How to manage my erectile dysfunction and low testosterone?

Question

Hello doctor,

I have been experiencing the symptoms of erectile dysfunction, including very loose erections or erections that do not last long, and the absence of morning erections for several months.

My reports suggested low sperm count and low testosterone levels. I have a low urge to have intercourse, and I feel stress related to intercourse.

Kindly help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and understood your concern.

I can understand your concern about your symptoms. According to your complaints, you may be suffering from erectile dysfunction (ED).

The reasons for your erectile dysfunction (ED) can be as follows:

Stress related to work or family, and night duties. Plan for regular exercise and yoga.
Depression.
Varicocele - Ultrasound of the scrotum can help diagnose this.
Fear of failure. Having one episode of ED may lead to ongoing anxiety about performance.
Low self-esteem due to chronic masturbation.
Homosexuality is not being attracted to the same sex.
Religious constraints.
Smoking and alcohol use.
Long-term illnesses, such as cardiac disease, thyroid disease, kidney disease, or any condition requiring long-term medication.
Simple vitamin deficiency - You may use tablet Zincovit (multivitamins and minerals) and tablet Shelcal (calcium and vitamin D3).
Negative attitude toward your partner.
Hormonal issues such as thyroid problems, low testosterone, or increased prolactin.
Long-term drug usage.
Diabetes and hypertension.

I suggest you undergo the following tests for an accurate diagnosis:

Doppler penis.
USG (ultrasonography) of the pelvis and scrotum.
Blood pressure measurement.
RBS (random blood sugar).
Free T3 (triiodothyronine).
Free T4 (thyroxine).
Testosterone.
TSH (thyroid-stimulating hormone).

I suggest you share more details regarding the above factors so that we can diagnose and treat your condition appropriately.

Meanwhile, I suggest you start regular exercise and maintain a proper diet. Start with simple exercises like Kegels, squats, yoga, running, and five minutes of fast walking are a good start. To build strength and support, I suggest you include planks, push-ups, mountain climbers, and glute bridges. Also, add bicep curls, pull-ups, jump squats, and walking lunges, along with leg raises, to improve overall muscle strength and stamina.

I suggest you also pay attention to your diet. I suggest you include strawberries, apples, avocados, sweet potatoes, sesame seeds, almonds, and garlic in your meals. You may also have a small amount of chocolate occasionally.

For a temporary solution, I suggest you take a tablet of Maildfil (Sildenafil) 5 mg twice a day.

I hope that this answers your query.

Kindly follow up if you have more doubts.

Thank you.