Dear Dr. , My sons friend has landed in a peculiar medical problem. So after hearing their hisstory I told them I shall get your advice (in total confidence from you) in order to enable them to be referred to the appropriate Dr here at Blore. Being shy to raise such sensitive matters in the open, they sought my help when I told them about your website. Medical Problem (as I heard it out): The boy is 30+ and is about to be married by year end. He is of athletic build, 5ft 7 in 75 Kg BMI=25.6 Waist 38 in. And was quite normal and virile till last year. Then an accident occurred 3 months back when during the night when power cut was in force he dropped with his bike into a 6 ft narrow pit dug on the roadside for laying sewage pipeline. Except for his helmet hitting the side of the pit with moderate force nothing much happened, other than for some abrasions on the legs and lower arms. He was still on the bike after the incident. He confirms his private parts did not feel the impact at all. About a week after the incident he felt a) Absence of erection (even in the mornings) b) Involuntary ejaculation. He has already met a neurologist here at Blore who has zeroed in on the fall as the cause and has told that any impact on the brain /spine or other portions can lead to such temporary debility and has been advised to come back after regaining erection to test the semen count, to rule out impotency. (That may be months or years ?? if only natural healing is to be relied up on.) So the Queries are: 1. Should he wait for natural healing to regain erection in due course of time (which will play havoc with his wedding proposals in another 6 months), or 2. Should they postpone the wedding proposal for this year end ? 3. Should they see some other Specialist Dr to accelerate the healing process by taking medications, etc? 4. A Doctor with which specialization should they approach ? 5. Can you refer any of your Specialist Dr here at Blore for this peculiar case, So they need your help Thanking You From N Rajaram from Chennai (We are now camping at Bangalore for another 2 weekS = when during browsing I came across this wonderfully helpful website) P.S.: This boy is a software engineer and works 18 hours a day 5 days a week, and goes to sleep usually at 5 am and wakes up at 12 noon. Will such irregular sleeping patterns over years cause such temporary sexual inadequacy? Or can the fall be the likely cause ? Whom to contact ? =========