Brief Answer:
Hi
Detailed Answer:
Hello,
Thanks for your query.
I appreciate your efforts for medical consultation in so much distress.
In treatment
Erectile dysfunction (ED) first step is to identify cause of the problem. Erectile dysfunction (ED) can be a result of a psychological or physical problem.
Physical causes: Include neurological disorders,
alcoholism, drug abuse, hormonal imbalances, diabetes,
hypertension, blood vessel disease and chronic diseases.
Psychological causes: Most common cause in young patients like you. These include performance anxiety, emotional weakness,
inferiority complex, stress, marital or relationship problems, low mood, feelings of guilt, and the effects of a past sexual and emotional trauma. Men with psychological problem usually have normal nocturnal erections and erections upon awakening, whereas men with physical problem often do not. Means they have ED in specific situation. Tests reports are also normal in ED due to psychological reasons.
Pramirol contain pramipexol. It is effective in ED due to psychological reasons. It do not have any direct effect on erection like Mildfil or sildenafil.
Following steps will be helpful in your case:
-First of all, quit smoking and alcohol (if you are taking any)
-Your test reports are normal. ED is less likely due to physical reasons in your case.
-Eat a healthy diet: fruits, milk and eggs
-Have faith in yourself and do not take any stress. You can talk to your partner openly and indulge in plenty of foreplay before sex. As you will worry, your problem will increase further. You can also plan to some short vacation for honeymoon, which will relieve your stress.
-Exercise, particularly
aerobic exercise (like: Jogging, skipping and cycling) daily. It will increase blood flow all over body and will reduce stress.
-You may consult nearby
psychiatrist, to rule out psychological issues leading to ED after detail history and interview. Treatment intervention include: Counseling and prescription medicines (like bupropion, buspirone or
pramipexole).
I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups.
Wish you good health.
Regards,
http://bit.ly/Dr-Ashish-Mittal