Category: Erectile Dysfunction

Klonopin and ERECTILE DYSFUNCTION QUESTION:

I’ve been on Klonopin, 2 MG twice a day, since October and suffering from ED for the first time ever. I’m 46. I take Viagra but it seems to do very little. Are there any other options? I’ve been in several romantic settings and couldn’t perform. Very frustrating because that’s never happened before.
Thanks
Zane

DOCTOR ALSAYES ANSWER:

Hello Zane,
Erectile dysfunction is more common when taking Klonopin. Kindly check with your doctor, because here you have 2 options, either changing the Klonopin dose or replacing it with another medication that can be known to cause less effect on ED, OR trying a higher dose of the oral ED medications (like Viagra or Cialis). It can help in this case by increasing the blood flow to the penile tissue thus leading to a better erection. For example, if you tried the dose of Viagra -25 mg and it didn’t cause much success then you may try a dose of 50mg.

Yes, there are other ED treatment options but, in your case, you won’t need that since most probably your issue is related to the medication you are taking (Klonopin)

I hope this answers your question.

Plenty of adults suffer from hypertension. Statistics show that one of every four American adults suffers from the condition. Unfortunately, it is closely linked to erectile dysfunction (ED). Bringing your blood pressure to a normal level may help you to have a healthy sex life.

Testosterone hormone is responsible for sex drive in men. High blood pressure may lead to a reduction in the production of the hormone which may lead to low sex drive.

The flow of blood and blood pressure has a significant impact on your ability to get and maintain an erection. Hypertension and ED have endothelium dysfunction in common. They both cause a disturbance of endothelium and the result is an increased contraction of the vascular smooth muscle. There has been some evidence to suggest that erectile dysfunction is an early sign of high blood pressure. PDE-5 inhibitors which are used to treat erectile dysfunction may be useful in improving blood pressure. It is, however important to note that the connection between the two conditions is not entirely clear.

What Causes Erectile Dysfunction?

Erectile Dysfunction occurs when there is an increase or an unhealthy response to contractile stimuli including ET-1 and Ang II. It may also occur when there is low production or response to the stimuli that is responsible for promoting penile VSM relaxation. Other factors include high sensitivity to vasoconstrictor molecules and poor responsiveness to vasodilatory mediators.

If you use β-blockers in the treatment of hypertension, they may cause ED. According to studies, treating hypertension with β-blockers is likely to cause ED and impotence.

The most significant link between high blood pressure and ED is endothelial dysfunction. They may be different conditions but they are closely connected. Most factors that cause hypertension also cause ED. If you suffer from either of them, consult a doctor to get the right treatment.

ERECTILE DYSFUNCTION QUESTION:

I am 25 years old I am suffering from erectile dysfunction for 4 months using for 10 days Levitra tab but no improvement. plz suggestion me

DOCTOR ALSAYES ANSWER:

I’m very sorry to hear that.
Erectile dysfunction could be due to many underlying causes, such as; Anxiety, diabetes, high blood pressure, alcoholism and smoking tobacco, acute stress disorder,…etc.
For the best treatment option, we need to identify the cause of your erectile dysfunction.

And keep in mind that making good lifestyle choices is a very important factor along with the medical treatment, and that should include:

• Quit smoking because it can lead to or worsen erectile dysfunction.
• Lose any excess weight. Being overweight can cause or worsen erectile dysfunction.
• Include physical activity in your daily routine. Exercise can help with underlying conditions that play a part in erectile dysfunction in a number of ways, including reducing stress, helping you lose weight and increasing blood flow.

Now regarding the medical treatment, many options are available:

• Oral medications like Viagra or Cialis (but these medications are not preferred to be used when you have a heart problem)
• Platelet Rich Plasma (PRP Therapy)
• Intracavernous injection therapy
• Vacuum erection devices
• Venous constriction devices
• Intraurethral therapy
• Penile prostheses

Now regarding the medical treatment, many options are available, some of them have side-effects while others don’t, but that also depends on your condition and overall health:

Please see your urologist to determine the best treatment for your current erectile dysfunction.

Thanks, Dr. Alsayes

ERECTILE DYSFUNCTION QUESTION:

Before 3 or 4 years ago I was good but now a says I am very decreased when I start sex I simply ejaculate would I get a permanent solution?

