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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Urologist
Category: Urology
Satisfied Customers: 63002
Experience:  MBBS MS (Surgery) Vast experience and routinely perform all urology procedures including endoscopy.
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I can asked questions on health? No, no doctor or

Customer Question

JA: Hi. How can I help?
Customer: I can asked questions on sexual health?
JA: Have you seen a doctor about this yet? What medications are you taking?
Customer: No, no doctor or medication
JA: Is there anything else the Doctor should know before I connect you? Rest assured that they'll be able to help you.
Customer: No
Submitted: 17 days ago.
Category: Urology
Expert:  Dr. Arun Phophalia replied 17 days ago.

Welcome to Just Answer.

Answers here are for education and information.

I will respond shortly with an answer or further information request.

Expert:  Dr. Arun Phophalia replied 17 days ago.

What are your age and gender?

What is your question, please?

Expert:  Dr. Arun Phophalia replied 17 days ago.

Do you have erectile dysfunction?

I am writing you an initial answer. Once you are online we may discuss it further.

Expert:  Dr. Arun Phophalia replied 17 days ago.

1) Hypoactive sexual desire disorder

2) Erectile dysfunction

Hypoactive sexual desire disorder is a multifactorial disorder. Androgen deficiency is an important, treatable cause of hypoactive sexual desire disorder, and it should be excluded by measuring serum total testosterone levels. Other causes can be systemic illness, depression and other psychological problems, or relationship and differentiation problems. Erectile dysfunction needs different tests;

The treatment would entail;

1) Selective PDE5 inhibitors are safe and effective (sildenafil, vardenafil, and tadalafil). So this is not only the first line but one of the best. The other things which can help are;

2) Vacuum Devices for Inducing Erection

3) Intraurethral Therapies

4) Intracavernosal Injection of Vasoactive Agents; people can be taught to give the injection.

If the above fail, penile prosthesis surgery can be tried, which has satisfactory results.

I hope your symptoms resolve soon.

I would be happy to assist you further if you need any more information.
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