Brief Answer:
treatment of erectile dysfunction is there,send me photographs

Detailed Answer:
Hello XXXX,

Thanks for writing to us.

I can understand your problem.I appreciate your attitude that you are asking for help for such condition.

Probably your husband has erectile dysfunction.

Treatment of erectile dysfunction is there.
5- PDE inhibitor group of medicines like sildenafil or tadalafil are used. One of them should be used 2 hours prior to sex. They causes headache,stuffy nose nausea and gastric discomfort like common side effects. Proper physical check up of cardiac system should be done by a doctor before starting the same.These are prescription medicines and you need to consult doctor/psychiatrist/sexologist for the prescription.
Tadalafil is preferred in patients with blood pressure.

You can use another medicine cum vitamin supplement containing pyridoxal-5-phosphate, mecobalamin and l-methylfolate (trade name tetrafol plus)is very helpful in my patients. It has shown improvement in 50-60% patients of mine with ED.You should take it after meal twice a day. If you feel some improvement in 15 days you should continue for at least 1 month. You may get this medicine over the counter as it is vitamin product.

There are some natural lifestyle measures which help to improve blood flow to penis and overall sexual performance.

- The most important factor is healthy heart. Blood is pumped in to body by heart.So regular exercise and avoidance of fatty fast food are important measures to prevent heart disease. Regular walking, swimming or running overall improves blood flow to whole body circulation including penis and keep the mind fresh.

- Good healthy food is also an important aspect. Bananas, Garlic, dry fruits(they contains vitamins), eggs, cow milk, cow butter are good food which may help in erectile dysfunction.

- Avoid smoking and alcohol. Low amount of alcohol can help in increasing blood flow but more amount can cause opposite effects. So better to avoid the same.


As you are form XXXXXXX I would like to also mention ayurvedic medicine option.Tentax forte is the medicine which is used for ED.No side effects has been reported. I use it infrequently and no specific studies are there of its efficacy. Two tablets daily at night with a cup of milk should be taken.


Normal size of penis in flaccid state is 2 to 4 inches while in erect position 4 to 6 inches. It varies according to body structure and race. Size of penis does not matter much for satisfying partner.
Anterior 3 inches of female vaginal wall is sensitive to sexual stimuli.Only 3.5 inches of erect penis is sufficient to satisfy female. With age some reduction in size of penis is normal.

For twisted and bent penis personal examination to be done. However you can send me clear photographs from different angles if feasible.I will try my best to give opinion on the same.

Let me know:

- Does he have any physical illness?, if yes describe details with medicines.

- Is there any history of history of smoking or alcohol?

- Any emotional,economical or social problem/stress is there?

- Does he have any problem in urinating?

There are many couples like you who are facing such problem. Sex is natural normal need of life. And problem is there in sex person must consult doctor.Try to discuss issue with him and let me know which things are making him to avoid doctor for this problem.

Hope this answers your query.I would like to help you further.

Regards,
Dr.Chintan Solanki.

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Brief Answer:
yes both can be taken, but start tetrafol plus first

Detailed Answer:
Hello ,

Thanks for follow up.

Tetrafol plus and tentax both can be bought over the counter.In my opinion start tetrafol plus fist. Check for effectiveness for 20 days. If some improvement is there go without tentax for 2 months. If no significant improvement with tetrafol plus in 1 month add tentax forte than. By this we can determine which one is effective.

He is stressed with work and that may be the reason for his problem. For stress management and depression evaluation consultation of psychiatrist is the best option. Psychiatrist being sexologist will help in sex problem also.

It is good that he has no habit of smoking or drinking.This implies that his sexual problem is more psychological rather than physical.

Hope this answers your concern.

take care.

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