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Suggest Treatment For Loss Of Libido

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Posted on Fri, 7 Apr 2017
Question: I'm 26 years old male from XXXXXXX , I have been married for a more than a year now , the problem is I'm not able to get excited to have sex with my wife and we are planning to have a baby , but I don't get that excitement and arousal feeling of having sex , which is very disturbing for both of us . I used to watch porn earlier before marriage and that seemed so easy , but in real life after marriage, I don't feel like having sex . need advice
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (50 minutes later)
Brief Answer:
please provide folowing details.

Detailed Answer:
Dear XXXXXXX
Thanks for using Healthcaremagic.

I read your query and understand your concerns.

I request you to provide following information point wise so the diagnosis can be made and suitable remedy can be offered.

1. What do you mean by not able to get excited to have sex with my wife?

2. How long the problem is there and have you experienced same issues while masturbating or doing sex in past?

3. How the problem started ? It was built up slowly or abruptly?

4. What could be the factor according to you for onset of problem?

5. Frequency of the problem in last one month ? What number of sexual intercourse/masturbation failed in last one month?

6. What are the factors that increase the problem?

7. Factors that relieve the problem- you can describe them in detail if any?

8. Do you get early morning erection?

9. If yes how frequent and how intense? Please answer this necessarily.

10. How long it take to get second erection after the first intercourse? if applicable

11. How long a penetrative sex last?

12. Details of past medical illnesses, like duration, any complications, treatment received till date including ongoing diabetes.

13. Investigations done till date and reports - please attach them.

14. Do you have any psychiatric illness?

15.Any other problem you like to report

16. Your body weight and height


I must assure you that once we know the cause I can you guide you better in regard to treatment.

Thanks again

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 (1 hour later)
thanks for the reply , pls find the below answers to your questions
1. I don't have that urge to get sexual with my wife, I have it in my mind that I want to have sex , but it really doesn't make me to get to that level of intamicy .
2. there is no issue while masturbating and my sex stint started only after marriage , I have not had any physical relation before
3. problem has been slowly after marriage , I had my knee tendon tear when I got married , so we just had once on our wedding night which was not a successful one because I had my knee pain and after i recovered slowly , that urge to have sex was reduced slowly
4. I use to smoke , but I had stopped it from past 6 months , I only smoke very occasionally , but I have the habit of chewing tobacco , which I feel may b the reason
5. We have hardly attempt to have sex monthly once or twice , just to give it a try , but there is no inner feeling of intamicy
8. yes I have early morning erections
11. I manage to keep myself working when we do sex for hardly 15 mins , then I feel tired and in missionary position there is lot of pressure on my knee so I have to relax a bit to stretch my muscles and I loose the flow and I don't get erection again
12. I have suffered a Pcl tear on my left knee , and I have got migraine pains which occurs every month of 3-4 days
16. I am obese with BMI around 30 , Im 126kg currently and I'm 5.11ft in height , being obese and bulky stomach , I feel I have a small penis

hope the above information would help you to guide me
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (2 hours later)
Brief Answer:
Follow up

Detailed Answer:
Dear XXXXXXX
Thanks for using Health care magic.

I read your query and understand your concerns.

Before we can proceed further I request you to get following tests from nearby laboratory
1. Serum testosterone
2. Serum prolactin
3. serum LH
4. Serum FSH
5. Thyroid profile
6. Lipid profile
7. Blood sugar

In addition I like to suggest you to work on smoking habits and weight loss issues. As I can see that there is no problem in masturbation and early morning erections the problem appears secondary to issues such as knee pain, obesity, perceived disfigurement due to weight gain, low energy, knee pain. The above tests will rule out other possible causes of erection problem.

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 Loss Of Libido

Brief Answer: please provide folowing details. Detailed Answer: Dear XXXXXXX Thanks for using Healthcaremagic. I read your query and understand your concerns. I request you to provide following information point wise so the diagnosis can be made and suitable remedy can be offered. 1. What do you mean by not able to get excited to have sex with my wife? 2. How long the problem is there and have you experienced same issues while masturbating or doing sex in past? 3. How the problem started ? It was built up slowly or abruptly? 4. What could be the factor according to you for onset of problem? 5. Frequency of the problem in last one month ? What number of sexual intercourse/masturbation failed in last one month? 6. What are the factors that increase the problem? 7. Factors that relieve the problem- you can describe them in detail if any? 8. Do you get early morning erection? 9. If yes how frequent and how intense? Please answer this necessarily. 10. How long it take to get second erection after the first intercourse? if applicable 11. How long a penetrative sex last? 12. Details of past medical illnesses, like duration, any complications, treatment received till date including ongoing diabetes. 13. Investigations done till date and reports - please attach them. 14. Do you have any psychiatric illness? 15.Any other problem you like to report 16. Your body weight and height I must assure you that once we know the cause I can you guide you better in regard to treatment. Thanks again I look forward to see above details. Thanks and regards.