UROLOGY EXPERT FORUM
Sexual problem

Sexual problem


   I am a 45 year old male in good health but with sexual difficulties.
  : Up to late 1993 I had no sexual problems at all and also woke each
  morning with a strong erection. I was also an alcoholic and had on and
  off undiagnosed clinical depression. In autumn 1993 an article on
  alcohol abuse and impotence gave me a tremendous shock and in a matter
  of weeks all sexual desire and ability disappeared including morning
  erections. I stopped drinking within a month and haven't drunk a drop since.
  : In early 1994 I saw a urologist who advised me that there was nothing
  physically wrong with me, though I did have slightly low testosterone
  levels (10 with a standard range being 9-36). I struggled on until late
  1994 when eventually I was diagnosed with severe clinical depression. I
  was put on a 9 month course of Seroxat and was cured. At the same time I
  saw an endocrinologist who again advised me that he could find no
  physical cause for my sexual inability. My testosterone levels remained
  unchanged from the previous year. The endocrinologist also advised me
  that he could find no evidence of my previous alcohol abuse whatsoever.
  : In late 1995 I was put on a course of testosterone injections. These
  had modest effect on my sexual ability and temporally restored full
  morning erections. After three months the course was discontinued.
  : At present time I have some sexual desire and ability, but they are
  pretty low and a source of great worry to me. Since the testosterone
  injections ceasing I get occasional partial morning erections but they
  are rare.
  : My doctor is considering putting me on another course of testosterone
  (pills this time). However he is of the opinion that my problems stem from
  the brain rather than any physical cause.
  : Can mental attitude influence testosterone production? If so, what is the best course of action? I find it very strange that everything worked properly whilst I was abusing myself with alcohol.
  : Any advice would be appreciated.
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Dear Douglas
Thanks for your questions.
There are many pieces missing in your history. I presume since you have seen specialist in this area they have crossed all the
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