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Suffer From Psychological Erectile Dysfunction And Depression. Prescribed Cialis. Suggest Anti-depressant That Does Not Cause Sexual Problem?

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Posted on Tue, 23 Jul 2013
Question: Hi i am suffering from psychological erectile dysfunction I think. I have been checked for diabetes and also my testostorone levels are fine. I recently entered a new relationship and am having problems performing so was prescribed cialis and it works. Moreover i am a very anxious person and furthermore feel I am now suffering from depression. For example near tears, difficulty making decision, concentrating, sleeping, worry. I have tsaken seroxat in the past and had a short sexual relationship with no problems. Also i had a relationship with ed problems at the start that lessened.
is there any anti-depressant that wont cause sexual problems i can take. or would anti-anxiety medication help. This is really affecting my life thank yoju
doctor
Answered by Dr. Payman Hajiazim (2 hours later)
Hi there, thanks for asking. A medication from the class of aminoketones which have also antidepressant effect can be used. I prescribe bupropion to my patients which is from this class. It does not have any sexual side effects. If some body does not have history of seizure or head trauma which can provoke seizure, he can take this medication. The doctor will adjust the dose. Higher doses may cause headache though. It can be combined with your current antidepressant. Then you may need less dose of this medication. I wish you a good health.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Payman Hajiazim (6 hours later)

Yes I have heard of this drug and think this could be the answer. I noticed that sometimes when I awake from sleep and am quite tired I can gain a harder erection. Is this an addition indication of depression/anxiety. In the sense that when you are really tired the brain is almost less cloudy and almost acts normally?. Additionally is Bupropion generally an effective treatment? would I have to take it indefinetly? thank you for your time
doctor
Answered by Dr. Payman Hajiazim (10 hours later)
Thanks for asking. The medication you mentioned is a good one and if your brain has responded to it properly that would be fine. It needs a period of time around 9 to 12 months to be so effective that its discontinuation does not bring the situation back. Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Payman Hajiazim (2 hours later)
Hi I am not taking any anti depression at the moment. Would it work to take Wellbutin on it's own thank you

I took Seroxat years ago but right now am not taking anything bar cialis
doctor
Answered by Dr. Payman Hajiazim (1 hour later)
Hi again, this medication will work solely as antidepressant. There is no problem regarding taking cialis with it.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Payman Hajiazim (57 minutes later)

Ok no problem. Does it have a high success rate in treating primarily both depression and ed?. I am concerned about the depression though moreso the erectile dysfunction
doctor
Answered by Dr. Payman Hajiazim (36 minutes later)
Hi there, its success rate in treating depression is about 70 to 80 percent which is as high as good medications for depression. I wish you find the positive effect after several weeks. Doctors start it with low dose and increase it slowly though.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Payman Hajiazim (24 hours later)

Hi is it possible that excessive pornography use and masterbation can cause erectile dysfunction? I cannot even get fully hard to this now!!!!. I am getting really worried now. A lot of people beleive this theory http://yourbrainonporn.com/ thank you
doctor
Answered by Dr. Payman Hajiazim (3 hours later)
hi there, watching pornography can cause remature ejaculation with excessive masturbation. however, it would be reversible. best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Payman Hajiazim (5 hours later)
Could it cause erectile dysfunction though?. How is it reversible. Would i have to asstain from any sexual contact for about 3 months or something? and obviously never watch porn
doctor
Answered by Dr. Payman Hajiazim (15 hours later)
hi there, fortunately it is reversible. you don't need to abstain from
sexual activity.female on top is helpful for this situation.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Payman Hajiazim (10 hours later)
really i am just looking for an answer. I do not want to use Cialis for life. As mentioned before i previously had a sexual relationship with no first time problems when i was taking anti depressants. Later i had a relationship with erection difficulties at the start. Where i needed to take kamagra for a while and then it generally resolved itself. This time i dont feel so confident. I was wondering how panic disorder or long time I have always worried what people thought, or that I will lose my job or getting stressed when going a place i have never been before. Even about a year ago I went a trip to Amsterdam with friends. Whereby they were just joking saying they had something planned for me and suggesting it was sexual. That night i smoked cannabis and totally flipped out and ran away from them when in the red light district. I though they were going to rape me or something. i know it does not sound normal but i was close to tears and everything, also didnt even want to get in the room that night. I just blamed the drugs. Is this normal it seems like a severe panic attack to me?. I am not clutching at straws but wondering if a panic disorder/depression could be at the route of my problems. My parents for years have been saying I need pills or something. is there anything for anxiety that would solve my sexual issues. like i say I am not a doctor, but mental illness does exist and I am truly wondering if this is the case or just related to performance anxiety? thank you
doctor
Answered by Dr. Payman Hajiazim (28 hours later)
Hi again, as you mentioned erectile disfunction is seen frequently with anxiety and even deression. the medications treat both situations at the same time. best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Payman Hajiazim (7 hours later)
Ok thank you I am going to the Doctor on Thursday and will talk about this. I feel I have an undiagnosed anxiety disorder and also suffer from depression. I have no idea if this is the case but am going down this route thank you
doctor
Answered by Dr. Payman Hajiazim (1 hour later)

Hi again, you are quite welcome. that is true. erectile dysfunctn is sometimes classified as erformance anxiety.
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. Payman Hajiazim

Psychiatrist

Practicing since :2000

Answered : 634 Questions

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Suffer From Psychological Erectile Dysfunction And Depression. Prescribed Cialis. Suggest Anti-depressant That Does Not Cause Sexual Problem?

Hi there, thanks for asking. A medication from the class of aminoketones which have also antidepressant effect can be used. I prescribe bupropion to my patients which is from this class. It does not have any sexual side effects. If some body does not have history of seizure or head trauma which can provoke seizure, he can take this medication. The doctor will adjust the dose. Higher doses may cause headache though. It can be combined with your current antidepressant. Then you may need less dose of this medication. I wish you a good health.