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Suggest Treatment For Erectile Dysfunction
Question: Dear Dr,
I am 51 years of age, married with two children. Since last two years, even though I have the urge to have sex, I am not getting an erection. Please advise a good remedy for the same. I have tried taking all types of supplements including Viagara but to no avail. Please advise.
I am 51 years of age, married with two children. Since last two years, even though I have the urge to have sex, I am not getting an erection. Please advise a good remedy for the same. I have tried taking all types of supplements including Viagara but to no avail. Please advise.
Brief Answer:
Intracavernosal therapy will help.
Detailed Answer:
Hi Sir,
I understand your concern.
The cause of impaired sexual drive/erection in your case can be multi factorial.
Most cases are associated with use of antihypertensive drugs or improper control of blood sugar or blood pressure.
I would like to know if you have any such associated medical co morbidities.
A better control of such aliments will often improve sexual drive.
Coming to your issue specifically I would like to recommend Intracavenosal Injection therapy.
Intracavernosal injection therapy is an effective therapy for men with erectile dysfunction (ED) who can not take oral agents or for whom oral agents are not effective.
For this I would recommend Inj Alprostadil/PG E1 available as Caverject Impulse.
Injections are given with a 1 ml syringe and a 27 to 30-gauge needle.
The injection may be given anywhere from the base of the penis to two-thirds of the way down the penile shaft at the 10 o'clock and 2 o'clock locations on the upper side of the penis away from the urethra and the head of the penis.
Injections are rotated within that area and the side of the injection is alternated with each injection.
Initial dosage recommended for Caverject Impulse is 2.5 mcg with a second dose of 2.5 mcg to be given if the initial dose is inadequate.
It is than recommended that the dose be increased by 5 to 10 mcg intervals at each attempt (a minimum of 24 hours apart) depending on the erectile response with each dose (up to a maximum dose of 40 mcg).
The response is adequate and prompt with this therapy.
Please note that you need to have a normal penile Doppler study prior to this therapy for effective and adequate response.
Consultation with an expert XXXXXXX will help.
Post your further queries if any.
Thank you.
Intracavernosal therapy will help.
Detailed Answer:
Hi Sir,
I understand your concern.
The cause of impaired sexual drive/erection in your case can be multi factorial.
Most cases are associated with use of antihypertensive drugs or improper control of blood sugar or blood pressure.
I would like to know if you have any such associated medical co morbidities.
A better control of such aliments will often improve sexual drive.
Coming to your issue specifically I would like to recommend Intracavenosal Injection therapy.
Intracavernosal injection therapy is an effective therapy for men with erectile dysfunction (ED) who can not take oral agents or for whom oral agents are not effective.
For this I would recommend Inj Alprostadil/PG E1 available as Caverject Impulse.
Injections are given with a 1 ml syringe and a 27 to 30-gauge needle.
The injection may be given anywhere from the base of the penis to two-thirds of the way down the penile shaft at the 10 o'clock and 2 o'clock locations on the upper side of the penis away from the urethra and the head of the penis.
Injections are rotated within that area and the side of the injection is alternated with each injection.
Initial dosage recommended for Caverject Impulse is 2.5 mcg with a second dose of 2.5 mcg to be given if the initial dose is inadequate.
It is than recommended that the dose be increased by 5 to 10 mcg intervals at each attempt (a minimum of 24 hours apart) depending on the erectile response with each dose (up to a maximum dose of 40 mcg).
The response is adequate and prompt with this therapy.
Please note that you need to have a normal penile Doppler study prior to this therapy for effective and adequate response.
Consultation with an expert XXXXXXX will help.
Post your further queries if any.
Thank you.
Above answer was peer-reviewed by :
Dr. Shanthi.E
Can you suggest a suitable doctor at Navi XXXXXXX XXXXXXX XXXXXXX who can treat me for this for the medication you have recommended. Certainly I cannot administer the medicines myself. Further I would like to tell you that I am a smoker and was a alcoholic 3 years back. But I dont take alcohol from last 3 years.
Regards
Regards
Brief Answer:
Consult Dr Amarendra Choudhury
Detailed Answer:
Hi Sir,
You can contact the following doctor.
Dr. Amarendra Choudhury
MS - General Surgery, M.Ch - Urology, DNB (Urologist), MBBS
Consultant Urologist
Dr. Choudhury's Stone clinic & Advanced urology center.
Vashi, Navi XXXXXXX
Yes alcohol and smoking can affect penile erection if taken for longer periods.
Consult the above doctor for further expert queries,
Thank you.
Consult Dr Amarendra Choudhury
Detailed Answer:
Hi Sir,
You can contact the following doctor.
Dr. Amarendra Choudhury
MS - General Surgery, M.Ch - Urology, DNB (Urologist), MBBS
Consultant Urologist
Dr. Choudhury's Stone clinic & Advanced urology center.
Vashi, Navi XXXXXXX
Yes alcohol and smoking can affect penile erection if taken for longer periods.
Consult the above doctor for further expert queries,
Thank you.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
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