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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Weak And Painful Erections?

Good day sir, I discover in 2006 that one night I woke up to find a strong painful erection. though it did not last for up to 2 hours. but it repeat itself some times,and notably in 2007. Now when Iam stimulated for sex, the erection will be weak and may not last long mostly without pain
Thu, 7 Jul 2016
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General & Family Physician 's  Response
Hello dear
Understand your concern
Painful erection called priapism. Following are the cause: thrombus formation in pelvic venous plexus, sickle cell anemia, hemolytic anemia, plaques, scarring of tunic albugenia,spinal injury, leukemia etc,
Priapism may be associated with erection because of pain.
You should consult the urologist for diagnosis after proper investigations like spinal anesthesia (priapism due to neurogenic cause disappear temporary), USG of penile area, blood picture, CBC, Hb.
Doctor may give following advice:
If prapism is persists. surgery in which anastomosis of venous plexus should be done. Anti coagulant therapy, anti inflammatory and analgesic like ibuprufen or tramdol for 2 week, Treatment of respective cause.
If pain is relieved, and for weak erection following advice will help: Use condoms while during sex, be relax during sex, start daily regular exercise and medication, loose weight, pelvic exercise, you can take sildenafil plus paroxentine for erection 30-40 minutes before sex, mutual understanding with partner reduce anxiety.
Hope this may help you
Best regards
Dr. Sagar
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What Causes Weak And Painful Erections?

Hello dear Understand your concern Painful erection called priapism. Following are the cause: thrombus formation in pelvic venous plexus, sickle cell anemia, hemolytic anemia, plaques, scarring of tunic albugenia,spinal injury, leukemia etc, Priapism may be associated with erection because of pain. You should consult the urologist for diagnosis after proper investigations like spinal anesthesia (priapism due to neurogenic cause disappear temporary), USG of penile area, blood picture, CBC, Hb. Doctor may give following advice: If prapism is persists. surgery in which anastomosis of venous plexus should be done. Anti coagulant therapy, anti inflammatory and analgesic like ibuprufen or tramdol for 2 week, Treatment of respective cause. If pain is relieved, and for weak erection following advice will help: Use condoms while during sex, be relax during sex, start daily regular exercise and medication, loose weight, pelvic exercise, you can take sildenafil plus paroxentine for erection 30-40 minutes before sex, mutual understanding with partner reduce anxiety. Hope this may help you Best regards Dr. Sagar