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Suggest Treatment For Erectile Dysfunction

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Posted on Mon, 27 Jun 2016
Question: Hi ,

I am suffering from porn induced ED and over masturbation and organism . I have stopped porn and organism from one month . Which medician should i take in order to cure my ed ASAP .
Also i want to know that over masturbation causes ed ? I used to masterbate daily once also now i used to rub my dick lightely for last one month but dint organism also stopped watching porn and reading erotic stories . Please suggest i can achieve hard on with my hands but not with partner
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (20 minutes later)
Brief Answer:
Please provide more details

Detailed Answer:
Dear XXXXXXX
Thanks for using Health Care Magic.

I read your query and understand your concerns.

Before we can make any conclusions I request you to provide following details so an impression can be made about the cause of problem.

1. How long you are facing this problem (ED) ?

2. How the problem started whether it was sudden in onset or build up slowly over the months or years?

3. Frequency of the problem in a week/month ? Are you able to have some successful sexual intercourse?

4. In a typical month out of what number of sexual interactions/masturbation ?

5. What are the factors that increase the problem other than position? Can you do sex while lying on the back?

6. Factors that relieve the problem- thoughts, situations, partner, place etc.

7. Do you get early morning erection?

8. If yes how frequent and how intense?

9. Your partner details- Is she very critical, demands sex more than what can you think, does she feel superior to you or bothers you in some other regards

10. Effect on your relationship so far due to problem

11. Details of medical illness, like duration, any complications, treatment received till date.

12. Medications you are receiving currently, if any including ayurvedic homeopathic or any other.

13. Medication you received in past and their effect?

14. Do you have any psychiatric illness (like anxiety, depression, fear)?

15. Investigations done till date and reports of most latest investigations- serum testosterone, TSH, T3, T4 and any other?


I must assure you that once we identify cause it will be easy to correct it.
I look forward to see more details.

Thanks and regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Ashok Kumar Choudhary (20 minutes later)
1 . i have sexual intercourse 3 year before and i was having no problem that time.
2 Its not sudden i think i have no problem with masturbation but with partner i am not getting arousal easily .
3 recently i have done intercourse 3 times in a month and i have not able to get perfect erection
4 from last month i am rubbing my dick little bit before sleeping but no oranism . Earlier i used to masterbate daily before sleeping
5 i am not very frequent in intercourse . i am masterbating from last 10 yrs
6 dont have any idea i am not married
7 yes after not masterbating from last one month i am getting but for very less time . once i done with pee its gone
8. not so frequent very mild
9. parter lives far so one in a year
10 so far i am hanging around but soon will be married . need to be cured before that
11 i dont have any medical illness as such i have a fit body
12i am taking tab confido and tab specimen not much progress
13 i came to know abt this currently so no medications in past
14 no idont have any such problem
15 i have a blood test report everything is normal in that
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (12 minutes later)
Brief Answer:
Still need more information

Detailed Answer:
Dear XXXXXXX
Thanks for reverting back to me.

I have gone through the details and feel there is much information but still inadequate to make impression.

Please post the details of following tests
Yout height
Your weight
Serum prolactin
Serum Testosterone
Serum LH
Serum FSH
T3, T4 and TSH
Lipid profile
Penile doppler

If not done get at least blood reports for all the tests except penile doppler for which we can decide letter on recovering biochemical reports.

I look forward to get more details.
Thanks again.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Ashok Kumar Choudhary (23 hours later)
Hi Sir ,
My weight 84 kg Height 182 cm age 26
Cholestrol total 151.9 mg/dl , triglycerides 162.4 , HDL colestrol 32.3 , LDH cholestrol 87.1 , VLDL cholestrol 32.5 , CHOL/HDL ratio 4.7 , Prolactin 22.75 ng/ml,
testosterone (total) 4.81 ng/ml free testosterone 20.1 pg/ml , LH (lietinizing harmone ) mlu/ml, FSH 1.7 mlu/ml , T3 1.07 ng/ml , T4 6.47 ug/ml , TSH 1.62 ulU/ml . Please reply if anything is serious and how much time it will take to cure my problem completely
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (32 minutes later)
Brief Answer:
There is eleveted prolactin

Detailed Answer:
Dear XXXXXXX
Thanks for reverting back to me.

I have gone through the provided details and found that there is problem with serum prolactin which is quite elevated for normal sexual functioning. It is possible that the elevated serum prolactin is responsible for erectile dysfunction.

For the correction of it it is essential to start dopamine agnosists which include bromocriptimne, pramipexole among others. It will be appropriate to see a psychiatrist in your city for prescription as all medications in this category are prescription only and need physical prescription to procure from pharmacy.

In regard to your earlier question about masturbation and erection problem I like to make it clear that there is no problems arises from masturbation other than psychological implications. There is nobody who develops sexual dysfunction from excessive sex or masturbation.

Hope I am able to answer your concerns.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for my future patients.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Ashok Kumar Choudhary

Psychiatrist

Practicing since :2000

Answered : 3350 Questions

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Suggest Treatment For Erectile Dysfunction

Brief Answer: Please provide more details Detailed Answer: Dear XXXXXXX Thanks for using Health Care Magic. I read your query and understand your concerns. Before we can make any conclusions I request you to provide following details so an impression can be made about the cause of problem. 1. How long you are facing this problem (ED) ? 2. How the problem started whether it was sudden in onset or build up slowly over the months or years? 3. Frequency of the problem in a week/month ? Are you able to have some successful sexual intercourse? 4. In a typical month out of what number of sexual interactions/masturbation ? 5. What are the factors that increase the problem other than position? Can you do sex while lying on the back? 6. Factors that relieve the problem- thoughts, situations, partner, place etc. 7. Do you get early morning erection? 8. If yes how frequent and how intense? 9. Your partner details- Is she very critical, demands sex more than what can you think, does she feel superior to you or bothers you in some other regards 10. Effect on your relationship so far due to problem 11. Details of medical illness, like duration, any complications, treatment received till date. 12. Medications you are receiving currently, if any including ayurvedic homeopathic or any other. 13. Medication you received in past and their effect? 14. Do you have any psychiatric illness (like anxiety, depression, fear)? 15. Investigations done till date and reports of most latest investigations- serum testosterone, TSH, T3, T4 and any other? I must assure you that once we identify cause it will be easy to correct it. I look forward to see more details. Thanks and regards