I am suffering from ED. How to correct it?

Question

Hello doctor,

I am suffering from ED and PE, low libido for the past six years. Most of the medication that helps with erection including UpHold, Caverta, Pengra with and without the combination of depressant like Prodep 10 or 20 mg (without any sign of depression) have not helped me. I have even consulted psychologists and have not received any result. There is no obvious concern found during the physical test of the penis. My current medications are L-arginine, Horny goat weed, L-theanine. My blood report indicates FSH, LH, Serotonin, and Estradiol below normal, Testosterone and Dopamine within range, Prolactin on the higher side of the range, My pituitary MRI is absolutely normal, FSH 3.03 mIU/ml (Range: 1.5 to 12.4 mIU/ml), LH 2.80 mIU/ml (Range: 1.7 to 8.6 mIU/ml), Testosterone total: 458 ng/dl (Range: 249 to 836 ng/dl), Prolactin: 10.57 mg.ml (Range 2.64 to 13.13 mg.ml), Serotonin: 250 ng/ml (Range: 70 to 270 ng/ml), Dopamine: 29.6 pg/mL (Range: 0 to 30 pg/mL).

Answer 1

Hello,

Welcome to icliniq.com.

All the tests done seems to be fine except vitamin D deficiency. It seems that you are now diabetic and diabetes is so closely associated with erectile dysfunction. The treatment depends on the cause of erectile dysfunction. Some of the common causes are diabetes, Prostate enlargement, heart problems, problems in low back affecting the lower back nerves and low testosterone levels. In this regard, I would like to advise you to get the following tests done and revert back with reports. Fasting and postprandial blood sugars, HbA1c (glycated hemoglobin), fasting thyroid profile, fasting lipid profile, serum vitamin D, and B12 levels. Once the cause is corrected, erectile dysfunction will resolve automatically. Also, it is important that there are no psychological factors affecting your sexual health. Make sure that you and your partner are completely ready for the sexual intercourse. You should also consult a sex therapist in person.