Can Anxiety Cause Erectile Dysfunction?

Posted on Thu, 31 Aug 2017

Question: Yes, I am 22 years old, I presently take focalin for ADHD and have a sleep disorder, hypersomnia(daytime sleepiness). Focalin helps with both diagnoses. My problem is that in the last 6 months I started having ED symptoms.....I have followed up with a urologist, had bloodwork....which I can share. My psychiatrist recommended I follow up with the urologist. He did the following: checked FSH and LH, testosterone, TSH, Prolactin, T3 and T4. All within normal limits except my FSH was on the low side at 1.8.....He said all is fine, but I still have ED, What are your thoughts?

Answered by Dr. Dr. P. T. Patil (7 hours later)

Brief Answer:
Your ED seems to be due to anxiety

Detailed Answer:
Hello
Thanks for your query
In view of all the relevant blood test being normal your ED seems to be Psychogenic in nature. .

Following general Measures will help to resolve your issue to some extent
1) Practice moderate exercise and meditation for One hour in the morning
2)Take high protein diet with multi vitamins ,fruits and vegetables
3)) Avoid smoking and alcohol
4) Take 5-6 almonds everyday
If you are engaged in sexual activities with your female partner taking Sildenafil pne hour before sex will help to get good hard erection to have enjoyable sex

Thanks Please do write if you need more help.
Dr Patil

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Dr. P. T. Patil (8 hours later)

thank you, my sleep specialist did say that severe sleep issues could cause ED.....I am going for another sleep study just to get a more up to date result since it has been 5 years since my last one. Your thoughts?
And what do you make of the incident where I fell to the floor? should I be concerned, that was not normal? Not sure what to think of that!

Answered by Dr. Dr. P. T. Patil (51 minutes later)

Brief Answer:
You can consult other sleep specialist

Detailed Answer:
Hello
Ty for follow up
I personally do not feel your ED issue is related to fall
Your can take second opinion Of other sleep specialist
Thanks with Regards
Dr Patil

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr. P. T. Patil (6 hours later)

Just thought you may recommend another doctor to consult with why that may or may not have happened. It was strange that my legs went numb and I collapsed.
thanks a million.

Answered by Dr. Dr. P. T. Patil (2 hours later)

Brief Answer:
Better you consult Neuro Physician

Detailed Answer:
Hello
Thanks for follow up .

In view of neurological symptoms like numbness in leg I would suggest you to consult qualified Neuro Physician (Neurologist)

Thanks and Regards.
Dr.Patil.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar