Regarding erection problem....... - #10827
My age is 27 and i am unmarried I hove some erection problem in standing position. Means when i am laying down or sitting i gets proper erection and holding is also good. But when i am in standing position i do not grt proper erection and holds is also very poor Even when i am sitting and got erection and then if i stand up then erection disappears I have noticed this problem from past 1.5 years almost. Note - 1.5 years ago i suffered from testes and pelvic pain for 4 months continuously.i cantacted diffe.doctors for that pain but every doctor called it normal or minor infection. After 4 months pain started going with some efforts but after some time i started noticing the erection problem which i mentioned above Can anyone tell me what is ths???
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Doctors’ responses
Your erection issue in the standing position may be linked to pelvic floor or vascular (blood flow) problems, sometimes following infections or inflammation in the pelvic/testicular area. Since it has lasted over a year, it needs proper evaluation rather than self-treatment. Please consult a urologist or andrologist for physical examination, penile Doppler ultrasound, and hormonal profile to identify the cause and guide treatment.
Hello dear Please be advised I think as per clinical history it seems erectile dysfunction However there can be chances of minor infection also I suggest you to please get following tests done Renal function tests Serum testosterone levels In addition please follow below instructions for atleast 1 months Do kegel exercises Take triphala/ shilajeet once a day for 1 month Dr medications Avoid stress In case of no recovery in 1 month Kindly contact sexologist or gynacolologist in person for better clarification Regards
Okk sir But one question is that if this problem be considered as erectile dydfunction Or anything else And what about testa level Is it low
Hello dear Thanks for the confirmation See the the value is within the range so please donot take any medications Lastly the symptoms are related with erectile dysfunction only so please follow the requested instructions Regards
My testesterone level is 303.27 ng/dl
And one more thing sir when i got erection in standing position I have to apply force to hold the erection and at that time amus becomes completely tight Like as lifting a weight.
My testesterone level is 303.27 ng/dl
And one more thing sir when i got erection in standing position I have to apply force to hold the erection and at that time anus becomes completely tight Like as lifting a weight.
Hello dear Thanks for the response I think than everything is normal Just follow my instructions and update me the status after 1 month I expect greater recovery in 1 month Regards
Sorry sir but i think i don’t need counselling with psychiatrist. I am saying this because these problem is incresed slowly. I am a pharmacist also so i know little about psychology and my routine is also busy i don’t have time for overthinking etc.
No sir i have tried nothing for this problem. Nothing means nothing. My testesterone level is 303.27 ng/dl
And one more thing sir when i got erection in standing position I have to apply force to hold the erection and at that time anus becomes completely tight Like as lifting a weight.
Hello. Lot of details are missing. But assuming the change in pattern of erection with position, I am suspecting damage to blood vessels going into the penis. Few clarifications required- has it always been like this? Or has it started recently only? What about immediately after resolution of pelvic and genital pain? It could also be psychogenic in origin, and could have resulted due to certain masturbatory practices in different positions, so, needs clarification with regards to your style of masturbation too. But for detailed evaluation, you can consult sexologist or urologist at the earliest. Regards.
If you want further information then tell me what you need
I had a habit of masturbating while lying upside down on the bed, but I may have given up this habit long before this problem started.
And this problem started gradually after the pelvic pain stopped, initially I Ignored it. And one more thing i can hold morning erection for some more time instead of day time erection. Plz tell me about this condition and is it treatable.
Sometimes, anxiety or depression can also lead to Erectile dysfunction and then having performance anxiety or negative thought patterns about maintaining erection could maintain the problem. Best course of action is to consult urologist first and then once physical causes are rules out, then to approach sexologist or psychiatrist. You can have online consultation with Allo health which is known for treating these kind of sexual issues. But don’t worry, if taken right treatment, you will be back to normal in few weeks. Regards.
And I understand your hesitation to consult with psychiatrist but I want you to know psychiatrists also deal with sexual problems and can guide you for sex therapy as well if required. Let me know if you have any more doubts. Regards.
Owen possibility is there that u are suffering from Venous leak possibility or Pelvic floor or nerve dysfunction which can be due to pelvic pain 1.5 years ago Investigation Penile Doppler Ultrasound – To see if you have a venous leak or reduced arterial inflow.
Hormone profile – Testosterone, prolactin, thyroid, and other reproductive hormones.
Neurological assessment – To check pudendal nerve function.
Pelvic floor exam – Because dysfunction here can weaken erection maintenance.
Medicine If venous leak: Medications like PDE5 inhibitors (sildenafil/tadalafil), sometimes combined with pelvic floor rehab.
If pelvic floor tension: Physiotherapy, stretching, and relaxation techniques.
If residual inflammation: Targeted antibiotics or anti-inflammatory regimen.
If nerve-related: Neurorehabilitation and specific exercises
Kindly get consultantion from urologist regarding same too
Plz tell me about this problem,what it is called. And suggest some full treatment
What are the chances for pelvic floor muscle. I mean it is due to tight pelvic or or weak pelvic muscles
Then how to know about these pelvic muscles And my testostetone level is 303.27ng/dl
In the begining when numbness started i went to a urologist and told my situation. Doctor said that it is chronic prostatitis and prescribed medicine(Alfuzosin and Amitriptylline) But there was no relief Again he added some antibiotic and done prostatitis massage for 1 week on alternate days. Then i felt some relief in pain only . Again he continued same medicine. During this treatment i felt relief in urethra itching when i took Amitriptylline and now the pain was also reduced but numbness was as before . Now i went for a USG for abdomen and scrotum. Conclusion- 1 seminal vesculitis 2 Cyst in right epididymis I consulted with doctor and he said that cyst is not harmfull and does not require any medication but he said to semen culture. In semen culture <link removed>li. bacteria was found and then doctor stopped all medicine and put me in Antibiotic(Doxy.lb and Septran Ds BD) For 21 days. After 21 days semen was analysed again and this time there was no bacteria but numbness was as before and some mild pain.now doctor again started Alfuzosin+Tofisopam and said after one month stop all medicine and said after 5 or 6month you will be ok. Now i finally want to say that the pain in testes and pelvic area is not major conceren as it is resolved. From past 10 days numbness also gone but itching in urethra is started I consulted another urologist he gave me Pregabalin+amitriptylline for one month. Now again a new problem is when itching is more the Skin if penis become very Loose also the muscle in penis Plz suggest me some some treatment .
My symptoms are as follows 1 Feeling numbness in penis 2 Pain in testes and pelvic area 3 itching in urethra 4 urination in every hour 5 when i feel these symotoms i have low libido and erection problem but when these symptoms goes i feel everything well like libido and erection For this condition i have consulted with two uroligist One said that it is due to chronic prostatitis And second said that it is Pdeundal neurolgia Can any tell me what is this condition called and what is the treatment
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