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What Is The Cause And Treatment For Erectile Dysfunction?

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Posted on Mon, 6 Oct 2014
Question: Hello Doctor,
My weight is 76 kg's, I got normal blood pressure and I'm not under any medications before.I don't smoke and dont drink alcohol.

I will do 30 mins of workout alternative days.

I'm Suffering with ED problem, started 3 to 4 months back.
with out knowing details of the product, I applied mint oil (Navartna) only once to penile does this cause any damage to it and can cause ED(erectile dysfunction).
I went to urologist he prescribed for blood test for estrodil and testosterons from the results my estrodil was high 59.9 and testosterons 704/1193 also urologist took ultrasound blood for penile at 9:30 am in August month and urologist gave report saying that my venous drinage is normal with the blood velocity PSV (41.2) and lower is 3.8
1. I use to get erections and ejaculate very strong and effectively when ever I want to have sexual intercourse with my wife,during my sleeps at night and while watching pronography videos all the sudden things has been changed 4 months back when my self and my wife want to have sexual intercourse i got erection and suddenly my erection became week since then i wasn't able to get strong and effective erections (when ever i want to have), sometimes I get erections at night in my sleep and during I wakeup from bed also I tried to mastrubate I didn't get any erections.

2.In the month of XXXXXXX I went to endocronologist local here in USA and explained about my problem(Saying I was not able to get erections on my need bases), So endocronologist has written for blood test for list of hormones
1.Albumin I have 4.8 (3.6-5.1 g/dL) In range
2.FSH I have 4.1 (1.6-8.0 mIU/mL ) In range
3. LH I have 6.4 (1.5-9.3 mIU/mL ) In range
4.Testosterones I've 413 (241-827 ng/dL) In range
5.Sex harmones I have 29 (10-50 nmol/L ) In range

3. Does low level of good cholestrol could case erection problem? because when the problem was started I went to primary physican he prescribed for blood test from that result it say I got low level of good cholestrol
by having this range level of harmones, Can i get back my erections and We can have Kids in atleast 1 to 2 years of time?
I really want to have sexual intercourse with my wife and to have kids, but I'm not able to get erections.
Do this harmone levels goes down if I doen't have sexual intercourse or very rapidly?
Yesterday I went to urologist local to me in USA he told me that I dont have any physical problem and not to see him in office if necessary he asked me to call him.
What could be the problem? either navrtna oil I applied or my mind or having low level of good cholestrol or having high estrodil Please suggest me !!!
.
doctor
Answered by Dr. Binu Parameswaran Pillai (2 hours later)
Brief Answer:
Good day

Detailed Answer:
Good day,
Noted your concern.Thank you for writing in detail about your problem including your hormone levels. The hormone levels are pretty good and normal. We need a thyroid function tests and a Prolactin level as well. Even the penile doppler seems to be good. In this case, the problem could be your mind ( stress) itself. Some drugs like blood pressure medications cause erectile dysfunction. I noted that you are not on anything except Clomid in the past.

Navaratna oil may cause some buring sensation if applied to inside of penis and some burning sensation. Otherwise it should not cause erectile dysfunction. Neuropathy is another possibiity ( but you mentioned that you have no diabetes).

HAving low HDL cholesterol alone may not cause this unless you have very high triglycerides and LDL cholesterol. What is your height and weight ?

Would appreciate a reply

Regards
Binu
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Binu Parameswaran Pillai (17 minutes later)
Hello Doctor,

Thanks for replying.
I've applied navartna oil on penile(while erected) not inside, I didn't feel any burning sensation and soon.
answer to your question my weight is 76 kg's and height 5 feet 9 inches.
I got couple of question.
Could you suggest me "by having this range level of hormones, Can i get back my erections and I can have Kids in atleast 1 to 2 years of time?".
Shall I go to endocrinologist loacl here in USA again to check my hormone level's do my hormone levels could change between XXXXXXX and Now(September).Please suggest me, so I can schedule an appointment with endocrinologist.
Regarding thyroid function tests and a Prolactin level test i should check with urologist or with endocrinologist.
Please help me
Thank you so much
doctor
Answered by Dr. Binu Parameswaran Pillai (5 minutes later)
Brief Answer:
Endocrinologist

Detailed Answer:
Yes, with that level of hormones, you can have kids. You also may require a semen analysis.

