Hello doctor I am a 30 year married man. My problem is erectile dysfunction and I have low libido, also I do not get any morning erections. I am not able to have sex with my wife. When I try to have sex I get partial erection and lose it completely after two minutes. I have been married for 1 year but facing this problems from 2-3 years. I mostly feel low in energy. My testosterone level are 313 ng/dl and weight is 93 kg and height is 6" 2. My thyroid levels, fsh,lh prolactin levels are normal. I went to a sexologist he prescribed me efil 5 mg and pari 20 mg and dabur stimulex capsule. I am taking it for 10 days but I get mild erections. I am very tensed please tell me what should I do? Why my libido low? Is it due to low testosterone? How can I get rock hard erections? white is best medicine for me allopathic or ayurvedic? How can I overcome it naturally? Please help me.

Dr. Satyajeet P PattnaikUrologist12yrs exp

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Patients suffering from erectile dysfunction should first be evaluated for any underlying physical and psychological conditions. If treatment of the underlying conditions doesn't help, medication and assistive devices, such as pumps, can be prescribed. Non-invasive treatments are often tried first. Most of the best-known treatments for ed work well and are safe. Still, it helps to ask your health care provider about side effects that could result from each option: oral drugs or pills known as phosphodiesterase type-5 inhibitors are most often prescribed in the u.s. For ed (viagra, cialis, levitra, stendra) testosterone therapy (when low testosterone is detected in blood testing) penile injections (ici, intracavernosal alprostadil) intraurethral medication (iu, alprostadil) vacuum erection devices penile implants surgery to bypass penile artery damage for some younger men with a history of severe pelvic trauma. Penile vascular surgery is not recommended for older men with hardened arteries.  

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