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Suggest Treatment For Erectile Dysfunction?

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Posted on Mon, 1 Aug 2016
Question: I have ED problem pl. for the last 13 yrs . I aroused after seeing porn and do masturbation. In normal circumstances I have not been able to sex. What medicine you prescribe .
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (39 minutes later)
Brief Answer:
Please provide more details

Detailed Answer:
Hello,
Thanks for using Healthcaremagic.

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. What you mean by ED problem?? Please describe in possible detail?

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 ?

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

5. What are the factors that increase the problem?

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. Effect on your relationship so far due to problem

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

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

12. Medication you received in past and their effect?

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

14. 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 know the cause I can you guide you better in regard to treatment.

I look forward to see above 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 (23 hours later)
1. means loss of errection .
2. Problem started since 1999 and gradually till 2003 , vanished .
3. Took some Aurvedic and msg oil from 2000 till 2003 and thereafter left .
4. Could sex only once in 6 mnths for one or two minutes and now that possibility also gone.
5. errection felt while masturbation which is started after viewing some illicit vedios avialble on net easily now a days.
6. after masturbation , next morning morning errection is felt that too is rare .
7. Masturbation is once in 2 or 3 mnths.
8. Partner is diabitic since 2004 and seldomly complains for non performance.
9. Till this problem started I require sex on daily basis but partner never cooperated resulting slowly I started masterbation from the age of 46 .
10 Later I felt blood circulation or arousness is not felt but after a gap of 2 mnths I inclined to see porn and do masterbation .
11 period from 1999 till 2002 was a depression period due to various reasons and it remained the same ahead also but not that extreme.
12 I do not need daily sex but at least once in a month is sufficient .
13 Should I start consuming Cialies once in a fortnight or once in a month.
13 I have blood pressure 140/90.
14 I have also nozal allergy and face skin allergy and I use to take Almoze 2.5 ml for BP and L montus for allergy.
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (3 hours later)
Brief Answer:
I think low dose cialis can be used

Detailed Answer:
Hello,
Thanks for reverting back to me.

From the available description there is high possibility for organic ED rather than functional ED.

Since you have hypertension it is recommended to use lowest possible dose like 5 mg of cialis or 25 of Viagra.

I hope this helps you.
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
doctor
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Follow up: Dr. Dr. Ashok Kumar Choudhary (15 hours later)
Dr Shb ,
I and my partner remain in lot of stress becauase of various personal issues of my family therefore I never cared for taking any medicines .
I have noted from newspaper following medicines also :
1. Tentex Royal capsules (2nos.) or Tadanafill 5mg or Vigomax Forte .
What is your advice it is the same as cialis or something else.
Please tell me any side effect now or later by taking medicines prescribed by you .
Whether chemist ask any prescription in writting and
Lastly the method of taking this medicine with water or milk and how many hrs before and how many times in a month maximum so that one should not become habitual .
Rgds
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (3 hours later)
Brief Answer:
They are same

Detailed Answer:
Hello,
Thanks for reverting back to me.

Tadalafil and cialis are same.

Generally it have no side effects but in few patients there may be headache after taking the pill. In addition there may be some nausea and vomiting feeling.


Since it is prescription only mediation you need to take prescription from local doctor.

You can take it either with milk or water and there is no such criteria. It does not cause any habituation and need to take at least one hour before sex and never repeat it in 24 hours.

I hop this assists you further.
Thanks again.
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 : 3347 Questions

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Suggest Treatment For Erectile Dysfunction?

Brief Answer: Please provide more details Detailed Answer: Hello, Thanks for using Healthcaremagic. 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. What you mean by ED problem?? Please describe in possible detail? 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 ? 4. In a typical month out of what number of sexual interactions/masturbation ? 5. What are the factors that increase the problem? 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. Effect on your relationship so far due to problem 10. Details of medical illness, like duration, any complications, treatment received till date. 11. Medications you are receiving currently, if any including ayurvedic homeopathic or any other. 12. Medication you received in past and their effect? 13. Do you have any psychiatric illness (like anxiety, depression, fear)? 14. 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 know the cause I can you guide you better in regard to treatment. I look forward to see above details. Thanks and regards