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Suggest Treatment For Erectile Dysfunction
Question: Hello Doctor, 28 years male with height 5'5 and weight 78 kg, my wife is 33. Its been 17 months since I am married. In the beginning 8 months everything was going fine. But for last 6 months I am facing the issue of improper erection. While performing I started to feel within a moment and if we do not do intercourse at that point it gets down and doesn't get up again. That is the reason I do not feel desire to do sex which is just ruining my married life. In the early days when I started this sexual relation I had early ejaculation problem also which evolved with time. Could you please suggest a medicine or any home remedy for this. We are also planning to expand the family so please suggest something so that i have good sperm count as well. Let me know if you need any other details.
Brief Answer:
You can use Megalis 10 mg every alternate day
Detailed Answer:
Dear XXXXXXX
Thanks for using Healthcaremagic.
I read your query and understand your concerns.
We have interacted twice in last three months and had useful communication in February 2016.
In the second interaction I replied to your earlier post and asked for more details about three days back but no response received till date in that regard.
It will be appropriate if you can reply to that post so I can answer you accordingly.
I do understand that sometime it becomes difficult to answer such questions but it is important to take proper health decisions.
Meantime you can take Megalis 10 mg for time being till we are able to resolve your problem. This will give you the much needed strength to do proper sex without any problem. The medication is prescription only and should be procured after getting prescription from local doctor.
I hope this helps you.
Thanks and regards.
You can use Megalis 10 mg every alternate day
Detailed Answer:
Dear XXXXXXX
Thanks for using Healthcaremagic.
I read your query and understand your concerns.
We have interacted twice in last three months and had useful communication in February 2016.
In the second interaction I replied to your earlier post and asked for more details about three days back but no response received till date in that regard.
It will be appropriate if you can reply to that post so I can answer you accordingly.
I do understand that sometime it becomes difficult to answer such questions but it is important to take proper health decisions.
Meantime you can take Megalis 10 mg for time being till we are able to resolve your problem. This will give you the much needed strength to do proper sex without any problem. The medication is prescription only and should be procured after getting prescription from local doctor.
I hope this helps you.
Thanks and regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Doctor, I am sorry about replying late. That post is closed by anyways so I am answering previous post questions in this thread.
1. How long you are facing this problem (ED) ?
I had started physical relations from last 2.5 yrs and facing the same problem intermittently. But it had increased for last 7-8 months like once in 4-5 times. Also the sex desire has been reduced. Recently it was more frequent so I thought to consult about it. I feel the erection just at a point, in the very beginning of foreplay and If we do not do intercourse at that point erection does not happen again.
2. How the problem started whether it was sudden in onset or build up slowly over the months or years?
As mentioned above, its from starting ie from 2013. In the beginning of sex life also faced the problem of early ejaculation. We can say at the beginning time I was unaware of the sex procedure. But according to my wife we were able to do successful sex till 6 months since marriage. And this problem started showing up from last year end.
3. Frequency of the problem in a week/month ? Are you able to have some successful sexual intercourse?
Yes I am able to do it successfully if we do intercourse at that particular point, otherwise it doesn't go.
4. In a typical month out of what number of sexual interactions/masturbation ?
Only sexual interactions, I never masturbate. approximately 10 times a month as we are also trying for baby out of which average 7 are successful.
5. What are the factors that increase the problem other than position? Can you do sex while lying on the back?
No, we tried all other positions other that missionary(above the girl), but none was success. Any discussion or sex performance pressure or trying to make baby pressure turns me off. Also if I am stressed related to work mood goes off.
6. Factors that relieve the problem- thoughts, situations, partner, place etc.
If no one is pressuring me or asking me for sex I feel fine. Also if the place is changed or someone else like guests is around then I feel aroused with feeling of not doing but doing it. :)
7. Do you get early morning erection?
Yes, but I thought its due to pee on. Isn't it?
8. If yes how frequent and how intense?
Almost daily but the intensity is reduced now after marriage. Is it good time to do sex early morning?
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
Whose partner is not critical, is not yours? :)
Yes she demands it all the time as she is 33 and wanna conceive as fast as she can which leads me to pressure and hits my performance. Yes in sex life she knows much more than me so make me feel inferior. In a way she is my boss who taught me this. Also she does lot of research on internet and keeps on telling me the cause and cure. She keeps taunting me in one or other ways :)
According to her she does not feel proper tightness and could not enjoy much foreplay or I can say when she initiates sex it I do feel turned off. She also communicated to you regarding this in February.
10. Effect on your relationship so far due to problem
Daily fights, arguments and sadness. Though we love each other and have good sex after 2-3 days fight.
11. Details of medical illness, like duration, any complications, treatment received till date.
No
12. Medications you are receiving currently, if any including ayurvedic homeopathic or any other.
I am taking Montaire LC allergy tablets once in 2-3 days.
13. Medication you received in past and their effect?
I took Shilajit and Shatavari churn in past, I am not sure that it effected me or not. But not taking them as of now.
14. Do you have any psychiatric illness (like anxiety, depression, fear)?
No
15. Investigations done till date and reports of most latest investigations- serum testosterone, TSH, T3, T4 and any other?
No tests done till now.
Also we are planning for baby so I want my sperms count should be accurate and good quality. So please suggest measures accordingly. Thank in advance.
1. How long you are facing this problem (ED) ?
I had started physical relations from last 2.5 yrs and facing the same problem intermittently. But it had increased for last 7-8 months like once in 4-5 times. Also the sex desire has been reduced. Recently it was more frequent so I thought to consult about it. I feel the erection just at a point, in the very beginning of foreplay and If we do not do intercourse at that point erection does not happen again.
