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Erectile dysfunction
Not able to do sex with wife from last 5 years
No proper and harder erection while sex.
Im not get felling due improper erection
Totaly disaponted while intercourse
Answers (3)
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Erectile Dysfunction)
Inability of a man to experience erection and hardness of his penis following sexual stimulation is termed as impotence or erectile dysfunction (ED). This problem makes it impossible for the man to insert his penis in a woman’s vagina to complete the sexual intercourse. Although erection problems of penis are more common in older men, it can certainly trouble men from their 20’s onwards. In olden days it was believed that 80% of erection problems are psychogenic in nature but now we know that more than half of all erectile difficulties are due to some diseases process in the body. Anxiety (either about sexual performance or just general anxiety) is a common cause of impotence.
A wide range of diseases and medicines used to treat those diseases can also cause erection problems. There are instances where men with diabetes, blood pressure, heart disease, etc. were unaware of their disease when they came to my clinic complaining of impotence.
Next Steps
Go to a Sexologist
Health Tips
No self medication
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You need to get a physical examination and consult with andrologist
However please do the following tests before that
Testosterone total and free
Prolactin
Penile Doppler
Hba1c
RBS
lipid profile
You need not struggle like this
You need treatment
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Dr. Rahul Kansal
Neuropsychiatrist
8 yrs exp
Jaipur
✓Before moving directly to any treatment follow the advice as given below.
✓ Consult online on practo for the detailed Evaluation and Formal assessment.
✓You are indeed developing signs of ED - erectile dysfunction and PME- premature ejaculation. You also suffer from exaggerated masturbation guilt. Around 90% males start masturbation before the age of 14. Rest 8-9 % start after age 14. Virtually every man masturbates. It is a normal male sexual behavior. But excess of everything is bad, there is no problem if masturbation is done in moderation.
✓We may need reports of following tests to rule out Physical causes of Erectile dysfunction & Pre-mature ejaculation.
1. CBC
2. T3, T4, TSH
3. HbA1c
4. Serum Testosterone
5. Serum Prolactin
✓To rule out Psychological causes, Answer Following Questions
1. How is your mood?
2. How are your energy levels?
3. How is your appetite?
4. Do you have any sleep disturbances or do you oversleep?
5. Any past history of anxiety or Depression?
6. Any family members suffering from anxiety or Depression?
7. Describe in detail any use of cigarettes, tobacco, Alcohol, cannabis or any other substances of abuse.
✓Please respond to above questions and send me reports to enable me to make a complete assessment of your condition and advise treatment accordingly. Depression can cause ED, PME and Masturbation Guilt/Compulsive Masturbation.
✓All that you may require is a proper consultation and treatment about your sexual problems. (ED - erectile dysfunction; PME - premature ejaculation)
Dr Rahul Kansal
MBBS (AIIMS New Delhi),
MD, CE (UCLA, USA)
Neuro-psychiatrist
Sexologist & De-addiction Expert
Kansal Hospital : 120/238, Sector 12, Aggarwal Farm, Mansarovar, Jaipur.
Regarding follow up:
Follow up with Reports and answer to needed medical enquiry.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.