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What Causes Erectile Dysfunction?
Question: Hello Doctors,
I am 27 years old and married 10 months before. I was enjoying my sexual life. But since last 15-20 days I am not getting erection / any sexual sensation in my penis. Even in the early morning after I wake up from sleep there is no tightness in my penis while doing pee. This happened first time in my life.
I went to a sexologist in my nearest place, he is a "B.Sc.LCEH, BHMS" and he is having 15 years of experience. Doctor has given me Himalaya's Tentex Royal Capsules and Ignitor ED (Manufacture ZYDUS Nutriva) powder. I am taking this capsules 2 times daily and powder at night since last 10 days. But there is no change is visible. Still the consdition of my penis is same.
I want to come back to normal situation. Please help me.
I am 27 years old and married 10 months before. I was enjoying my sexual life. But since last 15-20 days I am not getting erection / any sexual sensation in my penis. Even in the early morning after I wake up from sleep there is no tightness in my penis while doing pee. This happened first time in my life.
I went to a sexologist in my nearest place, he is a "B.Sc.LCEH, BHMS" and he is having 15 years of experience. Doctor has given me Himalaya's Tentex Royal Capsules and Ignitor ED (Manufacture ZYDUS Nutriva) powder. I am taking this capsules 2 times daily and powder at night since last 10 days. But there is no change is visible. Still the consdition of my penis is same.
I want to come back to normal situation. Please help me.
Brief Answer:
you will be normal, just relax and see below
Detailed Answer:
Hello,
Thanks for writing to us.
I can understand your concern.
Considering your age , your problem mostly will be psychological rather than physical.
In psychosexual problem counselling and behaviour therapy would be sufficient or may be needed medicines for short period.
I would like to know from you to judge your problem as well as to help you in specific manner.
Have you checked your blood pressure? Is it ok?
Are you using any substance like tobacco, alcohol, smoking etc?If yes provide detail about the same.
How is emotional relation with wife means intimacy and love? Or any recent trouble between you?
Is there any stress which is execssive and bothering you like social,economical,occupational?
Is there any burning in urine?
Have you tried masturbation in last 15 days? If yes what happend then?
Since you are facing problem , how many times did you try intercourse with wife? And what happened during sex?
Waiting for your reply to help you further.
Regards,
Dr.Chintan Solanki.
you will be normal, just relax and see below
Detailed Answer:
Hello,
Thanks for writing to us.
I can understand your concern.
Considering your age , your problem mostly will be psychological rather than physical.
In psychosexual problem counselling and behaviour therapy would be sufficient or may be needed medicines for short period.
I would like to know from you to judge your problem as well as to help you in specific manner.
Have you checked your blood pressure? Is it ok?
Are you using any substance like tobacco, alcohol, smoking etc?If yes provide detail about the same.
How is emotional relation with wife means intimacy and love? Or any recent trouble between you?
Is there any stress which is execssive and bothering you like social,economical,occupational?
Is there any burning in urine?
Have you tried masturbation in last 15 days? If yes what happend then?
Since you are facing problem , how many times did you try intercourse with wife? And what happened during sex?
Waiting for your reply to help you further.
Regards,
Dr.Chintan Solanki.
Above answer was peer-reviewed by :
Dr. Ashwin Bhandari
Hello Doctors,
Please let me know if I am taking right medicines or not. If you want me to add any medicine or want to change it then please let me know. If you want me to do some test then please advise me. I will do it and send report to you. I want to come back to normal situation as soon as possible.
Q. Have you checked your blood pressure? Is it ok?
Ans : I have checked my blood pressure on 15th Oct Wednesday and it was 80-130. I did a blood donation after that.
Q. Are you using any substance like tobacco, alcohol, smoking etc?If yes provide detail about the same.
Ans : I don’t take tobacco or don’t do smoking. However, I take alcohol occasionally and i.e. once in 2-3 months.
Q. How emotional relation with wife is means intimacy and love? Or any recent trouble between you?
Ans : Yes, we do have intimacy and love. My nature is little bit over conscious about her and her health problems. Also I am little bit anger.
We did a abortion 3 months before with under treatment of Gynecologist. It was our both of us decision .
Q. Is there any stress which is excessive and bothering you like social,economic,occupational?
Ans : I am little bit under stress since last few days. That is economical. I have a home loan and there are many other expenses because of that I feel I could not able to save money for future or for critical situations. I am working in IT company and I have good salary. Because of job requirement I am working in shifts. (Morgning – Evening – Night).
Is there any burning in urine?
Ans : No
Have you tried masturbation in last 15 days? If yes what happened then?
Ans : Yes, I tried masturbation in last 15 days. I tried 2 times by watching porn movie. But it was not satisfactory.
I used to watch porn movie before my marriage. And that time I was enjoying a lot. Now there is very much erectile dysfunction.
Since you are facing problem , how many times did you try intercourse with wife? And what happened during sex?
