Suggest Treatment For Difficulty Getting Erection

Posted on Wed, 18 Mar 2015

Question: My question was closed. My issue regards sexual potency. It would be helpful to read past notes but I wish to start fresh with a doctor who understands the issue. First I am 71 and one year ago underwent JPOUCH surgery. It is a 3 stage process ending in March. Have not had satisfactory sex for 6 years. Attempted several times but not successful. Now taking 5 g cislsis daily. Have used 20g on occasion. Have had difficulty getting erection but that seems to be improving. tried all 3 and cialisis seems best. I now seem to have the issue of getting an erection then ability ti ejaculate. I have done it and had very hard erection and ejackulation. Taking VigRX daily for a week. Test for all other factors and testesrone all done no issue. How do I proceed can not have repeated failure in bedroom Unfair to other party. Any advise

Answered by Dr. Dr. Chintan Solanki (6 hours later)

Brief Answer:
Clarify your current exact problem please

Detailed Answer:
Hello,

Thanks for writing back.

I have read all past queries.
Cialis is helping you as you mentioned.

Your comment," I now seem to have the issue of getting an erection then ability ti ejaculate. I have done it and had very hard erection and ejackulation." I am not able to understand the meaning of this sentence. It is confusing. Please clarify.
Please also provide information that,How often you succeed in bedroom with medicines?Frequency of attempts and average successful attempts?

Let me inform you that metoprolol can cause erectile dysfunction as a side effect, if possible ask your doctor to shift to some alternative.

Cialis 20 mg dose is ok for you. Continue VigRX as it is herbal preparation.

AS mentioned in previous answer you can take one molecule containing vitamins. It may be available over the counter or you can get it with primary doctor prescription. It is Tetrafol Plus.
It contains Methylfolate, Mecobalamin and pyridoxal phosphate.
It should be taken twice daily after meal. Response will be seen after 15 days. If you feel response, continue for 2 months.
If no response at all in 15 days, it would not be useful. No significant side effects are there as it contains vitamins preparations

Also let me know your current height, weight, occupation/work schedule and overall physical strength.

Waiting for your reply to help you further.

Regards,
Dr.Chintan Solanki.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Chintan Solanki (20 hours later)

I will seek an alternative blood pressure medicine. If I understand a 20g Cialis is then recommended. On only a couple of occasions I have taken and achieved a erection that was stiff enough for an ejaculation. It was done thru masturbation. I am taking VigRX daily now. I have had surgeries a year ago. I was sick with Ulcerative Colitus and had Jpouch surgery. My dysfunction probably goes back a few years before surgery. I have not had sex for 6 Years yet I am now in good health in diet and exercise. I attempted sex with 2 different partners twice each but was unable to achieve strong erection. I recently met a perfect partner who was as sexual as I could ever hope. I tried 3 times but failed. I get morning erection when taking 5g. I can get a erection with manipulation when I try most of times. With much masturbation I have had ejaculation. I lost my partner on last failed attempt. I am aware some is anxiety but seek an awnser. No health issues and testosterone was alright when checked.

Answered by Dr. Dr. Chintan Solanki (13 hours later)

Brief Answer:
benzodiazepine in low dose will help

Detailed Answer:
Hi,

Thanks for detail information and clarificarion. Sorry for delayed response.

Positive points in your history:

-You are getting response with cialis- tadalafil.
-Morning erection are there with 5 mg. ( please note that all dose in miligram not in gram)
-You can get erection with masturbation.
-Testosterone and other findings are ok.
-Good health, diet and exercises.
-You are aware that your problem is related to performance anxiety.

Considering all points we can conclude that there is no major physical issue. Problem is more psychological.

Yes 20 mg cialis is an optimum dose. Cialis it preferred in patients with hypertension.

To relieve performance anxiety romantic caring relationship as well as foreplay are very important aspects.For successful sex intimacy is needed between partners.At present it is not feasible in your case.Practicality it is not feasible to releive anxiety with counselling alone considering your history. Benzodiazepine group of medicines like clonazepam or lorazepam which act as anti anxiety medicines at low dose should be taken to remove prformance anxiety.When you can perform with help of this type of medicines, your confidence level gradually will boost up and later on medicines can be stopped after frequnet successful intercourse.

You can discuss above aspects with your treating doctor and get prescription of antianxiety medicine in addition to cialis.

Hope this answer is helpful. I will be glad to answer more if needed.

All the best.

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

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar