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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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20 Year Old Overweight With Erectile Dysfunction. Any Solution?

Hi, I am a 20 year old with erectile dysfunction... I have been having this problem for 2 years, at least that s how long I have been aware of it, but in retrospective, it could have been going on longer. I spent my whole life basiclly working on it: I have never been involved in any sport, sitting at home all day, depending on public trasportation, eating a lot and unhelthy (sweets everyday in high quantity, chips and salty goods as well), at one point I had 110kg (I m 188-190cm tall, not too sure about that, for some reasons it tend to vary when I mesure myself), not morbidly obese, but still overweight, smoking since I was 16 about a box of smokes a day, sometimes even 2, a lot of alcohool ( 3-4L of wine on an avreage Friday) and being always anxious about the smallest things and problems my whole life, a lot of insecurity. So, I guess I got what s coming to me. However, four weeks ago I decided to change my life. I began exercising regulary (some pushups, situps, riding an indoors bycile, squats), just getting into basic shape before I try any more advanced exercises, quit smoking and drinking, taking regular walks, not eating sweets (only 3 times have I had sweets since I started, and in very small quantities, one energy bar or so in the beginning when it was hard), eating foods that boost libido (garlic, bannana, avocado etc) lost some weight (the first two weeks a lot, but than I realised I was crash dieting and started eating normally, but still eating less and healthier, began eating more fruit, fish, vegetables, turkey breasts and full grain bread), and trying to think more positivly, although that s actually the hardest one for me because I m having trouble when I know my penis is half dead all the time, but I try to divert my attention from it. I began having morning errections (still not great ones though) after a week every once an a while, and I guess that s a good sign, haven t had them in a while, and 3-4 times got hard errections, although it only lasted for less than a minute, than not, than it would come back, than go down again, but it s progress from not getting up at all. I also quit watching pornography, which I watched practiclly 3 times a day at least, heard that can damage you too, and reduced masturbation to once or twice a day as some sort of adjustment period. So, my question is, although I know you can t really give me a good anwser because it s all relative and depends on my body etc, but is there any telling at all when I might get normal again? I mean, not like a exact date, but just is it a question of weeks, months or even years if I pursue this lifestyle?
Fri, 24 May 2013
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Psychiatrist 's  Response
Hi there ~

I understand your concerns. Try to lose weight and become active. This might just be the best solution for you instead of focusing on the erection part of things. Watching pornography or masturbation is not the cause of your concerns, although I recommend that you do not overdo it. Firstly you might need to consult an psychiatrist to find out if you have any difficulties in your libido or have other mental health concerns like depression. Otherwise, you have a very common problem of erectile dysfunction and / or premature ejaculation and it can be easily treated with medications available during this time. As for natural ways, if you go with ayurvedic medications, confido by himalaya has case based evidence for efficacy. The class of medication is called phosphodiesterase 5 inhibitors (PDE5Inh) selective serotonin reuptake inhibitors and it also helps with decreased libido which is a result of depression if you are going through one. I advise you to consult with a qualified psychiatrist who might be able to help in this regard. I hope this helps.

Take care and have a lovely day!
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20 Year Old Overweight With Erectile Dysfunction. Any Solution?

Hi there ~ I understand your concerns. Try to lose weight and become active. This might just be the best solution for you instead of focusing on the erection part of things. Watching pornography or masturbation is not the cause of your concerns, although I recommend that you do not overdo it. Firstly you might need to consult an psychiatrist to find out if you have any difficulties in your libido or have other mental health concerns like depression. Otherwise, you have a very common problem of erectile dysfunction and / or premature ejaculation and it can be easily treated with medications available during this time. As for natural ways, if you go with ayurvedic medications, confido by himalaya has case based evidence for efficacy. The class of medication is called phosphodiesterase 5 inhibitors (PDE5Inh) selective serotonin reuptake inhibitors and it also helps with decreased libido which is a result of depression if you are going through one. I advise you to consult with a qualified psychiatrist who might be able to help in this regard. I hope this helps. Take care and have a lovely day!