DOCTOR ALSAYES ANSWER:

Premature ejaculation or early climax has many factors and underlying causes, Such as anxiety and pressure to perform under heightened anxiety. Low sex drive is another possible cause. Watching pornography and masturbation more frequently can lead also to early climax during actual sex relation.

A neurological problem that may cause hypersensitivity in the penis and/ or hyperspasticity of the pelvic muscles can lead to early climax as well.

Treatment of this issue must follow a proper diagnosis of the cause first. However some techniques can be helpful in all cases, and these include:

• The start-stop method, which consists of the partner starting and stopping stimulation prior to climax ejaculation. The series of exercises progress to intercourse and over a period of weeks, it gradually increases the ejaculatory control.

• Kegel exercises while sitting, standing or walking.

Also, there are some medical options. For instance, using low-dose anti-depressants including (Dapoxetine, Anfronil, Clomipramine, Prozac, and Zoloft) can help to prolong ejaculation. But these drugs may lead to adverse side effects.

Please see your urologist for evaluation to identify the cause before considering the proper treatment.

I hope this answers your question.

Thanks, Dr. Alsayes

ERECTILE DYSFUNCTION QUESTION:

Before 3 or 4 years ago I was good but now a says I am very decreased when I start sex I simply ejaculate would I get a permanent solution?

DOCTOR ALSAYES ANSWER:

Premature ejaculation or early climax has many factors and underlying causes, Such as anxiety and pressure to perform under heightened anxiety. Low sex drive is another possible cause. Watching pornography and masturbation more frequently can lead also to early climax during actual sex relation.

A neurological problem that may cause hypersensitivity in the penis and/ or hyperspasticity of the pelvic muscles can lead to early climax as well.

Treatment of this issue must follow a proper diagnosis of the cause first. However some techniques can be helpful in all cases, and these include:

• The start-stop method, which consists of the partner starting and stopping stimulation prior to climax ejaculation. The series of exercises progress to intercourse and over a period of weeks, it gradually increases the ejaculatory control.

• Kegel exercises while sitting, standing or walking.

Also, there are some medical options. For instance, using low-dose anti-depressants including (Dapoxetine, Anfronil, Clomipramine, Prozac, and Zoloft) can help to prolong ejaculation. But these drugs may lead to adverse side effects.

Please see your urologist for evaluation to identify the cause before considering the proper treatment.

I hope this answers your question.

Thanks, Dr. Alsayes

ERECTILE DYSFUNCTION QUESTION:

If I take a Viagra pill then watch porn should it still work?

DOCTOR ALSAYES ANSWER:

Yes, it will work and it will give you an erection, but it should not be used for masturbation. Viagra can help achieve an erection only in the presence of sexual stimulation (even if that stimulation is a porn movie), and the erection will not occur just by taking the pill.

I hope this answers your question.

Thanks, Dr. Alsayes

ERECTILE DYSFUNCTION QUESTION:

If I take a Viagra pill then watch porn should it still work?

DOCTOR ALSAYES ANSWER:

Yes, it will work and it will give you an erection, but it should not be used for masturbation. Viagra can help achieve an erection only in the presence of sexual stimulation (even if that stimulation is a porn movie), and the erection will not occur just by taking the pill.

I hope this answers your question.

Thanks, Dr. Alsayes

ERECTILE DYSFUNCTION QUESTION:

I am 30-year-old married man and I have a numb penis. I have no problem to get a hard penis and I can perform sex with no issues. my problem is that whenever my penis enters, I do not feel anything.

DOCTOR ALSAYES ANSWER:

This insensitivity problem you have could be due to nerve root damage, or never compression or inflammation, and in most cases, it disappears after treating the cause.
There are many reasons that could lead to such a problem, for instance, this type of numbness is more common in men who cycle, especially those who ride for long distances.

Also, any disease that damages the nerves can affect the feeling in the penis area, including diabetes and multiple sclerosis (MS).

Please see your urologist for evaluation to identify the cause before considering the proper treatment.

The tests you need will depend on what condition the doctor suspects, but they might include: blood tests to check your testosterone levels, and/ or imaging tests such as MRI, to check for problems within the brain or the spinal cord.

I hope this answers your question.

Thanks, Dr. Alsayes

ERECTILE DYSFUNCTION QUESTION:

I have performance anxiety and It is destroying my marriage. I can get hard, but when it comes to the time of penetration, I often go soft, or get soft during sex or ejaculate pretty quickly, I have tried Cialis and it sort of worked, I’m not sure what the next step for me is from here.

