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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Erectile Dysfunction Be Treated?

Hey my name is anthony mccain. I'm 22 years old and about 6 foot, weighting at 165 pounds I been having a problem about having an erection.i can not stay on hard, and some thing during intercourse I can not stay on hard.for the last two years I been buying pills cal male enhancement.every body say I'm to young, can you help me? Can low iron be the cause of me having low testimonial?
Tue, 7 Jun 2016
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Psychiatrist 's  Response
Dear Anthony Mccain,
Thank you for writing to us.
I understand your concerns about erection problem.
Let me know whether you achieve and maintain a good quality of erection in sleep, in the early morning, during masturbation but not at the time of coitus? If you are able to achieve and maintain erection in any one of the above mentioned situations than your problem is more likely psychological rather than physical.
I recommend you to discuss this problem with your psychiatrist who will assist you to find out reason for this problem in your case.
The common causes of erectile dysfunctions are as follows
1. Diabetes (nerve damage and vessels narrowing)
2. Some medicines like anti depressants and anti psychotics
3. Performance anxiety (the most common reason)
4. Psychiatric disorders (depression, anxiety)
5. Alcohol use (nerve damage and testicular injury)
6. Smoking (vessels narrowing)
7. after some surgical procedures (nerve damage)
There are potentially effective and safe medications as well as behavior therapies for erectile dysfunctions. Psychiatrist will identify the best suited for you after knowing your history.
Iron deficiency anemia is a rare cause of erectile dysfunction.
I hope this will help you.
If you have any further questions I will be happy to help. Wish you good health.
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How Can Erectile Dysfunction Be Treated?

Dear Anthony Mccain, Thank you for writing to us. I understand your concerns about erection problem. Let me know whether you achieve and maintain a good quality of erection in sleep, in the early morning, during masturbation but not at the time of coitus? If you are able to achieve and maintain erection in any one of the above mentioned situations than your problem is more likely psychological rather than physical. I recommend you to discuss this problem with your psychiatrist who will assist you to find out reason for this problem in your case. The common causes of erectile dysfunctions are as follows 1. Diabetes (nerve damage and vessels narrowing) 2. Some medicines like anti depressants and anti psychotics 3. Performance anxiety (the most common reason) 4. Psychiatric disorders (depression, anxiety) 5. Alcohol use (nerve damage and testicular injury) 6. Smoking (vessels narrowing) 7. after some surgical procedures (nerve damage) There are potentially effective and safe medications as well as behavior therapies for erectile dysfunctions. Psychiatrist will identify the best suited for you after knowing your history. Iron deficiency anemia is a rare cause of erectile dysfunction. I hope this will help you. If you have any further questions I will be happy to help. Wish you good health.