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Suggest Treatment For Erectile Dysfunction
Hi, I am sumon, 32 years of age,85 kg, i do masturbating regularly science longtime back, recently i got marrige but i am facing a serious problem my panis dosen,t get hard on sex time but some others time its ok. what i can do. plese give me some advice.
Fri, 17 Jun 2016
Hello dear
Understand your concern
Treatment of erectile dysfunction depends on its cause. So first step in management is to fine cause.
It is due to psychiatric problem and medical condition.
Psychiatric causes: Excessive stress, performance anxiety, relationship issue.
Medical cause: obesity, hypertension and its treatment, smoking, alcohol, prostate problem, diabetes, testis pathology.
Consult the psychiatric for better evaluation and need following investigations: Blood sugar, kidney panel,color Doppler of penile region, semen analysis, nocturnal penile erection test, heath check up.
Doctor may provide following advice:
Cognitive behavioral therapy: active session with psychiatric to find abnormal thought process, avoid stress and thinking about problem, start regular exercise like yoga and walking 30-45 minutes in morning, avoid smoking and alcohol, engage more in fore play before sex, use double condoms, kegel's exercise, hold urine before urination, try comfortable sex position like women on top position, talk to your partner to avoid anxiety,
take fresh fruits, tablet Co Q, tablet gonadil F,
After proper evaluation you can take siledenafil plus paroxentine 30 minute before sex once in a day if above advice will not work.
Hope this may help you
Thanks and regards
Dr. Sagar
Understand your concern
Treatment of erectile dysfunction depends on its cause. So first step in management is to fine cause.
It is due to psychiatric problem and medical condition.
Psychiatric causes: Excessive stress, performance anxiety, relationship issue.
Medical cause: obesity, hypertension and its treatment, smoking, alcohol, prostate problem, diabetes, testis pathology.
Consult the psychiatric for better evaluation and need following investigations: Blood sugar, kidney panel,color Doppler of penile region, semen analysis, nocturnal penile erection test, heath check up.
Doctor may provide following advice:
Cognitive behavioral therapy: active session with psychiatric to find abnormal thought process, avoid stress and thinking about problem, start regular exercise like yoga and walking 30-45 minutes in morning, avoid smoking and alcohol, engage more in fore play before sex, use double condoms, kegel's exercise, hold urine before urination, try comfortable sex position like women on top position, talk to your partner to avoid anxiety,
take fresh fruits, tablet Co Q, tablet gonadil F,
After proper evaluation you can take siledenafil plus paroxentine 30 minute before sex once in a day if above advice will not work.
Hope this may help you
Thanks and regards
Dr. Sagar
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