DOCTOR ALSAYES ANSWER:

I advise you first to visit a psychotherapist, he will create a suitable treatment plan for you and will help you to deal with stress and performance anxiety. And it’s very important that you committed to the treatment.

In the meanwhile, you can take Cialis or Viagra (when needed / before intercourse), and 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 him regain his normal erection faster.

I hope this answers your question.

Thanks, Dr. Alsayes

ERECTILE DYSFUNCTION QUESTION:

I’m 31 & I’ve been having sexual problems/erectile dysfunction for about 1 year/10 months whether it’s with a girl or when I’m alone. There are some days I can’t get an erection at all the days I can I can’t maintain it for more than 10 minutes!

It’s not psychological cause I’ve had ED for about 10 months/ a year ( I admit there were 1 or 2 occasions when I was stressed). But even when I’m home alone when I masturbate I can get an erection ( sometimes a semi-erection depending on what I ate earlier like food high in saturated fat or high in carbs like sweets, chocolate, cheese, lasagna which can cause ED as it narrows the arteries & raises your blood sugar & cholesterol levels). Anyway, I can’t maintain an erection especially when I stand up.

So my doc gave me a pack of 4 pills of Viagra(50mg). I took it on 2 different occasions before sex it worked ( in fact it was the best sex I had cause I managed to get/maintain an erection for 1 hour & my dick was rock hard) BUT I had some worrying side effects afterwards so I told myself I would never ever take Viagra again.

The side effects I had were: bad headaches, difficulty breathing, chest pains, really fast irregular heartbeat I was gonna call the ambulance or go to the A&E department it was so bad I thought I was gonna die or have a stroke/cardiac arrest.

Eventually, the symptoms went away so I didn’t call the ambulance but I then looked at the leaflet & I couldn’t believe the list of dangerous side effects that were listed!
On the leaflet, it states: tell your doctor or go to the casualty department straight away if you notice any of these side effects: difficulty breathing (which I had), dizziness, swelling of your eyelids, mouth or throat. What was written afterward was even worse it states: if you have a stroke or have sharp chest pains (which I had) call the A&E immediately!

Other side effects include Sudden death(!), loss of blood to the brain & heart. Most, BUT NOT ALL MEN, had heart problems prior to taking Viagra. There have been cases of convulsions & seizures. There were many more side effects written on the leaflet I’m not gonna list them all: headaches, impaired vision, vomiting, irregular or fast heartbeat(which I had), high or low blood pressure, fainting,

So I’m looking for an alternative to Viagra. A pill to take just before sex & that is effective & that works on getting/maintaining erections.

The most famous ones are Vigrxplus, Prosolution, Sinrex, Maleextra but before buying one of them I’d like to know do I have to take these pills every day or just 1 pill before having sex?? I’m looking for the latter i.e a pill before sex. I’m not looking for a pill I’d have to take every day.
Sorry about the long post thanks for reading

DOCTOR ALSAYES ANSWER:

I’m very sorry to hear that.

First of all, I do not recommend any of these products. If you must take something then you should take a proven medication such as Viagra, or Cialis.
What happened to you could be because you have taken a higher dose than you should. For instance, if you started with 50 mg Viagra, then try 25 mg. or 50 mg if you started with 100mg.

Regarding these side effects, they are not that common as you think, and they occur in patients who may have other health problems like a heart disease or coronary disease, or in those whom may take it wrongfully or in higher doses.

But in normal healthy men, and when taken as prescribed, Viagra is considered a safe solution.

Unfortunately, I can’t recommend any alternatives herbs or formulas, because their efficacy is not proven scientifically.

You should know that above 80% of ED problems we see in our clinics are due to psychological problems and what makes them harder to treat is that many of these patients refuse to believe it’s just a psychological issue. And it could psychological issue even if you are alone.

ED 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 an underlying cause.
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.

Alcohol drinking and tobacco or any smoking can also contribute to ED.
Health issues like high sugar level and high cholesterol can also lead to ED.

We must first identify the cause and then treat it accordingly. I advise you first to visit a doctor and make some evaluation tests to exclude any medical/physical causes, and if all tests came up negative then your doctor will advise you on how to deal with stress and performance anxiety or he may refer you to a psychotherapist (if needed). 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 him regain his normal erection faster.

I hope this answers your question.

Thanks, Dr. Alsayes