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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Erectile Dysfunction While Having Enlarged Prostate

I have Thal B Minor from my mother's side. My Hemoglobin is 111 g/Lt. I was diagnosed with Hoshimoto's early this year (Jan-2011) and take 5mcg Thyroxin. My recent 2 blood tests show slightly low platelets 112 and 116 . My W & R BC are normal range. My RDW is 18.2% (above range. I feel tired and sleepy lately and have little endurance to walk > 1 km. I am 58 y.o. I have an enlarged prostate (98g) that constricts sometimes and I take Flowmax when needed. I have spells of ED. Over the past 10 years I noticed a material decline in my stamina, strength, alertness and sex drive. I am concerned that my health is also reducing my ability to work and therefore my economic well-being as well as my physical and emotional health. Any suggestions on mitigating my tiredness and lack of drive?
Tue, 19 Mar 2019
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Urologist 's  Response
Hi,

I would recommend having a testosterone test done. You may have symptoms of low testosterone and may need testosterone replacement therapy. Low stamina, decrease in libido, general feeling of fatigue.

Make sure to get a testosterone test in the early morning before 10 am to catch the testosterone peak.

I also suggest taking Flomax regularly instead of as needed because it would take at least 5 days off continues intake before you will reach a therapeutic level and before there will be an effect on the prostate and improve flow.

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

Regards,
Dr. Manuel C See IV, Urologist
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Suggest Treatment For Erectile Dysfunction While Having Enlarged Prostate

Hi, I would recommend having a testosterone test done. You may have symptoms of low testosterone and may need testosterone replacement therapy. Low stamina, decrease in libido, general feeling of fatigue. Make sure to get a testosterone test in the early morning before 10 am to catch the testosterone peak. I also suggest taking Flomax regularly instead of as needed because it would take at least 5 days off continues intake before you will reach a therapeutic level and before there will be an effect on the prostate and improve flow. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Manuel C See IV, Urologist