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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Can Be The Cause Of Erectile Dysfunction?

hi doc i have been mastrbeting from long time know i stoped.know i am not feeling any sexual feelings..an ro responce fron my pennis..no erection..it will come when i watch blue films..it come just for aecond.and goes down any my size is normal 2 inc at erction 4 inch but no erction at all am single still
Fri, 24 Jun 2016
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General & Family Physician 's  Response
Hello dear
Understand your concern
Causes of erectile dysfunction broadly dived in two cause: psychiatric and medical cause.
Psychiatric: excessive stress, depression, anxiety
Medical cause: spine problem/damage to back nerve, diabetes, obesity, hypertension and its treatment, orchitis/chronic epididmytis, smoking, alcohol, low testosterone, prostate enlargement etc.
So please consult the urologist/psychiatric and go for following investigations: CBC, ESR, Semen analysis, noctural penile erection test (no erection of penis at night or morning in spinal problem), Blood sugar, lipid profile, testosterone, cortisol test etc
Doctor may give following advice:
cognitive behavioral therapy, avoid stress and be relax, start exercise like yoga and walking gin the morning for 30-45 minutes, hold urine before urination, do kegel's exercise, avoid alcohol and smoking,
testosterone injection if low testosterone, you can use sildenafil plus paroxentine 30 minutes before sex after proper evaluation, take healthy diet and fresh fruits. tablet co Q and gonadil F also improve sperm quality.
Hope this may help you
Best regards
Dr. Sagar
I find this answer helpful
  User's Response
HI
Well come to HCM
If you do not have erection then this could be due to depressive phenomenon and not because of any disease and such symptoms happens some time with the person who used to masturbation, but this would come around soon take care.
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What Can Be The Cause Of Erectile Dysfunction?

Hello dear Understand your concern Causes of erectile dysfunction broadly dived in two cause: psychiatric and medical cause. Psychiatric: excessive stress, depression, anxiety Medical cause: spine problem/damage to back nerve, diabetes, obesity, hypertension and its treatment, orchitis/chronic epididmytis, smoking, alcohol, low testosterone, prostate enlargement etc. So please consult the urologist/psychiatric and go for following investigations: CBC, ESR, Semen analysis, noctural penile erection test (no erection of penis at night or morning in spinal problem), Blood sugar, lipid profile, testosterone, cortisol test etc Doctor may give following advice: cognitive behavioral therapy, avoid stress and be relax, start exercise like yoga and walking gin the morning for 30-45 minutes, hold urine before urination, do kegel s exercise, avoid alcohol and smoking, testosterone injection if low testosterone, you can use sildenafil plus paroxentine 30 minutes before sex after proper evaluation, take healthy diet and fresh fruits. tablet co Q and gonadil F also improve sperm quality. Hope this may help you Best regards Dr. Sagar