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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

Sir,
I am 28 years old and currently having erectile dysfunction and other problems that leads to impotency and almost negative attitude towards life. I have been under a continuous habit of masturbation since the age of 14 which has now resulted into small penis/testicles size, laziness, back pain, thinning/loss of hair, lack of sensation and sometimes burning in penis/testicles.
Could you please advise treatment in this case.
If needed to directly consult a doctor, Could you please refer any doctor in chennai.
Thanks
Mon, 30 Mar 2015
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Psychiatrist 's  Response
Hello,
Thanks for putting your query in HCM.
I have gone through your case carefully and first would like to clarify few doubts before proceeding to treatment.Excessive masturbation doesnot cause erectile dysfunction nor does it leads to small penis or testicle.Burning in penis denotes urinary infection or water deficiency for which adequate water intake,basic hygiene and may be short course of antibiotics like levofloxacin may be needed.As far as erectile dysfunction is concerned,if I had similar patient in my clinic I would have started him with bupropion 150 mg once daily and made it twice daily from 4th day onwards.Along with this I would have started him with tadalafil 20 mg at night 1 hour prior to intercourse.I would have also checked his blood sugar profile to rule out Diabetes which is common cause of erectile dysfunction.
Hope I could solve your query.If you have any other query please dont hesitate to ask.
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Suggest Treatment For Erectile Dysfunction

Hello, Thanks for putting your query in HCM. I have gone through your case carefully and first would like to clarify few doubts before proceeding to treatment.Excessive masturbation doesnot cause erectile dysfunction nor does it leads to small penis or testicle.Burning in penis denotes urinary infection or water deficiency for which adequate water intake,basic hygiene and may be short course of antibiotics like levofloxacin may be needed.As far as erectile dysfunction is concerned,if I had similar patient in my clinic I would have started him with bupropion 150 mg once daily and made it twice daily from 4th day onwards.Along with this I would have started him with tadalafil 20 mg at night 1 hour prior to intercourse.I would have also checked his blood sugar profile to rule out Diabetes which is common cause of erectile dysfunction. Hope I could solve your query.If you have any other query please dont hesitate to ask.