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Suggest Treatment For Erectile Dysfunction And Loss Of Libido
Question: I am 62. Taking Losar 50 once a day for the last 4 years to control BP. Also taking Urimax 0.4 mg for prostate problem for about 3 years. I feel fatigued and weak. Facing ED problems now, coupled with substantial loss in libido. Do regular exercise. Otherise lead an active life. Could you please advise - whether any change in medicine needed ? Also how to at least partially overcome ED problems.
Brief Answer:
ED could be due to generalised atheroscerosis .
Detailed Answer:
Hello
Thanks for your query,based on the facts that you have posted it appears that you have obstructive urinary symptoms due to enlarged prostate and hypertension for which you are taking drugs like Losar 5o and Urimax.You have problem of Erectile Dysfunction and loss of Libido since recent times .
I shall be happy if you can post me few more details to help me in making comments on your problem.
1) Are you diabetic ?
2) Have you ever tested your blood for Serum Cholesterol Levels , Lipid profile and serum testosterone levels?
3) Have you ever had trial of Sildenafil (Viagra) to get good erection?
Your problem of ED and loss of libido could be due to generalised atherosclerosis which is common at this age.and may be due to diminished blood flow to erectile tissue ,
Please consult qualified Urologist for clinical evaluation and get following basic tests done to confirm the diagnosis.
1) Serum Testosterone ,Blood sugar levels.
2) Lipid Profile
3) Colour Doppler Ultrasound Scanning of Penis to find out any arterial insufficiency or venous leak as a cause of your ED.
In the mean while you can have a trial of Sildenafil (Viagra) to get good hard erection.
Further treatment will depend upon the results of these tests and final diagnosis .
Hope I have answered your query ,please feel free to ask if you have more questions ,
I shall be happy to help you
Thanks and Regards.
Dr.Patil.
ED could be due to generalised atheroscerosis .
Detailed Answer:
Hello
Thanks for your query,based on the facts that you have posted it appears that you have obstructive urinary symptoms due to enlarged prostate and hypertension for which you are taking drugs like Losar 5o and Urimax.You have problem of Erectile Dysfunction and loss of Libido since recent times .
I shall be happy if you can post me few more details to help me in making comments on your problem.
1) Are you diabetic ?
2) Have you ever tested your blood for Serum Cholesterol Levels , Lipid profile and serum testosterone levels?
3) Have you ever had trial of Sildenafil (Viagra) to get good erection?
Your problem of ED and loss of libido could be due to generalised atherosclerosis which is common at this age.and may be due to diminished blood flow to erectile tissue ,
Please consult qualified Urologist for clinical evaluation and get following basic tests done to confirm the diagnosis.
1) Serum Testosterone ,Blood sugar levels.
2) Lipid Profile
3) Colour Doppler Ultrasound Scanning of Penis to find out any arterial insufficiency or venous leak as a cause of your ED.
In the mean while you can have a trial of Sildenafil (Viagra) to get good hard erection.
Further treatment will depend upon the results of these tests and final diagnosis .
Hope I have answered your query ,please feel free to ask if you have more questions ,
I shall be happy to help you
Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear Dr. XXXXXXX
Many thanks for your email advice.
Details as desired by you are as follows :
(i) I am NOT Diabetic.
(ii) Lab Reports as follows
Blood tests done
- Serum LIPID Profile : Urea – 30 : Creatinine 1.0 : Total Cholesterol – 142
- HDL Cholesterol – 58 : LDL Cholesterol – 70 : Triglyceride 72 :
BLOOD GLUCOSE Fasting - 99 : Post Prandial - 117
(All units in mg/dl)
Even Hb, TLC, DLC parameters - within normal range
Urine – RE/ME also NAD
USG KUBP + PVR Report indicates (spellings may be slightly incorrect)
Prostate – 65 cc. No focal lesion. Capsule intact : PVRV 57.9 cc
B/L Kidneys (R) 10.0 cms : (L) 11.3 cms
U/Bladder – Distended . B/L Uv junction clear
Grade III prostalimegaly. Simple renal cortical cyst at midpole cortex ( R)
PSA done. Normal parameters.
