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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Medicine Is Preferable For Erectile Dysfunction?

Dear Doctor, i gave a 40 yr old man with mild hypertension 120/90mmhg, Telvas -H(telmasartan/ hydrochlorthiazide). However 6 months on the drug he complained of erectile dysfunction which is progressively worsening. He's blood pressure is still high at 110/90mmhg. Should i change the drug? What should i do for him.
Fri, 20 Nov 2015
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Urologist,  's  Response
Hellllo
Thanks for query .

At the outset I would state that the problem of ED that your patient has can not be due to mild hypertension that he has ,

He needs to be investigated on following lines to rule out any organic cause for his ED ,
1) Blood sugar levels to rule out Diabetes
2) Thyroid Hormone assessment .
3) Color Doppler Ultrasound Scan of penis .

If there is no organic cause for his Ed it can be considered to be Psychogenic in origin and guide him to Psychiatrist for counselling .

You can try and prescribe him Sildenafil (Viagra ).This may resolve his problem of ED.

Dr.Patil.
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What Medicine Is Preferable For Erectile Dysfunction?

Hellllo Thanks for query . At the outset I would state that the problem of ED that your patient has can not be due to mild hypertension that he has , He needs to be investigated on following lines to rule out any organic cause for his ED , 1) Blood sugar levels to rule out Diabetes 2) Thyroid Hormone assessment . 3) Color Doppler Ultrasound Scan of penis . If there is no organic cause for his Ed it can be considered to be Psychogenic in origin and guide him to Psychiatrist for counselling . You can try and prescribe him Sildenafil (Viagra ).This may resolve his problem of ED. Dr.Patil.