Suggest Treatment For Erectile Dysfunction

Posted on Tue, 5 Jul 2016

Question: Hi Doctor,
I have a ED problem from last 7-8 months. It was good till 1st half of 2015 but after that it is not good. In morning time (between 3 to 5 AM) during the sleep, I am getting good erection. But when I want to have a sex at that time it is not getting good erection. I have very few good erection during sex in last 7-8 months. but it was very occasionally. So I need your advice to improve it. How it can be resolved?
Thanks

Answered by Dr. Matthew J. Mangat (58 minutes later)

Brief Answer:
Try Sildenafil or Tadalafil.

Detailed Answer:
Hello XXXXXXX and welcome to HCM.
As a Urologist, I can fully understand your concern.

Basically you must be having a lot of stress, which is probably the cause for ED.
This is a presumption, based on your history of nocturnal and morning erections.
Also, you were able to get good erections several times, in last 7-8 months.

To reduce stress, you must have regular exercise, timely meals and 7-8 hours sleep.
If you have no medical illness, especially cardiac related, then you can try medicines.

Half hour before sex, take a Sildenafil tablet and works well with sexual stimulation.
The alternative is to try Tadalafil in the same way,and it's very effective.
You need to obtain the prescription for these medicines from a local doctor.

Wish you well.

Dr.Matthew J. Mangat.

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Matthew J. Mangat (3 hours later)

Hi Doctor,

Thanks for your response. Basically when I try for sex at that time, I am not getting proper erection and hard. because of that I am very frustrated.

Is there any permanent solution? I will take these medicines but will there be any side effect of these medicines?

How long I should take these medicines?

Thanks
XXXXX

Answered by Dr. Matthew J. Mangat (3 hours later)

Brief Answer:
Medicine to be taken only when needed.

Detailed Answer:
Hi XXXXXXX

If you're not having any cardiac treatment,medicines work very well.
Take a tablet, half hour before having sex.
Thereafter,you ask your partner to engage in sexual arousal, for the drug to act.

These medicines should be taken,only when you need to have sex.
After a few occasions,you may be able to have sex without it.

Wish you well.

Dr.Matthew J. Mangat.

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Prasad