How can poor erection issues in males be managed?

Question

Hello doctor,

I am not able to get a hard erection for about one and a half months. I get a soft erection or nothing at all. I do not get any erection even if I am aroused. I am currently not taking any medications, but I am taking multivitamins and fish oil in general. I am frustrated and feel tensed. Please help.

Answer 1

Hello,

Welcome to icliniq.com.

I can understand your concern and I will definitely help you regarding this issue.

According to your complaints, you may be suffering from erectile dysfunction (ED). The reasons for erectile dysfunction (ED) could be as follows:

Stress due to work, family, or night duties. For this, I suggest you do regular exercise and yoga.
Depression
Varicocele – Ultrasound scrotum can help diagnose the condition.
Fear of failure - Experiencing one episode of ED may make you feel that you will end up with ED.
Low self-esteem (chronic masturbation).
Homosexuality – not attracted to the same sex.
Religious constraints.
Smoking and alcohol.
Long-term illnesses like cardiac disease, thyroid disease, kidney disease, or any other disease that involves taking long-term medication.
Simple vitamin deficiency – For this, you can take multivitamin supplements like tablet Zincovit or tablet calcium and vitamin D3 (Shelcal).
Negative attitude towards your partner.
Hormonal issues like thyroid problems, low testosterone, or increased prolactin.
Long-term drug usage.
Diabetes and hypertension.

I suggest you do the following investigations:

Doppler penis.
USG (ultrasonogram) pelvis, and scrotum.
Blood pressure.
RBS (random blood sugar).
Free T3 (triiodothyronine) T4 (thyroxine), testosterone, and TSH (thyroid stimulating hormone).

Kindly share more details regarding the above reasons, and we can work on the diagnosis and treatment. You need to do regular exercise and follow a proper diet. Following is the list of exercises that you can follow:

Basic exercises like Kegels, squats, yoga, running, or fast walking for five minutes.
Missionary sex positions like planks, push-ups, mountain climbers, and glute bridges.
Standing sex positions like bicep curls, pull-ups, and jump squats.
Doggy style like jump squats or walking lunges.
Cowgirl or the girl on top move such as glute bridges, and leg raises.

I suggest you take foods like strawberries, apples, avocados, sweet potatoes, sesame seeds, almonds, garlic, and little chocolate. For a temporary solution, you can take the tablet Tadalafil (Mildfil) 5 mg twice a day.

I am looking forward to helping you further with your medical needs.

Thank you.