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Erectile dysfunction and low interest
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Sexual Health & Wellness
Question #11464
359 days ago
482

Erectile dysfunction and low interest

Sourabh

Hellow doc I think due to smoking..inadequate sleep..no exercises m getting these issues I have started regular exercises diet and sleep..and also reduce smoking..but how to recover from this issue..m not even having morning erections...no erection during sex untill and unless I consume sildenafil

Age: 32
Chronic illnesses: No
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Doctors' responses

Sourabh kindly get your testosterone and dhea level checked And follow up

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1.Erectile difficulties at your age are often linked to lifestyle issues like smoking, poor sleep, and lack of regular exercise.

2.Since you already started healthier habits, stay consistent benefits usually take weeks to months to show.

3.Low morning erections can suggest underlying vascular or hormonal causes that need blood tests.

4.Medicines like sildenafil help temporarily, but they do not solve the root cause professional evaluation is important.

5.Please avoid self medication and book a consultation so I can guide you with tests and a safe treatment plan.

I’m Dr. Rohith Ayyadurai MBBS Diabetologist and General Physician. Please book a consultation with me here on AskDocDoc for a personalised evaluation and safe treatment plan.

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Hello dear See it’s nice that you are doing exercises regularly and stopped deleterious habits. In addition please follow below instructions for improvement Do kegel exercises Stop current medication Take shilajeet once a day for 1 month Take triphala once a day for 1 month Do meditation Avoid stress Engage in social activities Indulge in hobbies like reading novels or anything creative In addition please get below tests done Serum testosterone Serum androgen Serum dhea supplements level In case of no improvement in 1 month, consult gynacolologist or sexologist in person for better clarification Hopefully you recover soon Regards

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It looks like you’re taking positive steps in addressing some factors that can contribute to erectile dysfunction and low interest, which is a great start. Smoking, sleep deprivation, and lack of physical activity can indeed impact erectile function. Reducing smoking, improving sleep, and incorporating regular exercise can significantly help over time. For erectile dysfunction, particularly since you’re experiencing a lack of spontaneous erections, there are several potential causes including vascular, neurological, or hormonal issues, that might be worth exploring with a healthcare professional. They could consider running some tests like checking your testosterone levels, evaluating for diabetes or cardiovascular concerns, which can sometimes be interconnected. However, it’s worthwhile to continue focusing on lifestyle modification—maintaining a balanced diet rich in fruits, vegetables, and lean proteins while staying hydrated. Reducing stress, possibly with mindfulness or relaxation techniques, can also be quite beneficial. It’s understandable that you’re using sildenafil, but it’s important to consult with a doctor for a tailored treatment approach, as they might adjust the dosage or explore other medications like tadalafil that might best fit your lifestyle. Additionally, some individuals find benefit from psychotherapy or sex therapy, especially if stress or relational factors are contributing. While you’re on this journey, avoid any over-the-counter supplements without doctor approval, as they can sometimes negatively interact with prescribed treatments or have systemic side effects. If you’ve recently made lifestyle changes, give them some time to take effect, but do follow up with your healthcare provider to monitor progress and see if adjustments need to be made. For any sudden or severe changes in symptoms, seek medical attention promptly.

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