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Urology (Expert Forum)
ERECTILE DYSFUNCTION
Answered by
Stephen Liroff, MD - Urology, Pediatric Urology, Peyronie’s disease
Vattikuti Urology Institute, Henry Ford Hospital
West Bloomfield - MI
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
ERECTILE DYSFUNCTION
by Student00000, Oct 17, 2009 05:42PM
Hi. I'm 24 years old medical student. My problem starts 2.5 years ago when I was going to have sex with my girlfriend for the first time.I didn't have sex with anyone else before. Then when I supposed to I didn't got erection. The second time when we try the same thing happen again.Sometime I achieve erection but when the time comes to put condom the erection is rapidly gone.I start having problems with my sleep,with my studying,with my libido(it went down) e.t.c. When I know that we wouldn't going to have sex,my erection and ejaculation are OK.I went on psychiatrist and endocrinologist.My levels of testosterone and prolacine are OK(testosteron 14.32nmol/L,prolactin 11.85ng/ml).My morning erection is OK.So my problem is only psychological.First my psychiatric prescribe me venlafaxine XR 75mg 1x1 and diazepam 5mg 2x1 for two weeks.After this tretman I stop having problem sliping and my mood was better but my libido went zero.Then he prescribe me lorazepam 1mg 1x1 but after one month the problem is still here.My libido is still low (I mastrubate once a week) and a still can't get erection for sex.PLEASE HELP
Doctor's Answer
by Stephen Liroff, MD, Oct 24, 2009 11:37PM
, Oct 24, 2009 11:37PMTo: Student00000
I think that a sex therapist (if your psychiatrist is not one) would be your best option for professional help. It may be helpful for your sexual partner (if the two of you are comfortable with this) to be involved, also. The use of, and choice of medication is certainly one that your therapist is in the best position to decide.
It sounds as though your problem will not be cured quickly and I would urge you to not panic and try to set reasonable expectations for yourself.
You might resubmit your question to Dr.Epp in the sexuality and Relationship forum to hear another opinion.
S.A. Liroff, M.D.
It sounds as though your problem will not be cured quickly and I would urge you to not panic and try to set reasonable expectations for yourself.
You might resubmit your question to Dr.Epp in the sexuality and Relationship forum to hear another opinion.
S.A. Liroff, M.D.
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