Get your Health question answered in 3 easy steps

164 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 18 years

I will be looking into your question and guiding you through the process. Please write your question below.

What is the cause and treatment for erectile dysfunction?

Answered by
Dr. Chobufo Ditah

General & Family Physician

Practicing since :2009

Answered : 6186 Questions

Posted on Sat, 16 Aug 2014 in General Health
Question: I'm 61 yo male, diagnosed with Lambert-Eaton Myasthenia Syndrome 7+ years ago. Erectile dysfunction has not been a huge problem until recently... I could get hard enough to masturbate and manage to maintain that even beyond a satisfactory orgasm. However, recently, though I still manage a achieve a decent hardness, my orgasms have become very unsatisfying. I get one strong spurt of semen after which the contractions cease and I go extremely soft immediately. Attempts to regain a semi-hard-on to try to cum again fail.
Is this a progression of my M.D. that I must learn to live with, or is there something else going on here?
Answered by Dr. Chobufo Ditah 1 hour later
Brief Answer:
For how long has this been going on?

Detailed Answer:
Hi and thank you so much for this query.

I am so sorry to hear about this worsening erectile dysfunction. It is true that with age we no longer retain our ability and sexual endurance like the days of our youths. I will like to know if this has been a progressive loss of function or happened abruptly. Lambert Eaton weakness gets better with continued use. I will not want to think at this time that it is the possible cause until a proper examination shows that it is the cause.

Without Eaton, this lack of ability to gain multiple and successive contractions is not unexpected with advancing age. If this has been a progressive process, it may be due to age than Eaton's myasthenia. If it is abrupt, then the possible cause needs to be investigated, identified and managed accordingly.

Is this a permanent change that you would have to adapt to for the rest of your live? For now, we can not make that conclusion. Do we have medications to help address erectile dysfunction? Yes. Be calm and let's investigate it before making conclusions.

Can I also get a complete list of your medications?

I wish you well. Hope to hear from you.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Chobufo Ditah 16 hours later
I know hardness and force of ejaculation will diminish with age, but the sudden immediate loss of erection (after one spurt) and ceasing of contractions began quite abruptly.

As long as I get a hard-on sufficient enough to masturbate, I'm not as concerned with regaining rock-hard erections as much as I am with being able to complete an ejaculation. The incomplete orgasm leaves me with a sense of unreleased tension and aching testicles.

I am currently on the following medications:

Pyridostigmine Bromide 30mg 3x daily
Predisone 5 mg 1x daily
Testosterone in Lipoderm / 10% 1/4 teaspoon 3 - 4x weekly
Ibuprofen 800mg - as needed for pain
Cyclobenzaprine 10mg - 1x at bedtime as needed

Thank you.
Answered by Dr. Chobufo Ditah 1 hour later
Brief Answer:
See below!

Detailed Answer:
Hi and thank for this follow up information.

I have reviewed your medications and there is none that could explain this loss of erections.

If I may ask, why are you on testosterone? Were you diagnosed with having low testosterone levels or was it prescribed for some other reasons?

Most causes of abrupt sexual difficulties are related to psychological causes. Each time you think of your difficulties, it only reminds you of the problem and makes it to grow into a bigger one. Fighting the fear of not being able to be very good would at least help with this problem. Invest completely into any sexual act, forget about your limitations and regain the confidence. This would be one of the major ways to start regaining back who you are.

Is this caused by your muscle problem? Unlikely at this time.
Please, do not forget to tell me why you are on testosterone?

Hope to hear from you!

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Chobufo Ditah 39 minutes later
The testosterone was prescribed approximately 4 years ago due to successive T levels below 90.

Due to a severe case of Mumps, my testicles have never been of average size and never did function properly, producing no sperm.

I cannot recall any concern over function. Not until this suddenly began to happen three weeks ago. If it had been only a once or twice type of thing, I would think nothing of it.

I typically masturbate 3 or 4 times per week. I am at home with no one to disturb me, at my leisure to immerse and minister to myself as I wish and for as long as I wish. There is no pressure to perform with (or for) a partner.
Answered by Dr. Chobufo Ditah 4 hours later
Brief Answer:
Get the testosterone levels checked again!

Detailed Answer:
Hi and thanks for this follow up precision.

At this point, I will suggest that you the testosterone blood levels checked. This may be an indication that we need to step up the dosage being administered. I am happy to hear you have no pressure and under no stress, making psychological causes less likely.

Let me hear from you when you get the testosterone levels checked as Low T can be a reason for erectile dysfunction.

I wish you well.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,  
Drug/Medication ,   ,  

Recent questions on Ibuprofen

doctor1 MD

52 yo f. CBC within Normal limits. TSH within normal limits. Negative DM. 5 5 250 lbs. (Was maintaining 208 lbs until after 4 surgeries for Basal Cell Carcinoma. Moh s under and into R Nares positive results. Other 3 surgeries without clear parameters and was stated deep extensive BCC.) Dx with Depression and elevated cholesterol. Present meds; Effexor xr 75mg daily, Wellbutrin 100 mg twice daily, Pravastatin 20 mg daily. Problem; Constant fatigue, decreased ROM with L arm after surgery in 2012, constant pain L arm and feels as if bone will break (upper arm), Pain area increasing L arm then to L shoulder to both shoulders, Left neck with noted lumps, also lumps along collar bone bilat, pain at tongue base. No redness in throat and is not scratchy sore but yes noted pain, also head aches and pain was not relieved with 800 mg Ibuprofen and rest. Now I am noting bilat lower extremity edema and feels tight. Had the BCC for 4 years prior to surgery thinking is was psoriasis. L arm area was size of a quarter and increasing, L arm was greater than a nickle in size and a horn noted R deltoid area. Thank you

doctor1 MD

Hello my husband for the last 2 days have had blood in his urine he has made an appointment to see drs tomorrow

he is in good health aged 62 thought he has busted a blood vessel during intercourse would like your opinan .

he takes 10 mg crester 1 a day for colesterol and 2 ibuprofen twice a day for arthritic pain thanks Shirley Brown.

doctor1 MD

Everytime I take tramadol I get this excruciating pain right under my upper ribs on the left side .... So, I ve found that ibuprofen takes the abdominal pain away. I ve also had this pain twice before without taking tramadol ... But it woke me out of sleep that s how bad it hurts ... Is this a gallbladder attack?

doctor1 MD

I am 14 weeks pregnant with twins. For the past 3 days am having severe shooting pain in my arms and shoulders. It started with left hand now moved to right hand. Even my right knee, ankle and thighs have started to pain. I have applied pain...

doctor1 MD

I'm 27 year old female from past few days I have got joint pains . especially while climbing up and down the stairs along with the cracking sound. went to orthopedician they suggested couple of tests related to auto immune arthiritis, results are...

doctor1 MD

My left testicle has been giving me slight pain and discomfort for around a week now. Especially when I lay on my side to go to sleep, it floats substantially in front of my right testicle. When I m standing it is more elevated than my right, and...