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Suggest Treatment For Erectile Dysfunction

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Posted on Sat, 7 Feb 2015
Question: Hi doctor,

My name is XXXXXXX, 27 years old, height 5'8 and weight 86 kgs. I was erecting a good condition before. But now it is not happening quite so good and sometimes i m facing a problem of non erection and sometimes during the stage of intercourse. i am worried on this as my age is not so old to face this issue. I am even suffering from mental sickness because of this. I m unable concentrate on my work. Also pls answer is this happen regularly who is of s
Please find a solution and help me to come out of this issue.

Regards,
XXXXXXXXX
doctor
Answered by Dr. Dr. Chintan Solanki (19 minutes later)
Brief Answer:
Provide some more details please

Detailed Answer:
Hi XXXXXXXX,

I can understand your concern.
From your query, it seems that you are suffering from erectile dysfunction(ED).

Considering your age your problem would be likely psychological. It will be solved.
If I were your treating doctor, first of all I would like to evaluate your problem in detail with proper history and examination.

Treatment of ED depends on cause. It may be sex counselling, master and XXXXXXX technique, 5-PDE inhibitor groups medicines and other pharmacotherapy.

Please revert back to me with following details,

- Is there morning erection present occasionally when you wake up?

- Are you married? If yes, since when problem is there? How problem occurred, gradually or suddenly? What is frequency of intercourse? How is your relationship with wife?

If not married, do you masturbate or enjoy with girlfriend? Provide detail regarding that.

- Let me know your education and occupation.

- Do you use any substance like tobacco, smoking or alcohol. If yes, detail regarding the same.

- You have mentioned that you have some mental sickness due to this. Please provide more details on that. Is it started after ED or was there before?

- Is there any social, economical, occupational or emotional stress in your life?

- Do you have any physical illness/problem?

Waiting for your reply to help you further.

Regards,
Dr.Chintan Solanki.
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Dr. Chintan Solanki (50 minutes later)
Hii Doctor,

Thanks a lot for your reply.

Answering to your questions, yes sometimes i do get morning erection. Yes i am married before 6 months. I didnt have any problem with my sexual life. I was enjoying every moment of sex life. My frequency of intercourse was on every day. My relationship with my wife is good. I am facing this problem since 20 days. In between these 20 days i had a sex with my wife continuously a week and again it has started since last 4 days. I was erecting fully when in between these 20 days sex. Before my marriage i was masturbating 4 to 5 times a week. Coming to education point i did my MBA and presently working with Foundry associated company and looking after Purchase activities. this is my first company and still with this company since last 4 years. I did not have any mental sickness before, it is all started after this problem. i do not have any social, economical occupational problems or any phisical illness. with all the other matters i am perfectly doing great. My point of worry is this problem which is recently started. Hence kindly find a immediate solution and do let me know with the positive response doctor.

awaiting your reply.
THanks and regards,
doctor
Answered by Dr. Dr. Chintan Solanki (1 hour later)
Brief Answer:
Just wait and relax, you will be fine soon

Detailed Answer:
Hello,

Thanks for information.

Your history as well as presence of morning erection are suggestive of good sexual health and you do not have any physical problem related to ED.Problem for 20 days occasionally is not a significant one from medical point of view..

Cause of your problem is psychological likely.
One reason may be fatigue by doing sex everyday. It happens to may couple frequently.Environmental and hormonal factors are responsible for it naturally.You need a break of 5-7 days. Even no masturbation during that time.

Just relax during this period. You can have foreplay during this period but no intercourse.
Do not think or worry about erection.
After this break when you attempt for sex, try to enjoy it without any specific worry or attention of erection is there or not.

With this approach you will be normally able to perform sex likely.Then you can do sex everyday if you wish.

If you are not able to enjoy within 10 days with this approach, you should consult psychiatrist/qualified sexologist for evaluation , counselling and learning master and XXXXXXX technique.

You can use tetrafol plus medicine at present.It is a product containing vitamins- mecobylamine, pyridoxal phosphate and methylfolate.It should be taken two times after meal.It is mostly available over the counter. It has no significant side effects.

I will be glad to answer if more queries are there.

All the best,
Dr.Chintan Solanki.
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Dr. Chintan Solanki (1 hour later)
Thanks Doctor,

Thanks a lot for the reply it really helped me to relax from the mental stress.

I would like to quote some queries. what I should have when it comes to the matter of eating. Please suggest something from which I can regain my strength. I am a vegetarian.
I recently started making physical exercise and I am continuing it every day and I walk around 8000 steps every day. Hope so it is well and good.

Also please suggest what to have to improve blood vessels?I also wanted to inform you few more things. I am consuming alcohol once in a week, earlier i used to have smoking but now because of this problem i stopped completely of having smokes. is this would be the reason behind? and is it ok if I consume alcohol once in a week or should I need to stop consuming this too.

Thanks and regards,




doctor
Answered by Dr. Dr. Chintan Solanki (1 hour later)
Brief Answer:
exercise is always helpful, say no to regular alcohol

Detailed Answer:
Hi,

Thanks for more queries and other information.

No specific food is required in your case. However as per ayurveda as well as ancestor's belief some food are really helpful for sex. It includes cow milk, cow ghee(butter), garlic and kesar(saffron). Make habit of taking a glass of milk with kesar at bed time.
The supplement I suggested tetrafol plus is helpful in may patients with psychological as well as physical sexual dysfunction. It can increase the blood flow to penile vessels.You can use it.

Doing exercise regularly is always helpful. It keeps you healthy physically as well mentally. When person's health is good at all aspect, his sexual performance is going to be healthy also.

Smoking and alcohol affect sexual performance.

Your past habit of smoking might be responsible for current problem. But your history suggests you do not have any major problem.
Alcohol in initial stage can improve sexual performance by relaxing the mind. But overall in long run it affects sexual function at both level at sex centers in brain as well as in penis blood vessels.

Once a week alcohol in social manner is not going to harm significantly.Different person's body reacts differently. Alcohol may have affected your sex function. Better to stop it for few months completely. And in future you can use it socially(gathering,parties) but not regularly.

If still any query there, I will be happy to answer.
If not, you can close the discussion and if feasible give your feedback so I can improve service.
In future you can contact me directly on HCM if you wish with this link:
http://bit.ly/drchintansolanki

Regards,
Dr.Chintan Solanki.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
Answered by
Dr.
Dr. Dr. Chintan Solanki

Psychiatrist

Practicing since :2007

Answered : 2406 Questions

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Suggest Treatment For Erectile Dysfunction

Brief Answer: Provide some more details please Detailed Answer: Hi XXXXXXXX, I can understand your concern. From your query, it seems that you are suffering from erectile dysfunction(ED). Considering your age your problem would be likely psychological. It will be solved. If I were your treating doctor, first of all I would like to evaluate your problem in detail with proper history and examination. Treatment of ED depends on cause. It may be sex counselling, master and XXXXXXX technique, 5-PDE inhibitor groups medicines and other pharmacotherapy. Please revert back to me with following details, - Is there morning erection present occasionally when you wake up? - Are you married? If yes, since when problem is there? How problem occurred, gradually or suddenly? What is frequency of intercourse? How is your relationship with wife? If not married, do you masturbate or enjoy with girlfriend? Provide detail regarding that. - Let me know your education and occupation. - Do you use any substance like tobacco, smoking or alcohol. If yes, detail regarding the same. - You have mentioned that you have some mental sickness due to this. Please provide more details on that. Is it started after ED or was there before? - Is there any social, economical, occupational or emotional stress in your life? - Do you have any physical illness/problem? Waiting for your reply to help you further. Regards, Dr.Chintan Solanki.