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What Is The Cause And Treatment For Erectile Dysfunction?
Question: Hello Doctor,
I am a 38-year-old male, married with one 1-year-old baby.
My chief complaints are as under:
- For masturbation I get erection but for sex it does not sustain.
- I get instant erections but not able to sustain it. Whenever I am with my wife or get sexual thoughts, I do get erections but the moment I try to have sex, it goes down. Not only my erection goes down but also sexual excitement very soon. Both I cannot sustain for longer period.
- I can maintain erection only as long as I keep stroking my penis. The moment I stop stroking the penis it goes down.
- I do not suffer from premature ejaculation.
- For last 22 years, I have been masturbating regularly, 2 to 3 times every day. This has continued even after marriage. I got married two years ago at the age of 36.
There are few facts which I need to bring to your attention in order to enable you to understand my case better.
- I can masturbate whenever I want at will, any number of time. I do not have any erection problem during masturbation. I can maintain erection for a very long time by stroking the penis but the moment I stop doing the same within 2 seconds, it goes down. I believe, this is precisely the reason I am not able to have penetrative sex.
- When two years back, I had got married I was having huge problem in having sex and I met a Sexologist who did a number of tests on me and everything came out normal. Then he asked me to take Megalis (5MG), Vigomax Forte and Tentex Royal for one month. I took that and started having sex reasonably easy and my wife became pregnant.
- After the birth of my baby, for almost last one year or so, due to some family problems my wife could not live with me. I have been visiting her once in 3 to 4 months for one week or so. Whenever I have been with my wife I have tried to have sex but not very successful. With the “Megalis” anyhow I could do it but not very satisfactorily.
- Just two months back I repeated relevant tests and still my blood pressure, blood sugar, weight and testosterone levels are great. Though there are some observations with regard to LPT. But we cannot get carried away with them because two years back at the time of my marriage, I was having erections problem and then LPT numbers were fantastic.
For reference, below are LPT observations.
Total Cholesterol (242), HDL Cholestrol ( 59.3), S. Triglyceride (179.3), VLDL (35.9), LDL (146), LDL/HDL Ration (2.5).
(Note: I have met doctor for LPT observations and have been advised not to take any meidicine and just to control diet and do exercise. So I am not on any kind of medication but planning to take Omega 3 fatty acid capsules)
- At the age of 17, I developed arthritis and at the age of 26 I developed psoriasis and until five years ago (2009) I have been on pain killers and medication. In 2009 my HLAB27 was found positive and I took two injections of “Remicade” and have got significant relief since then and have not taken any medication for arthritis. Though for “Psoriasis” have been on Homepath medication for around 1 and half years until 6 months back and thereafter took “Methotrexate” once a week. I have taken Methotrexate for around 4 months. For last two months I am not on any kind of medication for anything.
- For studies and thereafter for job, I have been away from my family and for last 12 years have been eating out. I have taken non-veg a lot but could not take Vegetables, Fruits and Dry Fruits.
- I do not drink, smoke or use tobacco. I take cold drink and black tea with salt a lot. I take 8 cups of black tea with salt every day and one cold drink (Pepsi or Cocacola) every day.
- I do not do regular exercise.
Hope you have got a fair idea of my case and would request you to give your revert/advise on each of the following issues.
- Since physically I am almost fit and do not take much stress then why I am having problem in long lasting erection.
- My understanding is that I am having problem because of two reasons a) Excessive masturbation. I am in the process of giving up this bad habit but would request you to let me know how to repair the damage done by doing it for so long b) In past I have been on medication for Arthritis and psoriasis. Can that be the reason ? If yes, then how to get rid of that effect.
- What kind of food, fruit and Dry Fruit I should take ?
- Is there any specific exercise I need to do to overcome ED ? I was browsing through net and found specific exercises designed to have strong erection on www.secretsexualskills.com. Should I do them ?
- What medication should I take to overcome ED?
- what kind of food, fruits, liquid/juice and dry fruit should be taken?
- I have read that Omega 3 fatty acids are great for heart as well as erection. Should I take them, if yes, which brand and how long. They may help me even control LPT. Your views please.
