Struggling with Erectile Dysfunction and Back Pain

Question #25550

92 days ago

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Struggling with Erectile Dysfunction and Back Pain - #25550

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عمري ٣٦ متزوج لديا ٣ اطفال وزن ٦٢ عم باخذ دوا جينسينغ زياده وزن فقط عم عاني من ضعف انتصاب وجع ضهر ومعي دوالي درجه ثانيه باليسار واليمين تمام عملت تحاليل اوجو الاطلاع عليها والعلاج المناسب لكل مشكله وشكرا

How long have you been experiencing erectile dysfunction?:

- Less than 1 month

How severe is your back pain on a scale from 1 to 10?:

- 1-3 (mild)

Have you noticed any specific triggers for your symptoms?:

- No specific triggers

300 INR (~3.53 USD)

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Dr. Prasannajeet Singh Shekhawat

I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.

91 days ago

I’m glad you reached out. Erectile dysfunction (ED) at 36 is common and treatable, and we can work through this step by step.
First, a few important points:
1️⃣ About ginseng
Panax ginseng (Asian ginseng) is usually marketed to improve sexual performance, not cause ED.
It is not commonly known to cause erectile dysfunction. However:
Taking very high doses
Using unregulated or mixed supplements
Combining it with other medications
can sometimes affect hormones, blood pressure, or sleep — which can indirectly affect erections.
So ginseng is unlikely to be the direct cause, but stopping it temporarily to observe changes is reasonable.
2️⃣ I Need Your Test Results
You mentioned you had tests done — please share:
Testosterone level (Total & Free if available)
Blood sugar / HbA1c
Lipid profile
Thyroid (TSH)
Prolactin
Any Doppler ultrasound results
Without those numbers, I can’t interpret your results accurately.
3️⃣ Common Causes of ED at 36
At your age, the most common causes are:
✔ Psychological
Stress
Performance anxiety
Marital tension
Fatigue
Porn overuse
✔ Lifestyle
Poor sleep
Smoking
Alcohol
Lack of exercise
✔ Medical
Diabetes (even early)
Low testosterone
Thyroid problems
High cholesterol
Early blood vessel disease
At 62 kg, unless you’re very short, you’re not overweight — so obesity is unlikely the issue.
4️⃣ Treatment Depends on Cause
If psychological:
Stress management
Counseling
Exercise
Better sleep
Short-term medication like sildenafil (Viagra)
If low testosterone:
Testosterone replacement therapy (only if clearly low)
If blood sugar or cholesterol is high:
Control those first
Medications often used:
Sildenafil (Viagra)
Tadalafil (Cialis)
These are safe for most men unless you have heart disease or take nitrate medications
Thank you

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Dr. Nikhil Chauhan

I am currently working as a urologist and kidney transplant surgeon at Graphic Era Medical College & Hospital, Dehradun. It's a role that keeps me on my toes, honestly. I handle a pretty wide range of urology cases—stones, prostate issues, urinary tract obstructions, infections, you name it. Some are straightforward, others way more complex than you expect at first glance. Every patient walks in with a different story and that’s what keeps the work real for me. Kidney transplant surgery, though, that’s a whole different zone. You’re not just working on anatomy—you’re dealing with timelines, matching, medications, family dynamics, emotional pressure... and yeah, very precise coordination. I’m part of a team that manages the entire transplant process—from evaluation to surgery to post-op care. Not gonna lie, it’s intense. But seeing someone who’s been on dialysis for years finally get a new shot at life—there’s nothing really like that feeling. In the OR, I’m detail-focused. Outside of it, I try to stay accessible—patients don’t always need answers right away, sometimes they just need to feel heard. I believe in walking them through what’s going on rather than just giving reports and instructions. Especially in transplant cases, trust matters. And clear, honest conversation helps build that. Urology itself is such a misunderstood field sometimes. People ignore symptoms for years because it feels “awkward” or they think it’s not serious until it becomes unmanageable. I’ve had patients who came in late just because they were embarassed to talk about urine flow or testicular pain. That’s why I also try to make the space judgment-free—like whatever it is, we’ll figure it out. At the end of the day, whether I’m scrubbing in for surgery or doing OPD rounds, I just want to make sure what I do *actually* helps. That the effort’s not wasted. And yeah, some days are frustrating—some procedures don’t go clean, some recoveries take longer than they should—but I keep showing up, cause the work’s worth doing. Always is.

91 days ago

Hi, thanks for sharing the details.
Here is a point-wise breakdown for you:
· Varicocele (Grade 2 on both sides): This can sometimes affect testosterone levels and blood flow, potentially contributing to weak erections. It’s good you have identified this.
· Back Pain: Mild pain (1-3) is unlikely to be the main cause of ED, but we should still monitor it.
· Ginseng & Weight: Ginseng alone won’t solve a structural issue like varicocele. Your weight is healthy, so focus on strength, not just gaining weight.
· The Missing Link: Since you have done the blood work, your lab reports are the most important piece now. They will tell us if your hormone levels (Testosterone) are affected by the varicocele or if there is another issue (like diabetes or high prolactin) causing the ED.
Please share your lab reports so we can match the clinical findings (varicocele) with your blood work and suggest the right treatment plan for you.
Dr. Nikhil Chauhan, Urologist

