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Urology (Expert Forum)
Sexual Dysfunction Question
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
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.
Sexual Dysfunction Question
by kev27, Jan 24, 2005 12:00AM
I am a very fit 32 year old male, on no medications, that has experienced difficulty getting and maintaining erections for about a year and a half. It doesn't happen 100% of the time, but enough to be a problem. My libido seems to be good, but I have also experienced a a marked decrease in morning erections.
At about the same time this started I also noticed a decrease in appetite, and weight loss of about 6% of my body weight. I've been able to get my weight back up, but mostly by forced intake of calories, because my appetite has not returned.
Additionally, A few years ago I was diagnosed with renal insufficiency due to elevated creatinine levels. I haven't had this rechecked in a few years (self employed and unable to get health insurance), but don't experience any problems with it.
I realize I need to see a physician but I'm wondering if there is an obvious link between the ED, appetite/weight loss and renal insufficiency.
Thank you.
At about the same time this started I also noticed a decrease in appetite, and weight loss of about 6% of my body weight. I've been able to get my weight back up, but mostly by forced intake of calories, because my appetite has not returned.
Additionally, A few years ago I was diagnosed with renal insufficiency due to elevated creatinine levels. I haven't had this rechecked in a few years (self employed and unable to get health insurance), but don't experience any problems with it.
I realize I need to see a physician but I'm wondering if there is an obvious link between the ED, appetite/weight loss and renal insufficiency.
Thank you.
Doctor's Answer
by Kevin Pho, MD, Jan 24, 2005 12:00AM
, Jan 24, 2005 12:00AM
I am not aware of a specific disease that can link the three symptoms together. Of course, there may be some kidney diseases that can lead to ED, as well as thyroid dysfunction leading to weight less and ED.
In this case, I would suggest testing the thyroid level as well as testosterone levels. Imaging tests like an ultrasound can be considered to evaluate any problems with blood flow.
These options can be discussed in conjunction with a urologic referral.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
In this case, I would suggest testing the thyroid level as well as testosterone levels. Imaging tests like an ultrasound can be considered to evaluate any problems with blood flow.
These options can be discussed in conjunction with a urologic referral.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
