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Suggest Treatment For Erectile Dysfunction
Question: I'm 33 yrs old male. I have been suffering from erectile dysfunction for a few years. I get very weak erections which i'm unable to sustain and not good for penetration. Apart from this i also have these symptoms
Persistent fatigue
Tiredness
Tendency to forget stuff
Persistent pain in the heel of both feet
I have got some tests done also which reveal low testosterone and vitamin b12. Uploading the reports. Kindly suggest some treatment
Persistent fatigue
Tiredness
Tendency to forget stuff
Persistent pain in the heel of both feet
I have got some tests done also which reveal low testosterone and vitamin b12. Uploading the reports. Kindly suggest some treatment
Brief Answer:
Needs to be evaluated
Detailed Answer:
Hello
Thanks for your query,based on the facts that you have posted it appears that you have problem of Erectile Dysfunction since few years .
I shall be happy if you can post me few more details to help me in making comments on your problem.
1) Have you done basic blood tests for ED ?,(Please upload the reports)
2) Are you taking any medications ?
3) Do you have Diabetes or High B.P.
4) Have you ever tried Sildenafil (Viagra) for ED problem?
In absence of any major health issue cause of ED is mind related and due to performance anxiety.Following measure will help you to boost up your confidence and getting good erection.and delay ejaculation.
1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.
2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc
3)Take anti oxidants like Almonds 5-6 everyday..
4) Avoid alcohol and smoking..
Taking Sildenafil Sidenafil (Viagra)as on demand will help to get good hard sustainable erection and to have enjoyable sex.
Please consult qualified Urologist for clinical assessment and get following asic tests done to find out the cause of your ED.
1) Blood tests for Serum Testosterone ,LH,Thyroid studies ,Prolactin levels etc.
2) Colour Doppler Ultrasound scanning of Penis to rule our vascular insufficiency as a cause of your ED.
Further treatment will depend upon results of these tests and final diagnosis.
Hope I have answered your query. Please feel free to write if you have more questions I shall be happy to help you .
Thanks and Regards .
Dr.Patil.
Needs to be evaluated
Detailed Answer:
Hello
Thanks for your query,based on the facts that you have posted it appears that you have problem of Erectile Dysfunction since few years .
I shall be happy if you can post me few more details to help me in making comments on your problem.
1) Have you done basic blood tests for ED ?,(Please upload the reports)
2) Are you taking any medications ?
3) Do you have Diabetes or High B.P.
4) Have you ever tried Sildenafil (Viagra) for ED problem?
In absence of any major health issue cause of ED is mind related and due to performance anxiety.Following measure will help you to boost up your confidence and getting good erection.and delay ejaculation.
1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.
2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc
3)Take anti oxidants like Almonds 5-6 everyday..
4) Avoid alcohol and smoking..
Taking Sildenafil Sidenafil (Viagra)as on demand will help to get good hard sustainable erection and to have enjoyable sex.
Please consult qualified Urologist for clinical assessment and get following asic tests done to find out the cause of your ED.
1) Blood tests for Serum Testosterone ,LH,Thyroid studies ,Prolactin levels etc.
2) Colour Doppler Ultrasound scanning of Penis to rule our vascular insufficiency as a cause of your ED.
Further treatment will depend upon results of these tests and final diagnosis.
Hope I have answered your query. Please feel free to write if you have more questions I shall be happy to help you .
Thanks and Regards .
Dr.Patil.
Above answer was peer-reviewed by :
Dr. Raju A.T
Dear Mr. XXXXXXX
Answering your questions one by one:-
1) I have already uploaded the blood test reports that you have asked for.
2) No I'm not taking any medications right now
3) No I do not have high BP or diabetes
4) Yes. I have tried viagra as well as tadafil but I wish to know if there is another solution as these medicines have side-effects like headache, tiredness etc.
Regarding the ultrasound, I've had ultrasound of scrotum and testes done and the result was normal. It was a normal ultrasound not a color one I guess. So do let me know if the color doppler ultrasound of penis is still required.
