Im 54 Yrs Old I Have The Problem Of Erectile

Posted on Thu, 6 Dec 2018

Question: Im 54 yrs old I have the problem of erectile dysfunction, I will mastrubate regularly normally 2 - 3 times a day.
I am unable have coitus

Answered by Dr. Purva Patel (2 hours later)

Brief Answer:
multi factorial condition leading to difficult erection onset/maintenance.

Detailed Answer:
Hello and welcome to Ask A Doctor service.
I have read your query and here is my advise.

* The erectile dysfunction can be in form of getting or maintaining erection from various
possible issues, the detail understanding of which requires answers to following
questions.

1. Duration of current condition with progress.
2. When you masturbate, within how much time penis gets erect and what is the
duration you maintain erection before ejaculation ?
3. Systemic illness as diabetes or others ?
4. Taking any medicines as anti hypertensive or others ?
5. Recent issue of stress ?

Awaiting for your response.
Regards.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Purva Patel (13 hours later)

I have diabeties and I am taking medicine.
Mastubation I will do in the morning evening and sometimes at night.
I do it without full errection only with little errection or spongy errection which is not sufficient.
The sperm ejaculates in a very short duration even in a minute or more.
I dont have cholestrol or pressure.

Answered by Dr. Purva Patel (2 hours later)

Brief Answer:
follow up.

Detailed Answer:
Hi

So, it is diabetes involving certain nerves, muscles or blood vessels at microscopic levels
leading to erectile dysfunction.

My suggestions for the particular issue recovery

- Keep blood sugar under vigilant control.
- Maintain body weight ( over weight is major concern to add up in the issue ).
- Avoid smoking or alcohol consumption if involved.
- Balanced nutritious diet intake.
- Supportive help with multi vitamin and multi mineral medicines prescription by your
family physician.
- Meditations, YOGA for lasting results.
- Discuss need of hormone level evaluation as testosterone ( when you do follow up ).

Feel free to discuss further doubts.
Take care.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Purva Patel (1 hour later)

For Diabeties I m taking gemer 2 2 times a day along with ondero met 2.5 mg in the morning and Neuro zinc forte 1 tab in the morning and Attorvastin 50 at night.

Whether there will be any improvement/ can berecovered from this dysfuntion. I can not control myself without mastrubation, will it affect or any harm in that.

Also spermatic fluid seems to be watery without solid content.

Answered by Dr. Purva Patel (4 hours later)

Brief Answer:
follow up.

Detailed Answer:
Hi

* Recovery varies depending upon the internal issue, many of the cases recover well
over period of time, some cases remain static ahead.

* The spermatic fluid will be more watery as the amount of masturbation will increase.
So it is suggested to limit masturbation once daily.

* A serum testosterone level can give much more better guidelines for the particular
answers.

Thank you.

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