Q. I am taking medications for ED with no benefit. Should I go for penile injection therapy?

Answered by
Dr. Manjunadh M Nair
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jul 05, 2017

Hello doctor,

I am a 35 year old male. I have been suffering from erectile dysfunction and have tried PDE-5 inhibitors. They work, but they do not give results anymore. I quit smoking, a few years ago, when I was diagnosed with ED. My morning erection is also not as strong as it used to be. Many check-ups in the past have revealed that my lipid profile and fasting blood glucose are normal. I tested low-normal on testosterone on many occasions, around 285 ng/dl to 330 ng/dl.

I have recently started using Enanthate 50 mg every third day with 0.25 mg of AI on the day of injections, as taking 250 mg bi-weekly was giving too many highs and lows. The decision to self-administer testosterone replacement therapy was made because medications have not been helpful. I am about to get married and would be on short vacation. I do not want to start the consultation at that time and waste whatever little time I will have. I would like to try penile injection therapy. Can I be prescribed that if I visit a specialist in person? Would it be an expensive treatment?

#

Hello,

Welcome to icliniq.com.

  • Penile injections are tried in severe cases of erectile dysfunction (ED). Usually, it is prescribed by a urologist, since tests like penile doppler and others have to be done, to rule out any other issues. It is an option if nothing else works. But again, it is not very commonly used, and injections can be really expensive in the case of good brands, and the erection hardness you get is similar to Viagra.
  • You mentioned testosterone levels to be around 280. That is not low enough to start using injections of testosterone. In fact, there are oral medications like Clomiphene or Tamoxifen which help in increasing the levels.
  • Secondly, ED is primarily due to poor blood supply to the penis. So, after taking up to 20 mg of Tadalafil, try giving a hand stimulation after a gap of two to three hours. If that does not work, some venous disorders and psychological aspects should be ruled out, since stress and anticipation of a hard erection can worsen it.
  • Increasing testosterone levels may not be actually beneficial beyond a point since testosterone is associated with a desire and interest in sex, rather than erection hardness. So, you can consider the following natural options along with Tadalafil:
  1. Include four to five dates, figs, almonds, and cashews in your diet.
  2. Take Ashwagandha (Indian Ginseng), one capsule twice a day with milk.
  3. Practice yoga, especially Gomukhasana every day.
  4. Do Kegel exercises, that is, while passing urine, stop after five seconds, wait for 10 seconds and release again. Do it thrice daily.
  5. Do regular exercises for 45 minutes everyday.
  6. Expose yourself to sunlight for 15 minutes every day. Vitamin D can be a common cause for poor erection. 
  7. Taking a weekly dose of Calcitriol D3 sachets with milk and Nano-Leo capsules (extracts of Ginkgo biloba) can help.

For further queries consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist


Was this answer helpful?

 | 

Related Questions:
What treatment can help me prolong my first session of sex?

.. is not the medicine to be used for premature ejaculation. You need to get a physical examination with a urologist to rule out any genital infection causing an early discharge. If not, practice following exercises on daily basis for three to six ...   Read full

Stress-a barrier for brain development,is that true?

.. of stress in children does affect brain development. As the brain develops till the age of 18 years, stress can affect the development. Stress can, in general, affect the functioning of the body, hormonal balance, and immunity levels as well. If ...   Read full

Can I take Ashwagandha for perimenopause symptoms?

.. a very potent ayurvedic medicine. It has very good effect in neurological issues. It helps to improve your immunity and metabolism. It is very helpful in perimenopause symptoms. You can take 3 gm Ashwagandha powder or 500 mg Ashwagandha tablet twi...   Read full

 

This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers


Stress causes stiffness in my neck and back. What can be done about it?

Query: Hello doctor, I have a stiffness of neck and pain which continues to the back further. This often happens when a stressful situation arises, which also raises my BP. Worries related to health and other life concerns keep bothering me. Please suggest.  Read Full »

Is it safe for a hypertensive patient to take Viagra?

Query: Hi doctor,I am 51 years being treated for coronary ectasia and hypertension. I am taking the following medicines now. Tablet Clopilet 75 mg, Warf 2.5 mg and Nebicard H. Can I take Viagra for erectile dysfunction?  Read Full »

Can Ashwagandha and Shilajit be used for fatigue due to masturbation?

Query: Hi doctor, Earlier in my life I had the problem of over-masturbation. This was related to my mental depression as well. However, I have recovered from the habit of over-masturbation. But, still I masturbate once in four days. This causes fatigue, back pain and leg pain. Can I use supplements such as...  Read Full »

Also Read


Sinusitis - Causes, Symptoms and Treatment
Sinusitis is the infection of the air cavities within the nasal passages. Normally, the healthy sinuses are filled with ...  Read more»
Asthma and Its Rising Incidence
This article explains about asthma and its causes. It also focuses on the benefits of starting early treatment to lead a...  Read more»
Parkinson's Disease: Historical Aspects and Current Treatment Approaches
This article discusses the historical aspects of Parkinsonism and, the evidence based approaches currently available for...  Read more»

Ask your health query to a doctor online?

Ask a Psychiatrist Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website are not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.