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Idear Sir, I Am Having Erectile Dysfunction Since Five Years.I

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Posted on Sat, 13 Oct 2018
Question: idear sir, I am having erectile dysfunction since five years.I consulted a doctor and he suggested to use 10 no dura plus tablets for two weeks.I have used that tablets,but the result is zero.Please tell me that I have to use that tablets for long time or something else.One more thing is if I got erectile dysfunction due to some stds then which one will be treated first.Can oral gonococci can be detected in urine culture?
doctor
Answered by Dr. Dr. P. T. Patil (2 hours later)
Brief Answer:
Need to get investigated

Detailed Answer:
Hello
Thanks for query .

Based on the facts that you have posted it seems that you have been facing problem of Erectile Dysfunction (ED)since last five years .

I shall be happy if you can post me more details to help me in making precise comments
1) Are you diabetic ?
2) Did you have normal sexual functions and used to get hard erection before five years
3) Is there any stress factor or Psychological factor that has cropped up very recently in your life either at work place or in personal life ?
4) Are you taking any medication for any other illness?

It is very common for every individual to face the problem of Secondary Erectile Dysfunction at some time or other in sexual life which normally gets resolved spontaneously .However if it persists for a long time one needs to consult qualified Urologist for clinical examination and get following investigations done to establish the cause for the same .
1) Blood tests for
a) To rule out Diabetes
b) Thyroid hormone assessment
c) Testosterone levels
2) Color Doppler Ultrasound Scanning of Penis to rule out Vascular Insufficiency as a cause for your ED.

In majority of cases Secondary ED is either Psychogenic in nature . Following general measures will help you to boost up your confidence and getting good erection.and delay ejaculation.
1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.
2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc
3)Take anti oxidants like Almonds 5-6 everyday..
4) Avoid alcohol and smoking..

Taking Tadalafil 5 mg every day and 20 mg one hour before on the day of planned sexual activities does help to get hard erection and to have enjoyable sex .

Further treatment will depend upon results of these tests .

Hope I have answered your query ,please feel free to ask if you have more questions,I shall be happy to help you
Thanks and Regards.
Dr.Patil.







Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. P. T. Patil (4 hours later)
hi sir, my testosterone levels are 543.Oral gonococci requires throat swab culture test or not?
doctor
Answered by Dr. Dr. P. T. Patil (2 hours later)
Brief Answer:
You can get throat swab culture done .

Detailed Answer:
hello
Thanks for feedback .

You can get throat swab culture done .Your Testosterone levels are within normal range .

Thanks and Regards.
Dr Patil.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10587 Questions

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Idear Sir, I Am Having Erectile Dysfunction Since Five Years.I

Brief Answer: Need to get investigated Detailed Answer: Hello Thanks for query . Based on the facts that you have posted it seems that you have been facing problem of Erectile Dysfunction (ED)since last five years . I shall be happy if you can post me more details to help me in making precise comments 1) Are you diabetic ? 2) Did you have normal sexual functions and used to get hard erection before five years 3) Is there any stress factor or Psychological factor that has cropped up very recently in your life either at work place or in personal life ? 4) Are you taking any medication for any other illness? It is very common for every individual to face the problem of Secondary Erectile Dysfunction at some time or other in sexual life which normally gets resolved spontaneously .However if it persists for a long time one needs to consult qualified Urologist for clinical examination and get following investigations done to establish the cause for the same . 1) Blood tests for a) To rule out Diabetes b) Thyroid hormone assessment c) Testosterone levels 2) Color Doppler Ultrasound Scanning of Penis to rule out Vascular Insufficiency as a cause for your ED. In majority of cases Secondary ED is either Psychogenic in nature . Following general measures will help you to boost up your confidence and getting good erection.and delay ejaculation. 1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc 3)Take anti oxidants like Almonds 5-6 everyday.. 4) Avoid alcohol and smoking.. Taking Tadalafil 5 mg every day and 20 mg one hour before on the day of planned sexual activities does help to get hard erection and to have enjoyable sex . Further treatment will depend upon results of these tests . Hope I have answered your query ,please feel free to ask if you have more questions,I shall be happy to help you Thanks and Regards. Dr.Patil.