Also, I have a few questions:-
- I have read on internet about hypogonadism. Do you feel I'm suffering from this given that FSH count is low and if yes what treatment should be followed for this
- I feel fatigued and tired throughout the day and I've read that this can also be due to testosterone deficiency. Viagra is not going to solve this so what should be done for this. Fatigue is affecting my day to day activities as well as work
- I've read at some places that FSH can be low because of a pituitary tumor. Do you feel I need to get a CT scan done for this. The prolactin blood test result looks normal so I'm not sure whether I should get the CT scan done
- Vitamin B12 is also on the lower side. I have non-veg food around 3-4 times a month. So what should I do to solve this. I've read that low B12 level can lead to memory loss and I'm already having symptoms like forgetting stuff.
Please answer these four questions.
Answering your questions one by one:-
1) I have already uploaded the blood test reports that you have asked for.
2) No I'm not taking any medications right now
3) No I do not have high BP or diabetes
4) Yes. I have tried viagra as well as tadafil but I wish to know if there is another solution as these medicines have side-effects like headache, tiredness etc.
Regarding the ultrasound, I've had ultrasound of scrotum and testes done and the result was normal. It was a normal ultrasound not a color one I guess. So do let me know if the color doppler ultrasound of penis is still required.
Also, I have a few questions:-
- I have read on internet about hypogonadism. Do you feel I'm suffering from this given that FSH count is low and if yes what treatment should be followed for this
- I feel fatigued and tired throughout the day and I've read that this can also be due to testosterone deficiency. Viagra is not going to solve this so what should be done for this. Fatigue is affecting my day to day activities as well as work
- I've read at some places that FSH can be low because of a pituitary tumor. Do you feel I need to get a CT scan done for this. The prolactin blood test result looks normal so I'm not sure whether I should get the CT scan done
- Vitamin B12 is also on the lower side. I have non-veg food around 3-4 times a month. So what should I do to solve this. I've read that low B12 level can lead to memory loss and I'm already having symptoms like forgetting stuff.
Please answer these four questions.
Brief Answer:
Reports are within normal range .
Detailed Answer:
Hello
Thanks for feedback and posting reports .
All your reports are within normal range and you do not have low testosterone levels .
You are getting confused by reading and surfing on internet .This is a very complex issue and you will not get any solution or answer on internet,
During erection blood flow to penis increases by 20 fold and at the same veins of the penis are blocked resulting into trapping of blood in erectile tissue and this trapped blood causes erection of penis
Colour Doppler ultrasound scanning of penis is all together different from routine Ultrasound scanning of scrotum and penis .It will reflect whether there is insufficient arterial blood flow to penis or is there venous leak that is the cause of your erectile dysfunction.
Please go ahead and get it done to confirm the diagnosis.
All your other general symptoms can be treated with Vit supplements.
Thanks and Regards.
Dr.Patil.
Reports are within normal range .
Detailed Answer:
Hello
Thanks for feedback and posting reports .
All your reports are within normal range and you do not have low testosterone levels .
You are getting confused by reading and surfing on internet .This is a very complex issue and you will not get any solution or answer on internet,
During erection blood flow to penis increases by 20 fold and at the same veins of the penis are blocked resulting into trapping of blood in erectile tissue and this trapped blood causes erection of penis
Colour Doppler ultrasound scanning of penis is all together different from routine Ultrasound scanning of scrotum and penis .It will reflect whether there is insufficient arterial blood flow to penis or is there venous leak that is the cause of your erectile dysfunction.
Please go ahead and get it done to confirm the diagnosis.
All your other general symptoms can be treated with Vit supplements.
Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Ok. One more question. I sometimes get bruised around the frenulum area and it hurts for quite afew weeks. Can you suggest something for this
Brief Answer:
This is due to band of adhesion .
Detailed Answer:
Hello
Thanks for follow up.
You have band of adhesion between frenulum and glans penis that get injured during sexual activity.
It needs to be excised under local anaesthesia.
Thanks and Regards.
Dr.Patil.
This is due to band of adhesion .
Detailed Answer:
Hello
Thanks for follow up.
You have band of adhesion between frenulum and glans penis that get injured during sexual activity.
It needs to be excised under local anaesthesia.
Thanks and Regards.
Dr.Patil.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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