Suggest Treatment For Erectile Dysfunction And Ejaculation Disorder

Posted on Fri, 3 Jun 2016

Question: I'm a 48 year old man having trouble maintaining an erection and ejaculating. This is a very recent problem. In fact over this past year I was having sex once, sometimes twice a day. I do take some medication for depression/anxiety but the regime hasn't changed in the last two years. I have been with my fiancé all this time but my love for and attraction to has only grown. Help us please

Answered by Dr. Ivo Ditah (17 minutes later)

Brief Answer:
Do you have any worries or stress at this time?

Detailed Answer:
Hi and thank you so much for this query.

I am so sorry to hear about this difficulty with erections. I understand how worrisome this can be in a home. The most common cause in young persons is stress be it of any form. If there is just anything disturbing you, I will first suggest that you deal with it. Also, I will strongly discourage against alcohol and cigarettes as these only make the problem worse. Furthermore, can you please spell out to me how you have been taking challis and whether there has been any improvement in your sexual performance since using this drug? What are the medications you take for a depression/anxiety? I will like to review them as well.

I hope this helps. I wish you well. Feel free to ask for more information and clarifications if need be. Above all, thanks for using our services.

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

Follow up: Dr. Ivo Ditah (19 minutes later)

Even with the Cialis I've had mixed results. Sometimes the erections still fade. Had somewhat better results with viagra but even with that pill I sometimes lose it. As for the depression melds I take Welbutrin 200 mg 2/day, Demerol 45 mg once before bed, klonopin 2 mg one before bed. I am also being treated for chronic low back pain with XXXXXXX Voltaren, and OxyContin. The Voltaren is 100mg once/day, XXXXXXX 350 mg one before bed, though I often cut in half and 20 mg oxy 1/day

Sorry I typed Demerol but what I meant was Remeron

Answered by Dr. Ivo Ditah (8 hours later)

Brief Answer:
How much viagra did you take? Was it regular or on as needed basis?

Detailed Answer:
Hi,

I have reviewed your information fully and this is not suggestive of medications being at the origin of your problem. Is your back pain well managed and do you feel any pains during intercourse? Also, what was the schedule for viagra as you seem to have had a better experience with? DO YOU AHVE ANY OTHER DISTURBING ISSUES AT THIS TIME?

I wish you well and hope to hear back from you!

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