Ans : No, I did not try after I come to know about this problem. Because my wife is gone to her native place for her College Exam. But when we had sex last time that time I was feeling that there is very much erectile dysfunction in my penis. And I could not enjoy my last inter course.
Thanks
Please let me know if I am taking right medicines or not. If you want me to add any medicine or want to change it then please let me know. If you want me to do some test then please advise me. I will do it and send report to you. I want to come back to normal situation as soon as possible.
Q. Have you checked your blood pressure? Is it ok?
Ans : I have checked my blood pressure on 15th Oct Wednesday and it was 80-130. I did a blood donation after that.
Q. Are you using any substance like tobacco, alcohol, smoking etc?If yes provide detail about the same.
Ans : I don’t take tobacco or don’t do smoking. However, I take alcohol occasionally and i.e. once in 2-3 months.
Q. How emotional relation with wife is means intimacy and love? Or any recent trouble between you?
Ans : Yes, we do have intimacy and love. My nature is little bit over conscious about her and her health problems. Also I am little bit anger.
We did a abortion 3 months before with under treatment of Gynecologist. It was our both of us decision .
Q. Is there any stress which is excessive and bothering you like social,economic,occupational?
Ans : I am little bit under stress since last few days. That is economical. I have a home loan and there are many other expenses because of that I feel I could not able to save money for future or for critical situations. I am working in IT company and I have good salary. Because of job requirement I am working in shifts. (Morgning – Evening – Night).
Is there any burning in urine?
Ans : No
Have you tried masturbation in last 15 days? If yes what happened then?
Ans : Yes, I tried masturbation in last 15 days. I tried 2 times by watching porn movie. But it was not satisfactory.
I used to watch porn movie before my marriage. And that time I was enjoying a lot. Now there is very much erectile dysfunction.
Since you are facing problem , how many times did you try intercourse with wife? And what happened during sex?
Ans : No, I did not try after I come to know about this problem. Because my wife is gone to her native place for her College Exam. But when we had sex last time that time I was feeling that there is very much erectile dysfunction in my penis. And I could not enjoy my last inter course.
Thanks
Brief Answer:
do following tests and start medicines as below
Detailed Answer:
Hello.
Thanks for detail specific reply.
You are not taking wrong medicines but specific effects of them in my opinion is not evidence based as they are ayurvedik preparations.
From your answers no negative point found out except some economical stress.
You just go for checking your serum testosterone level, fasting blood sugar level and lipid profile.Blood sample for all these tests can be collected in the morning.
You can start one medicine called tetrafol puls(mecobylamin, pyridoxal phosphate).It is a vitamin product and specifically helpful in erectile dysfunction.it is taken two times a day after meal.Initially to be taken for 20 days , if not found helpful stop it or else complete course of 2 months.No side effect issue.
Other medicines called 5-PDE inhibitor including sildenafil,tadalfil and udenafil.
You can take 50 mg sildenafil(penagra,menforce) just before 2 hours of intercourse or before masturbation.Morning headache may be the troubling side effect. However if you tart with tadalafil 20 mg, side effects will be least.
If I were your treating doctor, I would go for only tetrafol plus right now.
I would like to go for sex counselling and behavior therapy.It is couple counselling as sex is act of two.master & XXXXXXX technique can be helpful to you. It requires 4-5 session of a couple with a psychiatrist/sexologist.
Revert back to me with reports.
Also late me know: when your wife is going to come and your total hours of work in a day and a week.Shift duty is changed weekly or monthly? Any problem in sleep or other due to shift work? Until you can try masturbation and see the improvement.
Regards,
Dr.Chintan Solanki.
do following tests and start medicines as below
Detailed Answer:
Hello.
Thanks for detail specific reply.
You are not taking wrong medicines but specific effects of them in my opinion is not evidence based as they are ayurvedik preparations.
From your answers no negative point found out except some economical stress.
You just go for checking your serum testosterone level, fasting blood sugar level and lipid profile.Blood sample for all these tests can be collected in the morning.
You can start one medicine called tetrafol puls(mecobylamin, pyridoxal phosphate).It is a vitamin product and specifically helpful in erectile dysfunction.it is taken two times a day after meal.Initially to be taken for 20 days , if not found helpful stop it or else complete course of 2 months.No side effect issue.
Other medicines called 5-PDE inhibitor including sildenafil,tadalfil and udenafil.
You can take 50 mg sildenafil(penagra,menforce) just before 2 hours of intercourse or before masturbation.Morning headache may be the troubling side effect. However if you tart with tadalafil 20 mg, side effects will be least.
If I were your treating doctor, I would go for only tetrafol plus right now.
I would like to go for sex counselling and behavior therapy.It is couple counselling as sex is act of two.master & XXXXXXX technique can be helpful to you. It requires 4-5 session of a couple with a psychiatrist/sexologist.
Revert back to me with reports.
Also late me know: when your wife is going to come and your total hours of work in a day and a week.Shift duty is changed weekly or monthly? Any problem in sleep or other due to shift work? Until you can try masturbation and see the improvement.
Regards,
Dr.Chintan Solanki.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
Answered by
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