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What Do These Following Lab Reports Indicate?
Question: I am 26 yrs old and I believe I am suffering from ED and hence I visited a Andrologist/Sexologist for treatment. He advised me for some tests as mentioned below (I am mentioning the reports as well).
1) Testosterone free - 16.1 pg/ml
2)Testosterone Total - 8.1 pg/ml
3) Prolactin - 113.83 uIU/L
4) Follicle Stimulating Hormone - 2.72 mIU/ml
5) Luteinizing Hormone - 4.85 mIU/ml
Doctor prescribed me some medicines for a month duration which includes the below medications:
Nano Leo Total - Morning and night one XXXXXXX on alternative days
Androsar - 3 tablets a day (Morning/afternoon/night)
Tadalafil - 30 minues before dinner on alternative days.
Besides he advised me to do yoga and exercises every day.
Moving to my habits, I am an absolute non smoker and non Drinker. I have been exercising regularly for past 5 - 6 years. I eat healthy food with less fats and rarely any junk foods. But I have been taking protein powder supplements after workout. Also I would masturbate daily(at times 4 times a day, which I am controlling to stop now).
Could you please help me with a solution to get rid of Ed and improve my sexual performance?
1) Testosterone free - 16.1 pg/ml
2)Testosterone Total - 8.1 pg/ml
3) Prolactin - 113.83 uIU/L
4) Follicle Stimulating Hormone - 2.72 mIU/ml
5) Luteinizing Hormone - 4.85 mIU/ml
Doctor prescribed me some medicines for a month duration which includes the below medications:
Nano Leo Total - Morning and night one XXXXXXX on alternative days
Androsar - 3 tablets a day (Morning/afternoon/night)
Tadalafil - 30 minues before dinner on alternative days.
Besides he advised me to do yoga and exercises every day.
Moving to my habits, I am an absolute non smoker and non Drinker. I have been exercising regularly for past 5 - 6 years. I eat healthy food with less fats and rarely any junk foods. But I have been taking protein powder supplements after workout. Also I would masturbate daily(at times 4 times a day, which I am controlling to stop now).
Could you please help me with a solution to get rid of Ed and improve my sexual performance?
Brief Answer:
all reports are normal, probability of psychological ED is more
Detailed Answer:
Hello XXXXXXX
Thanks for writing to us.
You are young man of 26 years and at this age very less chances of any physical cause of ED. Your all hormone reports are within normal limits. You do not have smoking or alcohol habit. You can masturbate well. All are good finding and suggest that you do not have major problem.
Androsar is testosterone and I am surprised why doctor has prescribed though your hormone level is normal.
Nano leo is not evidenced based treatment. It is herbal product.
And tadalafil must not be used alternate day . It is used before two hours of sex only as and when required and starting dose is 10-20 mg.
To help you further I need more information.
- Are you married?
If yes duration of marriage and since when are you suffering from this problem? How was previous sex life?
If not married, provide details about sex life with girlfriend. Where and in which circumstances you do sex?
- How did problem started? Any specific incidence was there?
- Do you pay more attention to erection while trying for intercourse?
- Do you have any physical illness, specifically diabetes or high blood pressure?
- Is there any difficulty in urinating?
- How is relationship with your partner? Any emotional or social problem is there?
- Is there morning erection present?
- When did you do your last successful intercourse?
I will be happy to help further after getting response.
Regards,
Dr.Chintan Solanki
all reports are normal, probability of psychological ED is more
Detailed Answer:
Hello XXXXXXX
Thanks for writing to us.
You are young man of 26 years and at this age very less chances of any physical cause of ED. Your all hormone reports are within normal limits. You do not have smoking or alcohol habit. You can masturbate well. All are good finding and suggest that you do not have major problem.
Androsar is testosterone and I am surprised why doctor has prescribed though your hormone level is normal.
Nano leo is not evidenced based treatment. It is herbal product.
And tadalafil must not be used alternate day . It is used before two hours of sex only as and when required and starting dose is 10-20 mg.
To help you further I need more information.
- Are you married?
If yes duration of marriage and since when are you suffering from this problem? How was previous sex life?
If not married, provide details about sex life with girlfriend. Where and in which circumstances you do sex?
