Recommended Tests (if not done already):
Total & Free Testosterone Prolactin LH, FSH, Estradiol HbA1c (Diabetes screen) Vitamin D & B12
You’re likely dealing with a functional ED issue not vascular, based on normal Doppler. It is often reversible with:
Daily tadalafil or on-demand Pelvic floor strengthening Stress management Nutritional support
Please visit nearest psychiatrist. Thank you.
Total and free testosterone , lh and fsh ,test is done the reports are normal Dr has prescribed 5mg tadalafil but for how many days to take so I can easily cure it
Tadalafil 5mg*
RX, 1) Tadalafil 5ng 1 tablet daily at the same time (not with heavy meals) After 3–4 weeks of daily use, your spontaneous and sustained erections will improve. Avoid using with nitrates or alpha-blockers.
Please accept my answer and close this question. Thank you.
Erectile dysfunction (ED) with symptoms like low blood flow, bending, pain, and semi-erect states can be complex. You’ve had a penile doppler test with normal results, so that rules out some causes, but it doesn’t solve the problem. First, consider factors lifestyle-wise: regular exercise, maintaining a healthy weight, and a balanced diet can positively influence ED. Smoking and alcohol use can impede blood flow; quitting smoking and moderating alcohol consumption might help too. Psychological factors could play a role: stress, anxiety, and depression are common contributors. Addressing these with a therapist or counselor can sometimes relieve ED symptoms. You mentioned a bend and pain, which might suggest Peyronie’s disease. Although your doppler was normal, further evaluation with a urologist could be beneficial. They might recommend treatments such as traction devices, or medication like pentoxifylline if Peyronie’s is confirmed. Prescription medications like PDE5 inhibitors (e.g., sildenafil, tadalafil) may be prescribed to improve erections. These drugs increase blood flow and are often effective. However, they’re only available through prescription, so discussing this with your healthcare provider is important. If there’s any hint of sudden severe pain or rapid curvature change, urgent consultation is necessary. The key is collaborating with your healthcare provider to scrutinize the root cause further. Regular follow-ups will aid in adjusting the treatment plan as needed, ensuring it suits your particular life and condition.
