Brief Answer:
treatment of erectile dysfunction is there

Detailed Answer:
Hello xxxxx,

Thanks for writing to us.

Of course treatment is there for erectile dysfunction.

To guide you in right direction I need more information.

- You have erection problem. If your erection loses before ejaculation it is erectile dysfunction and if it loses after ejaculation it is premature ejaculation. Let me clarify what is exactly your problem?

- Do you have any other physical illness, specifically diabetes or high blood pressure?

- As problem is there since may years have you taken any treatment?

- Is there any history of smoking or alcohol?

- Is there any difficulty in urinating?

- How is relationship with your partner? Any emotional or social problem is there?

- Is there morning erection present?

- Are you able to masturbate?

- How did problem started? Any specific incidence was there? When did you do successful intercourse last?

- Do you pay more attention to erection while trying for intercourse?

I will be happy to help further after getting response.

Regards,

Dr.Chintan Solanki.

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Brief Answer:
remove performance anxiety, need to stop alcohol and smoking

Detailed Answer:
Hi,

Thanks for answers and sorry for delayed response.

I would like to explain some basic aspects in details with treatment.

There is component of performance anxiety in your case.

Sometime due to fatigue, lack of mood, situational problem or environmental changes man can fail in sex. It is normal phenomenon. However when this failure makes person apprehensive about erection, sex life is affected. This is called performance anxiety. After such failure when person actively thinks about erection or success of intercourse during sex his mind is likely diverted to such thoughts. For constant erection continuous exciting/romantic/erotic feelings should be there in mind. If mind diverted to concern about erection, erection would not be possible.

To get rid of performance anxiety help of partner is also an important aspect.
Whenever you go for sex, spare enough time in foreplay. You should not think actively about erection, your mind must be occupied with sexual/romantic feelings. During foreplay your partner should try to arouse you and note that your penis gets erection or not. When she feels that penis is sufficiently erect she herself should try to put erect penis in vagina gradually and you should continue your foreplay feelings without being conscious about erection. You must try to enjoy and only enjoy. Once penis is able to enter in vagina and strokes starts it is easy to complete successful sex.

If your partner is not aware about this situation you can do on your own. You just should try to do sex without being conscious about erection. Enjoy without thinking of your ability of maintaining erection and you will succeed or not.

However habit of alcohol and smoking adversely affects the penile vessels and causes erectile dysfunction. In that case first of all you need to deaddict yourself from these substances otherwise improvement will be difficult.

Medical treatment for ED:

5- PDE inhibitor group of medicines like sildenafil or tadalafil are used. One of them should be used 2 hours prior to sex. I prefer tadalafil in patient with hypertension and diabetes.These are prescription medicines and you need to consult doctor/psychiatrist/sexologist for the prescription.

Another medicine cum vitamin supplement containing pyridoxal-5-phosphate, mecobalamin and l-methylfolate (trade name tetrafol plus)is very helpful in my patients. It has shown improvement in 50-60% patients of mine with ED having substance use.You should take it after meal twice a day. If you feel some improvement in 20 days you should continue for at least 2 months. You may get this medicine over the counter as it is vitamin product.

There are some natural lifestyle measures which help to improve blood flow to penis and overall sexual performance.

- The most important factor is healthy heart. Blood is pumped in to body by heart. Regular exercise and avoidance of fatty fast food are important measures to prevent heart disease. Regular walking, swimming or running overall improves blood flow to whole body circulation including penis and keep the mind fresh.

- Good healthy food is also an important aspect. Bananas, Garlic, dry fruits (they contains vitamins), eggs, cow milk, cow butter are good food which may help in erectile dysfunction.

- Avoid smoking and alcohol. Low amount of alcohol can help in increasing blood flow but more amount can cause opposite effects. So better to avoid the same.


Feel free to discuss further.

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