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Suggest Treatment For Erectile Dysfunction
Posted on
Mon, 24 Oct 2016
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Mon, 24 Oct 2016
Answered on
Mon, 14 Nov 2016
Last reviewed on
Question : Hi, I am 45 years old and during sex my pennies is not getting hard...plz suggest
Brief Answer:
need more information and investiagtions
Detailed Answer:
Hello XXXXXXX
Thanks for writing to us. I can understand your concern.
At age of 45 erection problem should be evaluated by physical examination.
I would recommend proper physical examination with full cardiac check up and serum testosterone level.
To guide you further let me know following details.
- Since when problem is there?
- How did problem start? Any specific incidence was there?
- Do you have any physical illness, specifically diabetes or high blood pressure? If yes describe details with medicines.
- Do you have any habit of tobacco use, smoking and alcohol? If yes, provide details.
- When did you do your last successful sex?
- Is there any difficulty in urinating?
- How is relationship with your partner? Any emotional or social problem is there?
- Is morning erection present?
- What is your wife's opinion about this problem?
I will be happy to help further after your response.
Regards,
Dr.Chintan Solanki.
need more information and investiagtions
Detailed Answer:
Hello XXXXXXX
Thanks for writing to us. I can understand your concern.
At age of 45 erection problem should be evaluated by physical examination.
I would recommend proper physical examination with full cardiac check up and serum testosterone level.
To guide you further let me know following details.
- Since when problem is there?
- How did problem start? Any specific incidence was there?
- Do you have any physical illness, specifically diabetes or high blood pressure? If yes describe details with medicines.
- Do you have any habit of tobacco use, smoking and alcohol? If yes, provide details.
- When did you do your last successful sex?
- Is there any difficulty in urinating?
- How is relationship with your partner? Any emotional or social problem is there?
- Is morning erection present?
- What is your wife's opinion about this problem?
I will be happy to help further after your response.
Regards,
Dr.Chintan Solanki.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Since when problem is there?
Since last 20 days. - How did problem start? Any specific incidence was there?
No Specific reason.
- Do you have any physical illness, specifically diabetes or high blood pressure? If yes describe details with medicines.
No except for acidity and headache
- Do you have any habit of tobacco use, smoking and alcohol? If yes, provide details.
No
- When did you do your last successful sex?
20 days back
- Is there any difficulty in urinating?
No
- How is relationship with your partner? Any emotional or social problem is there?
It's good.
- Is morning erection present?
Yes and sometimes even before sex errection exists.
- What is your wife's opinion about this problem?
No Specific opinion.
Since last 20 days. - How did problem start? Any specific incidence was there?
No Specific reason.
- Do you have any physical illness, specifically diabetes or high blood pressure? If yes describe details with medicines.
No except for acidity and headache
- Do you have any habit of tobacco use, smoking and alcohol? If yes, provide details.
No
- When did you do your last successful sex?
20 days back
- Is there any difficulty in urinating?
No
- How is relationship with your partner? Any emotional or social problem is there?
It's good.
- Is morning erection present?
Yes and sometimes even before sex errection exists.
- What is your wife's opinion about this problem?
No Specific opinion.
Brief Answer:
take tetrafol plus and tentex forte for a while
Detailed Answer:
Hi,
Thanks for information.
According to DSM 5 definition, Erectile dysfunction (ED) can be diagnosed when person fails most of the time (say more than 50%) in last 6 months during intercourse. you have problem since 20 days only and morning erection is present. This means there is no major physical problem likely.
Try to avoid performance anxiety.
Sometime due to fatigue, lack of mood, situational problem or environmental changes man can fail in sex. It is normal phenomenon. However when this failure makes person apprehensive about erection, sex life is affected. This is called performance anxiety. After such failure when person actively thinks about erection or success of intercourse during sex/masturbation his mind is likely diverted to such thoughts. For constant erection continuous exciting/romantic/erotic feelings should be there in mind. If mind diverted to concern about erection, erection would not be possible.
While doing sex keep yourself relax.
Whenever you go for sex, spare enough time in foreplay. You should not think actively about erection, your mind must be occupied with sexual/romantic feelings. During foreplay your partner should try to arouse you and note that your penis gets erection or not. When she feels that penis is sufficiently erect she herself should try to put erect penis in vagina gradually and you should continue your foreplay feelings without being conscious about erection. You must try to enjoy and only enjoy.
Treatment of ED:
Medical treatment for ED:
5- PDE inhibitor group of medicines are used for this purpose which includes sildenafil or tadalafil. It is proven drug for male erectile dysfunction. One of them should be used 2 hours prior to sex. They cause 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.
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. You should take it after meal twice a day. If you feel some improvement in 20 days you should continue for at least 2 months. 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. 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 likely form XXXXXXX I would like to also mention ayurvedic medicine option. Tentex forte is the medicine which is used for ED. No side effects have been reported.
At present I would recommend Tetrafol plus and tentex forte at present in your case.
Give your self sometime and you will succeed. Also go for cardiac check up once as I mentioned.
Take care.
take tetrafol plus and tentex forte for a while
Detailed Answer:
Hi,
Thanks for information.
According to DSM 5 definition, Erectile dysfunction (ED) can be diagnosed when person fails most of the time (say more than 50%) in last 6 months during intercourse. you have problem since 20 days only and morning erection is present. This means there is no major physical problem likely.
Try to avoid performance anxiety.
Sometime due to fatigue, lack of mood, situational problem or environmental changes man can fail in sex. It is normal phenomenon. However when this failure makes person apprehensive about erection, sex life is affected. This is called performance anxiety. After such failure when person actively thinks about erection or success of intercourse during sex/masturbation his mind is likely diverted to such thoughts. For constant erection continuous exciting/romantic/erotic feelings should be there in mind. If mind diverted to concern about erection, erection would not be possible.
While doing sex keep yourself relax.
Whenever you go for sex, spare enough time in foreplay. You should not think actively about erection, your mind must be occupied with sexual/romantic feelings. During foreplay your partner should try to arouse you and note that your penis gets erection or not. When she feels that penis is sufficiently erect she herself should try to put erect penis in vagina gradually and you should continue your foreplay feelings without being conscious about erection. You must try to enjoy and only enjoy.
Treatment of ED:
Medical treatment for ED:
5- PDE inhibitor group of medicines are used for this purpose which includes sildenafil or tadalafil. It is proven drug for male erectile dysfunction. One of them should be used 2 hours prior to sex. They cause 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.
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. You should take it after meal twice a day. If you feel some improvement in 20 days you should continue for at least 2 months. 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. 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 likely form XXXXXXX I would like to also mention ayurvedic medicine option. Tentex forte is the medicine which is used for ED. No side effects have been reported.
At present I would recommend Tetrafol plus and tentex forte at present in your case.
Give your self sometime and you will succeed. Also go for cardiac check up once as I mentioned.
Take care.
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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