you better in regard to treatment.

I look forward to see above details.

Thanks and regards
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Ashok Kumar 3 hours later
Replies below
1) Difficulty in getting and maintaining erection . Also early loss of erection.
2) problem slowly build up over years
3) Frequency is weekly
4) Almost every interaction
5) Stress and anxiety
6) None
7) sometimes
8) once a week
9)none so far
10) none
11) none
12) none
13) no
14 ) All annual reports normal
doctor
Answered by Dr. Ashok Kumar 41 minutes later
Brief Answer:
Please do the following

Detailed Answer:
Dear XXXXXXX
Thanks for reverting back to me.

From the available description there is evidence in favor of organic erectile dysfunction.

Please do the following tests from the nearby llaboratory.

Serum testosterone
Serum prolactin
Serum LH
Serum FSH
Thyroid profile
Penile doppler study

Revert back to me with above details and other annual medical reports.


Thanks and regards.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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