You must meet an endocrinologist and it is surely worth repeating these tests after meeting the endocrinologist . These tests should be done in fasting stat between 7 to 9 am ( especially, LH , FSH and testosterone). To do prolactin and Thyroid function, you should meet an endocrinologist.

Your weight seems to be okay.

It is worth taking a long holiday of a month or so and go t a nice quiet far away place away from crowd and yoyr job and switch off obile phone most of the time. Please see if this improve your erection.

Regards
Binu
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Binu Parameswaran Pillai (17 hours later)
Hello Doctor,

Yesterday night 45 mins before of sexual intercourse, I took drug cialis(tadalafil) 10mg I got week erection and druing night in sleep and while weakup from bed I got strong and effective erection (which I haven't got for 4 days).
I'm totally confused with problem i suffering from, sometimes i feel like it my mind, sometimes I feel I have some physical problem like (venous leak) and soon.
to make my self clear on this, could you please check my report(penile doppler ultrasound report) I've attached and let me know if I've have any such physical problem's.
also could you give me a brief on sysmptoms of venous leak
Please help me doctor !!!
doctor
Answered by Dr. Binu Parameswaran Pillai (40 minutes later)
Brief Answer:
Hi

Detailed Answer:
Hello,Good day,
Noted the ultrasound report. You had normal erection with injection and it maintained for some time. This is normal and there was no suggestion of an arterial or venous leak.

Your hormones are normal.
Please relax. Tadalafil ( cilais) is a wonderful drug and it is long lasting. My advice would be to take it every 2 days. In that case, you will have a better erection ( because blood levels will be maintained)
The more you worry about erection, there will be performance anxiety and erection will not be good. Do not worry. That is the best remedy in your case

Regards
Binu
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Binu Parameswaran Pillai (32 hours later)
Hello Doctor,

Today after coming back home from work, my self and my wife had foreplay I got strong erection as effective before 4 months back and I was able to ejaculate as well.
I got this erection because of drug cialis(tadalafil) 10 mg I took 2 days back or its natural erection got during my foreplay?
I've no pain on penile when it got erected and soon.
This means I'm all good (no damage caused) correct with my penile and erections.
Please suggest me.
I can be the happiest person in the world !!!!!
doctor
Answered by Dr. Binu Parameswaran Pillai (8 hours later)
Brief Answer:
Hello

Detailed Answer:
Good day,
That is a good news indeed.
You are normal, that's why you are getting normal erection.
Try with out Cialis now. If you are not getting a good erection, then use Cialis 10 mg every 2 days. In that case you may have constant blood levels and that way, it is better

Best wishes and Regards
Binu
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Binu Parameswaran Pillai (29 hours later)
Hello Doctor,

Thanks a lot I got lot of confidence, from past 2 days(Friday and Saturday) I'm doing well with sexual intercourse.
During nights in my sleep I'm getting erections like before.
I got couple of questions
On Saturday I had sexual intercourse with my wife 3 times
a.Morning around 11:00 AM I got ejaculation in less than 3 minutes.
b.I had sexual intercourse 3 hours after first one, I did intercourse for more than 10 mins but I haven't got ejaculation.
c. I had intercourse again in night around 11:00 PM, I haven't got ejaculation this time as well.
Why I haven't got ejaculation? I was asking this question becuase I dont to do myself wrong assumptions and get my health worst.
Please suggest me.
Thanks a lot.



doctor
Answered by Dr. Binu Parameswaran Pillai (3 hours later)
Brief Answer:
Hello

Detailed Answer:
Hi,
Good to hear that you have significant improvement in sexual function. Congratulations. Please do not worry. In due course, the ejaculation also will improve. It is common sometimes to have no or little ejaculation on a second intercourse few hours after the first one.

