RX, 1) Tab neurokind od 1 tab at night for 1 month 2) Uprise D3 60k 1 tab weekly for 8 weeks
Investigation:
Serum Testosterone (Total & Free) Serum Prolactin Thyroid Profile (TSH, FT4) Vitamin D, Vitamin B12 Fasting Blood Sugar
At your age, ED is very often reversible. Most likely causes in your case = past medication effects, nutritional deficiencies, stress, and excessive masturbation. With correction of vitamin levels, good lifestyle, and stress management, sexual desire and performance usually return to normal.
Low vitamin D, calcium, and B12, along with past antidepressant and steroid use, can contribute to erectile dysfunction (ED), low libido, weakness, and mood changes. Excessive masturbation may have added to temporary sensitivity, but your main issue seems to be a combination of hormonal/nutritional imbalance and medicine side effects. Please consult a Urologist or Endocrinologist for hormone tests (testosterone, prolactin, thyroid) and proper treatment, while also continuing a nutrient-rich diet and supplements to restore energy.
Experiencing erectile dysfunction (ED) and low sexual desire can be distressing, especially when considering multiple factors such as vitamin deficiencies, past medication use, and lifestyle habits. Low vitamin D, calcium, and B12 levels can affect overall health, but they’re not directly known to cause ED. However, they can contribute to fatigue and low energy, which might indirectly affect libido. Antidepressants, especially certain SSRIs, are known to potentially contribute to ED and reduced sexual desire as a side effect. Steroids could also have a similar impact depending on the type and duration of use.
It’s encouraging to hear you’ve reduced excessive masturbation, as excessive habits may sometimes lead to temporary ED or affect sexual satisfaction, though this isn’t the primary cause. To address your symptoms, consider these steps: First, follow up with your healthcare provider to revisit your medication regimen. They may explore alternative antidepressants with fewer sexual side effects or adjust dosages. Assess your current vitamin and calcium levels; maintaining adequate nutrition can support overall health and influence energy levels. Also, consider lifestyle modifications like regular physical activity, a balanced diet, and sufficient sleep, all of which support sexual health. Avoiding alcohol and nicotine can also be beneficial.
If mental health stressors are contributing, a mental health professional might help address any underlying psychological issues impacting sexual function. If immediate solutions are not effective, consult with a specialist like a urologist to explore underlying issues specific to sexual function. Do not delay seeking advice if these symptoms are worsening, as early intervention can be key in managing ED effectively.
