Suggest Treatment For Erectile Dysfunction

Brief Answer:
Details about Erectile dysfunction

Detailed Answer:
Hello XXXX,

Thanks for using healthcaremagic.

You have not provide much detail of your problem but I will try my best to solve your query.
If I were your treating doctor , I would approach in following manner.

I will check for your blood pressure, sugar level and testosterone level to rule out any specific cause for erectile dysfunction(ED).

If testosterone level is low, oral or injectable form of testosterone can be taken under medical supervision.

Considering your age, I don't think so you should have blood pressure or diabetes.

If testosterone level comes normal I will go for either medicinal approach and/or psycho sexual counseling therapy after discussion with you.

Medicines: Sildenafil 50 to 100 mg or Tadalafil up to 10-20 mg.These are same group(PDE-5 inhibitor) of medicines which should be taken one-two hours before sex after doctor's prescription.They are causing least side effects except morning headache in some patients, that is specifically with sildenafil less with tadalafil.

One recent molecule containing methylfolate and pyridoxal phosphate(vitamins, trade name tetrafol puls) taken to be two times daily after meal is also useful in some patients particularly with homocystiene deficiency.

Other medicines are trazodone and yohimbine which are useful in many patients in erectile dysfunction.But secondary choice.

Another option is intracavernous (in penis vein) injection of papverine which must be used under medical supervision.Which is last resort if above not works.

Psycho sexual counselling cum psychotherapy for sex:
Sex is act of two.So preferably your partner should be involved in counseling, that's why it is called couple therapy.Master & XXXXXXX technique is specifically useful which can be learnt from psychiatrist/qualified sexologist.

If you have any use of smoking,tobacco or excessive alcohol, please stop that.

If you got the point and are satisfied with the answer, no need to provide more detail.You can go to your doctor and discuss above options and start the treatment.

But if you still have query, you are welcome and also tell,"Duration of your problem ,duration of married life or active sexual life,if any stress in life."


Regards,
Dr.Chintan Solanki.

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