Hello dear Please be aware See following medications can be taken in case if preventive therapy is not successful
Sildenafil empty stomach to be taken Tadalafil Accordingly if recommended by gynacolologist Vardenafil Levitra or Staxyn in case if allergic to Sildenafil Avanafil accordingly if recommended In addition please take the following precautions 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 1 month, kindly consult gynaecologist for further clarification Hopefully you recover soon Regards
To evaluate persistent erectile dysfunction at your age, with noted changes in erection quality and morning erections, we’d start by looking into possible underlying causes. First, hormone levels should be assessed, as they significantly influence erectile function. Tests like serum testosterone, both total and free, can provide insight into any hormonal imbalances. If testosterone is low, additional tests like luteinizing hormone (LH), follicle-stimulating hormone (FSH), and prolactin might give further clarity.
You also mentioned vascular causes; measuring your blood pressure is an essential step since hypertension can affect blood flow and contribute to ED. Alongside that, lipid profile tests, looking at your cholesterol levels, would be prudent to assess cardiovascular risks that might interfere with blood supply to the penis. Checking fasting blood glucose or HbA1c can rule out diabetes or pre-diabetes, which are known contributors to nerve and vessel damage associated with ED.
Given the neurological angle, which is less common but still pertinent, a physical examination and perhaps nerve conduction studies could be considered if the initial workup is suggestive or if you have symptoms like numbness. Lifestyle factors seem relatively well managed on your part with regular walking and physical activity, which is excellent as inactivity itself can worsen ED.
Lastly, it’s wise to assess psychological factors even though your libido remains high since stress and anxiety can play a significant role and cycle into physical symptoms. Consulting a sex therapist may complement the biological investigations. Once test results are back, they can guide further treatment, whether it involves medication like PDE5 inhibitors, lifestyle changes, or therapeutic interventions if needed.
