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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?

Sir, I am 30 years old male. I was detected with blood pressure problem, as I use to get more than occasional bleeding from nose, in the year 2014 and for 2 to 3 months I took medicine for its control. Then I left using this medicine. But 2016 my bp (systolic) rose to 170 (diastolic 100) and therefore doctor prescribed me Macsart Ch 40 along with Cholestrol medicine (cannot recall the name). In the month of December, 2017 another senior doctor advised me to shift from Macsart CH 40 to Talma 40mg medine. Gradually, I have felt loss of libido and erectile dysfunction. Till 2016 I was perfectly fine. But, as on date I am facing the loss of libido and ED problem which has aggravated with the passage of time. Please advise me so that I can get healthier again.
Tue, 31 Jul 2018
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Psychiatrist,  's  Response

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

I would advise you to check your sustainability of erection by a simple test called NPT penile tumescence in which erections occur in the early morning during sleep which can rule out any problem

If it is normal, there is nothing to worry it is unlikely that you are suffering from any erection problem.

So, I can say that you might be stressful with your busy schedule to try to spend some time with your partner to get rid of any understanding problems or anxiety.

I would advise you to follow a simple method called Master and Johnson technique which would certainly help you.

In that, the lady partner has to make some signal or she can squeeze (squeezing technique) the penis forward just before you ejaculates, which would make your erection to last longer and sexual satisfaction would be better.

This method is very effective but it takes little time for the couple to get appropriate result in it, so be patient and be relaxed.

The other advise I can suggest is, if you are anxious and stressed you may need to take anti-anxiety drugs like Escitalopram (prescription based medication) which would help to get relief from anxiety and fear.

Still is it is not better, you can take sildenafil tablets.

So please follow these techniques and consultant your Psychiatrist for further guidance.

Hope I have answered your query.
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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. I would advise you to check your sustainability of erection by a simple test called NPT penile tumescence in which erections occur in the early morning during sleep which can rule out any problem If it is normal, there is nothing to worry it is unlikely that you are suffering from any erection problem. So, I can say that you might be stressful with your busy schedule to try to spend some time with your partner to get rid of any understanding problems or anxiety. I would advise you to follow a simple method called Master and Johnson technique which would certainly help you. In that, the lady partner has to make some signal or she can squeeze (squeezing technique) the penis forward just before you ejaculates, which would make your erection to last longer and sexual satisfaction would be better. This method is very effective but it takes little time for the couple to get appropriate result in it, so be patient and be relaxed. The other advise I can suggest is, if you are anxious and stressed you may need to take anti-anxiety drugs like Escitalopram (prescription based medication) which would help to get relief from anxiety and fear. Still is it is not better, you can take sildenafil tablets. So please follow these techniques and consultant your Psychiatrist for further guidance. Hope I have answered your query.