You need to work up the detailed history and basic investigation s to find out the cause for eectile dysfunction.different causes can be performance anxiety, extra marital affair, smoking, DM, low levels of testosterone, and so on.. Trial with sildenafil 50 mg or 100 mg OD before sexual activity can be given
I agree with Dr. Yogesh. Age of the patient and general perception matters. People complains ED before starting regular marital sex. First, second time sex with unknown / relationship partner may fail because of performance anxiety or stress. In such cases counseling will do the trick. Even in the initial days of marriage, when the couple try sex 4 or 5 times day. Stress and tiredness may cause ED. But here it is not organic. So detailed interview with the patient is must.
I Agree with Dr. Yogesh and Anand. Also, for biological causes, PRP (Platelet Rich Plasma) Therapy has a decent success rate to increase bloodflow, tissue healing, and size. These are tiny injections that signal for long-term stem cell healing, not immediate results. Results improve starting 3-6 weeks after injections.
The safest drug is Tadalafil 5 Mg or 10 Mg available as brands E D Save or Tadact or Tada save can be given half an hour before sex will be fine for erection and longer time. In fact, the effect of one dose can be there for 3 days and may not need to take every day. in my experience after a period of successful erection, and good sex, one may not need the help of tadalafil as the confidence is built up
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