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Suggest Treatment For Erectile Dysfunction
Question: Sir,
I have inability to have sex with wife , as also lack of desire to do, for about 9 months now. I am not sure whether it is mental or physical , but I have continuous / substantial occupation of my mind with the office work, which is rather a kind of addiction for work. However, I really feel bad of failing in sex -after having failed in erection for for 4-5 times, I have lost confidence in myself, and I am nervous/ making excuses for not having sex . I masturbate 2-3 times a week , and watch porn also.
I have inability to have sex with wife , as also lack of desire to do, for about 9 months now. I am not sure whether it is mental or physical , but I have continuous / substantial occupation of my mind with the office work, which is rather a kind of addiction for work. However, I really feel bad of failing in sex -after having failed in erection for for 4-5 times, I have lost confidence in myself, and I am nervous/ making excuses for not having sex . I masturbate 2-3 times a week , and watch porn also.
Brief Answer:
Problem appear psychogenic.
Detailed Answer:
Hello,
Thanks for your query on HCM,
Sexual dysfunction like erectile dysfunction can be a result of a psychological or physical problem.
Psychological causes: These include performance anxiety, emotional weakness, inferiority complex, stress, low mood, feelings of guilt, and the effects of a past sexual-emotional trauma.
Physical causes: neurological disorders, alcoholism, drug abuse, hormonal imbalances, diabetes, hypertension, blood vessel disease and chronic diseases.
Men with psychological problem usually have normal nocturnal erections and erections upon awakening, whereas men with physical problem often do not.
You have multiple psychological issues which can affect erection and need in person evaluation like: Poor confidence, preoccupation with office work, anxiety and nervousness. Same time medical issues specially hormonal imbalances, diabetes and hypertension need to rule out by examination and lab investigations.
If you are in XXXXXXX ncr you can meet me personally. If you are far then you can seek help of nearby psychiatrist.
Till that time follow below steps:
-Stop any addiction for tobacco or alcohol (if present)
-Fix sleep and wake up time.
-No office work or thinking about it at home.
-Daily milk and fruits in diet. Take multivitamins like Tab Polybion CZS 2 times a day.
-Daily 30 minute jogging in morning to improve blood circulation.
-Reduce weight (Only if you are overweight).
Take care
Problem appear psychogenic.
Detailed Answer:
Hello,
Thanks for your query on HCM,
Sexual dysfunction like erectile dysfunction can be a result of a psychological or physical problem.
Psychological causes: These include performance anxiety, emotional weakness, inferiority complex, stress, low mood, feelings of guilt, and the effects of a past sexual-emotional trauma.
Physical causes: neurological disorders, alcoholism, drug abuse, hormonal imbalances, diabetes, hypertension, blood vessel disease and chronic diseases.
Men with psychological problem usually have normal nocturnal erections and erections upon awakening, whereas men with physical problem often do not.
You have multiple psychological issues which can affect erection and need in person evaluation like: Poor confidence, preoccupation with office work, anxiety and nervousness. Same time medical issues specially hormonal imbalances, diabetes and hypertension need to rule out by examination and lab investigations.
If you are in XXXXXXX ncr you can meet me personally. If you are far then you can seek help of nearby psychiatrist.
Till that time follow below steps:
-Stop any addiction for tobacco or alcohol (if present)
-Fix sleep and wake up time.
-No office work or thinking about it at home.
-Daily milk and fruits in diet. Take multivitamins like Tab Polybion CZS 2 times a day.
-Daily 30 minute jogging in morning to improve blood circulation.
-Reduce weight (Only if you are overweight).
Take care
Above answer was peer-reviewed by :
Dr. Yogesh D
Sir,
Thanks for the advice .
I am from XXXXXXX and shall see you shortly at your clinic.
Please clear one more doubt . As stated by you, I seldom have nocturnal /morning erections. Should it mean that the reason for my ED may be more a physical one , especially since I am having High B.P. since long (also taking medicines like Losar-H and Telma)
Thanks for the advice .
I am from XXXXXXX and shall see you shortly at your clinic.
Please clear one more doubt . As stated by you, I seldom have nocturnal /morning erections. Should it mean that the reason for my ED may be more a physical one , especially since I am having High B.P. since long (also taking medicines like Losar-H and Telma)
Brief Answer:
Reason may be combined
Detailed Answer:
Hello again,
Thanks for follow up,
Considering long history of hypertension and psychological symptoms mentioned in primary reply indicate you have ED due to combined (physical and psychological) reasons. It is good that you are already on treatment for hypertension.
You can visit me in coming week. For info you can visit 99doctor.com.
Take care
Reason may be combined
Detailed Answer:
Hello again,
Thanks for follow up,
Considering long history of hypertension and psychological symptoms mentioned in primary reply indicate you have ED due to combined (physical and psychological) reasons. It is good that you are already on treatment for hypertension.
You can visit me in coming week. For info you can visit 99doctor.com.
Take care
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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