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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Erectile Dysfunction

I am a male 29 yrs old, married for7month. I have a problem with erection & ejaculation, not able to ejaculate, erection does not sustain long enough. While checking online I came across some Ayurvedic treatments which claim to have no side effects - tablets an penis massage oil which provide strength to the penis to sustain enough. Wanted to check if these are safe and effective.
Fri, 17 Jun 2016
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Psychiatrist 's  Response
Dear service user,
Thank you for writing to HCM.
I can understand your concern about erectile dysfunction with your partner.
Common reasons for ED are
1. Diabetes (nerve damage and vessels narrowing)
2. Some medicines like anti depressants and anti psychotics
3. Performance anxiety (the most common reason)
4. Psychiatric disorders (depression, anxiety)
5. Alcohol use (nerve damage and testicular injury)
6. Smoking (vessels narrowing)
7. after some surgical procedures (nerve damage)
8. Low hormonal levels (rare)

Let me know whether you achieve and maintain a good quality of erection in sleep, in the early morning, during masturbation but not at the time of coitus? If you are able to achieve and maintain erection in any one of the above mentioned situations than your problem is more likely psychological rather than physical.
Cause of erectile dysfunction should be ruled out for proper treatment. Mostly it is due to stress and anxiety. Situational reasons like fatigue tension or own ''pressure to 'perform' rather to enjoy'' is very common. Especially in newly married couples.


There is lack of strong evidence for Ayurveda medication for erectile dysfunction. Oils are worthless. I recommend you to discuss this problem with your psychiatrist. He will assist you to find out reason for this problem in your case.

There are potentially effective and safe medications as well as behavior therapies for erectile dysfunctions. Psychiatrist will identify the best suited for you after knowing your history.
Warm regards.
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Suggest Treatment For Erectile Dysfunction

Dear service user, Thank you for writing to HCM. I can understand your concern about erectile dysfunction with your partner. Common reasons for ED are 1. Diabetes (nerve damage and vessels narrowing) 2. Some medicines like anti depressants and anti psychotics 3. Performance anxiety (the most common reason) 4. Psychiatric disorders (depression, anxiety) 5. Alcohol use (nerve damage and testicular injury) 6. Smoking (vessels narrowing) 7. after some surgical procedures (nerve damage) 8. Low hormonal levels (rare) Let me know whether you achieve and maintain a good quality of erection in sleep, in the early morning, during masturbation but not at the time of coitus? If you are able to achieve and maintain erection in any one of the above mentioned situations than your problem is more likely psychological rather than physical. Cause of erectile dysfunction should be ruled out for proper treatment. Mostly it is due to stress and anxiety. Situational reasons like fatigue tension or own pressure to perform rather to enjoy is very common. Especially in newly married couples. There is lack of strong evidence for Ayurveda medication for erectile dysfunction. Oils are worthless. I recommend you to discuss this problem with your psychiatrist. He will assist you to find out reason for this problem in your case. There are potentially effective and safe medications as well as behavior therapies for erectile dysfunctions. Psychiatrist will identify the best suited for you after knowing your history. Warm regards.