Stay cool. You seems to be in the improvement path. Relax, take plenty of water as well.

Regards
Binu
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Binu Parameswaran Pillai (5 hours later)
Hello Doctor,

Firstly, thanks a lot for replying to my questions.
On Sunday morning, I had intercourse with my wife and I got ejaculation as well.
What this means? I'm physically normal correct? Oil(Navartna) that I applied didn't caused any damage to my penile and erections right.
What I need to do to achieve and maintain my erections daily and as per my need bases ( like before 4 months).
Please let me know
Thanks
doctor
Answered by Dr. Binu Parameswaran Pillai (6 hours later)
Brief Answer:
Hello

Detailed Answer:
Good day,
Yes it means that you are normal and Navartna oil has not caused any damage to your organs.
You just need to do regular exercise daily and eat healthy. Eat fruits and vegetables. Have 8 hours of sound sleep daily. This will help you to live healthy and have great sex life.

Slowly try to stop Cialis over next one to two weeks and we shall see what happens. Hope to be best. You will be okay

Regards
Binu
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Binu Parameswaran Pillai (2 days later)
Hello Doctor,

Hope you are Doing Good !
Would like to ask you one question hopefully this is the last.
I was able to have Sexual intercourse with my wife from Friday through Monday successfully with out any drug cialis. Yesterday (Tuesday) I tried to have intercourse but I haven't got erection in my 10 to 15 mins of foreplay.
but in night sleeps and morning while wakeup i got erections.
why i'm seeing these variations in my erections which i haven't observed before 4 months?
Please let me know so i can be little peaceful.
Thanks
doctor
Answered by Dr. Binu Parameswaran Pillai (35 minutes later)
Brief Answer:
Hello

Detailed Answer:
Hi
Good day.
The fact that you were able to have normal sexual activity with out any drugs means that you are normal. Do not attempt to have sex just for the sake of it. That will cause failure.
Try doing it when you both have maximum desire so that you get stronger erection and greater satisfaction.
You are normal and convince your mind the same.
Regards
Binu
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Binu Parameswaran Pillai (47 hours later)
Hello Doctor,

Hope you are Doing Great !!!
Sorry doctor I'm keep asking you too many question, hopefully this is the kind of last question.
I was looking at lot of forums in the internet about ED problem people were posting that ED problem can cause because of nerve's loss of sensitivity.
my question is, I've applied navartna oil to my organ so does this oil might have caused any loss of sensitivity to my nerves in the organ.
before the problem has started when my wife touches me or when i watch pronography movies I use to get erections with in no time, but now I'm missing that.
Please suggest me

Thanks
XXXX
doctor
Answered by Dr. Binu Parameswaran Pillai (6 hours later)
Brief Answer:
Please relax

Detailed Answer:
If navaratna oil has harmed the nerves, you wouldnt be getting the sensaation now. You had mentioned that over the last few days you were able to have norml sex.
Please stop worrying. You are norml and just need to take the anxiety and fear away from your mind. The more you become anxious, the more trouble. Relax, eat well, exercise and sleep well. Beleive in yourself

Hope i have answered your question
Regards
Binu
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Binu Parameswaran Pillai

Endocrinologist

Practicing since :2003

Answered : 1438 Questions

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What Is The Cause And Treatment For Erectile Dysfunction?

Brief Answer: Good day Detailed Answer: Good day, Noted your concern.Thank you for writing in detail about your problem including your hormone levels. The hormone levels are pretty good and normal. We need a thyroid function tests and a Prolactin level as well. Even the penile doppler seems to be good. In this case, the problem could be your mind ( stress) itself. Some drugs like blood pressure medications cause erectile dysfunction. I noted that you are not on anything except Clomid in the past. Navaratna oil may cause some buring sensation if applied to inside of penis and some burning sensation. Otherwise it should not cause erectile dysfunction. Neuropathy is another possibiity ( but you mentioned that you have no diabetes). HAving low HDL cholesterol alone may not cause this unless you have very high triglycerides and LDL cholesterol. What is your height and weight ? Would appreciate a reply Regards Binu