Sexual Health & Disorders Online Doctors Consultation — page 7

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

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).

Hello Sai. First of all, there are lot of questions to be answered before coming to the diagnosis and concluding cause for the same. Erectile dysfunction occurs when sufficient erection fails to happen either in terms of time duration or turgidity (hardness). Broadly speaking, it can be of 2 types - Lifelong (when ED is occuring since the first sexual encounter) or Acquired (ED occuring after an initial period of normal functioning). Lifelong ED can be due to mainly (but not always) medical causes like increased cholesterol levels, vascular insufficiency, hormonal causes like low testosterone, diabetes, etc. Acquired ED could be mainly (again not always) due to psychological reasons like stress, depression, anxiety, marital issues, inadequate foreplay and few other reasons. One more indicator of psychological causes is when ED does not occur with masturbation and occurs only with the partner. Most often than not, ED is also associated with Premature ejaculation which needs to be answered. Management includes 1) Hormonal assays and basic investigations like CBC, Lipid profile, blood glucose levels and thyroid tests to rule out medical causes 2) Drugs like Sildenafil (Viagra) / Tadalafil along with SSRI like Dapoxetine if PE co-exist. 3) Sex therapy 4) Lifestyle modifications 5) Testosterone supplementation in case of low testosterone Kindly consult nearest psychiatrist/ sexologist for further assessment and management. Regards, Dr. Charan Kumar, MD Psychiatry (NIMHANS).