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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Low Libido And Erectile Dysfunction Be Treated?

So I have struggled with an addiction to porn for a lot of my life and for about 5 years. I have had no sexual performance problems. Then one day, my girlfriend told me she realized my erection was a little bit softer than normal. I was embarrassed. Since then my libido has drastically changed and my ability to get an erection has changed as well. I can still get one, but it s a lot harder to get a keep one. I guess my question is, is this a chronic thing?
Wed, 9 May 2018
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Internal Medicine Specialist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

It is most likely from psychological dysfunction.

Most of the erectile dysfunctions are from psychological factors. In fact, psychological erectile dysfunctions are more common than erectile dysfunction from other medical conditions (e.g. cardiovascular disease) so-called physical erectile dysfunctions. Stress, depression, anxiety(performance anxiety) are considered common causes of psychological erectile dysfunctions.

These two causes (physical vs psychological) can be differentiated by nocturnal penile tumescence (NPT) test. The test checks the presence of erections during sleep. Positive test indicates psychological erectile dysfunction rather physical.

Life style modifications are very helpful for the treatment of psychological erectile dysfunction. Try to decrease stress, do regular exercises and eat healthy food. Try to quit smoking if you are smoker, limit alcohol consumption. Control you weight.

Hope I have answered your query. Let me know if I can assist you further.

Regards,      
Dr. Malik
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How Can Low Libido And Erectile Dysfunction Be Treated?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It is most likely from psychological dysfunction. Most of the erectile dysfunctions are from psychological factors. In fact, psychological erectile dysfunctions are more common than erectile dysfunction from other medical conditions (e.g. cardiovascular disease) so-called physical erectile dysfunctions. Stress, depression, anxiety(performance anxiety) are considered common causes of psychological erectile dysfunctions. These two causes (physical vs psychological) can be differentiated by nocturnal penile tumescence (NPT) test. The test checks the presence of erections during sleep. Positive test indicates psychological erectile dysfunction rather physical. Life style modifications are very helpful for the treatment of psychological erectile dysfunction. Try to decrease stress, do regular exercises and eat healthy food. Try to quit smoking if you are smoker, limit alcohol consumption. Control you weight. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Malik