Doctor Consultation Says My Erectile Dysfunction is Not Physiological, Will Viagra Help?

Viagra Question

I’m a happily married man who’s always enjoyed sex with my wife, but lately, I’ve found it difficult to get an erection when romance is in the air. I’ve consulted my doctor about the problem, and he says that my impotence doesn’t appear to be physiological in nature. How can he determine this and would Viagra help me?


Answer

The information you’ve supplied doesn’t really give us enough to go on. However, a doctor can order labs and prescribe self-testing to help determine whether erection problems are physiological in origin. He might also be able to make a tentative diagnosis of the cause of your erectile dysfunction on the basis of information you have confided to him. For example, a normal healthy male has three to five erections each night as he sleeps, the last of which may occur as he awakens in the morning.

If you continue to experience these nighttime erections, your ED symptoms are probably not physiological in nature but can be traced to psychological causes. We suggest that you ask your doctor how he reached his conclusion on the cause of your erection problems. If he has determined that depression, anxiety, or stress is the root cause of your problem, he might refer you to psychological counselling in an effort to deal with those problems.

Doctor Consultation Says My Erectile Dysfunction is Not Physiological, Will Viagra Help?

Viagra Question

I’m a happily married man who’s always enjoyed sex with my wife, but lately, I’ve found it difficult to get an erection when romance is in the air. I’ve consulted my doctor about the problem, and he says that my impotence doesn’t appear to be physiological in nature. How can he determine this and would Viagra help me?


Answer

The information you’ve supplied doesn’t really give us enough to go on. However, a doctor can order labs and prescribe self-testing to help determine whether erection problems are physiological in origin. He might also be able to make a tentative diagnosis of the cause of your erectile dysfunction on the basis of information you have confided to him. For example, a normal healthy male has three to five erections each night as he sleeps, the last of which may occur as he awakens in the morning.

If you continue to experience these nighttime erections, your ED symptoms are probably not physiological in nature but can be traced to psychological causes. We suggest that you ask your doctor how he reached his conclusion on the cause of your erection problems. If he has determined that depression, anxiety, or stress is the root cause of your problem, he might refer you to psychological counselling in an effort to deal with those problems.

Cannabis and Erectile Dysfunction. Smoking Weed has Caused Loss of Libido and a Complete Disinterest in Every Aspect of Sex.

CANNABIS – ERECTILE DYSFUNCTION QUESTION:

Cannabis and ED/loss of libido. I am 40 and have been smoking weed for the last 2 years about one joint per day. The first year, it gave me a very exciting sex life but since a year I am suffering from ED and more of all developed a complete disinterest in every aspect of sex.

I’ve learned that cannabis can trigger ED through premature endothelial dysfunction (Int J Impot Res. 2008 Nov-Dec;20(6):566-73. doi: 10.1038/ijir.2008.43.”Early endothelial dysfunction as a marker of vasculogenic erectile dysfunction in young habitual cannabis users”.) and maybe lowering testosterone.

But it also messes up with your brain reward center with downregulation of post-synaptic dopamine receptors. I have quit smoking weed for 2 months now and I am still not interested in sexual matters. Do you know how long it can take before the brain get reset?


DOCTOR ALSAYES ANSWER:

First of all, congratulations, you are on the right way to recovery.
Let me tell you it may take more couple months for you to start feeling the difference, and with time the negative effect of these habits will disappear and your normal erections will appear again (if you have no other causes of ED).

In the meanwhile, I advise you to establish a healthy lifestyle by exercising regularly, eating healthy food (low cholesterol), and stop or avoid alcohol and tobacco as they both contribute to ED. These steps will help you regain your normal erection faster.

I hope this answers your question.

Thanks, Dr. Alsayes

Do I Have Porn Induced ED? Is it Even a True Thing?

ERECTILE DYSFUNCTION QUESTION:

Do I have “porn-induced ED”? Is it even a true thing?
I am a 20-year-old virgin and the first few times (3 or so) I’ve tried to penetrate my girlfriend I cannot due to my glans being soft and losing my erection very quickly (a few seconds without physical stimulation). Is it possible I have porn-induced erectile dysfunction?

I thought I may not since I never looked at porn every day, maybe 4-5 times a week when I was experimenting with jelqing. I’ve since stopped both porn and masturbation(and jelqing) for about 2 weeks now and I never got morning erections(maybe semi erections but never full ones) and have generally very poor mood. I haven’t tried anything sexual with my girlfriend in a while partly because of anxiety about my issue and partly because we hardly get to spend private alone time together.

