What Causes Pain In Nipples And Lack Of Orgasm While Taking Viagra?
More information needed
Detailed Answer:
Dear,
Welcome to HCM
As I could understand, your major problem is of NOT BEING ABLE TO EXPERIENCE ORGASM, and pain in nipple.
Well, it appears a condition of sexual dysfunction.
Our aim here is to establish a specific target problem and identify causative factors, risk factors and formulate a treatment.
I would need to know
1) do you feel that your desire for sex has reduced considerably in recent past?
2) there is a desire but not able to get erection?
3) not able to maintain erection for adequate duration?
4) no erection issue, no libido issue but not able to have satisfying orgasm?
Answer to these can help me to know the exact problem.
I could figure out thy your age is 74. May I know if you are suffering from any co morbid medical condition of
Hypertension, diabetes, etc.
Kindly provide the details of medication if taking any, as certain medicationdo tend to produce sexual problems.
Additionally I would need to know that do you every have erection during sleep, early morning?
As I can see that you are taking Viagra.
How much dose of Viagra and how frequently do you use it?
Are you able to have satisfying intetcourse while on Viagra?
There could be certain mental conditions like depression that can cause problems however I would first wait for more information regarding above mentioned points.
You can be more elaborative regarding compliant of nipple pain.
Nature of pain, exact location of it, whether any trauma to it,etc.
Since how long it started, any local discolouration, swelling, etc.
Kindly revert back soon.
1) do you feel that your desire for sex has reduced considerably in recent past?
NO
2) there is a desire but not able to get erection?
Have desire but can get a short erection, but a full erection with viagra
3) not able to maintain erection for adequate duration?
Only with Viagra
4) no erection issue, no libido issue but not able to have satisfying orgasm?
With Viagra erection is ok but no orgasm
Answer to these can help me to know the exact problem.
I could figure out thy your age is 74. May I know if you are suffering from any co morbid medical condition of
Hypertension, diabetes, etc. NONE
Kindly provide the details of medication if taking any, as certain medicationdo tend to produce sexual problems. NO NOT take Medication, only supplements
Additionally I would need to know that do you every have erection during sleep, early morning?
NO
As I can see that you are taking Viagra.
How much dose of Viagra and how frequently do you use it?
100mg tablets, but I take half. I take it once a week, it seems to linger. We enjoy sex once a day. Just got married about 2 months ago
Are you able to have satisfying intetcourse while on Viagra?
YES, but no orgasm on my part
There could be certain mental conditions like depression that can cause problems however I would first wait for more information regarding above mentioned points. I do not have any mental depression.
You can be more elaborative regarding compliant of nipple pain.
Nature of pain, exact location of it, whether any trauma to it,etc.
The nipple is pink except for the head on the nipple which is whiter. The pain is only on the head of the nipple.
Since how long it started, any local discolouration, swelling, etc.
about a month.
With God's Blessings
XXXX
need to investigate for cause
Detailed Answer:
Thanks for the reply.
Considering the information we have and your high age, we need to rule out first certain medical condition and psychiatric condition that could be causing this problem.
For medical condition we can suspect of diabetes, thyroid problem, hypertension problem, neurological problems.
1) i would suggest few investigation
Complete blood profile, lipid and cholesterol levels, blood sugar levels and Hb1ac levels, T3,T4 & TSH testing, Vitamin b12.
these test can help us to rule out above mentioned medical conditions that are likely the cause for the problem in your age.
2) I would suggest you to see a local surgeon and consult to him about possibility of prostate gland enlargement( very common in high age)
3) I would want to know if there was any history or injury to back in past.
Other reason could be depression, alcohol use problems, etc.
It can be indicated by persistent low mood, reduced interest in sex, anxiety, sleep disturbances, etc.
chronic Alcohol use can cause orgasm problem.
In such case consulting a local psychiatrist is strongly advisable.
For nipple problem a local abscess is highly suspected. It should subside by three four days, if persist i suggest you to see a local doctor.
My final advice would be to consult a local physician and discuss for the above suggested investigations and opinion.
A local examination can be very valuable in such cases.
Regards,
Dr Pankaj B