- How did problem started? Any specific incidence was there?
- Do you pay more attention to erection while trying for intercourse?
- Do you have any physical illness, specifically diabetes or high blood pressure?
- Is there any difficulty in urinating?
- How is relationship with your partner? Any emotional or social problem is there?
- Is there morning erection present?
- When did you do your last successful intercourse?
I will be happy to help further after getting response.
Regards,
Dr.Chintan Solanki
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
As requested I am answering the following questions:
- Are you married?
Answer: I am not married. About to get married soon.
If not married, provide details about sex life with girlfriend. Where and in which circumstances you do sex?
Answer: I intimate with my girl friend as and when we are comfortable doing it depending on the circumstances. Comparatively Two years earlier the erection was good, my erections were strong. Now I feel that, I get hard/good erection but the blow flows out of penis back very quickly without even Ejaculation.
- How did problem started? Any specific incidence was there?
Answer: Penis turns soft while I try for insertion.
- Do you pay more attention to erection while trying for intercourse?
Answer: I start with oral/hands and then pay attention for erection.
- Do you have any physical illness, specifically diabetes or high blood pressure?
Answer: None as of now
- Is there any difficulty in urinating?
Answer: NO
- How is relationship with your partner? Any emotional or social problem is there?
Answer: NO problems and No issues
- Is there morning erection present?
Answer: This is something which wakes me up and can't sleep unless I masturbate on BED. The erection will be better I could resist myself from masturbation for 3 - 4 days.
- When did you do your last successful intercourse?
It was 3 -4 months back I could not do proper intercourse during night, But I was successful in the immediate early morning.
I have a query from my end.
I am about to start my medication from today. Doctor himself gave the medicines yesterday. Kindly advise if I can go ahead and use the medications I mentioned above(Especially tadalfil, COZ I am not gonna involve in sex frequently because I am not married)
Please let me know if you need more information from my end.
- Are you married?
Answer: I am not married. About to get married soon.
If not married, provide details about sex life with girlfriend. Where and in which circumstances you do sex?
Answer: I intimate with my girl friend as and when we are comfortable doing it depending on the circumstances. Comparatively Two years earlier the erection was good, my erections were strong. Now I feel that, I get hard/good erection but the blow flows out of penis back very quickly without even Ejaculation.
- How did problem started? Any specific incidence was there?
Answer: Penis turns soft while I try for insertion.
- Do you pay more attention to erection while trying for intercourse?
Answer: I start with oral/hands and then pay attention for erection.
- Do you have any physical illness, specifically diabetes or high blood pressure?
Answer: None as of now
- Is there any difficulty in urinating?
Answer: NO
- How is relationship with your partner? Any emotional or social problem is there?
Answer: NO problems and No issues
- Is there morning erection present?
Answer: This is something which wakes me up and can't sleep unless I masturbate on BED. The erection will be better I could resist myself from masturbation for 3 - 4 days.
- When did you do your last successful intercourse?
It was 3 -4 months back I could not do proper intercourse during night, But I was successful in the immediate early morning.
I have a query from my end.
I am about to start my medication from today. Doctor himself gave the medicines yesterday. Kindly advise if I can go ahead and use the medications I mentioned above(Especially tadalfil, COZ I am not gonna involve in sex frequently because I am not married)
Please let me know if you need more information from my end.
Brief Answer:
performance anxiety is likely playing role
Detailed Answer:
Hi,
Thanks for answers. Understand about performance anxiety.
Sometime due to fatigue, lack of mood, situational problem or environmental changes man can fail in sex. It is normal phenomenon. However when this failure makes person apprehensive about erection, sex life is affected. This is called performance anxiety. After such failure when person actively thinks about erection or success of intercourse during sex his mind is likely diverted to such thoughts. For constant erection continuous exciting/romantic/erotic feelings should be there in mind. If mind diverted to concern about erection, erection would not be possible.
To get rid of performance anxiety help of partner is also an important aspect.
Whenever you go for sex, spare enough time in foreplay. You should not think actively about erection, your mind must be occupied with sexual/romantic feelings. During foreplay your partner should try to arouse you and note that your penis gets erection or not. When she feels that penis is sufficiently erect she herself should try to put erect penis in vagina gradually and you should continue your foreplay feelings without being conscious about erection. You must try to enjoy and only enjoy. Once penis is able to enter in vagina and strokes starts it is easy to complete successful sex.
