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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Erectile Dysfunction?

I am 27 year old healthy male, don t drink or smoke, not over weight. Ever since last March I started having problems with my erections. Below I have listed the symptoms -Noticeably Soft and thinner/smaller erections, soft head of penis -not able to maintain and erection without physical stimulation -no spontaneous erections -lower volume of semen, does not shoot out as before during orgasm -Shortness of breath when having sexual thoughts Before this issue I masturbated once every other day or once every two days. At the same time as this issue started I noticed buzzing feet especially when lying down, now only on left foot, sometimes I have tingling buzzing sensation, maybe this is somehow related. I had tests for diabetes, a heart stress test, Cardiac ultrasound, blood tests, testosterone, thyroid, no stds, all came out to be normal. This has been going on for a year, and is starting to become frustrating, as I was not able to have intercourse with my girlfriend. As a result of all this, my libido has dropped. I do want to mention that I have not seen a urologists yet. Any input would be great.
Mon, 3 Sep 2018
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General Surgeon 's  Response
Hi,

This type of problem can have many causes. These include Physical problems, such as injury to nerves or loss of blood supply to the penis. Other health problems, such as diabetes, high blood pressure, anxiety, and depression.

Side effects of certain medicines. Stress. Drinking too much alcohol or smoking. The exam, lab tests, and sometimes mental health tests can help find out the cause of the problem.

Treatment is based on cause and includes avoiding tobacco and drugs and limiting alcohol. Also, talking about the issue with your partner, doing sensual exercises, and getting counselling may be beneficial.

Finding and then stopping medicines that may be causing the problem. In some cases you can take a different medicine that doesn't cause erection problems.

Taking prescription medicine that can help you get erections. These include pills such as sildenafil (for example, Viagra), tadalafil (for example, Cialis).

In most cases, this is sufficient for treatment but you should just be patient and do necessary tests.

Hope I have answered your query. Let me know if I can assist you further.
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What Causes Erectile Dysfunction?

Hi, This type of problem can have many causes. These include Physical problems, such as injury to nerves or loss of blood supply to the penis. Other health problems, such as diabetes, high blood pressure, anxiety, and depression. Side effects of certain medicines. Stress. Drinking too much alcohol or smoking. The exam, lab tests, and sometimes mental health tests can help find out the cause of the problem. Treatment is based on cause and includes avoiding tobacco and drugs and limiting alcohol. Also, talking about the issue with your partner, doing sensual exercises, and getting counselling may be beneficial. Finding and then stopping medicines that may be causing the problem. In some cases you can take a different medicine that doesn t cause erection problems. Taking prescription medicine that can help you get erections. These include pills such as sildenafil (for example, Viagra), tadalafil (for example, Cialis). In most cases, this is sufficient for treatment but you should just be patient and do necessary tests. Hope I have answered your query. Let me know if I can assist you further.