Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Internal Medicine
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I am a male, 37 years old, height 5'10'', weight 78 kg, and suffering erectile dysfunction for the last two years after my marriage. I am unable to perform at the bed. The penis is not enough hard to go inside the vagina. Some days I took Tadalafil and Jermivit forte and Tentex forte but in vain. I want to become a father and save my marriage. My wife is very helpful and nice. Please advise me proper treatment. Please find my lab reports. Free testosterone 10.89, glucose fasting 103, glucose postprandial 142, thyroid T3 145.10, T4 10.02, TSH third generation 4.650, prolactin 9.58. Unable to update sperm and CBC is 5 whole blood report.
Hi,
Welcome to icliniq.com.
I understand all your concerns.
Erectile dysfunction is a common issue with two main subtypes with two different management. The first is organic and the second is psychological, we have to differentiate between the two. Please answer the following questions:
For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician
Patient's Query
Thank you doctor,
Always, I am very stressed about my job and parents health issues. Before my marriage, I used to masturbate every day and my penis was strong and had nightfalls. Morning erection was not happening every day. Weekly one or two days only morning erection happened. I do not have any desire for sex. I do not have any other medical problem. Please help me.
Hi,
Welcome back to icliniq.com.
I have checked the attached photos thoroughly (attachment removed to protect patient identity). All laboratory values are within normal. From what you mentioned, you have psychological erectile dysfunction which means that you do not have an organic disease. It is all due to stress and anxiety. I highly recommend psychologist counseling and try to avoid stress. A cooperative wife will be helpful for you and I suggest that you discuss the issue with her. You can take Viagra (Sildenafil) 50 mg tablet once 30 minutes before intercourse. Please if you have any heart condition or take any other medications, let me know.
For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician
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Internal Medicine
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