Based on my porn use and age, and the effect of cutting off the porn, is it possible I have another issue with my penis? If it is, in fact, porn use should I cut it off completely or just cut down on the amount/type of porn I view? Cutting porn out completely seems to kill my mood and fill me with guilt so it is very difficult for me to move forward as things stand right now.


DOCTOR ALSAYES ANSWER:

Let me first point out to you that erectile dysfunction has many factors and underlying causes, one of these aspects are the psychological aspect.
A psychological aspect can in form of anxiety or pressure to perform under heightened anxiety, or acute stress disorder, or Low sex drive due to underlying cause (as a bad memory from a previous relationship).

Watching pornography and masturbation more frequently can also lead to erectile dysfunction during actual sex relation. Some studies have found that frequently masturbating to porn can contribute to ED by desensitizing you to certain imagery and physical intimacy.

We must first identify the cause and then treat it accordingly, in your case, I advise you first to visit your doctor and make some evaluation tests to exclude any medical/physical cause, and if all tests came up negative then your doctor will advise you on how to deal with your stress and performance anxiety or he may refer you to a psychotherapist. In the meanwhile, I strongly advise you to stop watching and/or masturbating to porn, and with time the negative effect of these habits will disappear and your normal erections will appear again (if you have no other causes of ED).

I hope this answers your question.

Thanks Dr. AlSayes

Does Occasional Use of a Nitroglycerin Pill Make it Inadvisable for me to use Viagra?

Viagra Question

I suffer from periodic bouts of angina pectoris. When the chest pain becomes an issue, I pop a nitroglycerin pill under my tongue, and as it dissolves, my pain abates. Does occasional use of a nitroglycerin pill make it inadvisable for me to use Viagra?


Answer

It sounds as though you are suffering from unstable angina, which can strike at almost any time if your heart isn’t getting a steady and uninterrupted flow of oxygen-rich blood. Left untreated, unstable angina can — and often does — lead to a full-blown heart attack. Because you have no way of accurately forecasting when you’ll need to pop a nitroglycerin tablet, it is probably unwise for you to use Viagra or any of the other oral ED medications. Because both the nitroglycerin pill and Viagra work by lowering blood pressure, they can cause a life-threatening decline in blood pressure when taken together. Sexual relations can put an extra strain on your heart, perhaps triggering an attack of angina. If you have already taken Viagra to overcome erectile problems, popping a nitroglycerin pill on top of that could lead to serious health consequences. Stay away from the PDE5 inhibitors as long as you are using nitrate-based drugs. And as always when taking drugs, consult your doctor.

Does Occasional Use of a Nitroglycerin Pill Make it Inadvisable for me to use Viagra?

Viagra Question

I suffer from periodic bouts of angina pectoris. When the chest pain becomes an issue, I pop a nitroglycerin pill under my tongue, and as it dissolves, my pain abates. Does occasional use of a nitroglycerin pill make it inadvisable for me to use Viagra?


Answer

It sounds as though you are suffering from unstable angina, which can strike at almost any time if your heart isn’t getting a steady and uninterrupted flow of oxygen-rich blood. Left untreated, unstable angina can — and often does — lead to a full-blown heart attack. Because you have no way of accurately forecasting when you’ll need to pop a nitroglycerin tablet, it is probably unwise for you to use Viagra or any of the other oral ED medications. Because both the nitroglycerin pill and Viagra work by lowering blood pressure, they can cause a life-threatening decline in blood pressure when taken together. Sexual relations can put an extra strain on your heart, perhaps triggering an attack of angina. If you have already taken Viagra to overcome erectile problems, popping a nitroglycerin pill on top of that could lead to serious health consequences. Stay away from the PDE5 inhibitors as long as you are using nitrate-based drugs. And as always when taking drugs, consult your doctor.

I’m 28 Years Old and I am Facing Erection Problem I Masturbation and Watch Pornography

MASTURBATION PORNOGRAPHY – ED QUESTION:

Hi, I am 28 years old and past 4 days I am facing erection problem. It is not responding and getting hard. I used to do masturbation and watch pornography. Please help me with this. I may get married soon. I am so worried about this. Please help me with this.


