HomeAnswersSexologysex driveIs it normal to need manual stimulation for penile erection?

Why do I have a low libido, and are there ways to correct it?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Yousef Abbas

Medically reviewed by

iCliniq medical review team

Published At June 20, 2022
Reviewed AtJanuary 4, 2024

Patient's Query

Hi doctor,

I am 28 years old. I feel my libido has been quite low, and is it normal to have the need for manual stimulation to get hard? And it stays hard for 10 to 20 seconds without touching at all. I took tablet Viagra for erectile dysfunction. Kindly help.

Answered by Dr. Yousef Abbas

Hi,

Welcome to icliniq.com.

I understand your concern. Your symptoms are common in young men who masturbate early in life. I would suggest you try reset therapy. That means lowering your testosterone and regulate down the nerve communication between the brain and genitals with the hope that after three to five years, there will be a strong rebound effect when the therapy slowly ends. Another option would be to see an endocrinologist and get tested for many different hormones.

Kindly revert in case of further queries.

Thank you.

The Probable causes

The probable causes are hormonal imbalance and distorted signaling between the brain and the genital region.

Investigations to be done

Consult an endocrinologist and get a comprehensive check-up.

Probable diagnosis

The probable diagnosis is erectile dysfunction.

Treatment plan

1) Tablet Dutasteride 0.5 mg, once per day. 2) Tablet Estradiol-Valerate 2 mg, once per day. 3) Tablet Clomipramine 50 mg, three times per day. I suggest you take it for three to five years, then taper it down to 10 % per month. WARNING: Have a complete physical and laboratory examination every twelve months to monitor your general health and walk a lot to prevent blood clots, a rare side effect. If you have a history of blood-clots do not take this medication.

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

Dr. Yousef Abbas
Dr. Yousef Abbas

Andrology

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