2. How the problem started whether it was sudden in onset or build up slowly over the months or years?
As mentioned above, its from starting ie from 2013. In the beginning of sex life also faced the problem of early ejaculation. We can say at the beginning time I was unaware of the sex procedure. But according to my wife we were able to do successful sex till 6 months since marriage. And this problem started showing up from last year end.
3. Frequency of the problem in a week/month ? Are you able to have some successful sexual intercourse?
Yes I am able to do it successfully if we do intercourse at that particular point, otherwise it doesn't go.
4. In a typical month out of what number of sexual interactions/masturbation ?
Only sexual interactions, I never masturbate. approximately 10 times a month as we are also trying for baby out of which average 7 are successful.
5. What are the factors that increase the problem other than position? Can you do sex while lying on the back?
No, we tried all other positions other that missionary(above the girl), but none was success. Any discussion or sex performance pressure or trying to make baby pressure turns me off. Also if I am stressed related to work mood goes off.
6. Factors that relieve the problem- thoughts, situations, partner, place etc.
If no one is pressuring me or asking me for sex I feel fine. Also if the place is changed or someone else like guests is around then I feel aroused with feeling of not doing but doing it. :)
7. Do you get early morning erection?
Yes, but I thought its due to pee on. Isn't it?
8. If yes how frequent and how intense?
Almost daily but the intensity is reduced now after marriage. Is it good time to do sex early morning?
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
Whose partner is not critical, is not yours? :)
Yes she demands it all the time as she is 33 and wanna conceive as fast as she can which leads me to pressure and hits my performance. Yes in sex life she knows much more than me so make me feel inferior. In a way she is my boss who taught me this. Also she does lot of research on internet and keeps on telling me the cause and cure. She keeps taunting me in one or other ways :)
According to her she does not feel proper tightness and could not enjoy much foreplay or I can say when she initiates sex it I do feel turned off. She also communicated to you regarding this in February.
10. Effect on your relationship so far due to problem
Daily fights, arguments and sadness. Though we love each other and have good sex after 2-3 days fight.
11. Details of medical illness, like duration, any complications, treatment received till date.
No
12. Medications you are receiving currently, if any including ayurvedic homeopathic or any other.
I am taking Montaire LC allergy tablets once in 2-3 days.
13. Medication you received in past and their effect?
I took Shilajit and Shatavari churn in past, I am not sure that it effected me or not. But not taking them as of now.
14. Do you have any psychiatric illness (like anxiety, depression, fear)?
No
15. Investigations done till date and reports of most latest investigations- serum testosterone, TSH, T3, T4 and any other?
No tests done till now.
Also we are planning for baby so I want my sperms count should be accurate and good quality. So please suggest measures accordingly. Thank in advance.
Brief Answer:
There is evidence in favor of psychogenic erectile dysfunction
Detailed Answer:
Dear XXXXXXX
Thanks for reverting back to me with required details.
With analysis of provided details I feel there is possibility of psychogenic erectile dysfunction arising from performance anxiety and other related stresses. My observation is based on the fact that you have in between normal erections and able to perform in more than two third occasions when the pressure is not too high. It is important to understand that occasional failures are norm in every aspect of life including sexuality. Additionally presence of early morning erection (It is not due to pee, it is due to dreams in REM sleep) indicates that physiologically there is nothing abnormal.
Having said this it is important to take criticism and stress in easy way as far as possible. For this the stress management should be core strategy to remain healthy physically as well as sexually.
In the current situation there is little role of medication but for time being as suggested above you can go for Megalis 10 mg to be used every alternate day.
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.
There is evidence in favor of psychogenic erectile dysfunction
Detailed Answer:
Dear XXXXXXX
Thanks for reverting back to me with required details.
With analysis of provided details I feel there is possibility of psychogenic erectile dysfunction arising from performance anxiety and other related stresses. My observation is based on the fact that you have in between normal erections and able to perform in more than two third occasions when the pressure is not too high. It is important to understand that occasional failures are norm in every aspect of life including sexuality. Additionally presence of early morning erection (It is not due to pee, it is due to dreams in REM sleep) indicates that physiologically there is nothing abnormal.
Having said this it is important to take criticism and stress in easy way as far as possible. For this the stress management should be core strategy to remain healthy physically as well as sexually.
In the current situation there is little role of medication but for time being as suggested above you can go for Megalis 10 mg to be used every alternate day.
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.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Doctor, Thank you for the diagnose. This Megalis tablet should be taken only when i am going to perform or regularly every alternate irrespective of sex. And when should this be taken? Any semen test should be done or not required? If yes, can those tests be done without prescription? Do visiting any psychiatrist can help me out with this?
Brief Answer:
Yes it will help you
Detailed Answer:
Dear XXXXXXX
Thanks for reverting back to me.
Megalis should be taken only when needed and never to take more than once in a day. It has adequate life to cover two days. This is prescription medicine and you need to see a doctor to buy from pharmacy.
Semen analysis is indicated if there are infertility issues. I do not think it is required in your case.
Since it is psychological visiting a psychiatrist should be the first line of action.
I hope this helps you.
Thanks and regards.
Yes it will help you
Detailed Answer:
Dear XXXXXXX
Thanks for reverting back to me.
Megalis should be taken only when needed and never to take more than once in a day. It has adequate life to cover two days. This is prescription medicine and you need to see a doctor to buy from pharmacy.
Semen analysis is indicated if there are infertility issues. I do not think it is required in your case.
Since it is psychological visiting a psychiatrist should be the first line of action.
I hope this helps you.
Thanks and regards.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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