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

90 days ago

ضعف الانتصاب وآلام الظهر يمكن ان يكونوا متصلين أو منفصلين في حالاتك. بالنسبة لضعف الانتصاب، هناك عدة عوامل قد تؤدي إلى هذه المشكلة مثل القلق، الإجهاد، أو حتى مشكلات جسدية مثل التدخين أو ارتفاع ضغط الدم. بما أنك تعاني أيضًا من دوالي الخصية في الجانب الأيسر، والتي تعرف بأنها من الدرجة الثانية، فمن المهم أن تتابع مع طبيب متخصص حيث يمكن أن تؤثر دوالي الخصية في إنتاج الهرمونات أو حتى جودة الحيوانات المنوية، وبالتالي تؤثر على الأداء الجنسي. من المهم إجراء فحص لهرمونات الجسم تشمل فحص هرمون التستوستيرون ومستوى السكر في الدم للتأكد من عدم وجود اضطرابات هرمونية أو مرض السكري. بالنسبة لألم الظهر، من المهم تحديد السبب الأساسي، وهو يمكن أن يكون بسبب وضعية الجسم غير السليمة أو ممارسة أنشطة تؤدي إلى الضغط على العمود الفقري. إذا كانت التحاليل تشير إلى وجود مشكلة، قد يكون العلاج الطبيعي أو الأدوية مثل مضادات الالتهاب غير الستيرويدية مفيدين في تخفيف الألم. النصيحة الفضلى هي اتباع نظام غذائي متوازن والانتظام في ممارسة الرياضة بانتظام. بما انك تتناول الجينسينج لزيادة الوزن، تأكد من عدم وجود تفاعلات مع الادوية الأخرى والحالة الصحية العامة. من المهم متابعة مشكلتيك مع أطباء متخصّصين وتجنب التأخير، خصوصاً إذا ازدادت الأعراض سوءًا.

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Dr. Arsha K Isac

I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.

92 days ago

Hello
Your erectile dysfunction is most likely temporary, especially since it started less than a month ago. Common causes at your age include stress, fatigue, poor sleep, mild pain, or hormonal imbalance. Focus on good sleep, regular light exercise, and reducing stress, then monitor for 4–8 weeks.
A grade-2 varicocele on the left side usually does not require treatment if there are no significant symptoms like persistent pain, infertility, or testicular shrinkage. Supportive measures (avoiding prolonged standing, supportive underwear) are usually enough.
Your mild back pain (1–3/10) is most likely mechanical. Daily stretching, core strengthening, avoiding long sitting periods, and warm compresses should help. Back discomfort itself can sometimes reduce sexual performance temporarily.
If erectile dysfunction continues beyond about 2 months, it’s recommended to check hormones (testosterone, prolactin, thyroid, blood sugar) and consult a urologist.
I trust this helps
Take  care
Thank you

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Client

92 days ago

عملت تحاليل اليوم بس ماعم بعرف كيف ارسلها

Dr. Arsha K Isac

91 days ago

If you cannot attach here , you can type and send

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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

91 days ago

Hello dear
See erectile dysfunction is very common theses days owing to stress and hormonal alterations
Iam suggesting some preventive measures.
Please follow them for atleast two months
Avoid heavy meals and alcohol
Take ashwagandha or triphala once a day for 2 months
Do meditation
Do physical exercises atleast for half an hour
Especially kegel exercises
Take shilajeet for 1 month once a day
In case of no improvement in 2 month, kindly consult gynaecologist for further clarification
Hopefully you recover soon
Regards

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Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

91 days ago

Based on your history, you are a 36-year-old male with recent onset (less than one month) of weak erections, no clear triggers, and currently taking ginseng supplements, with no other treatments tried yet. Since the problem started recently and was not present before, it is often related to temporary causes such as stress, anxiety, fatigue, poor sleep, nutritional deficiencies, or hormonal imbalance rather than permanent erectile dysfunction. Sometimes supplements like ginseng may not help and can even interfere with your body’s balance. It is important to review your blood test results with your doctor to check testosterone levels, blood sugar, thyroid function, and circulation, as these commonly affect erections. Improving lifestyle habits (regular exercise, good sleep, healthy diet, stopping smoking if applicable, and reducing stress) can significantly help. If the issue continues, a doctor may recommend medical treatments such as counseling, hormone correction, or medications for erectile dysfunction. In summary, this appears to be a recent and likely reversible condition, but proper medical evaluation and healthy lifestyle changes are the best next steps.

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Dr. Alan Reji

I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.

88 days ago

ضعف الانتصاب لفترة قصيرة قد يكون بسبب التوتر، الإرهاق، أو دوالي الخصية، والجينسنغ لزيادة الوزن لا يعالج السبب الأساسي. يُنصح بمراجعة طبيب مسالك بولية لتقييم دوالي الخصية (قد تحتاج متابعة أو علاج)، وفحص الهرمونات مثل التستوستيرون، السكر، والدهون لتحديد العلاج المناسب لكل مشكلة. ألم الظهر الخفيف غالبًا عضلي ويحتاج تمارين وتقوية، لكن إذا استمر أو زاد راجع الطبيب للفحص.

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