Patient's Query
Hello doctor,
I am 29 years old. My PSA is 0.93. No change in urination pattern. I have a dull pain in the groin, hips, thighs, rectum, and perineum. I masturbate frequently from the age of 15. I suffer ED for two weeks.
Hello,
Welcome to icliniq.com.
ED (erectile dysfunction) is the most common problem nowadays. It is curable. Your PSA (prostate-specific antigen) is absolutely normal. ED can be psychological or organic. Psychological causes are stress, anxiety, and other life problems. Since you had good erections before, I think you have a psychological cause of ED. You should try behavioral therapy (yoga and exercise) to reduce stress. Strictly avoid smoking and alcohol. I am giving pain killers for pain. If things do not improve then, contact a urologist.
I hope this helps.
Treatment plan
Patient's Query
Thank you doctor,
I met a local urologist, but he refused to examine my prostate. I am taking a high dosage of Pantocid HP for gastritis, H.Pylori. My legs ache from hips to ankles. When I try to achieve an erection it is painful.
Hello,
Welcome back to icliniq.com.
You are too young to have any prostate problems. So it is fine if your urologist did not examine you for the prostate. I think your pain problem, back pain radiating from hip to ankle may be due to problems in your lumbar spine. I have some questions for you. Do you have night erections in sleep? Do you have some erection or nothing at all? Is erection not due to fear of pain? Did you had other tests (penile doppler) for erection?
Patient's Query
Thank you doctor,
I do not have night erection in sleep. I do not have any erections for about one to two weeks. No, the erection is not due to fear of pain. I did not have other tests (penile doppler) for erection.
Hello,
Welcome back to icliniq.com.
Do not worry. One to two weeks is a very short duration. I think you should wait and try behavioral modifications (yoga, exercise) and just forget and stop thinking about your ED. If you think continuously about the problem then it will precipitate more and you will go into a thinking cycle. Just wait for a few days (one to two weeks), give time. If not then we will get some tests. You can consult another urologist later if required or I am always there for you.
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Answered byDr. Khant Shahil Ramesh Bhai
Medically reviewed byDr. Vinodhini J.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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