Hi,I am Dr. Shanthi.E (General & Family Physician). I will be looking into your question and guiding you through the process. Please write your question below.
Hi, i m Ahmed, having a problem of errectile dysfuction. I used viagra for about 4 years and it worked good. but now i m facing the problem of errection. I felt my penis to become partially flaccid and at intercourse time not properly errect even i take viagra. premature ejaculation is also a big problem. please help me in this case
Hello thanks for asking from HCM for your health related queries
I can understand your concern. In a lot of individuals anxiety is found to be the cause behind erectile dysfunction and premature ejaculation. So relief of anxiety results in improvement in symptoms in most cases. But in your case the problem is persistent and even viagra or Sildenafil is not resulting in full effects. In such case I'd advise you to consult a psychiatrist for evaluation.
Get your proper workup done to rule out hypertension, diabetes and any other vascular illness. These are common causes of erectile dysfunction. Blood free testosterone levels can also provide a detail about hormonal imbalance if any. If everything comes normal then most likely cause of your symptoms is psychological. If Sildenafil is not working then other PDE-5 inhibitor like Tadalafil or Verdanafil can help. Tadalafil have relatively better efficacy than Sildenafil in erectile dysfunction. Please consult a psychiatrist for prescription of these drugs.
Thanks, I hope this helps you. Take care
Dr. Seikhoo Bishnoi, Psychiatrist.
I find this answer helpful
You found this answer helpful
Note: For further follow up on related General & Family Physician Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
We use cookies in order to offer you most relevant experience and using this website you acknowledge that you have already read and understood our
Privacy Policy
Suggest Treatment For Erectile Dysfunction
Hello thanks for asking from HCM for your health related queries I can understand your concern. In a lot of individuals anxiety is found to be the cause behind erectile dysfunction and premature ejaculation. So relief of anxiety results in improvement in symptoms in most cases. But in your case the problem is persistent and even viagra or Sildenafil is not resulting in full effects. In such case I d advise you to consult a psychiatrist for evaluation. Get your proper workup done to rule out hypertension, diabetes and any other vascular illness. These are common causes of erectile dysfunction. Blood free testosterone levels can also provide a detail about hormonal imbalance if any. If everything comes normal then most likely cause of your symptoms is psychological. If Sildenafil is not working then other PDE-5 inhibitor like Tadalafil or Verdanafil can help. Tadalafil have relatively better efficacy than Sildenafil in erectile dysfunction. Please consult a psychiatrist for prescription of these drugs. Thanks, I hope this helps you. Take care Dr. Seikhoo Bishnoi, Psychiatrist.