Cardio (non-invasive) Stress tests also done
XXXXXXX Total Exercise Time 09.14
XXXXXXX HR 160 bpm 100% of XXXXXXX predicted 159 bpm
XXXXXXX BP 170/80 Maximum Workload 10.40 METS
XXXXXXX ST level 1.6 mm in V6; Exercise Stage 4 9.15
Reasons for Termination TARGET HEART RATE ACHIEVED
Summary : Functional Capacity - Normal. HR Response to Exercise - Appropriate
BP Response to Exercise – Normal Resting BP – Appropriate Response
Chest pain – None. Arrhythmias – None. ST Changes – None.
Overall impression – Normal Stress Test
Conclusion - Stress Test Negative for Inducible Ischemia
(iii) I have never used Sildenafil so far.
Other details : Do regular walk in the evenings (50 mints to 1 hour – 3 / 4 times a week)
Do Pranayam & Yogasan – 50 minutes – 3 / 4 times a week
Do not smoke. Social drinker. Eat Non-veg / Veg.
Still working : Intend working upto 65 years of age : Job little stressful.
Did not have problems earlier. However, mild signs surfaced about one year
back. It is not getting better.
Would you please advise what should I do for ED problem and how do I get the medicine. Any
source for authentic online purchase ?
Would greatly appreciate your help.
Warm regards
Many thanks for your email advice.
Details as desired by you are as follows :
(i) I am NOT Diabetic.
(ii) Lab Reports as follows
Blood tests done
- Serum LIPID Profile : Urea – 30 : Creatinine 1.0 : Total Cholesterol – 142
- HDL Cholesterol – 58 : LDL Cholesterol – 70 : Triglyceride 72 :
BLOOD GLUCOSE Fasting - 99 : Post Prandial - 117
(All units in mg/dl)
Even Hb, TLC, DLC parameters - within normal range
Urine – RE/ME also NAD
USG KUBP + PVR Report indicates (spellings may be slightly incorrect)
Prostate – 65 cc. No focal lesion. Capsule intact : PVRV 57.9 cc
B/L Kidneys (R) 10.0 cms : (L) 11.3 cms
U/Bladder – Distended . B/L Uv junction clear
Grade III prostalimegaly. Simple renal cortical cyst at midpole cortex ( R)
PSA done. Normal parameters.
Cardio (non-invasive) Stress tests also done
XXXXXXX Total Exercise Time 09.14
XXXXXXX HR 160 bpm 100% of XXXXXXX predicted 159 bpm
XXXXXXX BP 170/80 Maximum Workload 10.40 METS
XXXXXXX ST level 1.6 mm in V6; Exercise Stage 4 9.15
Reasons for Termination TARGET HEART RATE ACHIEVED
Summary : Functional Capacity - Normal. HR Response to Exercise - Appropriate
BP Response to Exercise – Normal Resting BP – Appropriate Response
Chest pain – None. Arrhythmias – None. ST Changes – None.
Overall impression – Normal Stress Test
Conclusion - Stress Test Negative for Inducible Ischemia
(iii) I have never used Sildenafil so far.
Other details : Do regular walk in the evenings (50 mints to 1 hour – 3 / 4 times a week)
Do Pranayam & Yogasan – 50 minutes – 3 / 4 times a week
Do not smoke. Social drinker. Eat Non-veg / Veg.
Still working : Intend working upto 65 years of age : Job little stressful.
Did not have problems earlier. However, mild signs surfaced about one year
back. It is not getting better.
Would you please advise what should I do for ED problem and how do I get the medicine. Any
source for authentic online purchase ?
Would greatly appreciate your help.
Warm regards
Brief Answer:
You can try Sildenafil (Viagra)
Detailed Answer:
Hello
Thanks for detail feedback.
You can try Sildenafil (Viagra) as on demand keeping in mind few side effects like headache ,nasal congestion etc
Please get prescription and guidance regarding dosage etc from your family Physician
Hope it will work for you.failing which you will need to get Colour Doppler Ultrasound Scanning Of penis to find out cause of your ED.
Thanks and Regards.
Dr.Patil.
Thanks and Regards..
You can try Sildenafil (Viagra)
Detailed Answer:
Hello
Thanks for detail feedback.
You can try Sildenafil (Viagra) as on demand keeping in mind few side effects like headache ,nasal congestion etc
Please get prescription and guidance regarding dosage etc from your family Physician
Hope it will work for you.failing which you will need to get Colour Doppler Ultrasound Scanning Of penis to find out cause of your ED.
Thanks and Regards.
Dr.Patil.
Thanks and Regards..
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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