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Suggest Treatment For Erectile Dysfunction

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Posted on Fri, 7 Aug 2015
Question: Hello Sir I am facing very strange issue .. My penis is not erecting from last 6 months .. And mirning erections are very soft .. Earlier I was getting perfect hard erections .. I am very worried .. I saw dictor as well It was fine for few days .. But again same problem ..i am taking b conplex and vitamin d 3 .. Please find attached testesterone and free teststerone reports and suggest me how could I overvome this problem .!
doctor
Answered by Dr. Dr. Chintan Solanki (1 hour later)
Brief Answer:
mostly performance anxiety is likely reason, provide more information

Detailed Answer:
Hello XXXXXXX ,

Thanks for writing to us.

I saw your testosterone reports they are normal.

At age of 27 no possibility of erectile dysfunction.

- Are you married? If yes provide detail history of sex life. If not married, let me know if you have girlfriend and sex-life.

- Do you have habit of smoking, tobacco or alcohol? If yes, provide detail about duration and quantity.

- Have you checked your blood pressure and sugar?

- Do you feel that there you have performance anxiety? I have explained about the same below.
For good erection constant exciting erotic feelings must be present in mind. If your mind is diverted to something else apart from sex, erection is going to lose. Many times due to fatigue, stress, physical problem or excessive workload man cannot perform well in sex. This is not permanent failure but only occasional problem. When person becomes apprehensive about such occasional failure and constantly thinks about his ability do successful sex while he goes for sex his mind diverted from exciting feelings and penis loses erection. This anxiety might be responsible for failure of intercourse. This is called performance anxiety.
This is purely psychological problem, no physical/pathological problem at all.


- Let me know exact contents with quantity of vitamin B complex you have taken.

- Do you have any problem in urinating? Any burning or pain?

- Do you have nay stress (social, relationship, economical, or emotional) ?

I will be happy to help you further after getting your response.

Regards,
Dr.Chintan Solanki.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Chintan Solanki (26 minutes later)
Thank sir ! I am single .. N used to had sex with my girlfriend .. But as I told before six months one fine day I was indulge in foreplay and I found no sensation down there it was very cold .. Never happened begore .. After blow job as well .. One more thing I used to masturbate twice a week from last 7 years. I only take beer once a week .. And one cigratte a day .. I had blod sugar test as well itvwas normal ..while urinating no problem at all it was very normal .. I am taking Amway B complex one tablet a day and GNC vitamin D3 one tablet a day .. And performance anxiety I am very normal while doing sex .. Some times I took ranbaxy sidefinaiel citrate just to enjoy sex .. It was very normal .. But now I am worried .. Hope you can help me to come out of this situation .
doctor
Answered by Dr. Dr. Chintan Solanki (41 minutes later)
Brief Answer:
take following supplements

Detailed Answer:
Hello,

Thanks for answers.

Masturbation does not affect sex life so 7 years masturbation is not all problematic rather it is helpful in sex-life.

As your problem happened with girlfriend there is possibility of some situational factor at that time.

You are overall healthy person.

I suggest quitting smoking.

Never take sildenafil for enjoyment and specifically without doctor's guidance.

You can use medicine cum vitamin supplement containing 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. You may get this medicine over the counter as it is vitamin product.

As you are likely form XXXXXXX I would like to also mention ayurvedic medicine option. Tentex forte is the medicine which is used for sex related problem. No side effects have been reported.

If I were your treating doctor I suggest one tablet of tetrafol plus after meal twice daily for two months and one tablet tentex forte daily at night with a cup of milk for 4 weeks.

By chance there is performance anxiety keep following in your mind.
To come out of this anxiety man must not think actively about maintaining erection while doing sex.
To get rid of performance anxiety help of partner is also an important aspect.
Whenever you go for sex, spare enough time in foreplay. You should not think actively about erection, your mind must be occupied with sexual/romantic feelings. During foreplay your partner should try to arouse you and note that your penis gets erection or not. When she feels that penis is sufficiently erect she herself should try to put erect penis in vagina gradually and you should continue your foreplay feelings without being conscious about erection. You must try to enjoy and only enjoy. Once penis is able to enter in vagina and strokes starts it is easy to complete successful sex.

If your partner is not aware about this situation you can do on your own. You just should try to do sex without being conscious about erection. Enjoy without thinking of your ability of maintaining erection and you will succeed or not.



There are some natural lifestyle measures which help to improve blood flow to penis and overall sexual performance.

- The most important factor is healthy heart. Blood is pumped in to body by heart.So regular exercise and avoidance of fatty fast food are important measures to prevent heart disease. Regular walking, swimming or running overall improves blood flow to whole body circulation including penis and keep the mind fresh.

- Good healthy food is also an important aspect. Bananas, Garlic, dry fruits(they contains vitamins), eggs, cow milk, cow butter are good food which may help in erectile dysfunction.

- Avoid smoking and alcohol. Low amount of alcohol can help in increasing blood flow but more amount can cause opposite effects. So better to avoid the same.


In conclusion from your history I do not feel that there is physical problem.

Feel free to discuss further.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Chintan Solanki (8 hours later)
Thank you sir !!
doctor
Answered by Dr. Dr. Chintan Solanki (2 hours later)
Brief Answer:
Welcome and all the best

Detailed Answer:
Hi,

You are welcome.

If still any query there, I will be happy to answer. If not, you can close the discussion and if feasible give your feedback and rating so I can improve my service. In future you can contact me directly on this site if you wish with this link:
http://bit.ly/drchintansolanki
by clicking on 'Ask me a question' on same page.

All the best and wish you good health.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Chintan Solanki

Psychiatrist

Practicing since :2007

Answered : 2407 Questions

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Suggest Treatment For Erectile Dysfunction

Brief Answer: mostly performance anxiety is likely reason, provide more information Detailed Answer: Hello XXXXXXX , Thanks for writing to us. I saw your testosterone reports they are normal. At age of 27 no possibility of erectile dysfunction. - Are you married? If yes provide detail history of sex life. If not married, let me know if you have girlfriend and sex-life. - Do you have habit of smoking, tobacco or alcohol? If yes, provide detail about duration and quantity. - Have you checked your blood pressure and sugar? - Do you feel that there you have performance anxiety? I have explained about the same below. For good erection constant exciting erotic feelings must be present in mind. If your mind is diverted to something else apart from sex, erection is going to lose. Many times due to fatigue, stress, physical problem or excessive workload man cannot perform well in sex. This is not permanent failure but only occasional problem. When person becomes apprehensive about such occasional failure and constantly thinks about his ability do successful sex while he goes for sex his mind diverted from exciting feelings and penis loses erection. This anxiety might be responsible for failure of intercourse. This is called performance anxiety. This is purely psychological problem, no physical/pathological problem at all. - Let me know exact contents with quantity of vitamin B complex you have taken. - Do you have any problem in urinating? Any burning or pain? - Do you have nay stress (social, relationship, economical, or emotional) ? I will be happy to help you further after getting your response. Regards, Dr.Chintan Solanki.