HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest Treatment For Lack Of Erection In Penis

Hi, I have been having erection difficulty for last few years,I am 32 years old. I used to have depression and stressed a lot and smoked cannabis or cigarette,too but not now. I think i was the reason to become ED. Do you think I can be treated perfectly?
Fri, 12 May 2017
Report Abuse
Psychiatrist 's  Response
Hi Sir,
Welcome to Health Care Magic

I can certainly understand your concern and worry about your sexual performance, .I would like to advise you to undergo simple test, as you mentioned that you had suffered from depression, ie NPT test (nocturnal penile tumescence), in which erections occurs in early morning in the sleep which can rule out any problem with your erection.if it is normal, it is unlikely that you have any problem with your erection, on top of it, it is likely that you are having some apprehension towards sex , and you have that guilt feeling , which could part of your depression. previous consumption of cannabis does not affect your current sexual performance.It can be definitely treated perfectly, and notjing to worry
Being a psychiatrist , I can advise you some simple tips like....Be relaxed before sex, spend time with foreplay which stimulates the production of nitric oxide NO, to sustain your erection for long time ....And you can start some antidepressant drugs like SSRI s ie escitalopram which helps in reducing your depression and worry, avoid alcohol and smoking if any, maintain adequate weight, try to engage yourself in some physical activity like exercises which helps in production of BDNF ie brain derived neurotropic factor, that keeps you active and stress free through out the day. If these measures does not work, you can try other natural drugs called DHEA (DihydroEpiandrosterone which can improve tour testosterone levels, L-Arginine to increse your NO production, if sildenafil does not solve your problem. Finally, there are other options like penile implants , which is an OP procedure , takes about an hour, vaccum constriction devices, pump with a band on it. The ultimate option is vascular reconstructive surgery . You can consult your psychiatrist for further information.



Post your further questions if any, I will available to take up your follow up questions

Thank you
I find this answer helpful

Note: For further guidance on mental health, Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 
Loading Online Doctors....
Suggest Treatment For Lack Of Erection In Penis

Hi Sir, Welcome to Health Care Magic I can certainly understand your concern and worry about your sexual performance, .I would like to advise you to undergo simple test, as you mentioned that you had suffered from depression, ie NPT test (nocturnal penile tumescence), in which erections occurs in early morning in the sleep which can rule out any problem with your erection.if it is normal, it is unlikely that you have any problem with your erection, on top of it, it is likely that you are having some apprehension towards sex , and you have that guilt feeling , which could part of your depression. previous consumption of cannabis does not affect your current sexual performance.It can be definitely treated perfectly, and notjing to worry Being a psychiatrist , I can advise you some simple tips like....Be relaxed before sex, spend time with foreplay which stimulates the production of nitric oxide NO, to sustain your erection for long time ....And you can start some antidepressant drugs like SSRI s ie escitalopram which helps in reducing your depression and worry, avoid alcohol and smoking if any, maintain adequate weight, try to engage yourself in some physical activity like exercises which helps in production of BDNF ie brain derived neurotropic factor, that keeps you active and stress free through out the day. If these measures does not work, you can try other natural drugs called DHEA (DihydroEpiandrosterone which can improve tour testosterone levels, L-Arginine to increse your NO production, if sildenafil does not solve your problem. Finally, there are other options like penile implants , which is an OP procedure , takes about an hour, vaccum constriction devices, pump with a band on it. The ultimate option is vascular reconstructive surgery . You can consult your psychiatrist for further information. Post your further questions if any, I will available to take up your follow up questions Thank you