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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Erectile Dysfunction?

I'm in a fairly new relationship w/ a man who tells me that 5 yrs ago he had an accident and fell into a hold and totally destroyed his testicles. He says he now cannot get an erection. I accept that this is permanent for him. what I'm wondering is: does this mean he also has no testosterone production? And if so, does that mean when he looks at me he isn't even physically attracted to me in the normal male/female way? He seems to not look at me as regular men do, and has no desire to even touch me. Does he look at me and want to be able to have sex but just can't or has he lost all sense of what that even feels like if he has no testosterone? He doesn't even want to sleep in the same bed, so we sleep in different rooms. I'm trying to decide how I want to respond to this. I love him a lot. We are older--in our 50s and I realize sex isn't everything, but touching and holding is very important to me. But, more than this, if he only can look at me as say, I'd look at some 8 yr old kid, well, I don't know if I want to be in a relationship like this. Lots of questions.
Thu, 5 Mar 2020
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General & Family Physician 's  Response
Hello,
I have gone through your query and here is my advice.

As per your history it may be due to strain and stress.

For further assessment he may require complete hemogram, lipid profile and electrocardiogram, after physician consultation.

For that he may require tablet sildenafil 1 hour before the sexual act.

Avoid smoking and alcohol. Avoid stress.

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

Regards,
Dr Shyam Kale,
Family and General Physician.
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What Is The Treatment For Erectile Dysfunction?

Hello, I have gone through your query and here is my advice. As per your history it may be due to strain and stress. For further assessment he may require complete hemogram, lipid profile and electrocardiogram, after physician consultation. For that he may require tablet sildenafil 1 hour before the sexual act. Avoid smoking and alcohol. Avoid stress. Hope I have answered your query, let me know if I can assist you further. Regards, Dr Shyam Kale, Family and General Physician.