Hello doctor,
I am a 47-years-male. I am still unmarried and virgin. I am struggling with a humiliating problem and unable to contact any andrologist directly. Hence, I am humbly requesting your kind help with your valuable advice. When I was 27, I was unable to get sexual erection though impulse was there. I contacted a local urologist, he gave me Papaverine injection to my penis and advised to use Libidol tablets at that time. I did not find any improvement. Later, I approached a famous sexologist in our city. He said nothing is wrong in me and wrote Mustang, Alprazolam and Fluoxetine tablets. Accordingly, I used, but no result I observed.
My sister is a gynecologist and I have gone through her old medical books for sexual impotence and gathered some information on various tests. Later, when I was 29 years, again I met the same urologist and expressed my willingness to go for a Doppler ultrasound test and attended, which revealed that there was arterial insufficiency. Basing on the report, the urologist suggested me to go to a particular place to approach famous andrologist there.
I went and met the andrologist. He conducted the Rigiscan test for two days and gave Prostaglandin E1 to my penis and injected some distilled water into my penis through the machine for maximum enlargement of the penis and suggested me to use simply Nuzak capsules (Fluoxetine content) without saying any further.
Again I approached our local famous sexologist and showed the reports. He said nothing is wrong with me. I asked him whether to go for hormonal tests also. Based on my interest, he suggested me to go for FSH, LH, serum prolactin and testosterone tests. In that hormone test, he identified that the serum prolactin level is more than the specified range (around 1%) and hence suggested me to use Proctinal tablets half tablet a day for 30 days.
I followed his instructions accordingly and after some time, I observed good and long-lasting erections and maximum enlargement of the penis when attained erections. Sometimes, due to foreskin, a little bit of discomfort also caused when penis maximum enlarged due to erection. I used to get excellent erections both day time and night time.
As I said, still I am a virgin and whenever I failed to control myself, I used to do masturbation. But within 30 minutes, I used to get excellent erections further. This was happened until I attained 43 years. Later, there is a gradual change and now not getting day time erections and during night sleep. I observed though there is an erection, I am getting around 50 % hardness only and not getting good erection and maximum enlargement of penis as earlier. I do not have any sugar or BP issues. I never took alcohol and I am purely vegetarian.
Now I am getting pressure for marriage. I am unable to take a decision whether to go for or not keeping in view the sexual erection problem. I do not know whether I can make happy of my lady and give birth to a child. I saw that Ashwagandha capsules boost sexual erections and hence using for the past one month. Also read in websites that horny goat weed (750 mg) with maca root (150 mg) also gives good results in correction of erectile dysfunction and hence, recently bought one and using for the past one week one tablet per day. Some websites also suggesting to use Pycnogenol with L arginine for good erections. However, I would like to have a specialist consultation. Hence, could you please help me by guiding the way I have to follow to get rid out of this embarrassing problem? Also, suggest to me whether horny goat weed with maca root is good or bad. If any medication is suggested, I can follow it. Earlier, I gone for self hormonal tests and found all FSH, LH, serum prolactin and testosterone were within the normal range. If you need any more clarification, I can provide you. Could you please also guide me till what age, a person gets strong erections to perform sexual inter course?