I am ocd patient. I took serlift, floxin like medicine as per doctor prescription. From l ast one year I stopped taking medicine for ocd. Recently I am married. I am facing the problem of erectile dysfunction as well as lack of desire of sex. How can I solve the problem?

Dr. P K SukumaranPsychiatrist56yrs exp

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Sertraline 100 mg 1/2 0 1 ocd ?be informed ? accept that ocd is a recognised and treatable mental health condition, and that understanding what it is all about is the first step towards recovery. ?helping a person with their compulsive behaviours can reinforce their symptoms. However, it is important that the involvement of friends and family in rituals is reduced in a very gradual way as part of an agreed plan with the person or treatment program. ?encourage the person to seek help from a professional experienced in treating ocd. Suggestions for supporting the person with ocd include: ?offer reassurance that ocd is a recognised and treatable illness. ?assist them to be fully informed about effective treatments, including medication and psychological therapy. Information about available options can help alleviate many of the fears that people with ocd have about treatment, such as: how the treatments work, what is expected of the person, how long it should take, what self-management strategies can improve recovery, and how these treatments have helped others with ocd. ?encourage them to seek treatment from a professional who is experienced in treating ocd. Fears and worries about treatment may be exacerbated if the person with ocd is exposed to an incompetent or inappropriate treatment service. ?don?t try to bully or ridicule a person with ocd into getting treatment ? strong-arm tactics won?t work and will only increase their feelings of powerlessness and failure. ?emphasise that knowing when to seek help is actually a sign of strength, not weakness. ?seek advice from professionals and support groups on your own, if necessary. ?sometimes, despite your best efforts, you have to accept there?s nothing more you can do to encourage the person to seek help ? in this case, you need to find avenues of support and strength for yourself. ?if you think the person is in danger of harming themselves or someone else, call your doctor, ? being understanding. Let your friend or family member know that you?re there if they need a sympathetic ear, encouragement, or assistance with treatment. People with bipolar disorder are often reluctant to seek help because they don?t want to feel like a burden to others, so remind the person that you care and that you?ll do whatever you can to help. Exercise one hr daily, oil massage body, hobby, support from friends family, help others, weekly holiday, yoga, meditation.  

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Dr. Prof. Jagadeesan M.S.Psychiatrist17yrs exp

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Get your sexual dysfunction evaluated, if it is psychological or due to underlying medical condition. Tests, like serum testosterone, etc would be done by the doctor. Consult one and seek remedy. Good luck.  

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Dr. Saranya DevanathanPsychiatrist50yrs exp

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Dear lybrate-user, you need to consult a sex therapist or a psychiatrist or a urologist to diagnose your erectile dysfunction. She/he will take a detailed history about your sexual knowledge and practices. Will examine you physically. Later if necessary, will order few blood tests and scans to diagnose the vascular, endocrine and neurological causes. The treatment will be tablets, injections or therapy depending on the diagnosis. Hope your ocd is under control without tablets. For your information, erectile dysfunction is common in the first few weeks of marriage. It does not need any treatment.  

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Mr. Saul PereiraPsychologist50yrs exp

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Yes, you are right serlift can cause ed. But the biggest mistake you made is to discontinue without your doctor's consent. Anyway, since you are not on medication it is mandatory that you start a vigorous exercise regimen. Do aerobic exercise regularly to restore your body fitness and your circulation. There are some very good nitric oxide exercises that will increase the blood flow to all parts of the body including your penis. You are also advised to do kegel exercises which you can check out on google or youtube. In the meantime do visit a sexologist who can examine you physically to rule our physical causes, if any. Besides, he will prescribe medication to improve blood flow and libido. He will also recommend certain other exercises too. You need to include these foods in your diet: lots of green leafy vegetables, like spinach and kale, broccoli, chocolate, ginger, garlic, watermelon, oysters, freshwater fish, chilies, etc. Good foreplay may also become necessary to stimulate and increase sexual action and erection. The less anxious you are, the better. That can be worse than your medical problem itself.  

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Dr. Ankit PatelPsychiatrist1yrs exp

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Fluoxetine can cause erectile dysfunction. Kindly consult for change of drug which dose not cause erectile dysfunction.  

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