DOCTOR ALSAYES ANSWER:

I need to explain to you that erectile dysfunction has many factors and underlying causes, one of these aspects are the psychological aspect.

A psychological aspect can in form of anxiety or pressure to perform under heightened anxiety, or acute stress disorder, or Low sex drive due to underlying cause (as a bad memory from a previous relationship).

Also, watching pornography and masturbation more frequently can also lead to erectile dysfunction during actual sex relation. Some studies have found that frequently masturbating to porn can contribute to ED by desensitizing you to certain imagery and physical intimacy.

The key to dealing with this situation is to identify the cause and to treat it accordingly, in your case, I advise you first to visit your doctor and make some evaluation tests to exclude any medical/physical cause, and if all tests came up negative then your doctor will advise you on how to deal with your stress and performance anxiety or he may refer you to a psychotherapist.

Thanks, Dr. Alsayes

Husband Late 40’s Having Trouble with ED, Love Life Suffering, Should I Suggest Viagra?

Viagra Question

I’m married to a man in his late 40s with whom I’ve enjoyed a healthy sex life until the last few months. He tries but is finding it difficult to get and keep an erection. Needless to say, our love life has suffered. Is there any way I can help? Should I suggest that he take Viagra or one of the other ED drugs?


Answer

It has been observed that every case of erectile dysfunction has at least two victims: the man suffering from impotence and his partner who suddenly faces the loss of a fulfilling sex life because of ED. You can support your husband by being as understanding about his erectile problems as possible. Together, you can work toward finding a solution.

If your spouse’s ED symptoms are caused by insufficient blood flow to the penis, it’s likely that Viagra or one of the other ED drugs can help.

If the impotence is physiological in origin but doesn’t respond to treatment with Viagra, your family doctor can discuss other options that might help your husband to resume relatively normal sexual relations. Such alternatives include penile injection therapy, penile implants, and vacuum erection devices.

If the causes of his impotence are psychological in origin, the doctor might refer your husband to a psychological counselor who specializes in treating sexual dysfunction caused by depression, anxiety, or stress.

Perhaps the biggest gift you can give your husband as he seeks to overcome his erection problems is your understanding and willingness to partner with him in searching for a solution.

Husband Late 40’s Having Trouble with ED, Love Life Suffering, Should I Suggest Viagra?

Viagra Question

I’m married to a man in his late 40s with whom I’ve enjoyed a healthy sex life until the last few months. He tries but is finding it difficult to get and keep an erection. Needless to say, our love life has suffered. Is there any way I can help? Should I suggest that he take Viagra or one of the other ED drugs?


Answer

It has been observed that every case of erectile dysfunction has at least two victims: the man suffering from impotence and his partner who suddenly faces the loss of a fulfilling sex life because of ED. You can support your husband by being as understanding about his erectile problems as possible. Together, you can work toward finding a solution.

If your spouse’s ED symptoms are caused by insufficient blood flow to the penis, it’s likely that Viagra or one of the other ED drugs can help.

If the impotence is physiological in origin but doesn’t respond to treatment with Viagra, your family doctor can discuss other options that might help your husband to resume relatively normal sexual relations. Such alternatives include penile injection therapy, penile implants, and vacuum erection devices.

If the causes of his impotence are psychological in origin, the doctor might refer your husband to a psychological counselor who specializes in treating sexual dysfunction caused by depression, anxiety, or stress.

Perhaps the biggest gift you can give your husband as he seeks to overcome his erection problems is your understanding and willingness to partner with him in searching for a solution.

75 Years Old and Want to Have Sex. Should I Take Viagra 50 mg?

Viagra – Erectile Dysfunction Question:

I am 75 yes, old young girl wants sex with me, I am taking BP tab Amodep AT one daily, one Urinex D, +Anxiset plus at bedtime, erection time very short, should I take Viagra 50 mg Or any other tab to satisfy the girl/lady?


Doctor Alsayes Answer:

I’d suggest you not take Viagra at this age and with your medication, I’d suggest you check with your doctor first because I can’t tell how much stable are your conditions.

You should also know that when Viagra is taken by the elderly people of 65 and older, it circulates in blood much longer so it is necessary to define the dosage individually.

In most cases, we prescribe a lesser dosage than usual to senior citizens. So kindly check with your therapist.

I hope this answers your question.

Thanks, Dr. Alsayes