- I may be having vitamin deficiency since I have not been taking green vegetables as well as fruits. What supplement should I take ? Please give me the name.
- Is ED curable ?
Thanks.
I am a 38-year-old male, married with one 1-year-old baby.
My chief complaints are as under:
- For masturbation I get erection but for sex it does not sustain.
- I get instant erections but not able to sustain it. Whenever I am with my wife or get sexual thoughts, I do get erections but the moment I try to have sex, it goes down. Not only my erection goes down but also sexual excitement very soon. Both I cannot sustain for longer period.
- I can maintain erection only as long as I keep stroking my penis. The moment I stop stroking the penis it goes down.
- I do not suffer from premature ejaculation.
- For last 22 years, I have been masturbating regularly, 2 to 3 times every day. This has continued even after marriage. I got married two years ago at the age of 36.
There are few facts which I need to bring to your attention in order to enable you to understand my case better.
- I can masturbate whenever I want at will, any number of time. I do not have any erection problem during masturbation. I can maintain erection for a very long time by stroking the penis but the moment I stop doing the same within 2 seconds, it goes down. I believe, this is precisely the reason I am not able to have penetrative sex.
- When two years back, I had got married I was having huge problem in having sex and I met a Sexologist who did a number of tests on me and everything came out normal. Then he asked me to take Megalis (5MG), Vigomax Forte and Tentex Royal for one month. I took that and started having sex reasonably easy and my wife became pregnant.
- After the birth of my baby, for almost last one year or so, due to some family problems my wife could not live with me. I have been visiting her once in 3 to 4 months for one week or so. Whenever I have been with my wife I have tried to have sex but not very successful. With the “Megalis” anyhow I could do it but not very satisfactorily.
- Just two months back I repeated relevant tests and still my blood pressure, blood sugar, weight and testosterone levels are great. Though there are some observations with regard to LPT. But we cannot get carried away with them because two years back at the time of my marriage, I was having erections problem and then LPT numbers were fantastic.
For reference, below are LPT observations.
Total Cholesterol (242), HDL Cholestrol ( 59.3), S. Triglyceride (179.3), VLDL (35.9), LDL (146), LDL/HDL Ration (2.5).
(Note: I have met doctor for LPT observations and have been advised not to take any meidicine and just to control diet and do exercise. So I am not on any kind of medication but planning to take Omega 3 fatty acid capsules)
- At the age of 17, I developed arthritis and at the age of 26 I developed psoriasis and until five years ago (2009) I have been on pain killers and medication. In 2009 my HLAB27 was found positive and I took two injections of “Remicade” and have got significant relief since then and have not taken any medication for arthritis. Though for “Psoriasis” have been on Homepath medication for around 1 and half years until 6 months back and thereafter took “Methotrexate” once a week. I have taken Methotrexate for around 4 months. For last two months I am not on any kind of medication for anything.
- For studies and thereafter for job, I have been away from my family and for last 12 years have been eating out. I have taken non-veg a lot but could not take Vegetables, Fruits and Dry Fruits.
- I do not drink, smoke or use tobacco. I take cold drink and black tea with salt a lot. I take 8 cups of black tea with salt every day and one cold drink (Pepsi or Cocacola) every day.
- I do not do regular exercise.
Hope you have got a fair idea of my case and would request you to give your revert/advise on each of the following issues.
- Since physically I am almost fit and do not take much stress then why I am having problem in long lasting erection.
- My understanding is that I am having problem because of two reasons a) Excessive masturbation. I am in the process of giving up this bad habit but would request you to let me know how to repair the damage done by doing it for so long b) In past I have been on medication for Arthritis and psoriasis. Can that be the reason ? If yes, then how to get rid of that effect.
- What kind of food, fruit and Dry Fruit I should take ?
- Is there any specific exercise I need to do to overcome ED ? I was browsing through net and found specific exercises designed to have strong erection on www.secretsexualskills.com. Should I do them ?
- What medication should I take to overcome ED?
