Sexual dysfunction, penile numbness. Signs of neuropathy?

Question

Hello doctor,

I have been experiencing sexual dysfunction for the past 2.5 years, and I believe it is neurogenic in origin. This is because not only do I lack sensation, and am not responsive to touch in my penis when getting it erect. I cannot feel heat or cold temperatures on the glans of my penis either, which I think as signs of neuropathy.

Although it is theoretically possible to block pleasure from a psychological standpoint, not feeling heat or cold in my genitals is not a clear sign of neuropathy? If so, are there any treatment options available, assuming no pinched nerves? I have done an MRI and that is clear.

Answer 1

Hello,

Welcome to icliniq.com.

Any psychological diagnosis needs evaluation for other causes and ruling out functional causes. So my recommendations would do a few investigations first :

1. Serum testosterone levels.

2. Thyroid profile.

3. Serum vitamin B12 assay.

4. MRI LS (magnetic resonance imaging of the lumbar spine) spine.

However, as far as your query is concerned, yes psychologically one can have a loss of sensation over the penis. But as I said we need to first rule out any actual causes. You have not mentioned about your sexual life. Are you able to do intercourse? Can you achieve erection? Do you have morning erections? Revert with the asked details for better help.

Answer 2

Hello,

Welcome back to icliniq.com.

In that case, my recommendations for you would be to consider taking Tadalafil 10 mg two hours before intercourse and see the response you get. I would also recommend you to take methylcobalamin supplements for a few weeks. So, response to Tadalafil would help us in diagnosing your ailment further.

I hope your MRI did not reveal any compression.