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Suggest Treatment For Erectile Dysfunction And Low Libido

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Posted on Mon, 5 Oct 2015
Question: I am 34 yrs old male sufferring from low sex drive and almost no interest in sex with wife. I am also diabetic and using insulin mixtard 30hm penfill 16 units in morning and night respectively. Along with this i m also taking JalraM 50/500 One tab and Amaryl 2mg one tab in morning and JalraM 50/500 one tab night with Tazloc 40 for high BP I also take rosuvastin tab for cholostrol sometime like twice a week. All the medicines is being taken with Endocrinologist Prescription. He also advised me caverta 50mg if u want to have sex. But it doesn't work. I took 100mg it also doesn't work as i had expected. My semen analysis report is ok. good sperm account with good motility. I have also taken megalis 10mg alternate day but it upset my stomach, create fire-like situation and i have to take zinetac 150 mg to calm my stomach. So I left that also. I request you to please suggest me treatment where i can regenerate my sex drive. if u can suggest some ayurvedic medicines it would be much better as i have already taken too much medicines for my blood sugar and bp.
doctor
Answered by Dr. Pavan Kumar Gupta (3 hours later)
Brief answer....explained below
Detailed answer...
Hello,
Thanks for the query.
I have read your query and understand your concern.
One does get erectile dysfunction if he is suffering from diabetes as well as hypertension and in addition medications for these also take their toll on sexual functions of a person.
Medicines like Viagra are good but are associated with various side effects which many people are not able to tolerate,as in you.
I would advise you to adopt some natural lifestyle measures along with a medicine cum supplement which is very good.

This medicine cum vitamin supplement containins  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 hypertension and diabetes.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.It is also safe to take with other medicines.
Lifestyle measures include..
Regular walking,swimming,running etc would help in destressing you,controlling your sugar levels and increasing blood circulation to entire body including penis.
Regular yoga,meditation,deep breathing exercises would help you a lot.
Do these regularly for 2 months and see the result. In case you don't get results you can consult a urologist and a psychiatrist for the management.
I hope it helps,however you are most welcome to revert to me for any further query.
Best of luck
Thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Pavan Kumar Gupta (21 minutes later)
Thanks for your reply. I want to make sure that my endocrinologist also prescribed me medicines like agregate it is a fenugreek extract and zinc contents. Will the above vitamin increase my sexual interest or desire. Don't I need to take viagra or megalis 10 with the above vitamin which u advised. what are the possible long term side effects of Viagra or megalis if i take regularly. I am also taking siotone capsule a ayurvedic supplement for fitness its contents are Safed musli, Shilajeet, Kapikachu, ashwagandha. Can I take tetrafol plus along with siotone. if 20 days course of treatment will not work then what i will do after that? If it works and then can we take it lifelong? One of mine friend also suggested me neurobion forte a B12 vitamin supplement also. is it useful. Sir I am planning to have one more baby so for that pls suggest me some treatment where i can do sex at least 5 days on alternate days from 10th day to 18 days of my wife fertile period. Kindly address all my concerns above.
doctor
Answered by Dr. Pavan Kumar Gupta (15 minutes later)
Hello,
Agregate  should help you with increased desire.
You can take MEGALIS or Viagra for long term. No side effect except that it's effect would gradually go down.
Try tetrafol for 3-4 weeks. In case useful take it for another 6 weeks. No use of taking it for long.
Get your blood levels of VIT B12 as well VIT D tested. In case they are low you can take them under guidance of your doctor.
You can plan out your sex accordingly with help of MEGALIS or Viagra.
Don't forget the role of exercises and yoga. They are very important.
Thanks
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Pavan Kumar Gupta (43 minutes later)
Thanks for your reply.

Sir it means i can take amaryl 2mg + JalraM 50/500 + tazloc + Rosuvastin + Tetrafol plus + Siotone + Aggregate + Insulin + Viagra SOS. can i take all this medication daily. will tetrafol plus increase my desire and how long will have to take agregate as well. also suggest me any medicine along with megalis (tadafil) so that my stomach doesn't get disturbed like severe acidity, stomach burn and blurp. Also can i take caverta 100 mg on alternate day or Megalis 10 or 20mg alternate day. Sir I have 5 queries 1. if i take agregate tab daily so how long will i have to take? 2. will the tetrafol plus increase sexual desire. 3. Medicine which i can take along with especially megalis to avoid stomach upset like severe acidity, blurps and also that medicine should not lessen the effect of megalis. 4. Can i take caverta 100mg or megalis 10 or 20 mg on alternate day i.e. thrice a week? 5. All the medicine like insulin, jalraM, amaryl 2mg, tazloc 40, rosuvastin, agregate, tetrafol plus, siotone , viagra 100mg can be taken together. Pls help.
doctor
Answered by Dr. Pavan Kumar Gupta (13 hours later)
Hello,
1....you can take Agregate for 3 months or can even ask your prescribing doctor.
2...Tetrafol plus would help n increasing sexual desire as well as erectile dysfunction
3...To avoid acidity you can take PANTOCID 40 mg two hours before using Viagra or MEGALIS.
4...You can use either of them easily on alternate days
5...As far as anti diabetic medicines are concerned,you have to discuss with your  treating doctor regarding the dosage as well as their timing. Take tetrafol plus in evening and Agregate and siotone in morning.Take tazloc and rosuvastatin in night.
Thanks
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Pavan Kumar Gupta

General & Family Physician

Practicing since :1978

Answered : 6704 Questions

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Suggest Treatment For Erectile Dysfunction And Low Libido

Brief answer....explained below Detailed answer... Hello, Thanks for the query. I have read your query and understand your concern. One does get erectile dysfunction if he is suffering from diabetes as well as hypertension and in addition medications for these also take their toll on sexual functions of a person. Medicines like Viagra are good but are associated with various side effects which many people are not able to tolerate,as in you. I would advise you to adopt some natural lifestyle measures along with a medicine cum supplement which is very good. This medicine cum vitamin supplement containins  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 hypertension and diabetes.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.It is also safe to take with other medicines. Lifestyle measures include.. Regular walking,swimming,running etc would help in destressing you,controlling your sugar levels and increasing blood circulation to entire body including penis. Regular yoga,meditation,deep breathing exercises would help you a lot. Do these regularly for 2 months and see the result. In case you don't get results you can consult a urologist and a psychiatrist for the management. I hope it helps,however you are most welcome to revert to me for any further query. Best of luck Thanks