Erectile Dysfunction

Erectile dysfunction is a type of sexual dysfunction, where a man is unable to get or keep an erection firm enough for sexual intercourse. It can be psychological or due to some underlying health issue. Physical causes of ED are heart problems, high blood pressure and cholesterol, obesity, diabetes, prostate cancer, etc.

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Can antihypertensive drugs cause erectile dysfunction?

Query: Hi doctor, I have high blood pressure, and I have been prescribed with a medication I often forget to take. I have never had a problem with erections. The other night I had a good one when cuddling with my girlfriend, but it went away when things started to get sexual. We both tried to get it back ...  Read Full »

Dr. Samer Sameer Juma Ali Altawil

Answer: Hi, Welcome to Thanks for consulting. Erectile dysfunction has many causes like psychological which happen suddenly and usually in the short term, like few days. With this type, there will be good sexual desire and morning erections. Organic is caused by low testosterone level with t...  Read Full »

I feel I have a problem maintaining an erection after taking Viagra and Kamagra once. Why?

Query: Hi doctor, Six days ago, I took Viagra recreationally for the first time. I thought doing it once would not affect me. Then four days ago, I took Kamagra jelly without knowing what it was. This was also my first time taking it. Now, I feel like I have a problem maintaining a hard-on erection. Is thi...  Read Full »

Dr. Samer Sameer Juma Ali Altawil

Answer: Hi, Welcome to I understand your concern. Please note that Viagra (Slidenafil) stays in the blood only for four to six hours, and as you took the other medication more than 48 hours later, there should be no question about interaction. The other point is that Kamagra (Slidenafil) tab...  Read Full »

I have been experiencing erectile dysfunction, muscle weakness, low energy levels, and sleep issues after masturbating excessively. Please help.

Query: Hello doctor, I am taking Levothyroxine for the past many years. I also had some low testosterone blood levels for which I started with testosterone replacement therapy. I am eating healthy food, exercising, and losing weight also. However, during my exams, I was in stress due to which I masturbated...  Read Full »

Dr. Samer Sameer Juma Ali Altawil

Answer: Hello, Welcome to I went through your query and understood your concern. Repeated masturbation can cause mental exhaustion and memory loss. Therefore, you might be experiencing a loss of sleep. It can also cause temporary erectile dysfunction. I suggest you masturbate once or twice a...  Read Full »

I cannot get a hard erection and have an early ejaculation after masturbating for many years. Why?

Query: Hello doctor, I have been masturbating for many years. I used to have a hard erection and sexual satisfaction before. However, the last five to six times, I am not able to get a hard erection, and I also have early ejaculation. Also, I am not having much sexual satisfaction because of this. Can you...  Read Full »

Dr. Samer Sameer Juma Ali Altawil

Answer: Hello, Welcome to Thank you for consulting us. I understand your concern and will surely help you out. Masturbation is harmful as it can affect memory and erectile function. Therefore, I suggest you get serum testosterone, random blood sugar, and lipid profile done. Also, weight-bea...  Read Full »

I am suffering from erectile dysfunction and my testicles are shrinking. What should I do?

Query: Hello doctor,My testicles are shrinking, and my pubic hair does not grow anymore. I am always depressed and also suffering from erectile dysfunction. Please help me with this problem.  Read Full »

Dr. Samer Sameer Juma Ali Altawil

Answer: Hello,Welcome to problem that you are suffering from is due to reduced testosterone levels. The ultrasound report (attachment removed to protect the patient's identity) shows bilateral varicocele. Varicocele can cause the shrinking of the testis. Mood swings and depression are also e...  Read Full »

I had numbness in my penis after my first sex, and now I have reduced penile sensation and an inability to sustain an erection. Kindly help.

Query: Hello doctor,I am 35 years old with no other health issues. I had sex with my wife two days ago, which was my first time. She was thrusting her body, and her pelvic bone struck my private area around my pubic bone. I felt a numbness in the penis and could not sustain an erection. I have not had an e...  Read Full »

Dr. Samer Sameer Juma Ali Altawil

Answer: Hello,Welcome to read your query and understand your concern.Yes, this issue should be fine in the coming days. You do not need investigations or any other tests at the moment. Just avoid intercourse till you recover well, then will see how it goes. If your issue persists, you can foll...  Read Full »

I accidentally pushed down my erect penis. What to do?

Query: Hi doctor, I accidentally pushed down my penis when it was fully erected. While pushing it down, I heard a pop sound, and immediately I lost my erection. Since then, things were not normal as they were before. Now, I can quickly push down my penis while erect, and sexual urges got reduced significa...  Read Full »

Dr. Samer Sameer Juma Ali Altawil

Answer: Hi, Welcome to Yes, the suspensory ligament has been injured, and it contains the dorsal penile vein by the right side. That has led to venous engorgement and congestion, but veins will resolve with time. And the ligament will not heal unless it is only a partial tear. So what I would s...  Read Full »

Should I be concerned about the pain and bruising in my penis along with erection problems after masturbation?

Query: Hello doctor, I am 21 years old and have a question regarding my penis. I noticed that I had slight pain after frequent masturbation. However, my penis does not become erect, and I have slight bruising. Should I be worried about it?  Read Full »

Dr. Samer Sameer Juma Ali Altawil

Answer: Hello, Welcome to Yes, you will have pain and inflammation of the penile skin due to friction. However, it is normal; you do not need to worry about it. I suggest you avoid masturbation for a week and give it time to heal.  Read Full »

I used a tight condom and, since then, have been experiencing erectile dysfunction and numbness in the penis. Why?

Query: Hi doctor, A few weeks ago, I had an incident where I used a condom that was too tight. The following week I had pain, numbness, and erectile dysfunction. After three weeks, it seemed to get back to normal. The pain was gone, the numbness reduced, and I could get erections again. But since then, I ...  Read Full »

Dr. Samer Sameer Juma Ali Altawil

Answer: Hi,Welcome to Burning and dysuria might be from urethritis which is inflammation. If you are using a condom for masturbation, it is better to use oils like olive oil. All issues are with a condom, so changing the condom type to a non-allergic one is better. Tablet Tadalafil 5 mg can hel...  Read Full »

Cialis and Viagra did not work for my erectile dysfunction. Will testosterone replacement therapy help?

Query: Hi doctor, I have a problem with erectile dysfunction. It is a problem relating to how I ejaculate. I can only ejaculate from lying face down and humping into my hands or the bed. It is a condition called 'traumatic masturbatory syndrome.' For some reason, I can not ejaculate with an erection. I can...  Read Full »

Dr. Samer Sameer Juma Ali Altawil

Answer: Hi,Welcome to could be a primary or secondary issue (newly developed). If it is primary, then the cause will be unknown, and management will be more difficult, but if it is newly developed, this is the functional issue due to compression of lumbar vertebral one and two. As that is a...  Read Full »

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