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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Erection Problems

My penis is always constricted - even during sleep. I can get erections sufficient for intercourse...but they are smaller than they were in the past because of the constriction not allowing the smooth muscle to fully expand. Urologist says its stress...but no idea how to reverse it. I have tried therapy, medications etc but I have so much focus on my penis that it has been conditioned to stay this way no matter what...any help out there please??
Wed, 24 Sep 2014
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General & Family Physician,  's  Response
Hi
Thank you for asking HCM.
Stress can be a reason for loosing proper erections. In such case stress management like breathing exercise can be done. SSRIs like paroxetine or dapoxetine may help in some. As you have done urologist consultation and confirmed a organic cause is unlikely. If you not getting proper erection at all phosphpdiesterase inhibitors like sildenafil may be helpful. A proper counselling and behavioral therapy by psychiatrist or sex therapist may benefit you also. Hope this may help you.
Let me know if you have any further queries.
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Suggest Treatment For Erection Problems

Hi Thank you for asking HCM. Stress can be a reason for loosing proper erections. In such case stress management like breathing exercise can be done. SSRIs like paroxetine or dapoxetine may help in some. As you have done urologist consultation and confirmed a organic cause is unlikely. If you not getting proper erection at all phosphpdiesterase inhibitors like sildenafil may be helpful. A proper counselling and behavioral therapy by psychiatrist or sex therapist may benefit you also. Hope this may help you. Let me know if you have any further queries.