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Facing A Problem Of Erectile Dysfunction. How To Cure It?

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Posted on Mon, 20 May 2013
Question: Facing a problem of Erectile Dysfunction
doctor
Answered by Dr. V. Sasanka (57 minutes later)
Hi,
I only wish you had provided with some more details. Erectile dysfunction in a young adult usually has no major organic cause, and often responds dramatically well to drugs belonging to a group of drugs called 'PDE5 Inhibitors', most noted of which is Viagra.
However, I suggest before taking these tablets please give a few more basic details as to your libido (i.e intention to have intercourse), and do you have nocturnal penile erections when you sleep, especially in the early mornings, and whether you have any problem in ejaculation, i.e., is it too quick, or is it too delayed.
Also, if you can quantify the degree of dysfunction on a scale of 1-10, it would be useful to assess response at a later date.
Also, some more details as to whether you are a hypertensive, do you have any visual problems, and allergies will also be useful.
Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. V. Sasanka (14 minutes later)
Hi Dr. I am having very less intention to have intercourse, No nocturnal erections but when i see some movie or very low excitement then white water begins to come out, i try to do intercourse with in a minute i discharged.
and degree of dysfunction is 7 and some time i feel visual problem as well.
And one more thing Dr. I met with a physician he checked me and tell me to inject an injection beside my p. He was saying that my blood vessel would be open by doing this and and full erections will come so should i go for that.
doctor
Answered by Dr. V. Sasanka (14 minutes later)
Hi, I suggest you get some tests done. The basic of these would be serum total testosterone. This should be done ideally at 8 a.m. You also might need a test called penile Doppler. This will involve an injection of a drug through a very small needle into the base of your penis following which the radiologist will check if your penis is receiving adequate blood supply or is there inadequate flow or is there some leak.
If the serum testosterone levels come out to be normal, you will most likely benefit from use of drug called tadalafil if required in combination with another drug to help the erections stay longer.
If Testosterone is low, you will require to be examined for why it is low, and also be started on Testosterone replacement as medicines.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. V. Sasanka (7 minutes later)
Hi Dr,
Is it urine test or sth else or something should be inserted in my p just like Angiography and what would be the cost of it.
doctor
Answered by Dr. V. Sasanka (4 minutes later)
Testosterone estimation is by means of a blood test done at around 8 a.m ideally.
The penile doppler is something like an ultrasound examination. This is not an easy tests, in that, you should approach a good hospital with a well experienced radiologist for this . i suggest that if you are in Ghaziabad, you could consult some of the capital's leading hospitals like AIIMS. Otherwise, in any private hospital, it could cost between 2000- 5000Rs, I think. It is not like an angiogram - a drug is sent into the penis and immediately the needle is withdrawn. It usually does not cause severe pain.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. V. Sasanka (5 minutes later)
That much amount is fine for me Dr, Now one more question. I am just thinking to go in XXXXXXX hospital in Delhi or in Kailash hospital is they fine and are you also near by me.
doctor
Answered by Dr. V. Sasanka (28 minutes later)
Hi, I am based in Hyderabad. I think XXXXXXX might be fine, though the rates could be higher there. I am not familiar with Kailash.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. V. Sasanka (12 minutes later)
Thank you very much Dr.
doctor
Answered by Dr. V. Sasanka (3 days later)
You are welcome.

Please close this discussion if you have no more queries.

Good luck!!
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. V. Sasanka

Urologist

Practicing since :1995

Answered : 529 Questions

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Facing A Problem Of Erectile Dysfunction. How To Cure It?

Hi,
I only wish you had provided with some more details. Erectile dysfunction in a young adult usually has no major organic cause, and often responds dramatically well to drugs belonging to a group of drugs called 'PDE5 Inhibitors', most noted of which is Viagra.
However, I suggest before taking these tablets please give a few more basic details as to your libido (i.e intention to have intercourse), and do you have nocturnal penile erections when you sleep, especially in the early mornings, and whether you have any problem in ejaculation, i.e., is it too quick, or is it too delayed.
Also, if you can quantify the degree of dysfunction on a scale of 1-10, it would be useful to assess response at a later date.
Also, some more details as to whether you are a hypertensive, do you have any visual problems, and allergies will also be useful.
Regards.