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What causes erection problems in 48-year-old men?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am 48 years old, married, male, living with my wife and one school-going child. My height is 5'64", and I weigh almost 176.37 Ibs. My main problem is that I am not able to sustain my erection or suffer from erection difficulties for a long time. I can sustain it only when I take Tadalafil type of tablets before.

But, at present, I am having high BP and taking Amlopres AT tablet daily in the morning, and after this medication, my BP level is 130/80 on average. Besides, I am having high TSH 6.98 when measured one month back and taking medication (Thyrox). Otherwise, I am also having an enlarged prostate, but to date, no major complications have arisen.

Though the doctor has prescribed Tamsulosin, a type of medicine, I have not started yet. Also suffering a bit of anxiety, however, I am not taking any other medicine except those mentioned above. Can I take Tadalafil after having such problems mentioned above to overcome the erection difficulties? Will it clash with the medicines I am taking already?

Please help.

Thank you.

Answered by Dr. K. Shanmuganandan

Education:

MBBS

Professional Bio:

Dr. K. Shanmuganandan is a dedicated General Practitioner with specialization in Rheumatology. He offers comprehensive medical care while focusing on the diagnosis and management of joint, muscle, and autoimmune disorders. With a patient-first approach, he combines preventive care, accurate treatment, and health education to improve quality of life.His areas of expertise include rheumatic diseases, arthritis management, and autoimmune condition care.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

Yes, you can take Tadalafil or Sildenafil tablets for an erection. It may bring blood pressure slightly lower.

Otherwise, it is safe. If the TSH level is slightly high, how is the sugar level? Also, learn to relax, as anxiety also causes erectile dysfunction.

I hope this helps.

Please revert in case of further queries.

Thank you.

Patient's Query

Hi doctor,

Thanks for your prompt prescription.

Sugar level is normal. What is your prescription for the safe use of Tadalafil?

Thank you.

Answered by Dr. K. Shanmuganandan

Education:

MBBS

Professional Bio:

Dr. K. Shanmuganandan is a dedicated General Practitioner with specialization in Rheumatology. He offers comprehensive medical care while focusing on the diagnosis and management of joint, muscle, and autoimmune disorders. With a patient-first approach, he combines preventive care, accurate treatment, and health education to improve quality of life.His areas of expertise include rheumatic diseases, arthritis management, and autoimmune condition care.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

Take it on the need basis only when you require it.

Thank you.

Medically reviewed by iCliniq medical review team
Published At November 20, 2018
Reviewed At June 10, 2026

Education:

MBBS

Professional Bio:

Dr. K. Shanmuganandan is a dedicated General Practitioner with specialization in Rheumatology. He offers comprehensive medical care while focusing on the diagnosis and management of joint, muscle, and autoimmune disorders. With a patient-first approach, he combines preventive care, accurate treatment, and health education to improve quality of life.His areas of expertise include rheumatic diseases, arthritis management, and autoimmune condition care.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. K. Shanmuganandan is a dedicated General Practitioner with specialization in Rheumatology. He offers comprehensive medical care while focusing on the diagnosis and management of joint, muscle, and autoimmune disorders. With a patient-first approach, he combines preventive care, accurate treatment, and health education to improve quality of life.His areas of expertise include rheumatic diseases, arthritis management, and autoimmune condition care.

This doctor is not available for online consultations on the platform anymore.

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