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Suggest Treatment For Erectile Dysfunction
Question: Hello, i would please like to know what are the treatment options for erection problems?
The last month, my partner is suddenly having erection problems that don't allow us to have a normal sex life. He manages to have an erection however is only lasts for 1 minute, then he loses it, then comes back again for 1 minute, then loses it etc; and finds it very difficult to ejaculate. He always had some small erection issues but not every time and not so serious. What can we do about it? He is 26 years old, smoker, with depression and anxiety disorder issues in the past, and he is taking antidepressants (Citalopram and Akamon (Bromazepam) the last 3 months. I don't know if maybe the medication might play a role?
The last month, my partner is suddenly having erection problems that don't allow us to have a normal sex life. He manages to have an erection however is only lasts for 1 minute, then he loses it, then comes back again for 1 minute, then loses it etc; and finds it very difficult to ejaculate. He always had some small erection issues but not every time and not so serious. What can we do about it? He is 26 years old, smoker, with depression and anxiety disorder issues in the past, and he is taking antidepressants (Citalopram and Akamon (Bromazepam) the last 3 months. I don't know if maybe the medication might play a role?
Brief Answer:
Erectile dysfunction likely related to citalopram
Detailed Answer:
Hello, thank you for your question.
You describe erectile dysfunction in your partner, which is the medical term describing difficulty getting an erection. There are a few different things that could be happening here. First, I would ask if this has ever happened before, or if this only started happening after he began taking citalopram. Erectile difficulty is a known side effect of citalopram, so this could certainly be the cause. Things I might consider in my patients would be decreasing the dose of citalopram carefully and reassess depression, or perhaps augmenting citalopram with buproprion, which can decrease erectile difficulty. Drugs like Viagra or Cialis can also address this problem.
Smoking can also contribute to erectile dysfunction, so your partner should consider stopping smoking.
Finally, depression can cause decreased libido. If your partner is feeling depressed, he should visit a primary care doctor or psychiatrist to seek help.
I hope this is helpful to you.
Dr. Sheppe
Erectile dysfunction likely related to citalopram
Detailed Answer:
Hello, thank you for your question.
You describe erectile dysfunction in your partner, which is the medical term describing difficulty getting an erection. There are a few different things that could be happening here. First, I would ask if this has ever happened before, or if this only started happening after he began taking citalopram. Erectile difficulty is a known side effect of citalopram, so this could certainly be the cause. Things I might consider in my patients would be decreasing the dose of citalopram carefully and reassess depression, or perhaps augmenting citalopram with buproprion, which can decrease erectile difficulty. Drugs like Viagra or Cialis can also address this problem.
Smoking can also contribute to erectile dysfunction, so your partner should consider stopping smoking.
Finally, depression can cause decreased libido. If your partner is feeling depressed, he should visit a primary care doctor or psychiatrist to seek help.
I hope this is helpful to you.
Dr. Sheppe
Above answer was peer-reviewed by :
Dr. Yogesh D
Thanks a lot for your reply.
He used to have some issues in the past but not so serious: for example he had a normal erection for 5-10 minutes and then he wasn't able to maintain it through the whole sexual activity. But for 5-10 minutes it was completely normal and was able to ejaculate as well. After taking citalopram (he had 'untreated' panic attacks and anxiety dizziness for 4 years) the erection problem stopped! He didn't have any erection problem and he was maintaining erection it during the whole sexual act. We thought the anxiety was treated so the erection problem was probably psychological so it was gone! But suddenly, 3 months now from taking citalopram, he became much much worse than ever before. He is seeing a psychiatrist once a month but we didn't mention to her the erection problem yet.
He used to have some issues in the past but not so serious: for example he had a normal erection for 5-10 minutes and then he wasn't able to maintain it through the whole sexual activity. But for 5-10 minutes it was completely normal and was able to ejaculate as well. After taking citalopram (he had 'untreated' panic attacks and anxiety dizziness for 4 years) the erection problem stopped! He didn't have any erection problem and he was maintaining erection it during the whole sexual act. We thought the anxiety was treated so the erection problem was probably psychological so it was gone! But suddenly, 3 months now from taking citalopram, he became much much worse than ever before. He is seeing a psychiatrist once a month but we didn't mention to her the erection problem yet.
Brief Answer:
Stay with celexa
Detailed Answer:
I would mention the problem to your psychiatrist, as there are medications that can help with it. It sounds like citalopram has been helpful, so maybe adding something like Wellbutrin or Viagra would be helpful.
If you want a more detailed answer, ask me below!
http://tinyurl.com/DrSheppeAnswers
Stay with celexa
Detailed Answer:
I would mention the problem to your psychiatrist, as there are medications that can help with it. It sounds like citalopram has been helpful, so maybe adding something like Wellbutrin or Viagra would be helpful.
If you want a more detailed answer, ask me below!
http://tinyurl.com/DrSheppeAnswers
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Above answer was peer-reviewed by :
Dr. Yogesh D
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