- what kind of food, fruits, liquid/juice and dry fruit should be taken?
- I have read that Omega 3 fatty acids are great for heart as well as erection. Should I take them, if yes, which brand and how long. They may help me even control LPT. Your views please.
- I may be having vitamin deficiency since I have not been taking green vegetables as well as fruits. What supplement should I take ? Please give me the name.
- Is ED curable ?
Thanks.
Brief Answer:
LIFE STYLE MODIFICATION NEEDED.
Detailed Answer:
HI sir ,
I have carefully read your query and understand your concern.
The erectile dysfunction in your case is related to multiple significant factors.
they include:
1.Excessive and prolonged masturbation.
2.Drugs related-methotrexate and infliximab-ED persists on and off as long as you use these drugs.
3.Lack of regular exercise.
4.Psychosocial stress related related issues.
The erectile dysfunction in your case is absolutely curable.
I suggest you the following
1.Have regular workouts.
2.Use Megalis.
Stop vigomox and tentex.
3.tab Becozinc 1 tab a day-90days.
4.Consume more fruits and oats,apple,banana,garlic,baby onions,legumes.
5.Tab Co-enzyme Q 1 tab /day-90 days.
6.Stop masturbation.Its high time now.
7.Yes you can practice all the exercises shown on the web address.
8.Avoid coffee and tea.
9.Drink plenty of water.
10.Attend counselling sessions on sex improvement.
By all these measures your sexual performance definitly improves .
I hope this info is helpful to you
Thank you.,
LIFE STYLE MODIFICATION NEEDED.
Detailed Answer:
HI sir ,
I have carefully read your query and understand your concern.
The erectile dysfunction in your case is related to multiple significant factors.
they include:
1.Excessive and prolonged masturbation.
2.Drugs related-methotrexate and infliximab-ED persists on and off as long as you use these drugs.
3.Lack of regular exercise.
4.Psychosocial stress related related issues.
The erectile dysfunction in your case is absolutely curable.
I suggest you the following
1.Have regular workouts.
2.Use Megalis.
Stop vigomox and tentex.
3.tab Becozinc 1 tab a day-90days.
4.Consume more fruits and oats,apple,banana,garlic,baby onions,legumes.
5.Tab Co-enzyme Q 1 tab /day-90 days.
6.Stop masturbation.Its high time now.
7.Yes you can practice all the exercises shown on the web address.
8.Avoid coffee and tea.
9.Drink plenty of water.
10.Attend counselling sessions on sex improvement.
By all these measures your sexual performance definitly improves .
I hope this info is helpful to you
Thank you.,
Above answer was peer-reviewed by :
Dr. Prasad
Thank You sir for encouraging, detailed and to-the point-response and your response would definitely require high appreciation.
However, I would plead you to clarify on following points before we close our discussions.
I would need to take following two tablets once a day for 90 days. Am I correct ?
- tab Becozinc 1 tab a day-90days.
- Tab Co-enzyme Q 1 tab /day-90 days
I have started taking Omega 3 fatty acid capsules. Can i continue it with above two tablets. Please clarify.
- Could you tell me the dose of Megalis and how long it should be taken. I mean whenever I have to have sex it is must for me ?
Note: When I take Megalis, i start haveing severe headache. Could you advise me some pain killer which I could take along with it.
- With regard to fruit you have given me fair idea as to which fruits I should take; however, would like to have your guidance on specific food itmes I should give up and take as well dry fruits.
- I have heard that Pomegranate and Green Tea are great for good erections. Should I take them. Please clarify.
Regards,
However, I would plead you to clarify on following points before we close our discussions.
I would need to take following two tablets once a day for 90 days. Am I correct ?
- tab Becozinc 1 tab a day-90days.
- Tab Co-enzyme Q 1 tab /day-90 days
I have started taking Omega 3 fatty acid capsules. Can i continue it with above two tablets. Please clarify.
- Could you tell me the dose of Megalis and how long it should be taken. I mean whenever I have to have sex it is must for me ?
Note: When I take Megalis, i start haveing severe headache. Could you advise me some pain killer which I could take along with it.
