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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Erection Problems?

Ok, I will try this. My penis isn't working very well. I can have an orgasm but I don't get much of an erection. These days just before orgasm I am 1/3rd the size I was a year ago. I'm 64; 6 ft 2 inches, 178 lbs and in good shape. I use to be on the 'long' end of the spectrum and now it just doesn't get firm so my penis is Very short and not firm. Any suggestions?
Mon, 9 Mar 2015
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Urologist,  's  Response
Hello
Thanks for query.
You have problem of Secondary Erectile Dysfunction .

With advancing age serum testosterone levels goes down at the rate of 1% every year this results in to reduced libido and very common to have Secondary Erectile Dysfunction .

Second reason for Ed at this age is generalized atherosclerosis which also involves penile artery causing reduced blood flow to erectile tissue .

Get your blood test for serum testosterone levels done .If you are too curious to know the reason for ED consult qualified Urologist for clinical assessment and get Cololor Doppler Ultrasound Scanning of the penis done to rule out vascular insufficiency as a cause of your Ed.

Taking Sildenafil (Viagra)as on demand may help to get good hard sustainable erection and to have enjoyable sex.
Dr.Patil..
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What Causes Erection Problems?

Hello Thanks for query. You have problem of Secondary Erectile Dysfunction . With advancing age serum testosterone levels goes down at the rate of 1% every year this results in to reduced libido and very common to have Secondary Erectile Dysfunction . Second reason for Ed at this age is generalized atherosclerosis which also involves penile artery causing reduced blood flow to erectile tissue . Get your blood test for serum testosterone levels done .If you are too curious to know the reason for ED consult qualified Urologist for clinical assessment and get Cololor Doppler Ultrasound Scanning of the penis done to rule out vascular insufficiency as a cause of your Ed. Taking Sildenafil (Viagra)as on demand may help to get good hard sustainable erection and to have enjoyable sex. Dr.Patil..