If your partner is not aware about this situation you can do on your own. You just should try to do sex without being conscious about erection. Enjoy without thinking of your ability of maintaining erection and you will succeed or not.
From my side I would like to mention one medicine for you. It is 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 should take it after meal twice a day. If you feel some improvement in 20 days you should continue for at least 2 months. You may get this medicine over the counter as it is vitamin product.
No need to stop masturbation but yes reducing frequency of the same will help in erection.
Many of the males before marriage suffer from such kind of problem. I assure them with counseling and with supplements. From your history I also think that you can perform well after marriage.
I do not recommend testosterone supplement in your case. You can take nano leo. I also suggest to not to use tadalfil for a while. Follow my instruction if you feel it fine and see the results. And if not succeed you can take tadalfil just 2 hours before sex.
Feel free to discuss further.
performance anxiety is likely playing role
Detailed Answer:
Hi,
Thanks for answers. Understand about performance anxiety.
Sometime due to fatigue, lack of mood, situational problem or environmental changes man can fail in sex. It is normal phenomenon. However when this failure makes person apprehensive about erection, sex life is affected. This is called performance anxiety. After such failure when person actively thinks about erection or success of intercourse during sex his mind is likely diverted to such thoughts. For constant erection continuous exciting/romantic/erotic feelings should be there in mind. If mind diverted to concern about erection, erection would not be possible.
To get rid of performance anxiety help of partner is also an important aspect.
Whenever you go for sex, spare enough time in foreplay. You should not think actively about erection, your mind must be occupied with sexual/romantic feelings. During foreplay your partner should try to arouse you and note that your penis gets erection or not. When she feels that penis is sufficiently erect she herself should try to put erect penis in vagina gradually and you should continue your foreplay feelings without being conscious about erection. You must try to enjoy and only enjoy. Once penis is able to enter in vagina and strokes starts it is easy to complete successful sex.
If your partner is not aware about this situation you can do on your own. You just should try to do sex without being conscious about erection. Enjoy without thinking of your ability of maintaining erection and you will succeed or not.
From my side I would like to mention one medicine for you. It is 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 should take it after meal twice a day. If you feel some improvement in 20 days you should continue for at least 2 months. You may get this medicine over the counter as it is vitamin product.
No need to stop masturbation but yes reducing frequency of the same will help in erection.
Many of the males before marriage suffer from such kind of problem. I assure them with counseling and with supplements. From your history I also think that you can perform well after marriage.
I do not recommend testosterone supplement in your case. You can take nano leo. I also suggest to not to use tadalfil for a while. Follow my instruction if you feel it fine and see the results. And if not succeed you can take tadalfil just 2 hours before sex.
Feel free to discuss further.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Sure doctor. As advised I will not use the medications(Testosterone/Tadalafil) now. In fact I am not comfortable going with these medicines at this age. I will start using the vitamin supplement you advised above.
Any natural foods and changes in lifestyle do you advise?
Also, I would like to know if I can continue using the when protein powder I use after workout. Some people says using these products for a long term may also lead to ED.
I would like to thank you a TON for your support. Feeling quite confident and comfortable now.
Any natural foods and changes in lifestyle do you advise?
Also, I would like to know if I can continue using the when protein powder I use after workout. Some people says using these products for a long term may also lead to ED.
I would like to thank you a TON for your support. Feeling quite confident and comfortable now.
Brief Answer:
healthy life styles give long term benefits
Detailed Answer:
Dear XXXXXXX
All the best for your approach.
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. 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.
About protein powder it is difficult to comment. If your BMI- Body mass index is within normal limit of 21-25 (you can calculate from your weight and height) there is no specific need of protein powder daily. You can take the same frequently.
If still any doubt you are welcome.
healthy life styles give long term benefits
Detailed Answer:
Dear XXXXXXX
All the best for your approach.
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. 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.
About protein powder it is difficult to comment. If your BMI- Body mass index is within normal limit of 21-25 (you can calculate from your weight and height) there is no specific need of protein powder daily. You can take the same frequently.
If still any doubt you are welcome.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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