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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Erectile Dysfunction And Dry Ejaculation

Im on two meds I started for urinary issues, always feeling I had to go, couldn t, ect. Now one of these two meds are making me dry ejaculate. I suffer from ed also. This is making my life hell. My wife don t like it either. I m 35, she s 30, hot and thinks I m not attracted to her, which I am. IDK what to do. Cialis worked but insurance won t cover. Now this new issue of dry ghost ejaculate, if I can even get that far.. The meds I started about 10 days ago. One is Tamsulosin .4 mgs. The other is Oxybutynin 10 mgs. Should I stop one, both or what. Any other advise on ED please help... The new meds one or both are helping me go. The one for bedtime, I can live without, if that s to stop me from waking and going, over dry ejaculations... Thanks Tom
Mon, 27 Apr 2020
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General Surgeon 's  Response
Hi,

Anxiety can affect sexual function. Stress can cause erectile problems. So treatment of psychological stress and anxiety is must.

1st thing you have to do is go for penile Doppler to know blood flow and chance of erection with medications etc.

Erectile problem has many origins like stress/lifestyle issues/relationship problems/organic or physical problems etc.

1st is life style, stress and busy life style make you fatigued and secondary to this it makes less desire in sex and erectile problems.

Avoid smoking/alcohol, take healthy diet, 2nd is relationship, free communicative and mutual understanding will help, sex is mutual act; so try to do mutually and tell your problem to partner. This will reduce your anxiety and able to erect easily.

So stress free lifestyle and mutual communication will help
3rd is physical health.

Routine check up and fit physical health is necessary to rule out diabetes and hypertension.

Psychological soundness is must and sun set focus method for erection is very useful. It can be treated with medicines like sildenafil,, tadanafil, tetrafol plus etc,do take advise from doctors.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr. Iven Romic Rommstein
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Suggest Remedy For Erectile Dysfunction And Dry Ejaculation

Hi, Anxiety can affect sexual function. Stress can cause erectile problems. So treatment of psychological stress and anxiety is must. 1st thing you have to do is go for penile Doppler to know blood flow and chance of erection with medications etc. Erectile problem has many origins like stress/lifestyle issues/relationship problems/organic or physical problems etc. 1st is life style, stress and busy life style make you fatigued and secondary to this it makes less desire in sex and erectile problems. Avoid smoking/alcohol, take healthy diet, 2nd is relationship, free communicative and mutual understanding will help, sex is mutual act; so try to do mutually and tell your problem to partner. This will reduce your anxiety and able to erect easily. So stress free lifestyle and mutual communication will help 3rd is physical health. Routine check up and fit physical health is necessary to rule out diabetes and hypertension. Psychological soundness is must and sun set focus method for erection is very useful. It can be treated with medicines like sildenafil,, tadanafil, tetrafol plus etc,do take advise from doctors. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Iven Romic Rommstein