Brief Answer:
provide more details

Detailed Answer:
Hello XXXXXXX

Thanks for writing to us. I want to help you for your problem and I need more information for that.

- What is your age?

- Are you married?
If yes duration of marriage?
If not married, provide details about sex life with girlfriend. Where and in which circumstances you do sex?

- How did problem start? Any specific incidence was there?

- Do you pay more attention to erection while trying for intercourse?

- Do you have any physical illness?

- How is relationship with your partner? Any emotional or social problem is there?

- Is morning erection present?

- Is there any history of smoking or alcohol?

- Is there any difficulty in urinating?

- When did you do successful intercourse last?

- Is there any history of masturbation? If yes, how was pleasure/orgasm during masturbation?


I will be happy to help further after your response.
Regards,
Dr.Chintan Solanki.

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Brief Answer:
go for physical check up

Detailed Answer:
Hi,

Thanks for information.

In many males weak erection is just sign of some kind of cardiovascular problem. So I recommend consulting doctor for cardiac check up once first. If something is detected, it can be treated or it comes normal, that is the best.

I also recommend going for serum testosterone level (free and total testosterone at fasting). If it is low supplement can be given.

Treatment for ED:

5- PDE inhibitor group of medicines like sildenafil or tadalafil are used for ED. One of them should be used hours prior to sex. They cause headache, stuffy nose nausea and gastric discomfort like common side effects. Proper physical check-up of cardiac system should be done by a doctor before starting the same. These are prescription medicines and you need to consult doctor/psychiatrist/sexologist for the prescription.

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 until you done with recommended check up.

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.

Revert back to me after recommended check up.

Take care.

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