Suggest treatment for erectile dysfunction while trying to conceive
Patient: Dear sir, i am having a very big problem and that is why i am trying to do sex with my wife in night my penis doesn t stand and in case if it stands it just goes down in 1 minute and we just unable to do sex and this is very disgusting. we are having this problem for a long time and this is so bad. So please help me sir its been 1 years since i have got married and we trying to have a baby but without sex how could we able to have a baby so please help sir Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. 1. If the main can obtain an erection on his own by masturbation, but not with his wife during intercourse or cannot sustain it, then the cause is definitely psychogenic. 2. Other causes which need to get evaluated as the probable or hidden cause of ED are: - Any use of hypertensive or psychiatric drugs - Any medical condition like overweight, diabetes, high blood pressure/cholesterol] - Any psychological issue [stress/depression/anxiety] - Any substance abuse [adddiction] Please consult a Urologist for necessary examination Serum Testosterone and FSH/LH level] and investigation, till then: (i) start with perineal exercises: while urinating, stop the flow of urine, start again, stop & start again 4-5 times. (ii) Take: milk and milk products, ghee, cheese, curd, black grapes, pears, raisins, dates, almonds, walnut, pomegranate, carrot, banana, apricots, muskmelon, amla, coconut, pistachio, turnip, potato, onion, lady finger, radish, old brown rice, peas,garlic, bottle gourd. (iii) Avoid sour and cold substances, tobacco [in any form], brinjal, tandoori roti, red chilies, heavy and food which require long hours to digest, jaggery and its items, deep fried food.  Before prescribing medication especially for ED, the patient should be evaluated for any cardiovascular diseases, thus have an appointment with a Cardiologist for any potential risk of a cardiovascular event.  Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Munish Sood