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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffer From Moderate To Severe ED. Taking Sertraline And Diazepam. Have Low Testosterone Levels. Suggestions?

I am a 57 year old male with moderate to severe ED. Due to my anxiety and depression disorders I am taking 150mg sertraline once daily and 5mg diazepam three times daily. I am professionally treated by a psychiatrist and follow his advice without exception. I am fully aware of the sexual side-effects of taking SSRI's. Also, due to low testosterone levels (below 250) I was referred to a Urologist who is aware of my problem and balancing the dosages while checking PSA and blood chemicals. However, no matter how hard I try I still cannot get any of my physicians to at least attempt to address my ED problem with a degree of interest that leaves me the confidence to believe things will get better. My psychiatrist and I discussed a more aggressive herbal, natural regimen found in a supplement called PHGH. He concurred that I should try it since I've already tried vacuum pumps, trimix, viagra, etc. without any improvement. If this works, then all is well. If not, what physician in the Birmingham, Alabama area specializes in ED treatments?
Mon, 23 Sep 2013
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Psychiatrist 's  Response
Hello
Welcome to HCM

It is common to have sexual side effects with SSRI medicines. But erectile dysfunction is not seen commonly instead delayed ejaculation and anorgasmia are commonly seen. You have low testosterone so this may be a reason of poor erection. There are other anti-depressants that can be used in Erectile Dysfunction and help to improve condition like Mirtazepine, Trazodon. These are free of serious sexual side effects and even improve erection. Consult your psychiatrist for help.
For low testosterone and for urological evaluation consult your urologist.

thanks
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Suffer From Moderate To Severe ED. Taking Sertraline And Diazepam. Have Low Testosterone Levels. Suggestions?

Hello Welcome to HCM It is common to have sexual side effects with SSRI medicines. But erectile dysfunction is not seen commonly instead delayed ejaculation and anorgasmia are commonly seen. You have low testosterone so this may be a reason of poor erection. There are other anti-depressants that can be used in Erectile Dysfunction and help to improve condition like Mirtazepine, Trazodon. These are free of serious sexual side effects and even improve erection. Consult your psychiatrist for help. For low testosterone and for urological evaluation consult your urologist. thanks