Sexual Health & Disorders Online Doctors Consultation — page 6

It can be balanitis also. Phimosis has to be treated with preputioplasty minimal procedure.

Dear Tushar, I understand that dealing with digestive issues, skin problems, and sexual health concerns for the past year must be frustrating. It’s natural to feel worried, especially when these issues start affecting your daily life. Since you’ve been experiencing hyperacidity, indigestion, fungal infections, and now sexual dysfunction, all these could be interconnected, possibly due to gut imbalances, hormonal changes, or stress. What You Can Do: 1. Improve Digestive Health • Stick to bland, home-cooked meals and avoid spicy, oily, or processed foods. • Try probiotics or buttermilk to improve gut health. • Get an H. pylori test if symptoms persist. 2. Take Care of Your Skin & Immunity • Keep your skin clean and dry, especially in folds. • Use antifungal creams if needed. • Check your blood sugar levels, as diabetes can worsen fungal infections. 3. Address Sexual Health & Hormonal Balance • Check testosterone levels if possible—low levels can affect libido and energy. • Reduce stress with deep breathing, meditation, or light exercise. • Improve blood circulation with pelvic and leg exercises. • Since you’re experiencing pain in the penis, a urologist can assess if there’s an underlying issue like prostatitis or nerve involvement. I know this has been a long and frustrating journey, but with the right approach, things can improve. It would be best to consult a gastroenterologist, dermatologist, and urologist to get a clearer picture and the right treatment plan.

Hello Ashish. As per your history, I assume that erectile dysfunction started only after the procedure. If so, it could be due to the procedure itself, by causing trauma to the perineal structures or vascular injury to the perineal blood vessels. If it's the spinal anesthesia that you have been given, there are few case reports citing that spinal anesthesia can cause erectile dysfunction due to alteration of autonomic nervous system and it is temporary condition. Kindly consult nearest sexologist / neurologist for further evaluation and assessment. Regards, Dr. Charan Kumar, MD Psychiatry (NIMHANS).

Dear Om, Thank you for reaching out. Since you’ve been off dutasteride for 1.6 years but are still experiencing erectile dysfunction and low libido, it’s important to address the underlying causes and work on restoring your hormonal balance. Steps to Support Recovery: 1. Hormonal Evaluation: To get a clear picture, I recommend getting the following blood tests: • Total & Free Testosterone • DHT (Dihydrotestosterone) • Estradiol (E2) • LH & FSH • Prolactin • Thyroid Panel (TSH, T3, T4) These tests will help determine if your testosterone levels are suboptimal or if any hormonal imbalance is contributing to your symptoms. 2. Lifestyle Modifications: • Exercise: Strength training and high-intensity workouts can naturally boost testosterone. • Diet: Increase intake of healthy fats (avocados, nuts, olive oil) and zinc-rich foods (oysters, red meat). • Sleep & Stress Management: Ensure 7–9 hours of quality sleep and manage stress, as high cortisol can suppress testosterone. • Avoid Smoking & Excess Alcohol: Both can negatively impact hormone levels and erectile function. 3. Supplements to Consider (After Consulting a Doctor): • D-Aspartic Acid (DAA): May help stimulate testosterone production. • Ashwagandha: Reduces cortisol and may improve libido. • L-Carnitine & L-Arginine: Improve blood flow and erectile function. • Vitamin D & Zinc: Crucial for testosterone synthesis. • Omega-3 Fatty Acids: Support overall hormone balance. 4. Medical Interventions (If Needed): • If symptoms persist, PDE5 inhibitors (like Sildenafil or Tadalafil) can help with erectile function. • If testosterone levels are low, therapies like Clomiphene Citrate or hCG might help restore natural hormone production. 5. Consult a Specialist: Given the prolonged symptoms, it may be beneficial to see a urologist or endocrinologist to assess whether post-finasteride syndrome or another underlying issue is involved. Since you also have atopic dermatitis, reducing overall inflammation and supporting immune health could further aid recovery. Let me know if you need help interpreting test results or deciding the next steps.