- With regard to fruit you have given me fair idea as to which fruits I should take; however, would like to have your guidance on specific food itmes I should give up and take as well dry fruits.
- I have heard that Pomegranate and Green Tea are great for good erections. Should I take them. Please clarify.
Regards,
Brief Answer:
NO DRUG INTERACTIONS WITH OMEGA-3FA.
Detailed Answer:
HI ,
Thanks for writing back to me.
Yes you need to take one tab/day of Becozinc and Coenzyme Q after dinner for 90 days.
You can absolutely use Omega 3-fattyacids along with above two drugs.
I also recommend one tab/day of Flax seed oil capsule post breakfast on every alternate day for 60 such days.
Also take cap Evion 400mg one tab/day post lunch for 90 days.
Longterm daily use of Megalis is not encouraged,as it can cause headache and vision problems.
I recommend you to take only 2.5 mg of drug half an hour before the sexual activity.
I suggest you to habituate/train yourself to engage in sexual activity with your wife without Megalis regularly after 90 days .From then use drug only when needed.
Improve your natural orientation towards sex.
Dry fruits,pomegranate are excellent food stuffs.Never give them up.
Avoid green tea and grape juice when using Megalis.
Analgesics are not needed to control Megalis induced headache.It will subside on its own.
I hope this info is helpful to you.
Post your further queries if any on http://bit.ly/drsureshheijebu
My best wishes to you,
Thank you.
NO DRUG INTERACTIONS WITH OMEGA-3FA.
Detailed Answer:
HI ,
Thanks for writing back to me.
Yes you need to take one tab/day of Becozinc and Coenzyme Q after dinner for 90 days.
You can absolutely use Omega 3-fattyacids along with above two drugs.
I also recommend one tab/day of Flax seed oil capsule post breakfast on every alternate day for 60 such days.
Also take cap Evion 400mg one tab/day post lunch for 90 days.
Longterm daily use of Megalis is not encouraged,as it can cause headache and vision problems.
I recommend you to take only 2.5 mg of drug half an hour before the sexual activity.
I suggest you to habituate/train yourself to engage in sexual activity with your wife without Megalis regularly after 90 days .From then use drug only when needed.
Improve your natural orientation towards sex.
Dry fruits,pomegranate are excellent food stuffs.Never give them up.
Avoid green tea and grape juice when using Megalis.
Analgesics are not needed to control Megalis induced headache.It will subside on its own.
I hope this info is helpful to you.
Post your further queries if any on http://bit.ly/drsureshheijebu
My best wishes to you,
Thank you.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Thank You Sir. I have got complete idea as to how to go about it.
However, would like to know if the above medicines recommended by you including Megalis would not have serious side effects. As already have told you that there are minor observations in my LPT.
Kindly clarify this then we should close our discussions.
I thank you once again for clarifying my concept and providing me great encouragement.
Regards...
However, would like to know if the above medicines recommended by you including Megalis would not have serious side effects. As already have told you that there are minor observations in my LPT.
Kindly clarify this then we should close our discussions.
I thank you once again for clarifying my concept and providing me great encouragement.
Regards...
Brief Answer:
NO SERIOUS SIDE EFFECTS.
Detailed Answer:
HI,
The LPT changes are not due to MEGALIS or other drugs.
Good regular exercise and low fat diet can improve your LPT.
Regarding Megalis,i already given you the info.
All the drugs i prescribed are relatively very free of side effects.They condition your sperms and nerves involved in erection.
Finally enjoying the nonsexual aspects of your relationship with your wife,can also help to overcome ED.
thank you
NO SERIOUS SIDE EFFECTS.
Detailed Answer:
HI,
The LPT changes are not due to MEGALIS or other drugs.
Good regular exercise and low fat diet can improve your LPT.
Regarding Megalis,i already given you the info.
All the drugs i prescribed are relatively very free of side effects.They condition your sperms and nerves involved in erection.
Finally enjoying the nonsexual aspects of your relationship with your wife,can also help to overcome ED.
thank you
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Answered by
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