erectile dysfunction

Hello, I do have a lack of erection problem which does not seem to be helped
by any of the "Viagra" type drugs. There does appear to be a different set
of symptons to those talked about generally. I find that if I masturbate, it
is difficult, but can be achieved sometimes without an erection, but
immediately after ejaculation I automatically achieve a good erection. I
have not seen these symptoms referred to in any text. Have you any comments,
and can the situation be restored to normality?
Thanks,
Barry.

[Kevin Pho, MD]

It would depend on what the cause of the ED is.  If there is an underlying disease, like peripheral neuropathy or diabetes - that would have to be treated first.  

Low testosterone would be another consideration.  A simple blood test can examine the levels and if low, supplemenation can be considered.

I would be evaluated by a urologist.  Pulses needs to be measured as well as a testosterone level.  An ultrasound can be considered to evaluate vascular supply to the penis.

Any disease that is found should be appropriately treated to see if there is improvement in the ED.

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