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What Causes Organic Erectile Dysfunction?

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Posted on Thu, 19 May 2016
Question: Hello doctor, i am 29 and we recently have baby 3 months back. I have question regarding sexual health. We dont have intercourse since last 7 months. Now i feel little bit insecure of having confident sex. I am struggling in it. When i masturbate i have proper errection and while we have intercourse i have to errect it , it doesnt get errected naturally, how can i treat this condition? Am i having errectile dysfunction? At the time of masturbation ot is properly errected. I have thyroid disorder, taking thyroxin 50 mg . My endo told me you will feel better in this case after regulation of thyroid with pill but i dont find any change. I started exercise and taking proper sleep, it has given freshness to life. Last year when we were about to conceive baby doctor suggested me olygex named ayurvedic medicine for better sexual health and it helped me too. But what could be the teasons ? Is it obesity ? My bmi 35 weight is 110 kg. Thanks in advance.
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (1 hour later)
Brief Answer:
this is more of psychological but definite need to reduce weight

Detailed Answer:
Hello,
Thanks for using healthcaremagic.
I have gone through the details provided in query and understand your concerns.

First of all I like to inform you that there is no evidence of organic erectile dysfunction evidenced by normal erection during madturbation. Having said this it is important to stop evaluating yourself negatively since it adversely affects your sexual functioning.

Secondly there is immediate need to reduce the body weight to at least less than 30 BMI. This is extremely important as excess fat tissue deterorates the hormone function resulting in poor sexual performance.

Thirdly continue positive efforts that you are taking these days like proper sleep, regular exercise of at leadt 45 minutes and balanced diet.

In case you do not get proper response with these measures please see a psychiatrist for complete evaluation and treatment.

I hope this helps you.
If you have more questions feel free to write back to me.
Thanks and regards.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Ashok Kumar Choudhary (13 minutes later)
Ok sir you mean its not about medicine, its a gap which we have and little bit negativity of not having proper sex that creates a problem right. There is nothing like errectile dysfunction? I just need to try and try more. And should continue weight reduction. This is common problem right ? No meed to worry ?
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (4 hours later)
Brief Answer:
With life style modification problem is largely reversible

Detailed Answer:
Dear XXXXXXX
Thanks for reverting back to me.

I am glad to know that you figure out the problem in complete detail. As you said it is largely controllable situation with simple life style modification and change of attitude.

Only important thing is to keep positive attitude toward everything including your sex life.

I hope this helps you further.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for my future patients.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Ashok Kumar Choudhary

Psychiatrist

Practicing since :2000

Answered : 3355 Questions

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What Causes Organic Erectile Dysfunction?

Brief Answer: this is more of psychological but definite need to reduce weight Detailed Answer: Hello, Thanks for using healthcaremagic. I have gone through the details provided in query and understand your concerns. First of all I like to inform you that there is no evidence of organic erectile dysfunction evidenced by normal erection during madturbation. Having said this it is important to stop evaluating yourself negatively since it adversely affects your sexual functioning. Secondly there is immediate need to reduce the body weight to at least less than 30 BMI. This is extremely important as excess fat tissue deterorates the hormone function resulting in poor sexual performance. Thirdly continue positive efforts that you are taking these days like proper sleep, regular exercise of at leadt 45 minutes and balanced diet. In case you do not get proper response with these measures please see a psychiatrist for complete evaluation and treatment. I hope this helps you. If you have more questions feel free to write back to me. Thanks and regards.